2025-08-15T08:43:54+00:00 2024-09-30 440160260 Forvis Mazars LLP 1551 N Waterfront Pkwy Ste 300 Wichita KS 672066601 990 2023-10-01 481226856 Great Plains of Ottawa Co Inc GREA 3166851523 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 JASON BARB CFO 3166851523 2025-08-15 true Kevin Ensminger P01310558 3162652811 2025-08-15 2023 2025-03-06 01:10:19Z JODY PARKS 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 10986803 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. 7 6 125 10 0 0 1898510 418387 8245199 10381511 101969 138490 36128 48415 10281806 10986803 0 0 0 0 5315489 6184915 0 0 0 3488243 5131907 8803732 11316822 1478074 -330019 14511414 14703333 918755 1440693 13592659 13262640 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 9991108 10397317 The Hospital's primary program is the delivery of healthcare and related services to residents of Ottawa County, Kansas. Primary services include a rural health clinic; inpatient care (acute and swing-bed); outpatient and ancillary services (ER, observation, lab, radiology, rehabilitation therapies, etc.); intermediate swing-beds, and a community Wellness/Fitness Center. Our goal is to ensure that the community and surrounding area have access to necessary and needed healthcare services locally. During the 2024 fiscal year, the Hospital completed several projects and initiatives to improve the quality of care and increase the services offered to our patients. Most notably, Ottawa County Health Center ensured that the county and surrounding communities maintained local medical care by taking over the local physician's clinic in July 2023 and implementing a rural health clinic in October 2023 (see below). - In July 2023, the local clinic became the Family Care Clinic owned by Ottawa County Health Center. In FY2023 and FY2024, OCHC has taken steps not only to incorporate clinic operations into the hospital, but to improve the standard of care and the availability of care for our community. We have grown the clinic practice to five providers, including two physicians, two physician assistants, and one nurse practitioner. We continue to see new patients in the clinic both from Ottawa County and the surrounding communities. We were designated as a Rural Health Clinic in October 2023. Throughout FY24, OCHC has worked to effectively integrate the clinic into hospital operations but do so in a way that makes healthcare more effective and streamlined for our community. As we look into FY25, we will use this year of data gathering and process testing to make improvements and implement initiatives that improve healthcare in our community. Small, rural clinics are difficult to maintain due to declining population bases and low volumes, but these clinics are crucial to the survival of communities and local hospitals, and they are crucial to the overall health of the community. Despite the low volumes and high costs of providing care in the clinic, OCHC is committed to using resources to fund the local clinic to benefit the health of the community. Our goal continues to be ensuring that our community has access to quality healthcare close to home. - In addition to the local clinic in Minneapolis, the hospital continues to support an outreach clinic in the nearby Ottawa County community of Delphos. This area has a large elderly population, so the outreach clinic offers easier access to healthcare for these individuals. - To support the overall health and wellness of our community, 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 improvement in health that is possible from having a fitness center available in our small community is a great benefit to area residents. 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. The increase in physical activity is a great benefit to our community and a worthwhile use of hospital resources to benefit the health of the community. - With the new clinic providers, we have seen a dramatic increase in our therapy volumes, particularly physical therapy. In FY24, OCHC purchased a traction unit and table for physical therapy patients. - Throughout the year, OCHC continued to improve facility safety by expanding our security system by adding cameras both inside and outside of 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. OCHC also added a new server for increased data security. - OCHC takes pride in the physical building and appearance of our facility as a crucial part of the economy and sustainability of Ottawa County. Various investments in our building and infrastructure were made throughout 2023 to maintain our facility. - 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. - Approximately $53,263 in charity care/financial assistance was provided to area residents in FY2024. - In addition to providing Financial Assistance, the hospital used operational funds to subsidize both the Family Care Clinic and the OCHC Wellness Center. In aggregate, this funding was $182,206, $114,581 and $67,625, respectively. Both the Family Care Clinic and the Wellness Center are crucial to the overall health and sustainability of our community. 