2023-08-09T16:30:08-05:00 2022-09-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2021-10-01 481226856 GREAT PLAINS OF OTTAWA CO INC % JASON BARB GREA 3166851523 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 JASON BARB CFO 3166851523 2023-06-01 true JASON BARB 999009999 SHAWNELL LINOT P01663908 3162652811 2 2021 2023-04-26 12:10:37Z JASON BARB 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 9046004 false X WWW.OTTAWACOUNTYHEALTHCENTER.COM X 1999 KS TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH-CARE SERVICES AND PROMOTE THE HEALTH AND WELLNESS OF THE MINNEAPOLIS AND OTTAWA COUNTY KANSAS AREA. 8 7 107 5 0 3238745 1460437 6936108 7508448 19345 33193 17783 43926 10211981 9046004 0 0 0 0 4309972 4202316 0 0 0 3061431 3914456 7371403 8116772 2840578 929232 12881385 12909045 1696032 794460 11185353 12114585 X TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH-CARE PURPOSES AND TO PROMOTE THE HEALTH AND WELLNESS OF THE MINNEAPOLIS AND OTTAWA COUNTY KANSAS AREA. false false 6424440 0 7524425 THE HOSPITAL'S PRIMARY PROGRAM IS THE DELIVERY OF HEALTHCARE AND RELATED SERVICES TO RESIDENTS OF OTTAWA COUNTY, KANSAS. PRIMARY SERVICES INCLUDE INPATIENT CARE (ACUTE AND SWING-BED); OUTPATIENT AND ANCILLARY SERVICES (ER, OBSERVATION, LAB, RADIOLOGY, REHABILITATION THERAPIES, ETC.); INTERMEDIATE SWING-BEDS AND LONG-TERM CARE, AND A COMMUNITY WELLNESS/FITNESS CENTER. SEE SCHEDULE O FOR CONTINUATION. 6424440 true true false true false false false false false false true false false false true false true true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true true false true 41 0 true 107 true false false false false false false false false false false false false X 8 7 true false false false true true true true true false false true true true true true true false false false X JASON BARB 3166851523 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 X DAVE DELLASEGA PRESIDENT/DIRECTOR/SECRETARY 0.25 40.0 X X 0 209142 59769 JODY PARKS ADMINISTRATOR 40.0 0.0 X 163548 0 43402 CHERYL LANOUE BUSINESS OFFICE MANAGER/CFO 40.0 0.0 X 130539 0 38135 MARLENE GAWITH DON 40.0 0.0 X 131244 0 27765 DURREL KELLEY SENIOR VP OF OPERATIONS 2.0 40.0 X 0 127901 30947 JASON BARB CFO 0.25 40.0 X 0 46160 5528 DAVE RANKIN DIRECTOR/CHAIRMAN 0.25 2.0 X X 0 0 0 JOHN TERRILL VICE PRESIDENT/DIRECTOR 0.25 2.25 X X 0 0 0 STEVE CARLSON TREASURER/DIRECTOR 0.25 2.25 X X 0 0 0 DR BARBARA BROWN APPLEGATE DIRECTOR 0.25 2.25 X 0 0 0 ARTHUR HENDRICKSON DIRECTOR 0.25 2.25 X 0 0 0 CHARLES WESTIN DIRECTOR/CHAIRMAN 0.25 2.25 X X 0 0 0 ROGER JOHN DIRECTOR 0.25 2.25 X 0 0 0 425331 383203 205546 3 false true false GPHA 250 N ROCK RD STE 160 WICHITA KS 67206 MANAGEMENT AND CBO 581205 LABES BRUCE MD 1135 WINDMILL RD DELPHOS KS 67436 CONTRACT SERVICES 116050 CASCADE HEALTH SERVICES 1001 NW BARRY ROAD KANSAS CITY MO 64155 CONTRACT SERVICES 211271 SUPERIOR CONTRACT MANUFACTURING S 1655-B WALL STREET SALINA KS 67401 CONSTRUCTION SERVICE 132660 AYA HEALTH CARE INC PO BOX 123519 DALLAS TX 753123519 CONTRACT SERVICES 152764 8 1460437 1460437 NET PATIENT SERVICE REVENUE 621300 7465106 7465106 WELLNESS CENTER 621400 43342 43342 7508448 33193 33193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EMPLOYEE/GUEST MEALS 722320 4217 4217 VENDOR REBATES/PURCHASE DISCOUNTS 900099 23725 23725 All Other Misc Revenue 15984 15984 15984 15984 43926 9046004 7508448 77119 X 0 0 0 0 372137 372137 0 2828149 2431385 396764 211233 173859 37374 562257 441672 120585 228540 180212 48328 100144 100144 0 43542 43542 995 995 0 0 2129145 1922252 206893 0 1611 1306 305 280359 244291 36068 0 0 191747 120166 71581 1775 1733 42 0 4341 1501 2840 0 0 749311 548504 200807 80201 53544 26657 MEDICAL SUPPLIES 232734 232667 67 EQUIPMENT RENTAL & REPAIRS 78998 66301 12697 DUES & SUBSCRIPTIONS 14436 1113 13323 _ 0 5117 3934 1183 8116772 6424440 1692332 0 3009829 413490 2368545 