2021-05-10T11:21:39-05:00 2020-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2019-07-01 440537826 COMMUNITY HOSPITAL ASSOCIATION INC % JON DAVIS COMM 6606862320 26136 US 59 FAIRFAX MO 64446 JULIE JONES CEO 6606862211 2021-05-15 true April Arnold CPA P01559426 8162216300 2019 2022-09-23 18:48:47Z X JULIE L JONES 26136 US HWY 59 FAIRFAX MO 644460107 23731143 false X WWW.FAIRFAXMED.COM X 1976 MO TO PROVIDE QUALITY ACUTE CARE, EMERGENCY PRIMARY CARE AND OUTPATIENT SERVICES. 11 10 186 80 0 9876 11397 19171710 20431195 316018 246078 118479 88538 19616083 20777208 0 0 0 0 10832556 10353487 0 0 93803 11678564 11887446 22511120 22240933 -2895037 -1463725 13576687 23523575 11357877 21433246 2218810 2090329 X TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR THE COMMUNITIES WE SERVE. false false 18701024 0 20431195 SEE SCHEDULE O 18701024 true false false true false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false true false false false false false false true true true false false true 8 0 true 186 true false false false false false false false false false false false false X 11 10 false true true false false true false true true false false true true true true true true true true false MO X JON DAVIS 6606862320 26136 US 59 FAIRFAX MO 64446 RICHARD ARON BURKE MD DIRECTOR/CHIEF OF STAFF 40.0 0.0 X 640839 0 18184 DR DUSTIN CARPENTER MD DOCTOR 40.0 0.0 X 261912 0 23082 DR LINDSAY WILLIAMS MD DOCTOR 40.0 0.0 X 238024 0 12878 JULIE JONES CEO 40.0 1.0 X 206682 0 19251 RENEE KREIFELS CRNA 40.0 0.0 X 179986 0 13840 KELLY OSBORN CRNA 40.0 0.0 X 162989 0 29370 HAROLD LAWRENCE PHARMACIST 40.0 0.0 X 147288 0 34459 JON DAVIS CFO 40.0 1.0 X 129404 0 860 AMY RYAN DIRECTOR 1.0 0.0 X 0 0 0 COREY HERRON DIRECTOR 1.0 0.0 X 0 0 0 ROBERT JACKSON DIRECTOR/PRESIDENT/CHAIRMAN 1.0 1.0 X X 0 0 0 RICHARD OSWALD DIRECTOR/SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 GLENN SCOTT DIRECTOR 1.0 0.0 X 0 0 0 VIRGINIA LOW DIRECTOR/VICE-PRESIDENT 1.0 0.0 X X 0 0 0 SUSAN NOLAND DIRECTOR 1.0 0.0 X 0 0 0 TIM UMBARGER DIRECTOR 1.0 0.0 X 0 0 0 REBEKAH GEBHARDS DIRECTOR 1.0 0.0 X 0 0 0 GARRETT WOOD DIRECTOR 1.0 0.0 X 0 0 0 JIM ALLEN DIRECTOR 1.0 0.0 X 0 0 0 1967124 0 151924 9 false true false PSYCHIATRIC MEDIAL CARE LLC 9040 EXECUTIVE PARK DRIVE KNOXVILLE TN 37923 PSYCH SERVICES 563633 DOCS WHO CARE 800 W FRONTIER LANE OLATHE KS 66061 ER SERVICES 378672 THE NEBRASKA MEDICAL CENTER 987400 NEBRASKA MEDICAL CENTER OMAHA NE 68198 MANAGEMENT SUPPORT 554574 INSPIRE REHABILITATION LLC 2810 E 35TH ST 2 KEARNEY NE 68845 REHAB SERVICES 1036029 BROWNS MEDICAL IMAGING 14315 C CIRCLE OMAHA NE 68144 IMAGING WHOLESALER 734669 9 11397 11397 Net Patient Service Revenue 621990 20140471 20140471 340B REVENUE 621990 290724 290724 20431195 26896 26896 0 0 2325 2325 0 2325 2325 3173117 2953935 219182 219182 219182 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 54830 54830 All Other Misc Revenue 900099 31383 31383 31383 31383 86213 20777208 20431195 334616 0 0 0 0 725802 589609 133951 2242 144459 144459 7588852 6137736 1427232 23884 44896 36471 8286 139 1187319 971226 212536 3557 662159 537908 122206 2045 140122 113829 25860 433 48356 48356 84033 84033 0 0 2579 2579 2726671 2199233 480995 46443 59148 48049 10916 183 860056 698671 158729 2656 0 0 363939 295648 67167 1124 190840 155030 35221 589 0 0 460453 374051 84980 1422 0 1444462 1173416 266585 4461 164568 133688 30372 508 BAD DEBT 2063676 2063676 Medical Supplies 1331199 1331199 REPAIRS & MAINT. 