2018-11-15T09:33:55-06:00 2017-12-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2017-01-01 300078435 GREELEY COUNTY HEALTH SERVICES INC % TRICE WATTS GREE 6203764221 506 THIRD STREET TRIBUNE KS 67879 BURKE KLINE CEO 8162216300 2018-11-15 true STEVEN L WEBB P00235405 3162652811 2018-11-15 167.68.126.162 48010220183195000007 2018-11-15 P 305047111E71B1EF7CF07F45C8273AFE2A22C5B3 91DD30FEEB741F1A7672B92B7EACB194C0F2AFCF 2017 2019-02-21 02:37:17Z STEVEN MANGAN 506 THIRD STREET TRIBUNE KS 67879 11662888 false X WWW.MYGCHS.COM X 2006 KS THE MISSION OF GREELEY COUNTY HEALTH SERVICES IS TO BE A COMPASSIONATE, INNOVATIVE AND CARING FAMILY WITH YOUR HEALTH AND WELL-BEING IN MIND. 5 4 171 17 0 1052631 1464507 9479376 9758459 9706 11526 378507 428396 10920220 11662888 0 0 0 0 6394055 6631572 0 0 0 4431678 4540499 10825733 11172071 94487 490817 5408183 5828980 1293141 1223121 4115042 4605859 X THE MISSION OF GREELEY COUNTY HEALTH SERVICES IS TO BE A COMPASSIONATE, INNOVATIVE AND CARING FAMILY WITH YOUR HEALTH AND WELL-BEING IN MIND. false false 9771860 0 10061396 A CRITICAL ACCESS HOSPITAL WITH 288 TOTAL ADMISSIONS IN 2017, ALSO PROVIDED RURAL HEALTH CLINIC/OUTPATIENT SERVICES WITH 9,793 CLINIC VISITS, AS WELL AS PROVIDED LONG TERM CARE SERVICES FOR 11,285 RESIDENT PATIENT DAYS IN 2017. 9771860 true true false true false false false false false false true false false false false false true false false false false false false false false false true true false false true false false false false false false false true false false false false false false false false false true 11 0 true 171 true false false false false false false false false false false X 5 4 false true false false false false false true true false false true true true true true true true true false X TRICE WATTS 6203764221 506 THIRD STREET TRIBUNE KS 67879 X STEVE MANGAN DIRECTOR/CHAIR 1.0 0.0 X X 0 0 0 KENNETH ZERR DIRECTOR/SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 LINDA PETERSON DIRECTOR 1.0 0.0 X 0 0 0 CHRIS DIXON DIRECTOR 1.0 0.0 X 0 0 0 BROCK SLOAN DIRECTOR 1.0 0.0 X 0 0 0 LUKE SENDEN CFO 40.0 0.0 X 0 0 0 BURKE KLINE CEO 40.0 0.0 X 0 0 0 WENDEL ELLIS MD 32.0 0.0 X 332446 0 34586 SHEILA M SCHEFFE MD 24.0 0.0 X 164944 0 13392 MELISSA BORTHWICK PHYSICIANS ASSISTANT 32.0 0.0 X 137139 0 4559 BRIAN MILLAR PHYSICAL THERAPY MANAGER 40.0 0.0 X 117538 0 22852 752067 0 75389 4 false true false QUOROM HEALTH RESOURCES 1573 MALLORY LANE STE 200 BRENTWOOD TN 37027 MANAGEMENT SERVICES 523138 HI PLAINS ULTRASOUND 1618 CONARD AVENUE GARDEN CITY KS 67846 MEDICAL SERVICES 115560 SYSCO 5000 BEELER ST DENVER CO 80238 FOOD SERVICES 122852 MEDLINE INDUSTRIES 2015 16TH ST DALLAS TX 753121080 MEDICAL SERVICES 106426 4 1066756 397751 1464507 NET PATIENT SERVICE REVENUE 