6291176 0 0 1605288 651395 0 0 0 0 0 0 106333 101968 95981 87868 12298023 7062096 5598897 5235927 0 0 0 0 0 0 0 0 96512 127221 12881385 12909045 633135 703460 0 0 0 0 0 0 0 0 0 0 850 0 0 0 1062047 91000 1696032 794460 X 11185353 12114585 0 0 11185353 12114585 12881385 12909045 929232 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 995 false false false 995 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING. 19000 19000 8303072 4768799 3534273 3410802 1883264 1527538 565149 410033 155116 5235927 0 THIRD PARTY PAYABLE 91000 91000 9046004 9046004 9046004 8116772 8116772 8116772 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X false true true false false 9080 9080 0.00110 281847 78358 203489 0.02510 290927 78358 212569 0.02620 290927 78358 212569 0.02620 false 74721 5109596 5109596 X true true 1 1 OTTAWA COUNTY HEALTH CENTER 215 E 8TH STREET MINNEAPOLIS KS 67467 WWW.OTTAWACOUNTYHEALTHCENTER.COM A072002 X X X X 1 OTTAWA COUNTY HEALTH CENTER 1 false false true X X X X X X X X X 21 true false true true X SEE SCHEDULE H, PART V, SECTION C X true 21 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 0. X X X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 5 THE ASSESSMENT PROCESS WAS INITIATED AND CHAIRED JOINTLY BY OTTAWA COUNTY HEALTH CENTER, OTTAWA COUNTY HEALTH DEPARTMENT, OTTAWA COUNTY HEALTH PLANNING COMMISSION AND OTTAWA COUNTY ECONOMIC DEVELOPMENT. A BROAD-BASED GROUP OF COMMUNITY LEADERS AND COUNTY RESIDENTS WERE INVITED TO PARTICIPATE. SCHEDULE H, PART V, LINE 6B OTTAWA COUNTY HEALTH DEPARTMENT, OTTAWA COUNTY HEALTH PLANNING COMMISSION AND OTTAWA COUNTY ECONOMIC DEVELOPMENT SCHEDULE H, PART V, LINE 7A HTTP://WWW.OTTAWACOUNTYHEALTHCENTER.COM SCHEDULE H, PART V, LINE 10A HTTP://WWW.OTTAWACOUNTYHEALTHCENTER.COM SCHEDULE H, PART V, LINE 11 2022 CHNA PRIORITIES: The below priorities and goals were established following our September 2022 Community Health Needs Assessment. OCHC will take steps and create initiatives to address these priorities over the next three years, 2022-2025. PRIORITY 1: OBESITY/PHYSICAL INACTIVITY/LACK OF HEALTHY BEHAVIORS Goal 1: Improve Access to/Increase interest in the Wellness Center Goal 2: Community Health Education PRIORITY 2: LACK OF AWARENESS REGARDING AVAILABLE HEALTH SERVICE IN THE COMMUNITY Goal 1: Promote Ottawa County Health Center's Services Offered Goal 2: Provide Educational Opportunities to Surrounding Area Residents THE HOSPITAL WILL WORK WITH COMMUNITY PARTNERS AND/OR HEALTH ISSUE EXPERTS ON THE FOLLOWING FOR EACH OF THE APPROACHES TO ADDRESSING THE IDENTIFIED HEALTH NEEDS: DEVELOP WORK PLANS TO SUPPORT EFFECTIVE IMPLEMENTATION, CREATE MECHANISMS TO MONITOR AND MEASURE OUTCOMES. AND PROVIDE ON-GOING STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE COMMUNITY HEALTH. WHILE SOME OF THE NEEDS WERE COMBINED IN IDENTIFYING THE ABOVE PRIORITIES, OTHER NEEDS WERE NOT ADDRESSED DUE TO A LACK OF FINANCIAL AND OTHER RESOURCES. SCHEDULE H, PART V, LINE 16A, B, & C HTTP://WWW.OTTAWACOUNTYHEALTHCENTER.COM/PATIENT-INFORMATION.HTML SCHEDULE H, PART I, LINE 3C THE ORGANIZATION USED THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS. SCHEDULE H, PART I, LINE 7, COLUMN F NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO. SCHEDULE H, PART III, LINE 2 HOSPITAL CHARGES THAT ARE NOT COLLECTED AND ARE NOT APPROVED FOR FINANCIAL ASSISTANCE ARE CLASSIFIED AS BAD DEBTS FROM PATIENTS WHO WILL NOT PAY. SCHEDULE H, PART III, LINE 3 THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT. SCHEDULE H, PART III, LINE 4 NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. SCHEDULE H, PART III, LINE 9B ALL CHARITY CARE CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPT FROM COLLECTION POLICIES AND PRACTICES. THESE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE. SCHEDULE H, PART VI, LINE 2 THE HOSPITAL HAS SEVERAL AVENUES TO ASSESS THE NEEDS