2016-11-15T17:26:08-05:00 2015-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2015-01-01 480577658 HIAWATHA HOSPITAL ASSOCIATION INC % JENNY KNUDSON HIAW 7857422131 300 UTAH STREET HIAWATHA KS 66434 JENNIFER L KNUDSON CFO 7857426210 2016-05-15 true Kevin Ensminger CPA P01310558 8162216300 2015 2017-02-10 21:41:12Z HIAWATHA COMMUNITY HOSPITAL JOHN MOORE 300 UTAH STREET HIAWATHA KS 66434 25056127 false X WWW.HCH-KS.ORG X 1945 KS AS A RURAL COMMUNITY HOSPITAL, HIAWATHA HOSPITAL'S PRIMARY GOAL IS TO PROVIDE MODERN, RELIABLE, AND AFFORDABLE HEALTH SERVICES THAT BEST MEET THE NEEDS OF OUR COMMUNITY RESIDENTS. 10 9 295 9 0 0 354300 328417 23893926 24572470 16147 -45582 121925 111303 24386298 24966608 15854 12665 0 0 13837833 15327716 0 0 4302 11958117 11736962 25811804 27077343 -1425506 -2110735 22104767 20274989 8831757 9113536 13273010 11161453 X SEE SCHEDULE O false false 22623557 12665 24572470 HIAWATHA COMMUNITY HOSPITAL'S PRIMARY GOAL IS TO PROVIDE QUALITY, MODERN, AFFORDABLE HEALTHCARE TO OUR COMMUNITY. IN 2015, WE PROVIDED SERVICE FOR 3,720 INPATIENT DAYS. WE PERFORMED 116 INPATIENT SURGERIES AND 1,107 OUTPATIENT SURGERIES. WE DELIVERED 95 BABIES. WE PROVIDED OUTPATIENT SERVICES TO 27,523 PATIENTS. BY PROVIDING SERVICES LIKE OBSTETRICS AND 24 HOUR EMERGENCY SERVICES THAT NOT ALL SMALL RURAL HOSPITALS PROVIDE, EVEN THOUGH THE PROGRAMS ARE NOT ALWAYS PROFITABLE FOR THE HOSPITAL, WE FEEL STRONGLY THAT THESE SERVICES PROVIDE NECESSARY CARE TO ADDRESS OUR COMMUNITY'S OVERALL HEALTH WHILE PROMOTING OUR MISSION AS A CHARITABLE ORGANIZATION. 22623557 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 true true true false false false false false false false false false false false false false false false true true false false false true 18 0 true 295 true false false false false false false false false false false X 10 9 false false false false false false false true true false false true true true true true true true false false KS X JENNY KNUDSON 7857426210 300 UTAH STREET HIAWATHA KS 66434 DR STEFFEN SHAMBURG PHYSICIAN/CHIEF OF STAFF 40.0 0.0 X X 416150 0 33884 HILLARY BOYE TRUSTEE 0.25 0.0 X 0 0 0 CHERYL RASMUSSEN TRUSTEE 0.25 0.0 X 0 0 0 ERIK MADESEN TRUSTEE 0.5 0.0 X 0 0 0 ERIC MCPEAK BOARD PRESIDENT/TRUSTEE 0.5 0.0 X X 0 0 0 GALEN MEYER TRUSTEE 0.25 0.0 X 0 0 0 NICK HRENCHER VICE-PRESIDENT/TRUSTEE 0.3 0.0 X X 0 0 0 ANDY DELANEY TRUSTEE 0.25 0.0 X 0 0 0 CHAD BACHMAN TRUSTEE 0.25 0.0 X 0 0 0 MIKE NICHOLS TRUSTEE 0.25 0.0 X 0 0 0 JOHN MOORE CEO 40.0 0.0 X 161407 0 28461 DR BRYON BIGHAM PHYSICIAN 40.0 0.0 X 314744 0 33654 DR CROSBY GERNON RADIOLOGIST 40.0 0.0 X 528687 0 56136 DR PETER ROSA PHYSICIAN 