9991108 true true false true false false false false false true false false false true false true false 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 47 0 true 125 true false false false false false false false false false false false false X 7 6 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 CURT COLSON PRESIDENT/CEO/DIRECTOR 0.2 41.2 X X 0 217358 54774 JOHN TERRILL CHAIRMAN/DIRECTOR 0.2 1.2 X X 0 0 0 ROGER JOHN SECRETARY/DIRECTOR 0.2 1.2 X X 0 0 0 STEVE CARLSON TREASURER/DIRECTOR 0.2 1.2 X X 0 0 0 ALLEN VANDRIEL DIRECTOR (BEG 05/24) 0.2 1.2 X 0 0 0 ARTHUR HENDRICKSON DIRECTOR 0.2 1.2 X 0 0 0 DR BARBARA BROWN APPLEGATE DIRECTOR 0.2 1.2 X 0 0 0 CHERYL LANOUE BUSINESS OFFICE MANAGER/CFO (END 12/23) 40.0 0.0 X 163629 0 40048 JASON BARB CFO 0.2 41.2 X 0 191413 50658 JIM BLACKWELL INTERIM CFO (BEG 01/24) 40.0 0.0 X 0 0 0 JODY PARKS ADMINISTRATOR 40.0 0.0 X 204972 0 45546 PETER MEIER MEDICAL DIRECTOR 40.0 0.0 X 126750 0 12240 495351 408771 203266 3 false true false GPHA 250 N ROCK RD STE 160 WICHITA KS 67206 MANAGEMENT AND CBO 587505 CASCADE HEALTH SERVICES 1001 NW BARRY ROAD KANSAS CITY MO 64155 CONTRACT SERVICES 200943 LITTLE PATRICIA BARKER MD 485 MEADOWLARK DR MINNEAPOLIS KS 67467 ER CALL & CONTRACT CLINIC PROVIDER 190180 NATIONAL THERAPEUTIC ASSOCIATES INC 11623 ARBOR ST OMAHA NE 68144 OUTSOURCES THERAPY SERVICES 133882 QS HEALTHCARE LLC 1701 WILLIAMS ST GREAT BEND KS 67530 NURSING AGENCY 129114 11 405087 13300 418387 NET PATIENT SERVICE REVENUE 621300 9402400 9402400 340B REVENUE 621300 923372 923372 WELLNESS CENTER 621400 55739 55739 0 0 0 0 10381511 138490 138490 5230 5230 0 5230 5230 0 0 VENDOR REBATES/PURCHASE DISCOUNTS 900099 17538 17538 EMPLOYEE/GUEST MEALS 722320 7632 7632 18015 15806 0 2209 43185 10986803 10397317 0 171099 X 0 0 301804 301804 4530760 4180243 350517 210199 186385 23814 797965 711153 86812 344187 299796 44391 150558 150558 13834 13834 118026 118026 2138 2138 2099984 2052776 47208 0 5585 4289 1296 223924 205578 18346 597 597 247568 220295 27273 7991 7078 913 7066 6840 226 869438 865054 4384 98824 21564 77260 MEDICAL SUPPLIES 869392 869332 60 BAD DEBT EXPENSE 197660 197660 EQUIPMENT RENTAL & REPAIRS 149976 144490 5486 DUES & SUBSCRIPTIONS 24562 7384 17178 44784 11191 33593 0 11316822 9991108 1325714 0 400 400 6925817 7849071 1038802 1100050 0 0 0 0 145867 147930 79176 97264 14005854 8681472 6170268 5324382 0 0 151084 184236 14511414 14703333 918755 937711 0 0 0 502982 918755 1440693 X 13592659 13262640 13592659 13262640 14511414 14703333 -330019 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 2138 false false false 2138 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 9569462 5623521 3945941 3795601 2604128 1191473 621791 453823 167968 5324382 DUE TO THIRD PARTY PAYORS 502982 502982 10789143 0 0 10789143 197660 197660 10986803 11119162 0 0 11119162 197660 197660 11316822 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS 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, Line 4(b) Other revenues in form 990 not in audited financial statements PROVISION FOR UNCOLLECTIBLE ACCOUNTS - 197660 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PROVISION FOR UNCOLLECTIBLE ACCOUNTS - 197660 true true X true X false true true false false 55550 55550 0.0050 340755 92370 248385 0.0223 0 0.0 0 0 396305 92370 303935 0.0273 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 396305 92370 303935 0.0273 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 197660 4934115 4934115 0 X true true 1 1 OTTAWA COUNTY HEALTH CENTER 215 E 8TH STREET MINNEAPOLIS KS 67467 WWW.OTTAWACOUNTYHEALTHCENTER.COM H072001 X X X X 1 1 1 false false true X X X X X X X X X 23 true false true true X https://www.ottawacountyhealthcenter.org/community-health-needs-assessment X true 23 true https://www.ottawacountyhealthcenter.org/community-health-needs-assessment false true X 200.0 0.0 X X X X true true X X X true X https://www.ottawacountyhealthcenter.org/ X https://www.ottawacountyhealthcenter.org/ X https://www.ottawacountyhealthcenter.org/ 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 Facility 1, 1 Facility 1, 1 - OTTAWA COUNTY HEALTH CENTER. 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, Section B, Line 6b Facility 1, 1 Facility 1, 1 - OTTAWA COUNTY HEALTH CENTER. OTTAWA COUNTY HEALTH DEPARTMENT, OTTAWA COUNTY HEALTH PLANNING COMMISSION AND OTTAWA COUNTY ECONOMIC DEVELOPMENT Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - OTTAWA COUNTY HEALTH CENTER. 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. 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. 0 OTTAWA COUNTY HEALTH CENTER FAMILY CARE CLINIC 830 ELM STREET MINNEAPOLIS KS 67467 MEDICAL CLINIC DELPHOS SATELLITE CLINIC 402 N MICHIGAN STREET DELPHOS KS 67436 MEDICAL CLINIC MILTONVALE SATELLITE CLINIC 205 STARR AVENUE MILTONVALE KS 67466 MEDICAL CLINIC Schedule H, Part VI, Line 2 Needs Assessment 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 now operates the local physician clinic attached to the hospital. This allows us to maintain close communications with clinic providers who can provide insight on overall medical issues and needs across their patient populations. (3) The Hospital works closely and partners with the County partners, including the Public Health Department, Emergency Management, and EMS, to identify patients who require specialized or additional care and to coordinate programs to improve the overall health of Ottawa County. (4) The Hospital conducted a formal needs analysis in 2013, 2016, 2019, and 2022. The findings have been much the same in each assessment. Below is information on the 2022 Community Health Needs Assessment and how the hospital has addressed the key findings over the past year. 