OF THE COMMUNITY: (1) THE COUNTY COMMISSIONERS APPOINT A 5-PERSON GOVERNING BOARD, THE OTTAWA COUNTY HEALTH CENTER BOARD OF TRUSTEES, MADE UP OF LOCAL COUNTY RESIDENTS. THESE BOARD MEMBERS, WHO RESIDE IN VARIOUS AREAS OF THE COUNTY, ARE A VITAL LINK IN COMMUNICATION TO THE COMMUNITY. (2) THE OTTAWA COUNTY HEALTH CENTER BOARD OF TRUSTEES OWNS THE LOCAL PHYSICIAN'S CLINIC BUILDING TO ENSURE THAT HEALTHCARE PROVIDERS HAVE THE SPACE AND OFFICES FROM WHICH TO BASE THEIR PRACTICES AND PROVIDE NECESSARY SERVICES TO THE COMMUNITY. (3) THE HOSPITAL WORKS CLOSELY AND PARTNERS WITH THE COUNTY PUBLIC HEALTH DEPARTMENT TO IDENTIFY PATIENTS WHO REQUIRE SPECIALIZED OR ADDITIONAL CARE AND TO COORDINATE PROGRAMS TO IMPROVE OVERALL COUNTY HEALTH. (4) THE HOSPITAL CONDUCTED A FORMAL NEEDS ANALYSIS IN 2013, 2016, 2019, AND MOST RECENTLY IN SEPTEMBER 2022. THE FINDINGS HAVE BEEN MUCH THE SAME IN EACH ASSESSMENT. BELOW IS INFORMATION ON THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND HOW THE HOSPITAL HAS ADDRESSED THE KEY FINDINGS OVER THE PAST YEAR. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES ARE ALSO NOTED. THESE PRIORITIES WILL BE ADDRESSED IN 2023-2025. OTTAWA COUNTY HEALTH CENTER WORKED WITH FORVIS TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT OF OTTAWA COUNTY. THE ASSESSMENT NOT ONLY MET THE NEW IRS REQUIREMENTS, BUT IT ALSO IDENTIFIED OPPORTUNITIES FOR IMPROVEMENT OF HEALTH AND WELLNESS AND SUPPORTED OTTAWA COUNTY'S STRATEGIC PRIORITY OF LOCALIZING HEALTH CARE FOR THE COMMUNITY. FORVIS RESEARCHED AND ANALYZED COMMUNITY HEALTH DATA, CONDUCTED SURVEYS OF LOCAL KEY STAKEHOLDERS TO DETERMINE RELEVANT ISSUES, AND PROPOSED NECESSARY ACTION PLANS AND IMPLEMENTATION STRATEGIES TO ADDRESS THESE ISSUES. WITH THESE FINDINGS, OTTAWA COUNTY HEALTH CENTER IDENTIFIED TWO GENERAL HEALTH PRIORITIES ON WHICH TO FOCUS AS STRATEGIC INITIATIVES IN OTTAWA COUNTY. THE IMPLEMENTATION STRATEGY IS LISTED BELOW WITH THE GOALS AND STRATEGIES TO ADDRESS EACH INITIATIVE OVER THE NEXT THREE YEARS. 2019 CHNA PRIORITIES: PRIORITY 1: OBESITY/UNHEALTHY EATING/PHYSICAL INACTIVITY GOAL 1: ENCOURAGE USAGE OF AND INTEREST IN THE LOCAL WELLNESS CENTER GOAL 2: SPONSOR ANNUAL 5K RUN TO SUPPORT HEART HEALTH AND WELLNESS GOAL 3: SUPPORT HEALTHY EATING IN THE COMMUNITY PRIORITY 2: INFORMATION ON/ACCESS TO LOCAL MEDICAL SERVICES GOAL 1: PROVIDE GENERAL HEALTH EDUCATION TO THE COMMUNITY GOAL 2: SUPPORT COMMUNITY INITIATIVES RELATED TO HEALTH INFORMATION AND EDUCATION TO ADDRESS THESE GOALS, OTTAWA COUNTY HEALTH CENTER IMPLEMENTED THE IDENTIFIED STRATEGIES AS FOLLOWS: - OCHC recently completed a significant renovation to the Wellness Center, a fitness center and lap pool available to the community. The renovation addressed safety issues, functionality improvements, and general cosmetic updates. The renovation was well received by the community, and we have seen drastic increases in facility usage and membership. The Wellness Center Director is offering additional classes and weight room instruction to help encourage community members to continue an active lifestyle. Members have numerous opportunities to participate in these free group exercise classes and services that include: HIIT class, Water HIIT, water aerobics, group exercises; Beachbody; Blood Pressure and Heart Rate Assessments, etc. In addition, we now offer discounted rates to high school students to help encourage fitness and activity to those individuals. Membership rates are reviewed annually, and the facility is available to the community at reasonable monthly rates. The Wellness Center requires significant funding by the hospital beyond membership dues that are collected. The overall health improvement from having a fitness center available in our small community is a great benefit to area residents. While the Wellness Center does not generate income for Ottawa County Health