621110 9758459 9758459 9758459 11526 11526 0 0 12266 12266 0 12266 12266 0 0 0 0 0 0 0 0 0 0 OUTSIDE SERVICES 621110 302937 302937 EMPLOYEE/GUEST MEALS 722513 92659 92659 All Other Misc Revenue 900099 20534 20534 20534 20534 416130 11662888 10061396 136985 0 0 0 0 0 0 5448964 5010447 438517 141256 130120 11136 664644 616562 48082 376708 346392 30316 522999 522999 46765 46765 108730 108730 0 0 0 1078555 1044315 34240 18772 18772 261653 222878 38775 0 0 243523 216172 27351 71300 62048 9252 0 21954 20673 1281 3845 3845 0 370615 353718 16897 78687 76254 2433 MEDICAL SUPPLIES 953561 953561 BAD DEBT EXPENSE 357751 357751 FOOD 192125 192125 REPAIRS & MAINTENANCE 116018 109658 6360 93646 55341 38305 11172071 9771860 1400211 0 75420 11765 1256096 1747483 0 0 1079083 1359097 0 0 0 0 0 0 145595 82031 133182 181869 6800049 4398314 2497616 2401735 0 0 0 0 0 0 0 0 221191 45000 5408183 5828980 1252332 1208723 0 0 0 0 0 0 0 0 0 0 0 0 40809 14398 0 0 1293141 1223121 X 1656163 2216450 2458879 2389409 0 0 4115042 4605859 5408183 5828980 490817 X false true X true false X false false false false false false true 3067 false false false 3067 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE DUES PAID TO THE KHA AND LEADINGAGE WERE FOR LOBBYING AND ADVOCACY. false false 301707 301707 3747367 1937870 1809497 2689263 2451538 237725 61712 8906 52806 2401735 11305137 -357751 -357751 11662888 11662888 10814320 10814320 357751 357751 11172071 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. SCHEDULE D, PART XI, LINE 2D BAD DEBT EXPENSE (357,751) SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE 357,751 true true X true X true X true true false true true 67205 67205 0.00620 1072128 973193 98935 0.00910 1139333 973193 166140 0.01530 2030 2030 0.00020 2030 2030 0.00020 1141363 973193 168170 0.01550 false 357751 2834882 1862507 972375 X true true 1 1 GREELEY COUNTY HEALTH SERVICES 506 3RD ST TRIBUNE KS 67879 WWW.MYGCHS.COM H036001 X X X X GREELEY COUNTY HEALTH SERVICES 1 true false true X X X X X X X X X 16 true false true true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 200. 300. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 MEMBERS OF THE GREELEY COUNTY DEVELOPMENT BOARD AND STAFF INTERVIEWED 15 COMMUNITY MEMBERS. WHEN SELECTING INDIVIDUALS FOR THE INTERVIEWS, THE BOARD DELIBERATELY SELECTED A DIVERSE GROUP OF PEOPLE FROM BUSINESS, EDUCATION, HEALTH AND HUMAN SERVICES AND GOVERNMENT. SCHEDULE H, PART V, SECTION B, LINE 6B GREELEY COUNTY HEALTH DEPARTMENT WALLACE COUNTY HEALTH DEPARTMENT GREELEY COUNTY COMMUNITY DEVELOPMENT SCHEDULE H, PART V, SECTION B, LINE 7A http://mygchs.com/wp-content/uploads/CHNA-2016-Executive-Summary-Recommend ation-and-Resolution-Rev-Nov-2016-signed.pdf SCHEDULE H, PART V, SECTION B, LINE 