2018-06-13T08:00:47-05:00 2017-07-31 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2016-08-01 742842747 West Central Kansas Association Inc WEST 7854833131 200 S Main Russell KS 67665 Rob Nahmensen CEO 7854833131 2018-06-12 1 Heather R Eichem P01515553 7852334226 2018-06-12 2016 2022-09-23 18:48:47Z Russell Regional Hospital Rob Nahmensen 200 S Main Russell KS 67665 16149422 0 X www.russellhospital.org X 1997 KS Dedicating our lives to improving yours. 5 5 242 0 0 0 65990 150893 15994101 15713042 46638 57656 233359 227831 16340088 16149422 0 0 0 0 9917700 10755560 0 0 0 6148424 5784790 16066124 16540350 273964 -390928 5019114 5066091 4981314 5028291 37800 37800 Dedicating our lives to improving yours. 0 0 14522727 15930569 Russell Regional Hospital provides a variety of health care services including acute inpatient care, swingbed inpatient care, outpatient care, rural health clinic, and long-term care services to patients in need of care. 14522727 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 11 0 1 242 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 1 1 1 0 X X Rob Nahmensen CEO 7854832323 200 S Main Russell KS 67665 Morris Krug President 1.00 X X 0 0 0 Vance Ruggels Secretary 1.00 X X 0 0 0 John O Farmer III Treasurer 1.00 X X 0 0 0 Michael Holland Director 1.00 X 0 0 0 Mallory Davis Vice Chair 1.00 X X 0 0 0 Sharon Collins Interim CEO effective 07/21/2017 40.00 X 89768 0 19456 Kevin Kreutzer CFO 40.00 X 86000 0 2322 Harold Courtois CEO through 07/21/2017 40.00 X 116929 0 24420 Earl Merkel Physician 40.00 X 299921 0 21884 Tyrel Somers Physician 40.00 X 339033 0 29761 Sambhundh Panichabhongse Physician 40.00 X 230683 0 18996 James Anderson Physician 40.00 X 285665 0 25632 Alicia Bean Physician 40.00 X 272690 0 34404 1720689 0 176875 9 0 1 0 Sunflower Physician Services 1659 S Tamarisk Dr Wichita KS 67230 Physician services 423150 CPSI PO Box 850309 Mobile AL 366850309 Software and technical support 215731 Shared Medical Services Inc 4253 Arogosy Court Madison WI 53714 MRI Services 152860 Quest Diagnostics PO Box 14730 St Louis MO 631504730 Lab services 127195 4 146991 3902 150893 Net patient service revenue 900099 14203762 14203762 340b retail pharmacy 446110 1509280 1509280 15713042 57656 57656 10304 0 10304 10304 10304 Contracted rheumatology 900099 146400 146400 Cafeteria sales 722210 46590 46590 Purchase discounts 900099 16484 16484 8053 8053 217527 16149422 15930569 0 67960 247325 247325 8855964 8080737 775227 92519 86259 6260 977624 891003 86621 582128 518302 63826 10849 10849 1556687 1212794 343893 21920 15616 6304 177027 62081 114946 162430 135142 27288 2414 -1656 4070 21087 18822 2265 243522 202610 40912 139395 114037 25358 340b drug program expen 1052706 1052706 Pharmacy supplies 918938 918938 Repairs and maintenance 569874 438519 131355 Medical supplies 435093 435093 472848 341724 131124 16540350 14522727 2017623 0 1440972 2046411 830 1026 1718981 1687003 284302 284777 103490 123245 4348069 3539116 701343 808953 769196 114676 5019114 5066091 1116000 943410 289572 517560 3575742 3567321 4981314 5028291 X 37800 37800 37800 37800 5019114 5066091 X -390928 390928 X 0 1 X 0 0 X 0 0 0 0 0 1 4904 0 0 0 4904 0 Part II-B, Line 1: West Central Kansas Association, Inc. is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. 3151483 2472720 678763 1196586 1066396 130190 808953 Estimated third - party payor settlements 90581 Due to lessor 3475848 Accrued Interest 892 3567321 X 16149422 0 16149422 0 16149422 16540350 0 16540350 0 16540350 Part X, Line 2: Management is not aware of any uncertainties in income tax positions. 1 1 1 X 70.000000000000 1 X 1 1 0 1 0 136462 99841 36621 0.00220 1498008 1323208 174800 0.01060 1634470 1423049 211421 0.01280 14692 7000 7692 0.00050 3668027 2827170 840857 0.05080 330 330 0.00000 3683049 2834170 848879 0.05130 5317519 4257219 1060300 0.06410 1 465613 5592833 5624134 -31301 X 1 1 1 1 Russell Regional Hospital 200 South Main Street Russell KS 67665 X X X X Russell Regional Hospital 1 0 0 1 X X X X X X X X X 14 1 0 0 1 X www.russellhospital.org X 1 14 1 www.russellhospital.org 0 1 X 70.000000000000 200.000000000000 X X X 1 1 X X X 1 X http://www.russellhospital.org X http://www.russellhospital.org X http://www.russellhospital.org X X X X 1 X 0 X X X 1 X 0 0 Russell Regional Hospital Part V, Section B, Line 5: A priority of the CHNA was to solicit input from a broad cross section of the community, not simply members of the local healthcare sector, in an effort to represent the community as a whole. Steering Committee participants include representatives from these local organizations: Russell County Area Community Foundation, Russell Regional Hospital, Russell County EMS, Russell Rotary Club, Russell Area Chamber of Commerce, Russell County Health Dept, Angels Care Home Health, Russell County Economic Development/CVB, Russell County Sheriff's Office, City of Russell, Russell County supervisor, county clergy, city law enforcement, and Russell County pharmacists. Russell Regional Hospital Part V, Section B, Line 11: The Russell Regional Hospital Community Health Needs Assessment for 7/31/2015 (tax year 2014) showed seven issues the community wanted to address. The seven issues are (1) Improve Mental Health Screenings/Placement, (2) Improve Chronic Disease Management (Diabetes, Heart, Stroke), (3) Improve Drugs/Alcohol & Placement, (4) Increase Availability of Affordable Quality Housing, (5) Expand Healthcare Transportation Out of County, (6) Provide Dentist Services, (7) Expand Child Care Offerings.Number 1 We attended Cherokee Health Systems training and determined it is not feasible to proceed with an in-house mental health provider. We did speak to Turning Point Professional Counseling Service out of Hays about providing a provider 5 