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 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 key local 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. 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. 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 To address these goals, Ottawa County Health Center implemented the identified strategies as follows: OCHC's Wellness Center has an up-to-date fitness center and lap pool available to the community. A new Wellness Center Director was hired in 2023, and she has developed new programs and increased community membership over the last six months by focusing on multiple age groups and fitness levels. The Wellness Center Director is offering classes and weight room instruction to help encourage community members to continue an active lifestyle. Free group exercise classes and services that have become increasingly popular Forever Fit (50 & over class), HIIT class, Water HIIT, water aerobics, group exercises; Beachbody; Blood Pressure and Heart Rate Assessments, etc. In addition, the discounted rates offered to high school students help encourage fitness and activity to those individuals. Advertisements on Facebook and word of mouth have generated interest in the programs of the Wellness Center. The hours of pool operation have been extended at the request of some community members to meet the most needs. Members may also access the exercise equipment twenty-four hours per day. Wellness Center Membership rates are reviewed annually, and the facility is available to the community at reasonable monthly rates. Even with rising supply and labor costs, Ottawa County Health Center has elected to keep rates the same over the past several years to give back to our community and help address the priorities noted in our Community Health Needs Assessment related to the lack of health behaviors in Ottawa County. We have also updated our Business Membership program to offer reduced rates to local business who sponsor memberships for their employees. The Wellness Center requires significant funding by the hospital beyond membership dues that are collected. The overall health benefits 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. The hospital's funding of the Wellness Center (over $67,000) is an ongoing Community Benefit. All Wellness Center initiatives promote physical activity and healthy behaviors in our community to address noted health issues in Ottawa County. In addition, to help promote wellness in our community and increase the options for physical activity, the Wellness Center intends to once again sponsor 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. 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. We are currently preparing a mailer to be sent to all county residents and the surrounding communities describing services offered at OCHC. In 2023, Ottawa County Health Center took over the local physician's clinic, and we were designated a Rural Health Clinic in FY24. This transition has been an opportunity to educate our community on the services offered to the community by our local clinic. 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 our outreach clinic in Delphos 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 Financial Assistance program continues to be offered to those who qualify. In FY2024, the hospital provided nearly $53,000 in Charity Care and community benefit to area residents. Additionally, the hospital's Case Manager 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 it 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. Schedule H, Part VI, Line 3 Patient Education of Eligibility for Assistance The Hospital's Patient Financial Coordinator, Business Office Manager, and/or CFO consults with all patients upon request 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 Case Manager 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. Alternatively, the OCHC Case Manager will also work with the patient to file the appropriate forms with Medicaid if the patient qualifies. From 10-1-2023 to 9-30-24, the Hospital provided over $53,000 in Financial Assistance (Charity Care). It is our goal as a facility to improve our financial assistance process as we have found that many individuals in our community are unwilling to complete the paperwork or provide the necessary documentation. Schedule H, Part VI, Line 4 Community Information The Hospital, located in Minneapolis, Kansas (population of approximately 1,938) 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 2,377 occupied households with an average size of 2.39 persons residing in Ottawa County. The racial makeup of the County is 95.6% White, 1.6% African American, .6% Native American, 0.5% Asian, 3.4% Hispanic or Latino, and 1.7% Multiracial. The population spread of Ottawa County is 23.5.0% under the age of 18, 54.8% from age 18 to 65, and 21.7% at or over the age of 65. The median annual income for a household in Ottawa County is $76,755. Approximately 10.2% 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 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 Promotion of Community Health 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 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. 