748025 607662 138053 2310 Medicaid 613868 613868 585451 475595 108049 1807 22240933 18701024 3446106 93803 12468 151169 384556 12290312 254143 125251 2577449 2477738 0 0 0 0 0 0 438826 430814 173531 242178 23453218 16624936 7659912 6828282 1635550 1445 0 0 0 0 0 0 440252 976386 13576687 23523575 1857358 1919720 0 0 0 0 0 0 0 0 0 0 9500519 9167479 0 1762700 0 8583347 11357877 21433246 X 2069295 2053937 149515 36392 2218810 2090329 13576687 23523575 X -1463725 -207537 1542781 X false true X true false X false false false false false true 11226 false false false 11226 false SCHEDULE C, PART II-B THE LOBBYING EXPENSES RECORDED ARE A PORTION OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. 235304 235304 7952077 5267127 2684950 15265837 11357809 3908028 6828282 0 DUE TO THIRD-PARTY 4315465 REFUNDABLE ADVANCES 4267882 8583347 18509874 -207537 221742 14205 18495669 2579 2278960 2281539 20777208 20220983 46305 46305 20174678 2579 2063676 2066255 22240933 SCHEDULE D, PART XI, 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. SCHEDULE D, PART XI, LINES 2D & 4B LINE 2D RELATED ORGANIZATION'S REVENUE $ 221,742 LINE 4B BAD DEBT EXPENSE $ 2,063,676 CHANGE IN CONTRIBUTION FROM FOUNDATION $ 215,284 ------------- $ 2,278,960 SCHEDULE D, PART XII, LINES 2D & 4B LINE 2D RELATED ORGANIZATION'S EXPENSES $ 46,305 LINE 4B BAD DEBT EXPENSE $ 2,063,676 true true X true X true X true true true false true true 102257 102257 0.00510 2198824 857536 1341288 0.06650 4275 4275 0.00020 2305356 857536 1447820 0.07180 8012 810 7202 0.00040 2557 1640 917 0.00000 185 185 0.00000 10754 2450 8304 0.00040 2316110 859986 1456124 0.07220 false 1517401 168214 9094037 9014936 79101 X true true 1 1 COMMUNITY HOSPITAL-FAIRFAX 26136 US HWY 59 FAIRFAX MO 64446 WWW.FAIRFAXMED.COM/ 102-61 X X X X COMMUNITY HOSPITAL-FAIRFAX 1 false false true X X X X X X X X X 19 true false false true X WWW.FAIRFAXMED.COM/ABOUT/NEWS/CHNA/ X true 19 true WWW.FAIRFAXMED.COM/ABOUT/NEWS/CHNA/ false true X 200. 300. X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CH-F INVITED AREA COMMUNITY EXPERTS TO GATHER IN 2 DIFFERENT FOCUS GROUPS. THOSE IN ATTENDANCE INCLUDED AREA COUNSELORS, CLERGY MEMBERS, LAW ENFORCEMENT, ECONOMIC DEVELOPMENT PERSONNEL, NURSING HOME REPRESENTATIVES, SCHOOL FACULTY, COMMUNITY SERVICES STAFF AND OTHER COMMUNITY EXPERTS. FOCUS GROUP ATTENDEES WERE ASKED A VARIETY OF QUESTIONS. DIALOGUE WAS CANDID AND FOCUS GROUP ATTENDEES USED THEIR KNOWLEDGE OF THE CONSTITUENCY THEY REPRESENT TO HONESTLY EVALUATE THE HEALTH OF THE COMMUNITY. RESULTS FROM THOSE MEETINGS ARE SUMMARIZED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. CH-F STAFF ALSO PARTICIPATED IN THE FOCUS GROUPS. COMMUNITY HOSPITAL-FAIRFAX RELEASED A CHNA SURVEY TO THE PUBLIC. THE QUESTIONS ON THE SURVEY WERE DETERMINED THROUGH GUIDANCE PROVIDED BY THE MISSOURI HOSPITAL ASSOCIATION AND INFORMATION GATHERED THROUGH THE FOCUS GROUPS AND SECONDARY RESEARCH. THE SURVEY WAS OFFERED ONLINE. PAPER COPIES WERE PROVIDED IN LOCATIONS WHERE POPULATIONS MIGHT HAVE DIFFICULTY ACCESSING IT ONLINE. THIS INCLUDES NURSING HOMES, SENIOR HOUSING AND NUTRITION CENTERS. CH-F PROMOTED THE SURVEY USING FACEBOOK, BLAST EMAILS, NEWSPAPER AND THE CABLE CHANNEL. 