Center, we recognize its importance and benefit to the community to promote healthier living to county residents. - To help promote wellness in our community and increase the options for physical activity, the hospital sponsored a 5k run/walk in conjunction with our annual county fair. Our plan is to continue this event in coming years and encourage the community to participate to support a healthy lifestyle. - The hospital supports the local Food Pantry as they utilize the hospital as pick-up location/meeting area for local residents needing assistance. In addition, OCHC donated funds to the local Summer Caf initiative that provides healthy meals to local children throughout the summer to ensure they have balanced meals while not in school. - Local healthcare services provided by Ottawa County Health Center are regularly advertised in the county newspaper along with informational articles related to new services. Additionally, the hospital assists local support and educational groups by offering hospital conference rooms to hold meetings for community members. OCHC is looking to expand and improve educational materials regarding available healthcare services. - Ottawa County Health Center leadership maintains regular communication/meetings with local physicians to assess community needs, patient or service issues, and ER coverage needs. We will continue outreach clinics and look for other opportunities to allow our community members to have services available locally so that they don't have to travel outside of the county. - Ottawa County Health Center's Charity Care program continues to be offered to those who qualify. In FY2022, the hospital provided approximately $8,000 in Charity Care and community benefit to area residents. Additionally, the hospital's Social Worker and Patient Financial Coordinator work closely with patients and their families to assist with insurance questions, Medicaid applications, etc. at no cost. Last year, we provided information on Medicare Advantage Plans to the local newspaper and presented to senior centers - Ottawa County Health Center Office Staff, with guidance from Great Plains Health Alliance, reviews hospital charges on at least an annual basis to ensure that charges and fees are accurate, justifiable, and appropriate. Based on these reviews, fees will be revised as needed in an effort to provide quality medical services at reasonable costs to our community. OCHC has compiled a list of all hospital charges for any item or service provided at the hospital; this information has been posted on the hospital website to allow our patrons the opportunity to review potential charges and understand the application of their specific insurance prior to their service. In addition to the Community Health Needs Assessment initiatives, Ottawa County Health Center continues to promote the local fitness center (Wellness Center) through advertising and programs to improve community health. Wellness and fitness tips/information are also posted around the hospital and Wellness Center for hospital staff and community members' education. The hospital has also taken steps to help improve the overall awareness of the local health care services and add new services based on community need. The goal is to ensure that community members know those services that can be offered closer to home. The hospital advertises in the local newspaper whose readership closely matches are primary patient demographic. A listing of services and contact information has been posted in the newspaper frequently. When new hospital services and/or personnel are added, this is an opportunity for the hospital to market those services with articles and information in the newspaper. Participation in local health fairs and senior center presentations has also been a positive way to educate the community on local