3. 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. 4. The Hospital operates a wellness center catering to single, family, and corporate members. It is the only fitness facility in Minneapolis. The Wellness Center operates at a deficit each year. Operations are funded by the hospital to promote community health. Total funding in FY 2024 was in excess of $67,000. 5. The Hospital promotes a healthy lifestyle, educates on heart disease through organizations and sponsorship of a 5K run/walk. 6. The Hospital has open board meetings that allow community members to offer ideas, suggestions, and input on community health needs. 7. The Hospital board authorizes and directs the use of donated monies or surplus funds to specific health initiatives (room remodels, new equipment, etc.); 8. The hospital used operational funds to subsidize both the new physician's clinic, the OCHC Family Care Clinic, in an effort to ensure providers and routine medical care were available to our county residents. Funding was nearly $115,000 in FY2024. The Family Care Clinic is crucial to the overall health and sustainability of our community. Schedule H, Part VI, Line 6 Affiliated Health Care System 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 Ottawa County. Salina Regional Health Center 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. The Hospital also works closely with the other county entities including the County Health Department, EMS, and Emergency Preparedness to ensure proper care of residents of our 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 CAH hospitals to operate at a high quality within the cash constraints imposed by the Critical Access program. Schedule H, Part VI, Line 2 Needs Assessment (Continued) 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. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care 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 Bad Debt Expense excluded from financial assistance calculation 197660 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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 Bad debt expense - methodology used to estimate amount 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 Bad Debt Expense Methodology 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 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 V, Section B, Line 16a FAP website 1 - OTTAWA COUNTY HEALTH CENTER: Line 16a URL: https://www.ottawacountyhealthcenter.org/; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - OTTAWA COUNTY HEALTH CENTER: Line 16b URL: https://www.ottawacountyhealthcenter.org/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - OTTAWA COUNTY HEALTH CENTER: Line 16c URL: https://www.ottawacountyhealthcenter.org/; Schedule H, Part VI, Line 7 State filing of community benefit report KS false false false false false false false false false CURT COLSON PRESIDENT/CEO/DIRECTOR 0 213765 0 0 0 3593 0 21263 0 33511 0 272132 0 0 JODY PARKS ADMINISTRATOR 204418 0 0 0 554 0 20177 0 25369 0 250518 0 0 0 CHERYL LANOUE BUSINESS OFFICE MANAGER/CFO (END 12/23) 162429 0 0 0 1200 0 15959 0 24089 0 203677 0 0 0 JASON BARB CFO 0 190135 0 0 0 1278 0 18538 0 32120 0 242071 0 0 Schedule J, Part I, Line 3 Form 990, Part VII ANNUAL COMPENSATION REVIEWS ARE COMPLETED BY THE CEO AND CHIEF FINANCIAL OFFICER USING RECOMMENDATIONS PROVIDED BY DEPARTMENT MANAGERS AND CURRENT MARKET CONDITIONS. ALL EXECUTIVE EMPLOYEE SALARIES, INCLUDING THE PRESIDENT/CEO, ARE APPROVED BY THE GPHA BOARD OF DIRECTORS. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAS COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. THE CEO RETAINS DOCUMENTATION IN ADDITION TO THAT IN THE BOARD MINUTES. Form 990, Part VI, Line 2 JASON BARB AND CURT COLSON 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, Line 15a & 15b THE CEO AND CFO 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, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public 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 VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 18015, Related or Exempt Function Revenue: 15806, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2209; Form 990, Part IX, Line 11g Other Fees CONTRACTED MEDICAL STAFF - Total Expense: 1760261, Program Service Expense: 1760261, Management and General Expenses: , Fundraising Expenses: ; ADMINISTRATION/HUMAN RESOURCES - Total Expense: 16606, Program Service Expense: , Management and General Expenses: 16606, Fundraising Expenses: ; LAB SERVICES - Total Expense: 199574, Program Service Expense: 199574, Management and General Expenses: , Fundraising Expenses: ; BILLING/COLLECTIONS - Total Expense: 30602, Program Service Expense: , Management and General Expenses: 30602, Fundraising Expenses: ; PHARMACY SERVICES - Total Expense: 92941, Program Service Expense: 92941, Management and General Expenses: , Fundraising Expenses: ; GREAT PLAINS HEALTH ALLIANCE 1601 E WOODBROOK LN DERBY KS 67037 480617739 MANAGEMENT KS 501(c)(3) 3 N/A 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(c)(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 Benefit Plan R 738118 FMV