days a week. In addition RRH is utilizing the Avera eEmergency system for acute mental health issues in the ER. We also continue to utilize ITV Services with High Plains Mental Health of Hays, KS. Number 2 RRH in partnership with The Heart and Stroke Collaborative has hired a health coach to work with patients who have co-morbidities. This health coach serves as a liaison between the physician and patient while making home visits and educational phone calls to make sure the patients are keeping appointments, taking medication correctly and observing a healthy lifestyle. Currently the health coach works with approximately 165 patients who have co-morbidities. RRH has engaged in a healthy hospital initiative that includes proper nutrition and exercise. The hospital has started a wellness program with incentives that could lower employee health insurance premiums.Number 3 The Russell County Sheriff Department will provide education for middle school students on the risks of alcohol and drug abuse. Number 4 Six middle income town homes are being constructed in Russell.Number 5After investigation it was determined that providing transportation within the city was feasible, but transportation within the county or outside the county could not be accomplished at this time. The city of Russell has public transportation in place at this time.Number 6Russell County Economic Development continues to recruit dentists.Number 7 Russell Regional Hospital and USD 407 met to discuss a community preschool and daycare in the city of Russell. 2 1 - Russell Rgnl Hospital Physicians Clinin 200 South Main Street Russell KS 67665 Rural health clinic 2 - Russell Rgnl Hospital - Main Street Man 200 South Main Street Russell KS 67665 Long-term care facility Part I, Line 7g: The costs of subsidized health services include costs attributable to a physician clinic in the amount of $2,447,753. Part III, Line 4: See Note A-2 (page 7) of the audited financial statements regarding the allowance for uncollectible accounts.Part III, Line 2: The Hospital's bad debt at cost was determined by applying an overall ratio of cost to charges. Part III, Line 3: West Central Kansas Association, Inc. is unable to determine the amount of bad debt expense attributable to patients eligible under its charity care policy for the year covered by this return. Suggested methods for estimation were either not in place or proved to be unreliable. For example, the number of financial assistance applications distributed but not returned was not tracked. Using demographic data to estimate an amount did not provide reasonable results. Undoubtedly, there is bad debt expense attributed to patients who meet charity care guidelines. However, paperwork needed for approval of charity care was not returned or tracked. Rather than provide an estimate that can't be substantiated, West Central Kansas Association, Inc. has chosen to report zero dollars as bad debt expense attributable to charity care patients. Part III, Line 8: The amounts were obtained from the cost report filed with Medicare for the period ending 07/31/2017. The total amount of shortfall between Medicare revenue received and related allowable costs is considered community benefit. Part III, Line 9b: Patients who are known to qualify for financial assistance are qualified for up to three months. After three months, patients must reapply for financial assistance. A patient who has qualified for partial financial assistance payments are subject to our normal collection procedures. Part VI, Line 3: Patients receive information regarding federal, state and charity care programs upon request. Part VI, Line 4: The Hospital is located in Russell County, Kansas in the city of Russell and serves the surrounding area. The Russell community is a predominately agricultural one. The city of Russell and Russell County have an approximate population of 4,500 & 7,000 individuals respectively. The average Russell household annual income is approximately $42,500. Approximately 14.5% of the residents in Russell County have an annual income below the federal poverty level. Other hospitals in the area are located in Hays, Hoisington, and Great Bend. The distance between the Hospital and these facilities is approximately 26, 29, and 40 miles respectively. Part VI, Line 5: The Hospital's governing body is comprised solely of local community members. All local physicians have admitting privileges at the Hospital. X X 0 0 0 0 0 0 0 0 0 Earl Merkel Physician 199471 0 100450 0 0 0 0 0 21884 0 321805 0 0 0 Tyrel Somers Physician 270747 0 68250 0 36 0 1669 0 28092 0 368794 0 0 0 Sambhundh Panichabhongse Physician 175156 0 55500 0 27 0 0 0 18996 0 249679 0 0 0 James Anderson Physician 285548 0 0 0 117 0 5881 0 19751 0 311297 0 0 0 Alicia Bean Physician 206158 0 66500 0 32 0 2000 0 32404 0 307094 0 0 0 Clarissa Schneider Daughter-in-law of Sharon Collins, current officer 32441 Employment 0 Brian Schneider Son of Sharon Collins, current officer 52608 Employment 0 Audrey Owens Daughter of Sharon Collins, current officer 31449 Employment 0 Sarah Depiesse Daughter of Sharon Collins, current officer 61458 Employment 0 Kelly Depiesse Son-in-law of Sharon Collins, current officer 21289 Employment 0 0 Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the governing body prior to filing. It is distributed by email to all governing body Board Members for review. Any questions and/or comments are directed to management for further discussion. Form 990, Part VI, Section B, line 15 The compensation of the organization's officers is voted on and approved by the Board of Directors. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request. Form 990, Part XI, line 9: Transfer from lessor 336,615. Change in amount due to lessor 54,313.