392 SURVEYS WERE RETURNED. COMMUNITY HOSPITAL-FAIRFAX ALSO COLLABORATED WITH COMMUNITY SERVICES INC. OF ATCHISON AND HOLT COUNTY TO DISTRIBUTE SURVEYS. COMMUNITY SERVICES INC. IS THE LOCAL AGENCY EMPOWERED TO HELP PEOPLE IN NEED IN THE ATCHISON AND HOLT COUNTY COMMUNITIES. SCHEDULE H, PART V, SECTION B, LINE 11 Implementation Plan Preventative Health Problem Statement: Atchison and Holt Counties are lagging the state average in colonoscopy rates, mammography rates and pneumonia vaccinations. The leading cause of death in Atchison and Holt counties is heart disease. Risk factors for heart disease are extremely prevalent in the community we serve. Why? Cancer is the second leading cause of death in both counties with colorectal cancer being second most prevalent type of cancer. Pneumonia is the leading cause of hospital admissions and COPD hospitalizations and death rates are much higher than the state average. Risk factors for heart disease, such as high cholesterol, blood pressure and diabetes are rampant in our community. Raising rates of preventative care and chronic care management in our communities will offer opportunities for early detection and better outcomes as well as education about healthy behaviors. Strategies: CH-F launched a Chronic Care Management program by December 1, 2019. Community Hospital-Fairfax hired a nurse to begin a chronic care management program. Patients with two or more chronic diseases will be welcomed into the program where they will receive a care plan, 24-hour access to a nurse, education and resources to better manage their diseases. In 2020, the Chronic Care Management Program or CCM grew substantially from less than 10 patients to over 60 patients participating in the program or 3% of our entire Medicare population. These patients receive one on one attention from a dedicated nurse that helps them to manage their chronic diseases. CH-F is pursuing a strategy to increase Annual Wellness visits by 50%. Annual Wellness Visits are a comprehensive look at a patients whole health and represents an opportunity to review preventatives, discuss current medications and disease management and ensure that the patient has access to resources to promote the best possible health. Patients with annual wellness visits are significantly more compliant with recommended screenings. Annual Wellness Visits were a challenge in a pandemic year. Providing this needed service safely was a top priority for our wellness staff. Even with the constraints from the pandemic, the organization completed 478 Annual Wellness Visits or 36% of the attributed population. This is a significant increase over the year prior. To continue to increase annual wellness visits, the organization recently committed to a second wellness nurse to continue to grow this service. In the last year, despite the pandemic, CH-F launched a Step Up to Colorectal and Breast Cancer Screening campaign. We worked directly with our primary care providers to increase rates of breast cancer and colorectal cancer screenings in our population. We were able to increase rates of colorectal cancer screenings by 10% and breast cancer screenings by 12%. Cost of Care Problem Statement: CHNA respondents say that the cost of care is the biggest issue facing healthcare in their lives. Charity care applications and bad