40.0 0.0 X 299287 0 33300 DR JULIE ROSA PHYSICIAN 22.0 0.0 X 142564 0 3988 JEAN ABEITA PHARMACIST 40.0 0.0 X 139369 0 26834 DUSTIN WILLIAMS PHYSICIAN ASSISTANT 40.0 0.0 X 140783 0 27132 2142991 0 243389 8 false true false STARS INC 201 SOUTH 4TH HIAWATHA KS 66434 THERAPY SERVICES 643154 STEVEN H GUNNELLS 2561 LINDEN AVENUE HIAWATHA KS 66434 CRNA 618560 ROCK PORT TELEPHONE COMPANY PO BOX 147 ROCK PORT MO 64482 IT CONTRACT SERVICES 280942 ICE TECHNOLOGIES INC 411 SE 9TH STREET PELLA IA 50219 EMR SUPPORT HOSTING 239555 SHARED MEDICAL SERVICES INC 209 LIMESTONE PASS COTTAGE GROVE WI 53527 MRI 133250 7 314000 14417 328417 PATIENT SERVICE REVENUE 621110 22434532 22434532 OTHER PATIENT REVENUE 621110 51652 51652 340B PHARMACY 446110 1609830 1609830 EHR Incentive Revenue 621110 476456 476456 24572470 1349 1349 0 0 54285 28975 25310 0 25310 25310 13613 60544 -46931 -46931 -46931 0 0 0 CAFETERIA INCOME 722514 85538 85538 MISC INCOME 621110 455 455 455 455 85993 24966608 24572470 65721 3384 3434 9281 9231 0 0 1905710 1678083 227627 0 9941978 8606894 1335084 395868 338494 57374 2334207 1814706 519501 749953 657012 92941 0 4265 80 4185 106771 106771 6763 6763 0 0 2930627 2352165 574160 4302 75154 47158 27996 590268 432156 158112 69004 5025 63979 0 459624 342188 117436 43191 30984 12207 0 0 215304 27160 188144 0 1966672 1303501 663171 203722 121927 81795 BAD DEBT EXPENSE 1087415 1087415 REPAIRS & MAINTENANCE 638271 568005 70266 DUES & SUBSCRIPTIONS 269916 210826 59090 MEDICAL SUPPLIES 2944564 2914281 30283 125431 72832 52599 27077343 22623557 4449484 4302 286 321 3895701 2052506 50522 49775 3440130 3203656 0 0 0 0 0 0 432611 437015 221831 255315 32864523 18985453 13569033 13879070 0 0 0 0 0 0 0 0 494653 397331 22104767 20274989 2149650 2112095 0 0 0 0 6440000 6025000 0 0 0 0 242107 976441 0 0 0 0 8831757 9113536 X 13207803 11097068 65207 64385 0 0 13273010 11161453 22104767 20274989 X -2110735 -822 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6763 6763 27070580 27077343 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 4425 5509 6184 6763 22881 250000 250000 250000 250000 1000000 1500000 4425 5509 6184 6763 22881 769309 769309 17989593 8886388 9103205 12756124 9322782 3433342 1349497 776283 573214 13879070 23955099 28975 28975 23926124 1040484 1040484 24966608 26065834 28975 28975 26036859 1040484 1040484 27077343 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 RENTAL EXPENSES $ 28,975 SCHEDULE D, PART XI, LINE 4B GAIN(LOSS) ON DISPOSITIONS OF FIXED ASSETS $ ( 46,931) BAD DEBT EXPENSE 1,087,415 ------------ $ 1,040,484 SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES $ 28,975 SCHEDULE D, PART