healthcare services. In addition to the Community Benefit items, the hospital also offers staff assistance to the local ambulance service. When necessary, hospital nurses ride in the ambulance to assist local EMS personnel in transporting patients requiring higher a higher level of care. 2022 CHNA PRIORITIES: The below priorities and goals were established following our September 2022 Community Health Needs Assessment. OCHC will take steps and create initiatives to address these priorities over the next three years, 2022-2025. PRIORITY 1: OBESITY/PHYSICAL INACTIVITY/LACK OF HEALTHY BEHAVIORS Goal 1: Improve Access to/Increase interest in the Wellness Center Goal 2: Community Health Education PRIORITY 2: LACK OF AWARENESS REGARDING AVAILABLE HEALTH SERVICE IN THE COMMUNITY Goal 1: Promote Ottawa County Health Center's Services Offered Goal 2: Provide Educational Opportunities to Surrounding Area Residents SCHEDULE H, PART VI, LINE 3 The Hospital's Patient Financial Coordinator and/or CFO consults with all patients to see if they qualify for the Hospital's financial assistance policy. The Hospital has billing/collection brochures outlining the financial assistance policy that are provided to the public. This brochure is given to all patients upon admission and is also available in Hospital waiting rooms and the Emergency Room. The hospital's Social Worker will also discuss the potential for assistance from Medicaid, if that option is available. Notices of the availability of financial assistance are also included in billing mailings to all patients owing deductibles or coinsurance on their Hospital bills. An 800 bi-lingual telephone service is utilized for those patients that do not speak English. The Hospital's website also references the availability of financial assistance. The Patient Financial Coordinator provides and helps the patients with the financial assistance paperwork as the patients are required to provide bank statements, tax returns, etc.to verify income. Computations based on current Federal Poverty Level Guidelines are completed to see if qualifications are appropriate and the percentage of charges to be written off is determined, based on family size and household income. All instances of financial assistance are approved by upper management of the Hospital. Alternatively, the Social Worker will also work with the patient to file the appropriate forms with Medicaid if the patient qualifies. From 10-1-2021 to 9-30-22, the Hospital provided $7,868.13 in Financial Assistance (Charity Care) and other community benefits. SCHEDULE H, PART VI, LINE 4 The Hospital, located in Minneapolis, Kansas, has a population of approximately 1,950, and primarily serves the residents of Ottawa County. The total population of the County is approximately 5,800 people, which equates to a population density of 8.0 people per square mile - an obviously rural county. Ottawa County is divided into twenty townships. There are 2,686 occupied households with an average size of 2.41 persons residing in Ottawa County. The racial makeup of the County is 95.9% White, 1.4% African American, .6% Native American, 0.4% Asian, 3.2% Hispanic or Latino, and 1.6% Multiracial. The population spread of Ottawa County is 28.3% under the age of 18, 51.1% from age 18 to 65, and 20.6% at or over the age of 65. The median annual income for a household in Ottawa County is $57,455. Approximately 10.7% of the people living in Ottawa County were below the poverty line. The County has a history of stable population. Although the Hospital primarily serves residents of Ottawa County, the Hospital does see some patients from the neighboring counties. The Hospital patient mix is heavily weighted towards Medicare beneficiaries, especially for acute inpatient and swing-bed utilization. SCHEDULE H, PART VI, LINE 5 The Hospital utilizes individual Hospital