debt are rising at Community Hospital-Fairfax as fewer people have the resources to pay for care they need. 12% of Atchison and Holt County residents are uninsured. The median household income is below state and national averages. Community Hospital-Fairfax will develop a more aggressive pre-payment and charity care strategy to better serve uninsured and under-insured individuals to be implemented in January of 2020. Mental Health Problem Statement: The prevalence of mental health in Atchison and Holt Counties is significant. 40% of CHNA respondents say that depression is a minor or major problem in their household. Atchison and Holt County are in a mental healthcare provider shortage area. In 2020, Community Hospital-Fairfax continued to implement depression screenings across our primary care clinics. We also found increasing rates of adolescent depression and increased outreach to this population. To continue to reach our senior population, CH-F worked with Senior Life Solutions, an outpatient group therapy program, to provide telehealth services to continue to reach seniors with mental health needs in a safe manner. SCHEDULE H, PART V, LINE 16A, 16B & 16C http://www.fairfaxmed.com/contactus/payments/charity-care/ 6 MOUND CITY FAMILY MEDICINE 514 STATE STREET MOUND CITY MO 64470 PROVIDER BASED RURAL HEALTH CLINIC WEST NODAWAY FAMILY MEDICINE 226 W MAIN STREET BURLINGTON JUNCTION MO 64428 PROVIDER BASED RURAL HEALTH CLINIC SOUTH HOLT FAMILY MEDICINE 101 SOUTH WASHINGTON OREGON MO 64473 PROVIDER BASED RURAL HEALTH CLINIC TARKIO FAMILY MEDICINE 102 S 6TH STREET TARKIO MO 64491 PROVIDER BASED RURAL HEALTH CLINIC FAIRFAX FAMILY MEDICINE 309 E MAIN STREET FAIRFAX MO 64446 PROVIDER BASED RURAL HEALTH CLINIC ROCK PORT FAMILY MEDICINE 100 E CASS STREET ROCK PORT MO 64482 FEE FOR SERVICE CLINIC SCHEDULE H, PART I, LINE 3C ADDITIONAL FACTORS CONSIDERED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE INCLUDE ASSET LEVELS, MEDICAL INDIGENCY, INSURANCE/UNDERINSURANCE STATUS AND RESIDENCY. 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 I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $2,063,676. SCHEDULE H, PART II COMMUNITY HOSPITAL-FAIRFAX PARTICIPATES IN YEAR-ROUND COMMUNITY BUILDING ACTIVITES. IN FEBRUARY, OVER 200 COMMUNITY MEMBERS WERE SERVED IN A FREE HEART HEALTH SCREENING. IN THE SPRING, AREA FIRST GRADERS ENJOY PEDIATRIC ORIENTATION, A FUN FILLED TIME TO VISIT THE HOSPITAL AND LEARN MORE ABOUT BEING A PATIENT OR A HEALTHCARE WORKER. THE SUMMERTIME KICKS OFF A REDUCED PRICE SPEED AND AGILITY CAMP FOR AREA ATHLETES WHERE THEY GET TO WORK OUT WITH PHYSICAL THERAPY STAFF AND LEARN HOW TO AVOID INJURY. THE ANNUAL BACK TO SCHOOL FAIRS ROUND OUT THE SUMMER WITH OVER 100 KIDS RECEIVING FREE SCHOOL SUPPLIES AND AN OPPORTUNITY TO SPEAK WITH A COUNSELOR ABOUT HEALTHY SCHOOL HABITS. IN THE FALL, BOTH MEN AND WOMEN PARTICIPATE IN HEALTHY EVENTS WITH AN ANNUAL PROSTATE SCREENING AND WOMENS EVENT WHERE FREE SCREENINGS AND HEALTH INFORMATION ARE OFFERED. THROUGHOUT THE YEAR, COMMUNITY MEMBERS HAVE AN OPPORTUNITY TO LEARN FROM HEALTHCARE PROFESSIONALS AT LUNCH AND LEARNS PROVIDED THROUGHOUT THE YEAR. STERLING CONNECTION, A FREE MEMBERSHIP SERVICE OFFERED TO THOSE 55 AND OLDER, ALSO PROVIDES CONNECTION POINTS TO THE HOSPITAL THROUGHOUT THE YEAR INCLUDING ICE CREAM SOCIALS, FREE SCREENINGS