10A HTTP://MYGCHS.COM/WP-CONTENT/UPLOADS/2016-GCHS-CHNA-EXECUTIVE-SUMMARY-FINA L-NOV.PDF SCHEDULE H, PART V, SECTION B, LINE 11 TO ADDRESS QUALITY CHILDCARE AVAILABILITY AND AFFORDABILITY, COMING UP FOR THE NEXT YEAR, GCHS HAS ENGAGED WITH THE KU MBA PROGRAM TO CONDUCT AN EXTENSIVE STUDY ON THE CURRENT OPPORTUNITIES AND REMAINING NEED FOR CHILDCARE IN BOTH GREELEY AND WALLACE COUNTIES. TO ADDRESS DENTAL CARE AND PREVENTIVE SCREENINGS AVAILABILITY, GCHS CONDUCTED A SITE VISIT FOR KU MBA STUDENTS IN GREELEY AND WALLACE COUNTIES - THEY MET WITH MORE THAN 30 INDIVIDUALS DURING THE DAY. GCHS PROPOSED A SURVEY TO POPULATION IN BOTH COUNTIES. IN ADDITION, EACH SCHOOL SYSTEM HAS A FREE PREVENTIVE DENTAL VISIT AVAILABLE FOR EACH CHILD AT LEAST ONCE ANNUALLY. TO ADDRESS ALCOHOLISM AND DRUG DEPENDENCE AS WELL AS TREATMENT, GCHS HAS BEEN INVOLVED WITH A PARTNERSHIP WITH COMPASS BEHAVIORAL HEALTH. THEIR IN-HOUSE COUNSELOR VICK NORTON IS NOW A LICENSED SUBSTANCE ABUSE COUNSELOR AND IS AVAILABLE FOR TREATMENT. A CELEBRATE RECOVERY PROGRAM IS AVAILABLE IN WALLACE COUNTY. ADDITIONALLY, EACH COUNTY HOSTS A COMMUNITY HEALTH FAIR WITH EDUCATIONAL TOPICS AVAILABLE. TO ADDRESS EDUCATING ADULTS AND YOUTH ON HOW TO AVOID UNSAFE SEX AND GET ACCESS TO CONTRACEPTIVES, GCHS CLINICIANS PROVIDE AN ANNUAL EDUCATIONAL OPPORTUNITY IN COORDINATION WITH GREELEY COUNTY HIGH SCHOOL TO CONDUCT A SERIES OF PROGRAMS CALLED HEALTHY MOMENTS WHICH ARE TO HELP PROVIDE INFORMATION ON SAFE SEX, REPRODUCTION, SAFE RELATIONSHIPS AND OTHER POTENTIAL TEEN BEHAVIORS. TO ADDRESS HOUSING AS A LIMITING FACTOR IN ATTRACTING NEW RESIDENTS, GREELEY COUNTY ECONOMIC DEVELOPMENT HAS AN AGGRESSIVE COMMUNITY HOUSING ENDEAVOR UNDERWAY TO PROVIDE ADDITIONAL, LOWER COST HOUSING ALTERNATIVES IN THE COMMUNITY. TO DATE, FOUR DUPLEXES HAVE BEEN BUILT. TO ADDRESS EARLY CHILDHOOD EDUCATION NEEDS, WALLACE COUNTY HAS AN EXCELLENT HEAD START PROGRAM IN PLACE. GCHS CLINICIANS ASSIST BY GIVING CLINIC TOURS, TEDDY BEAR CLINICS AND ANNUAL PHYSICALS. ADDITIONALLY, GREELEY COUNTY HAS GROWN THE LEARNING PROGRAMS ASSOCIATED WITH THE LIBRARY. THERE ARE NOW MULTIPLE PROGRAMS EACH WEEK. TO ADDRESS CHRONIC PHYSICAL AND MENTAL ILLNESS CONCERNS, GCHS HAS IMPLEMENTED A PATIENT CARE COORDINATOR TO ASSIST THE MOST CHRONICALLY AND SERIOUSLY ILL PATIENTS IN MANAGING THEIR CARE. GCHS PARTICIPATED IN AN INTEGRATED BEHAVIORAL HEALTH GRANT IN SOUTHWEST KANSAS WHICH PLACED A SOCIAL WORKER IN CLINIC. ADDITIONALLY, EACH COUNTY HOSTS A COMMUNITY HEALTH FAIR WITH RELEVANT TOPICS ASSOCIATED WITH CHRONIC DISEASES ANNUALLY. TO ADDRESS CONCERNS OF ACCESS T0 HEALTHCARE FOR THE UNINSURED, A PATIENT FINANCIAL ASSISTANCE COUNSELOR IS AVAILABLE TO DIRECTLY ASSIST PATIENTS WITH THEIR FINANCIAL NEEDS. SHE ASSISTS THEM WITH