services and partnerships with other local organizations to promote the health of citizens of Ottawa County. (1) The Hospital partners with the Ottawa County Public Health to offer health fairs for community members. Additionally, the hospital provides space to house the local health department at no cost. (2) The Hospital partners with local health agencies to educate high school seniors prior to graduation on texting while driving, sun damage, and the importance of staying active. (3) The Hospital physical and occupational therapists conduct in-home safety assessments for County residents to prevent trips and falls. (4) The Hospital maintains biohazard equipment that can be used in the case of toxic spills or biohazard events in the County. The equipment would include isolation rooms and decontamination showers. Equipment for airborne pathogens is also available. (5) The Hospital annually participates with Emergency Preparedness Trainings with local police and firefighting units from within the County to prepare for any future emergency situations. (6) The Hospital operates a wellness center catering to single, family, and corporate members. It is the only fitness facility in Minneapolis. (7) The Hospital promotes a healthy lifestyle, educates on heart disease through organizations and sponsorship of a 5K run/walk. (8) The Hospital has open board meetings that allow community members to offer ideas, suggestions, and input on community health needs. (9) The Hospital board authorizes the use of donated monies or surplus funds to specific health initiatives (room remodels, new equipment, etc.). Please note that while some of these initiatives were changed or eliminated in 2020 due to COVID-19, we intend to resume all health promotional activities when we can safely do so. SCHEDULE H, PART VI, LINE 6 THE HOSPITAL PARTICIPATES IN HEALTHCARE PROGRAMS FOR MEDICARE AND MEDICAID AMONG OTHERS. THE HOSPITAL HAS RECEIVED DESIGNATION FROM THE MEDICARE PROGRAM AS A CRITICAL ACCESS HOSPITAL AND IS THE ONLY HOSPITAL IN THE OTTAWA COUNTY. SALINA REGIONAL HOSPITAL IS THE TERTIARY HOSPITAL THAT PARTNERS WITH THE HOSPITAL IN THE CRITICAL ACCESS PROGRAM. THE HOSPITAL'S SERVICES ARE VITAL TO THE HEALTH OF OTTAWA COUNTY RESIDENTS. EDUCATIONAL SESSIONS PROMOTED BY THE HOSPITAL PROVIDE RESIDENTS OF THE COUNTY WITH VITAL TRAINING ON HOW TO MINIMIZE THEIR AFFLICTIONS AND MAXIMIZE THEIR QUALITY OF LIFE. SUCH TRAINING WOULD INCLUDE DIABETIC TRAINING CLASSES FOCUSING ON DIET TO CONTROL SYMPTOMS, SMOKING CESSATION CLASSES, HEART-HEALTH CLASSES AND CPR/ACLS TRAINING. THE HOSPITAL ALSO WORKS CLOSELY WITH THE COUNTY DEPARTMENT OF MENTAL HEALTH TO REFER RESIDENTS TO AN APPROPRIATE MENTAL HEALTH PROFESSIONAL. THE HOSPITAL MAKES AN ANNUAL PRESENTATION TO THE OTTAWA COUNTY BOARD OF COMMISSIONERS ON THE STATUS OF THE HOSPITALS, AND THE SERVICES IT PROVIDES TO THE RESIDENTS OF THE COUNTY. THE HOSPITAL ADMINISTRATOR ALSO ATTENDS MEETINGS OF THE COUNTY COMMISSIONERS, IF NECESSARY OR REQUESTED, TO DISCUSS NEW PROJECTS, BUDGETS, ETC. THE HOSPITAL IS AFFILIATED WITH GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA), A NON-PROFIT 501C3 ORGANIZATION WHICH PROVIDES MANAGEMENT SERVICES AND OPERATIONAL, FINANCE AND ACCOUNTING SUPPORT TO THE HOSPITAL. GPHA DOES NOT PROVIDE SERVICES DIRECTLY TO PATIENTS, BUT IT DOES PROVIDE ACCESS TO PROFESSIONALS THAT MAY NOT BE AFFORDABLE TO THE NORMAL CRITICAL ACCESS HOSPITAL. GPHA PROVIDES EDUCATION AND ASSISTANCE IN AREAS SUCH AS HIPAA, MEDICARE REIMBURSEMENT, MEANINGFUL USE REQUIREMENTS FOR COMPUTER SYSTEMS, ETC. GPHA IS AN AFFILIATION OF CRITICAL ACCESS HOSPITALS IN KANSAS AND NEBRASKA THAT PROVIDES NETWORKING OPPORTUNITIES WITH OTHER RURAL HOSPITALS, COMMUNITIES AND LEADERS. GPHA PROVIDES POLICIES AND GUIDANCE TO ITS CRITICAL ACCESS FACILITIES REGARDING FINANCIAL ASSISTANCE, CONFLICTS OF INTEREST, CORPORATE