AND INFORMATIVE EVENTS. SIDELINE COVERAGE FOR LOCAL SPORTING EVENTS IS ALSO AN IMPORTANT PRIORITY AT COMMUNITY HOSPITAL-FAIRFAX. PHYSICIANS AND PHYSICAL THERAPISTS VOLUNTEER THEIR TIME EACH FALL TO AIDING STUDENT ATHLETES AT AREA FOOTBALL GAMES. SCHEDULE H, PART III, SECTION A, LINE 2 IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION A, LINE 3 THE AMOUNT OF ACCOUNT BALANCES WRITTEN OFF TO BAD DEBTS THAT POSSIBLY WOULD HAVE QUALIFIED FOR CHARITY HAD THEY BEEN WILLING TO PROVIDE THE NECESSARY INFORMATION, AND THE TOTAL OF BANKRUPTCIES THE HOSPITAL HAD TO WRITE OFF. SCHEDULE H, PART III, SECTION A, LINE 4 THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE IS IN NOTE 1 ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 8 THE HOSPITAL'S SERVICE AREA IS APPROXIMATELY 23% MEDICARE BENEFICIARIES WHO PREFER TO GET THEIR MEDICAL CARE LOCALLY. OUR CUSTOMER SERVICE SURVEYS RATE COMMUNITY HOSPITAL CONSISTENTLY OVER 90%, SHOWING THESE MEDICARE BENEFICIARIES APPRECIATE THE SERVICES COMMUNITY HOSPITAL PROVIDES AND HOW THE SERVICES ARE PROVIDED. THE COSTING SOURCE WAS THE FY16 MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION A, LINE 9B COLLECTION POLICY STATES ALL UNINSURED AND INSURED PATIENTS ARE INFORMED ON THEIR FIRST STATEMENT OF SERVICES THAT COMMUNITY HOSPITAL HAS A GRANT PROGRAM (FOR FINANCIAL ASSISTANCE) FOR THOSE WHO QUALIFY. THIS SAME TYPE OF 'ASSISTANCE AVAILABLE' INFORMATION IS ALSO IN THE PATIENT INFORMATION BROCHURES IN THE PATIENT ROOMS AND WAITING AREAS. PATIENTS MAY QUALIFY FOR A CHARITY DISCOUNT OR A MEDICALLY INDIGENT DISCOUNT, DEPENDING ON THEIR FINANCIAL SITUATION AND USING THE FEDERAL POVERTY GUIDELINES. SCHEDULE H, PART VI, LINE 2 A. COMMUNITY HOSPITAL-FAIRFAX IDENTIFIED THREE AREAS OF PRIORITY IN THE COMMUNITY NEEDS ASSESSMENT. I. PRIMARY CARE ACCESS PRIMARY CARE ACCESS WAS IDENTIFIED AS A SIGNIFICANT ISSUE. PRIMARY CARE PHYSICIANS ARE SCARCE AND DIFFICULT TO RECRUIT TO RURAL AREAS AND ACCESS TO APPOINTMENTS CAN BE LIMITED. AS A RESPONSE TO THIS IDENTIFIED NEED, COMMUNITY HOSPITAL-FAIRFAX RECRUITED A NEW PRIMARY CARE PHYSICIAN IN THE FALL OF 2016 AND ADDED AN ADDITIONAL NURSE PRACTITIONER IN THE SUMMER OF 2017. COMMUNITY HOSPITAL-FAIRFAX ALSO OPENED A NEW CLINIC SITE IN BURLINGTON JUNCTION IN THE FALL OF 2016 AND ANOTHER SITE IN FAIRFAX IN THE WINTER OF 2018. FINALLY, COMMUNITY HOSPITAL-FAIRFAX MERGED WITH TWO PRIVATELY RUN PHYSICIAN CLINICS IN JULY OF 2017. IN FY2016, 4,861 VISITS WERE MADE TO COMMUNITY HOSPITAL-FAIRFAX PRIMARY CARE CLINICS. IN FY2017, CLINIC VISITS WERE INCREASED TO 6,986. IN FY2018, CLINIC VISITS INCREASED TO 15,413. THIS INDICATES CH-F STRATEGIES TO INCREASE PRIMARY CARE ACCESS HAVE RESULTED IN MORE LOCAL APPOINTMENTS AVAILABLE FOR OUR POPULATION. II. COMMUNITY HOSPITAL-FAIRFAX ALSO PARTNERED WITH INSIGHT EYECARE IN FY 2018 TO OPEN AN EYECARE IN FAIRFAX, MISSOURI. THIS HAS INCREASED ACCESS TO EYECARE. III. MENTAL HEALTH ACCESS. COMMUNITY HOSPITAL-FAIRFAX IDENTIFIED STRATEGIES INCLUDED INCREASING OUR EXISTING SENIOR LIFE SOLUTIONS (GROUP THERAPY PROGRAM) AND ACCESS TO MONTHLY PSYCHIATRY OUTREACH CLINIC. IN FY2018, A MONTHLY PSYCHIATRY CLINIC CONTINUED FOR ACCESS FOR LOCAL PATIENTS. ACCESS TO MENTAL HEALTH CARE REMAINS AN IMPORTANT AND UNDER RESOURCED NEED IN NORTHWEST MISSOURI. IN FY18, COMMUNITY HOSPITAL-FAIRFAX EXPANDED THE