PHARMACEUTICAL RESOURCES, DISABILITY AND MEDICAID APPLICATIONS, ACA INSURANCE SIGNUP AND ACCESSING MYRIAD OTHER SOCIAL RESOURCES. SHE ALSO ASSISTS PATIENTS IN SEEKING CHARITY CARE WITH OUTSIDE FACILITIES THEY MAY HAVE BEEN REFERRED TO FROM OUR FACILITY. ADDITIONALLY, GCHS PARTICIPATES WITH THE NATIONAL HEALTH SERVICE CORPS AND IS HOME TO PRIMARY CARE CLINICS IN SHARON SPRINGS AND TRIBUNE WHICH IS COMMITTED TO CARING FOR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SCHEDULE H, PART V, LINE 16A, 16B, & 16C HTTP://MYGCHS.COM/FINANCIAL-ASSISTANCE/ 3 GREELEY COUNTY FAMILY PRACTICE 321 E HARPER TRIBUNE KS 67879 RURAL HEALTH CLINIC WALLACE COUNTY FAMILY PRACTICE 504 E 6TH ST SHARON SPRINGS KS 67758 RURAL HEALTH CLINIC GREELEY COUNTY LONG-TERM CARE 320 E GREELEY TRIBUNE KS 67879 LONG-TERM CARE 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 BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $357,751. SCHEDULE H, PART III, SECTION A, LINE 2 THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. SCHEDULE H, PART III, SECTION A, LINE 4 PAGE 9 OF THE AUDITED FINANCIALS UNDER NOTE 1. SCHEDULE H, PART III, SECTION B, LINE 8 THE ANNUAL MEDICARE COST REPORT IS THE SOURCE FOR THE COSTING METHODOLOGY FOR SCHEDULE H, PART III, SECTION B, LINE 6. SCHEDULE H, PART III, SECTION C, LINE 9B THE ACCOUNTS OF UNINSURED OR UNDER-INSURED PATIENTS WHO HAVE APPLIED FOR MEDICAL ASSISTANCE OR FINANCIAL ASSISTANCE ARE HELD WITHOUT FURTHER COLLECTION ACTION, UNTIL THE APPLICATION PROCESS HAS BEEN COMPLETE. SCHEDULE H, PART VI, LINE 2 GREELEY COUNTY HEALTH SERVICES USES LOCAL AND STATE BASED DATA TO ASSIST ITS MEDICAL STAFF IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES AND PROVIDES BASIC FAMILY BASED PRIMARY CARE. SCHEDULE H, PART VI, LINE 3 ALL PATIENTS PRESENTING TO OUR FACILITY WHO ARE UNINSURED/UNDER-INSURED ARE PRESENTED WITH THE OPPORTUNITY FOR FINANCIAL ASSISTANCE APPLICATION. A PATIENT FINANCIAL ASSISTANCE COUNSELOR IS AVAILABLE FULL TIME FOR INQUIRIES AND CONSULTING REGARDING ALL AVAILABLE FINANCIAL AID PROGRAMS. SCHEDULE H, PART VI, LINE 4 THE COMMUNITY IS A FRONTIER, RURAL COMMUNITY IN WESTERN KANSAS. THE RURAL POPULATION AMONG THE THREE COUNTIES SERVED BY THE FACILITY IS APPROXIMATELY 3,000 PEOPLE. THE SERVICE AREA COVERS 8,000 SQUARE MILES. THE AREA IS PREDOMINANTLY AGRICULTURAL BASED. SCHEDULE H, PART VI, LINE 5 THE FACILITY DOES HAVE AN OPEN MEDICAL STAFF WITH SUPPORTING MID-LEVEL PRACTITIONERS, A COUNTY GOVERNMENT APPOINTED COMMUNITY BOARD THAT RECEIVES APPROXIMATELY 3% SUPPORT FROM LOCAL TAX APPROPRIATIONS, AND HOLDS NUMEROUS COMMUNITY ACTIVITIES SUCH AS HEALTH FAIRS, FREE FLU SHOT CLINICS, AND NUMEROUS HEALTH AND WELLNESS ACTIVITIES TO PROMOTE COMMUNITY HEALTH. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 N/A X X false false false false false false false false false WENDEL ELLIS MD 331631 0 0 0 815 0 10039 0 24547 0 367032 0 0 0 SHEILA M SCHEFFE MD 164233 0 0 0 711 0 4954 0 8438 0 178336 0 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION FOR BURKE KLINE, CEO, IS SET BY QUOROM HEALTH RESOURCES, AN INDPENDENT ORGANIZATION THAT WAS CONTRACTED TO PERFORM THE MANAGEMENT SERVICES FOR GREELEY COUNTY HEALTH SERVICES, INC. QUOROM HEALTH RESOURCES USED A WRITTEN EMPLOYMENT CONTRACT AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE IN DETERMING COMPENSATION. GREAT PLAINS PHARMACY - CHRIS DIXON TRUSTEE 416161 DRUG STORE PURCHASES false FORM 990, PART III, LINE 1 GREELEY COUNTY HEALTH SERVICES STRIVES TO ADDRESS THE HEALTHCARE NEEDS OF THE REGION THROUGH THE EFFECTIVE PARTNERING OF A COMPASSIONATE STAFF WITH QUALITY CARE ROOTED IN THE CONTINUOUS PURSUIT OF BEST PRACTICES. WE UTILIZE APPROPRIATE TECHNOLOGY TO MINIMIZE THE EFFECTS OF CHRONIC DISEASE, FOCUS ON PROVIDING PREVENTIVE MEDICINE AND TREAT EACH PATIENT'S MIND, BODY AND SOUL WITHIN THE FAMILY MEDICINE SPECTRUM OF CARE. FORM 990, PART VI, SECTION A, LINE 3 GREELEY COUNTY HEALTH SERVICES HOLDS A MANAGEMENT CONTRACT WITH QUORUM HEALTH RESOURCES OF BRENTWOOD, TENNESSEE. QUORUM HEALTH RESOURCES APPOINTS A CHIEF EXECUTIVE OFFICER TO MANAGE DAY-TO-DAY OPERATIONS. DURING 2017. BURKE KLINE SERVED AS THE TOP MANAGEMENT OFFICIAL FOR GREELEY COUNTY HEALTH SERVICES. HIS COMPENSATION IS INCLUDED IN THE MANAGEMENT FEE PAID TO QUORUM HEALTH RESOURCES AND REPORTED ON PART VII, SECTION B, OF THE 990. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990. THE CFO THEN REVIEWS THE COMPLETE FORM 990 AND ALL REQUIRED SCHEDULES. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE PRIOR TO FILING. THE FORM 990 WITH ALL REQUIRED SCHEDULES WILL BE PROVIDED TO THE ENTIRE BOARD SUBSEQUENT TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND OFFICERS. IT IS REVIEWED ANNUALLY BY THE BOARD MEMBERS AND OFFICERS. ANY POTENTIAL CONFLICTS OF INTEREST THAT ARE DISCLOSED ARE REVIEWED BY THE BOARD CHAIRMAN TO DETERMINE IF AN ACTUAL CONFLICT OF INTEREST EXISTS. INDIVIDUALS WITH A POTENTIAL CONFLICT OF INTEREST ARE PROHIBITED FROM VOTING OR PARTICIPATING IN DISCUSSIONS REGARDING THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS AND QUORUM HEALTH RESOURCES REVIEW BOTH THE CEO'S AND CFO'S COMPENSATION ANNUALLY. COMPARISON DATA FROM SIMILAR ORGANIZATIONS IS USED TO DETERMINE ANY PAY INCREASES. ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15B THE BOARD OF DIRECTORS AND QUORUM HEALTH RESOURCES REVIEW KEY EMPLOYEE COMPENSATION AT CONTRACT RENEWALS. COMPARISON DATA FROM SIMILAR ORGANIZATIONS IS USED TO DETERMINE ANY PAY INCREASES. ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.