XII, LINE 4B GAIN(LOSS) ON DISPOSITIONS OF FIXED ASSETS $ ( 46,931) BAD DEBT EXPENSE 1,087,415 ------------ $ 1,040,484 true true true X true X true false false 529910 56416 473494 0.01820 3603236 1139664 2463572 0.09480 249430 131429 118001 0.00450 4382576 1327509 3055067 0.11750 17050 17050 0.00070 177802 177802 0.00680 127585 127585 0.00490 650 650 0.00010 323087 323087 0.01250 4705663 1327509 3378154 0.13000 1 7936 7936 0.00020 1 9115 9115 0.00030 2 17051 17051 0.00050 false 1087415 54370 9543226 9365424 177802 X true true 1 1 HIAWATHA HOSPITAL ASSOCIATION 300 UTAH STREET HIAWATHA KS 66434 www.hch-ks.org X X X X HIAWATHA HOSPITAL ASSOCIATION false false true X X X X X X X X X 13 true false false true X WWW.HCH-KS.ORG X true 13 true WWW.HCH-KS.ORG false false true X 150. 250. X X X X X true true X X X X true X www.hch-ks.org X www.hch-ks.org X www.hch-ks.org X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 WE CHOSE INDIVIDUALS WHO WOULD HAVE UNIQUE UNDERSTANDING OF THE DIFFERENT POPULATIONS IN OUR COMMUNITY TO BE ON THE COMMITTEE. THE COMMITTEE HELPED FORMULATE THE SURVEY TO TAKE TO OUR COMMUNITY AND GAVE SIGNIFICANT FEEDBACK AND DIRECTION ABOUT WHAT SPECIFIC POPULATION NEEDS WERE. INCLUDED ON THE COMMITTEE: KARLA HARTER, NURSING DIRECTOR FOR BROWN COUNTY HEALTH DEPARTMENT; DR. PETE ROSA IS NOT ONLY THE DIRECTOR OF THE MED STAFF WHEN WE DID THE SURVEY BUT ALSO SERVED ON THE LOCAL SCHOOL BOARD; SHERI WESSEL, PA IS THE DIRECTOR OF THE WEIGHT LOSS CLINIC AND WOULD ALSO REPRESENT THE NEMAHA COUNTY POPULATION; DR. CROSBY GERNON WAS THE MAYOR OF HIAWATHA; LYNN DIERKING, RN IS THE DIRECTOR OF OUR HOME HEALTH AGENCY; KAREN WILSON WAS THE DIRECTOR OF THE AREA AGENCY ON AGING; LYNNE LADNER WAS CITY ADMINISTRATOR AND MEMBER OF LOCAL ECONOMIC DEVELOPMENT GROUP; KRISTIN BOLTZ, NURSE PRACTIONER AT WHITE CLOUD HEALTH STATION THAT SERVES IOWA SAC AND FOX INDIAN TRIBE; MICHELLE SHAMBURG, PA IS A HEALTH CARE PROVIDER FOR THE KICKAPOO INDIAN NATION; WENDY SHOEMAKER EMT WORKED IN THE WEIGHT LOSS CLINIC. SCHEDULE H, PART V, SECTION B, LINE 11 OUR INITIAL PUSH WAS TO MAKE OUR WEIGHT LOSS CLINIC A SIGNIFICANT FACTOR IN REDUCING COMMUNITY OBESITY. HOWEVER, CHANGEOVER IN PERSONNEL HAS SHIFTED OUR FOCUS TO PROVIDING TRANSPORTATION TO POPULATIONS WITH CHALLENGES AT NO COST. 3 HIAWATHA COMMUNITY HOSPITAL HOME HEALTH 300 UTAH STREET HIAWATHA KS 66434 FAMILY PRACTICE HIAWATHA COMM HOSP FAM PRACTICE CLINIC 300 OREGON STREET 2ND FLOOR HIAWATHA KS 66434 RURAL HEALTH CLINIC HIAWATHA COMM HOSPITAL HIGHLAND CLINIC 415 S MAIN STREET HIAWATHA KS 66434 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 3C IN ADDITION TO FPG, THE ORGANIZATION USES ASSET LEVEL, INSURANCE STATUS, RESIDENCY, MEDICAL INDIGENCY, AND UNDERINSURANCE STATUS AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 THE HOSPITAL USES THE COST-TO-CHARGE RATIO. THIS METHOD WAS USED TO CALCULATE THE FIGURES IN THE TABLE AND WAS DETERMINED BY COMPARING PATIENT CARE COST TO PATIENT CARE CHARGES. 