SENIOR LIFE SOLUTIONS PROGRAM TO TWO TRACKS DOUBLING THE NUMBER OF PATIENTS THAT CAN BE SERVED. THIS INVOLVED ONBOARDING A SECOND THERAPIST AND REGISTERED NURSE TO SERVE THESE PATIENTS. THIS HAS RESULTED IN AN INCREASE OF 2,000 "UNITS" OF MENTAL HEALTH SERVICES PROVIDED TO COMMUNITY MEMBERS. IV. ABILITY TO PAY FOR CARE COMMUNITY HOSPITAL-FAIRFAX IDENTIFIED STRATEGIES TO ASSIST THOSE WITH NO INSURANCE OR HIGH DEDUCTIBLES TO ACCESS CARE THAT THEY NEED. TO ASSIST WITH THIS EFFORT, COMMUNITY HOSPITAL-FAIRFAX HAS SUCCESSFULLY IMPLEMENTED A STRATEGY TO NEGOTIATE PAYMENT STRUCTURES WHICH ARE FAVORABLE TO PATIENTS. IN ADDITION TO THIS STRATEGY, AN AGGRESSIVE FORGIVENESS PROGRAM FOR EXISTING DEBT WAS IMPLEMENTED IN FY16 AND FY17. V. PREVENTIVE CARE COMMUNITY HOSPITAL-FAIRFAX ONBOARDED A CARE COORDINATOR/POPULATION HEALTH NURSE. THIS NURSE HAS BEEN VERY ACTIVE BUILDING AN ANNUAL WELLNESS VISIT AND CHRONIC CARE MANAGEMENT PROGRAM FOR PRIMARY CARE CLINIC PATIENTS. ANNUAL WELLNESS VISITS ARE A BENEFIT OFFERED TO MEDICARE PATIENTS AND ARE CRITICAL IN HELPING IDENTIFY HEALTH NEEDS AND OPPORTUNITIES IN THAT POPULATION. WITH LESS THAN A FULL YEAR OF ACTIVE ANNUAL WELLNESS VISIT PROGRAM, NEARLY 20% OF COMMUNITY HOSPITAL-FAIRFAX'S ATTRIBUTED MEDICARE POPULATION HAS RECEIVED AN ANNUAL WELLNESS VISIT WITH THE POPULATION HEALTH NURSE AND THEIR PROVIDER. CHRONIC CARE MANAGEMENT IS EQUALLY IMPORTANT TO PREVENTATIVE HEALTH AS ITS FOCUS IS TO PROVIDE EXTRA CARE FOR PATIENTS WITH MULTIPLE CHRONIC DISEASES. STRATEGIES ARE CURRENTLY IN DEVELOPMENT FOR THIS PROGRAM IN FY19.BUILDING AN ANNUAL WELLNESS VISIT AND CHRONIC CARE MANAGEMENT PROGRAM FOR PRIMARY CARE CLINIC PATIENTS. ANNUAL WELLNESS VISITS ARE A BENEFIT OFFERED TO MEDICARE PATIENTS AND ARE CRITICAL IN HELPING IDENTIFY HEALTH NEEDS AND OPPORTUNITIES IN THAT POPULATION. WITH LESS THAN A FULL YEAR OF ACTIVE ANNUAL WELLNESS VISIT PROGRAM, NEARLY 20% OF COMMUNITY HOSPITAL-FAIRFAX'S ATTRIBUTED MEDICARE POPULATION HAS RECEIVED AN ANNUAL WELLNESS VISIT WITH THE POPULATION HEALTH NURSE AND THEIR PROVIDER. CHRONIC CARE MANAGEMENT IS EQUALLY IMPORTANT TO PREVENTATIVE HEALTH AS ITS FOCUS IS TO PROVIDE EXTRA CARE FOR PATIENTS WITH MULTIPLE CHRONIC DISEASES. STRATEGIES ARE CURRENTLY IN DEVELOPMENT FOR THIS PROGRAM IN FY19.A. COMMUNITY HOSPITAL-FAIRFAX IDENTIFIED THREE AREAS OF PRIORITY IN THE COMMUNITY NEEDS ASSESSMENT. I. PRIMARY CARE ACCESS PRIMARY CARE ACCESS WAS IDENTIFIED AS A SIGNIFICANT ISSUE. PRIMARY CARE PHYSICIANS ARE SCARCE AND DIFFICULT TO RECRUIT TO RURAL AREAS AND ACCESS TO APPOINTMENTS CAN BE LIMITED. AS A RESPONSE TO THIS IDENTIFIED NEED, COMMUNITY HOSPITAL-FAIRFAX RECRUITED A NEW PRIMARY CARE PHYSICIAN IN THE FALL OF 2016 AND ADDED AN ADDITIONAL NURSE PRACTITIONER IN THE SUMMER OF 2017. COMMUNITY HOSPITAL-FAIRFAX ALSO OPENED A NEW CLINIC SITE IN BURLINGTON JUNCTION IN THE FALL OF 2016 AND ANOTHER SITE IN FAIRFAX IN THE WINTER OF 2018. FINALLY, COMMUNITY HOSPITAL-FAIRFAX MERGED WITH TWO PRIVATELY RUN PHYSICIAN CLINICS IN JULY OF 2017. IN FY2016, 4,861 VISITS WERE MADE TO COMMUNITY HOSPITAL-FAIRFAX PRIMARY CARE CLINICS. IN FY2017, CLINIC VISITS WERE INCREASED TO 6,986. IN FY2018, CLINIC VISITS INCREASED TO 15,413. THIS INDICATES CH-F STRATEGIES TO INCREASE PRIMARY CARE ACCESS HAVE RESULTED IN MORE LOCAL APPOINTMENTS AVAILABLE FOR OUR POPULATION. II. COMMUNITY