COMPLIANCE AND MANY OTHER AREAS. GPHA ALSO PROVIDES EDUCATIONAL SESSIONS FOR BOARD MEMBERS, BUSINESS OFFICE MANAGERS, BILLERS, DIRECTOR OF NURSING, MEDICAL RECORDS PERSONNEL AND ADMINISTRATORS. GPHA IS A VITAL LINK IN ALLOWING HOSPITALS TO OPERATE AT A HIGH QUALITY WITHIN THE CASH CONSTRAINTS IMPOSED BY THE CRITICAL ACCESS PROGRAM. false false false false false false false false false DAVE DELLASEGA PRESIDENT/DIRECTOR/SECRETARY 0 206439 0 0 0 2703 0 20695 0 39074 0 268911 0 0 JODY PARKS ADMINISTRATOR 161898 0 0 0 1650 0 15555 0 27847 0 206950 0 0 0 DURREL KELLEY SENIOR VP OF OPERATIONS 0 126271 0 0 0 1630 0 12293 0 18654 0 158848 0 0 MARLENE GAWITH DON 129870 0 0 0 1374 0 12324 0 15441 0 159009 0 0 0 CHERYL LANOUE BUSINESS OFFICE MANAGER/CFO 129254 0 0 0 1285 0 12254 0 25881 0 168674 0 0 0 FORM 990, PART VII; SCHEDULE J, PART I, LINE 3 COMPENSATION FOR DURREL KELLEY, DAVE DELLASEGA, AND JASON BARB IS PROVIDED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GREAT PLAINS HEALTH ALLIANCE'S BOARD OF DIRECTORS ANNUALLY APPROVE THE COMPENSATION FOR MR. KELLEY, MR. DELLASEGA, AND MR. BARB. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAVE COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. A COMPENSATION REVIEW WAS DONE WHEN DAVE DELLASEGA TOOK OVER AS CEO AND WAS CONDUCTED BY THE BOARD, BUT SINCE THAT TIME THERE HAS BEEN NO FORMAL COMPENSATION REVIEW. FORM 990, PART III, LINE 4A Our goal is to ensure that the community and surrounding area have necessary and needed healthcare services available to them locally. During our 2022 fiscal year, the Hospital completed several projects and initiatives to increase the quality of care, safety, and services offered to our patients and residents as well as managed the ongoing impacts COVID-19 pandemic to staff, patients, and the community. Approximately $8,000 in charity care was provided to area residents in FY2022. In 2022, OCHC's focus continued to be on the COVID-19 pandemic and the actions OCHC had to take to respond to the pandemic for the benefit of the community. OCHC provided COVID19 articles, information, and updates during the year via the local newspaper to keep the community informed and aware of the status of COVID19 in the community and throughout the state. Hospital staff met regularly to manage the pandemic for our community. In response to COVID 19 and to improve the air quality throughout the facility, OCHC is in the process of installing new, improved HVAC in some areas of the hospital. This project will be completed in FY2023. In 2022, we purchased new endoscopes for the hospital. Our goal is to provide as many services locally as possible, and this is an example of that. With outreach physicians coming to our facility twice a month, we can offer our community colonoscopy and endoscopy services in Minneapolis. Keeping up to date equipment is key to the success of these outreach programs. To assist patients with COVID19 or other respiratory illnesses, OCHC purchased a V30 machine in FY2021 to assist with breathing. Since OCHC does not have ventilators, this allowed us to keep COVID patients here and safely care for them without having to send them to larger hospitals who had limited bed space. While this equipment was purchased in FY2021, it is worth noting that this machine was used several times over the last year by COVID and other patients. Medical staff has indicated that this machine has been key in the successful outcomes of our patients. Throughout the year, OCHC continued to improve security to the facility by adding automated door controls in the facility. This allows us to improve safety and security and ensure that all patients and visitors are entering through designated and monitored entry points. The Wellness Center (fitness center and lap pool) is available to the community at reasonable monthly rates. The Wellness Center