HOSPITAL-FAIRFAX ALSO PARTNERED WITH INSIGHT EYECARE IN FY 2018 TO OPEN AN EYECARE IN FAIRFAX, MISSOURI. THIS HAS INCREASED ACCESS TO EYECARE. III. MENTAL HEALTH ACCESS. COMMUNITY HOSPITAL-FAIRFAX IDENTIFIED STRATEGIES INCLUDED INCREASING OUR EXISTING SENIOR LIFE SOLUTIONS (GROUP THERAPY PROGRAM) AND ACCESS TO MONTHLY PSYCHIATRY OUTREACH CLINIC. IN FY2018, A MONTHLY PSYCHIATRY CLINIC CONTINUED FOR ACCESS FOR LOCAL PATIENTS. ACCESS TO MENTAL HEALTH CARE REMAINS AN IMPORTANT AND UNDER RESOURCED NEED IN NORTHWEST MISSOURI. IN FY18, COMMUNITY HOSPITAL-FAIRFAX EXPANDED THE SENIOR LIFE SOLUTIONS PROGRAM TO TWO TRACKS DOUBLING THE NUMBER OF PATIENTS THAT CAN BE SERVED. THIS INVOLVED ONBOARDING A SECOND THERAPIST AND REGISTERED NURSE TO SERVE THESE PATIENTS. THIS HAS RESULTED IN AN INCREASE OF 2,000 "UNITS" OF MENTAL HEALTH SERVICES PROVIDED TO COMMUNITY MEMBERS. IV. ABILITY TO PAY FOR CARE COMMUNITY HOSPITAL-FAIRFAX IDENTIFIED STRATEGIES TO ASSIST THOSE WITH NO INSURANCE OR HIGH DEDUCTIBLES TO ACCESS CARE THAT THEY NEED. TO ASSIST WITH THIS EFFORT, COMMUNITY HOSPITAL-FAIRFAX HAS SUCCESSFULLY IMPLEMENTED A STRATEGY TO NEGOTIATE PAYMENT STRUCTURES WHICH ARE FAVORABLE TO PATIENTS. IN ADDITION TO THIS STRATEGY, AN AGGRESSIVE FORGIVENESS PROGRAM FOR EXISTING DEBT WAS IMPLEMENTED IN FY16 AND FY17. V. PREVENTIVE CARE COMMUNITY HOSPITAL-FAIRFAX ONBOARDED A CARE COORDINATOR/POPULATION HEALTH NURSE. THIS NURSE HAS BEEN VERY ACTIVE BUILDING AN ANNUAL WELLNESS VISIT AND CHRONIC CARE MANAGEMENT PROGRAM FOR PRIMARY CARE CLINIC PATIENTS. ANNUAL WELLNESS VISITS ARE A BENEFIT OFFERED TO MEDICARE PATIENTS AND ARE CRITICAL IN HELPING IDENTIFY HEALTH NEEDS AND OPPORTUNITIES IN THAT POPULATION. WITH LESS THAN A FULL YEAR OF ACTIVE ANNUAL WELLNESS VISIT PROGRAM, NEARLY 20% OF COMMUNITY HOSPITAL-FAIRFAX'S ATTRIBUTED MEDICARE POPULATION HAS RECEIVED AN ANNUAL WELLNESS VISIT WITH THE POPULATION HEALTH NURSE AND THEIR PROVIDER. CHRONIC CARE MANAGEMENT IS EQUALLY IMPORTANT TO PREVENTATIVE HEALTH AS ITS FOCUS IS TO PROVIDE EXTRA CARE FOR PATIENTS WITH MULTIPLE CHRONIC DISEASES. STRATEGIES ARE CURRENTLY IN DEVELOPMENT FOR THIS PROGRAM IN FY19.BUILDING AN ANNUAL WELLNESS VISIT AND CHRONIC CARE MANAGEMENT PROGRAM FOR PRIMARY CARE CLINIC PATIENTS. ANNUAL WELLNESS VISITS ARE A BENEFIT OFFERED TO MEDICARE PATIENTS AND ARE CRITICAL IN HELPING IDENTIFY HEALTH NEEDS AND OPPORTUNITIES IN THAT POPULATION. WITH LESS THAN A FULL YEAR OF ACTIVE ANNUAL WELLNESS VISIT PROGRAM, NEARLY 20% OF COMMUNITY HOSPITAL-FAIRFAX'S ATTRIBUTED MEDICARE POPULATION HAS RECEIVED AN ANNUAL WELLNESS VISIT WITH THE POPULATION HEALTH NURSE AND THEIR PROVIDER. CHRONIC CARE MANAGEMENT IS EQUALLY IMPORTANT TO PREVENTATIVE HEALTH AS ITS FOCUS IS TO PROVIDE EXTRA CARE FOR PATIENTS WITH MULTIPLE CHRONIC DISEASES. STRATEGIES ARE CURRENTLY IN DEVELOPMENT FOR THIS PROGRAM IN FY19. SCHEDULE H, PART VI, LINE 3 COMMUNITY HOSPITAL BUSINESS OFFICE STAFF WILL DISCUSS WITH INPATIENTS AND OUTPATIENTS THE OPTIONS AVALIABLE TO HELP THE PATIENTS MEET THEIR FINANCIAL OBLIGATIONS TO COMMUNITY HOSPITAL. THEY DISCUSS THE FEDERAL/STATE GOVERNMENT PROGRAMS AVAILABLE AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEN INFORMATION IS INCLUDED IN THE STATEMENTS SENT TO PATIENTS (EXPLAINING THE AMOUNTS OWED BY THE PATIENT'S INSURANCE OR THE PATIENT), MUCH OF THE INFORMATION