requires significant funding by the hospital beyond membership dues that are collected. The overall health improvement that is possible from having a fitness center available in our small community is a great benefit to area residents. To encourage continued lifestyle fitness in our community, the OCHC board approved a significant renovation/remodel of the Wellness Center that was completed in fiscal year 2021. The renovation addressed safety issues, functionality improvements, and general cosmetic updates. This has proved to be another means to help increase and encourage fitness and activity for our community. Over the last year, we have seen a drastic increase in Wellness Center usage and memberships because of our renovation. The increase in physical activity is a great benefit to our community. OCHC takes pride in the physical building and appearance of our facility as a crucial part of the economy and sustainability of Ottawa County. Investments in our building and infrastructure were made throughout 2022 to maintain our facility. Additionally, OCHC continues to discuss quality initiatives and improvements throughout the facility and research new opportunities and services to offer to the members of our community. FORM 990, PART VI, SECTION A, LINE 2 DAVE DELLASEGA, DURREL KELLEY, AND JASON BARB HAVE A BUSINESS RELATIONSHIP. THEY ARE ALL EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE. FORM 990, PART VI, SECTION A, LINE 6 GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF OTTAWA CO., INC. FORM 990, PART VI, SECTION A, LINE 7A GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA) IS THE SOLE MEMBER AND HAS THE AUTHORITY TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, ELECTION TO OR REMOVAL FROM THE BOARD OF DIRECTORS, THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND THE LONG RANGE OR STRATEGIC PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF EXECUTIVE OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW PRIOR TO FILING THE 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED. FORM 990, PART VI, SECTION B, LINES 15A & B THE CEO AND COO ARE COMPENSATED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GPHA'S BOARD USES COMPARABILITY DATA IN SETTING THEIR SALARIES, AND DOCUMENTATION IS RETAINED OF THE BOARD'S DELIBERATIONS AND DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:1661033 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING/COLLECTIONS TOTAL FEES:42329 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:168851 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY SERVICES TOTAL FEES:92368 FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN/HUMAN RESOURCES TOTAL FEES:164564 GREAT PLAINS HEALTH ALLIANCE 1601 E WOODBROOK LN DERBY KS 67037 480617739 MANAGEMENT KS 501(C)(3) 3 NA false GREAT PLAINS HEALTH CARE FOUNDATION INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 480955870 SUPPORT KS 501(C)(3) 10 GPHA INC true GREAT PLAINS OF SMITH COUNTY INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 481226830 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF ELLINWOOD INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 481226976 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF REPUBLIC COUNTY INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 481226977 HOSPITAL KS 501(3)(3) 3 GPHA INC true GREAT PLAINS OF CHEYENNE COUNTY 250 N ROCK ROAD STE 160 WICHITA KS 67206 481226831 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF SABETHA COUNTY INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 481236156 HOSPITAL KS 501(C)(3) 3 GPHA INC true GPHA EMPLOYEE BENEFITS TRUST 250 N ROCK ROAD STE 160 WICHITA KS 67206 476918582 HEALTH PLAN KS 501(C)(9) GPHA INC true false false false false false false false false false false true false true false false false false true false GPHA EMPLOYEE BENEFITS TRUST R 520402 FMV