IS THE SAME AS THE INFORMATION DISCUSSED IN PERSON. SCHEDULE H, PART VI, LINE 4 COMMUNITY HOSPITAL-FAIRFAX SERVES THE ATCHISON, HOLT AND WESTERN NODAWAY COUNTIES, POPULATION APPROXIMATELY 10,700. THERE ARE FIVE MAIN TOWNS IN ATCHISON AND HOLT, ALL WITH POPULATIONS BELOW 2,000. THE POPULATION IS ALL RURAL AND THE ECONOMY IS LARGELY DRIVEN BY AGRICULTURE. THE POPULATION IS AGING WITH A MEDIAN HOUSEHOLD INCOME OF $45,129. SCHEDULE H, PART VI, LINE 5 TO EDUCATE AND PROVIDE SERVICES TO ITS COMMUNITY, COMMUNITY HOSPITAL RESPONDS BY PROVIDING THE FOLLOWING ACTIVITES: AN ANNUAL HEART HEALTH SCREENING OFFERED FREE OF CHARGE, AND FREE BLOOD PRESSURE CHECKS; DIABETES COUNSELING CLASSES WITH A REGISTERED DIETICIAN AND CERTIFIED DIABETES EDUCATOR; FREE GLUCOSE SCREENING, BMI CHECKS AND BLOOD PRESSURE CHECKS AT ANNUAL WOMEN'S EVENT; AN ANNUAL BACK TO SCHOOL FAIR WHERE SCHOOL SUPPLIES ARE DISTRIBUTED TO NEEDY CHILDREN AND HEALTHY EATING CHOICES ARE DISCUSSED; AN ANNUAL PROSTATE SCREENING WHICH INCLUDES A FREE EXAM FOR LOCAL RESIDENTS. IN ADDITION, THE HOSPITAL INITIATED A WORKPLACE WELLNESS PROGRAM WHERE SCREENINGS ARE OFFERED AT A REDUCED PRICE FOR EMPLOYEES. X X false false false false false false false true false RICHARD ARON BURKE MD DIRECTOR/CHIEF OF STAFF 639832 0 0 0 1007 0 4200 0 13984 0 659023 0 0 0 JULIE JONES CEO 195708 0 10353 0 621 0 10622 0 8629 0 225933 0 0 0 RENEE KREIFELS CRNA 178837 0 0 0 1149 0 2767 0 11073 0 193826 0 0 0 KELLY OSBORN CRNA 162103 0 0 0 886 0 2611 0 26759 0 192359 0 0 0 DR DUSTIN CARPENTER MD DOCTOR 261664 0 0 0 248 0 23082 0 0 0 284994 0 0 0 DR LINDSAY WILLIAMS MD DOCTOR 237117 0 0 0 907 0 3612 0 9266 0 250902 0 0 0 HAROLD LAWRENCE PHARMACIST 144636 0 0 2652 0 12810 0 21649 0 181747 0 0 0 SCHEDULE J, PART I, LINE 7 BONUSES WERE PAID BASED ON A NUMBER OF PROFESSIONAL AND PERSONAL PERFORMANCE-RELATED CRITERIA. SCHEDULE J, PART II THE COMPENSATION FOR JULIE JONES AND HAROLD LAWRENCE ARE PAID THROUGH A MANAGEMENT CONTRACT WITH THE NEBRASKA MEDICAL CENTER (NMC), AN UNRELATED 501(C)(3) HOSPITAL. SEE PART V SEE PART V SCHEDULE L , PART IV, LINE 1 A) JAMIE BURKE B) JAMIE BURKE IS THE SISTER OF DR. RICHARD ARON BURKE, A DIRECTOR OF THE ORGANIZATION. C)$43,016 D) JAMIE IS COMPENSATED AS AN LPN FOR THE ORGANIZATION. E) NO A) JOANNA BURKE B) JOANNA BURKE IS THE WIFE OF DR. RICHARD ARON BURKE, A DIRECTOR OF THE ORGANIZATION. C)$101,443 D) JOANNA IS COMPENSATED AS A PEDIATRIC NURSE PRACTITIONER IN ONE OF OUR RELATED CLINICS. E) NO FORM 990, PART XI, LINE 9 TRANSFER FROM RELATED ORGANIZATION $ 1,671,673 CHANGE IN FOUNDATION RECEIVABLE $ 86,392 CHANGE IN CONTRIBUTION FROM FOUNDATION $ (215,284) --------- TOTAL $ 1,542,781 FORM 990 PART IX LINE 11G DESCRIPTION:EMERGENCY ROOM PHYSICIAN FEES TOTAL FEES:345072 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PHYSICIAN FEES TOTAL FEES:244581 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES - PHARMACY TOTAL FEES:231416 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES - OTHER TOTAL FEES:257255 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:1648347 COMMUNITY HEALTHCARE FOUNDATION 26136 US HWY 59 FAIRFAX MO 64446 431757553 SUPPORT ORG MO 501(C)(3) 12A CHA true false false false false false false false false false false false false true true true false true false true COMMUNITY HEALTHCARE FOUNDATION S 1671673 FMV