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 $1,087,415. SCHEDULE H, PART II, LINES 1 10 LITTLE HANDS DAYCARE IS A NOT FOR PROFIT DAYCARE THAT PROVIDES LICENSED, RELIABLE, QUALITY DAYCARE AND EDUCATION TO CHILDREN IN THE COMMUNITY. ONE OF THE ISSUES CITED BY LOCAL EMPLOYERS WHEN RECRUITING WORKERS WAS A LACK OF OPENINGS WITH LOCAL DAYCARE PROVIDERS. LITTLE HANDS WAS STARTED TO ADDRESS THAT NEED. HIAWATHA HOSPITAL'S CONTRIBUTIONS IN TIME AND SUPPLIES HAS HELPED THEM TO BE ABLE TO PROVIDE QUALITY SERVICES WHILE OPERATING ON MINIMAL MARGINS. HIAWATHA COMMUNITY HOSPITAL LEARNED THROUGH OUR COMMUNITY BENEFIT STUDY THAT TRANSPORTATION IS A BARRIER FOR MANY CITIZENS TO OBTAINING HEALTHCARE. SO WE BEGAN OPERATING A FREE MEDICAL TRANSPORT VAN THAT CAN BE USED WITHOUT COST TO GET PEOPLE TO MEDICAL APPOINTMENTS OR BACK FROM STAYS AT HOSPITALS IN LARGER COMMUNITIES. SCHEDULE H, PART III, SECTION A, LINE 2 ALL APPLICABLE INSURANCE CONTRACT DISCOUNTS, SELF-PAY CONTRACT DISCOUNTS, AND CHARITY CARE SLIDING SCALE DISCOUNTS ARE APPLIED PRIOR TO BALANCE BEING ELIGIBLE TO BE WRITTEN OFF AS BAD DEBT. ONCE THE ACCOUNT IS ELIGIBLE, THE ACCOUNT IS FORWARDED TO THE BOARD OF TRUSTEES FOR CONSIDERATION. ONLY AFTER BOARD APPROVAL IS GRANTED IS THE ACCOUNT IS WRITTEN OFF TO BAD DEBT. SCHEDULE H, PART III, SECTION A, LINE 3 BEFORE MAKING ACCOUNTS ELIGIBLE FOR BAD DEBT, WE RUN ALL ACCOUNTS THROUGH A COMPANY TO CHECK TO SEE IF THEY WOULD LIKELY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THOSE WHO COME BACK AS PROBABLE ARE CONTACTED AND ASKED AGAIN TO COMPLETE A FAP APPLICATION. MANY INDIVIDUALS ARE NOT WILLING TO COMPLETE THE APPLICATION. AT THAT POINT THEY ARE GRANTED PRESUMPTIVE FINANCIAL ASSISTANCE STATUS AND THEIR BALANCES ARE WRITTEN OFF TO CHARITY CARE INSTEAD OF BAD DEBT. WHILE WE FEEL THAT WE WORK VERY DILIGENTLY TO PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY, WE CANNOT GUARANTEE A PERFECT SYSTEM. SO THE ABOVE FIGURE IS AN ESTIMATION OF THE BALANCES THAT MAY HAVE NOT BEEN CAUGHT BY OUR SYSTEM. SCHEDULE H, PART III, SECTION B, LINE 4 THE FOOTNOTE IS FOUND ON PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION C, LINE 8 MEDICARE WITHHELD 2% FROM OUR SETTLEMENT THAT REPRESENTS THE SEQUESTRATION AMOUNT. THIS YEAR THAT AMOUNT IS $193,608. THAT 2% REDUCES OUR REIMBURSEMENT TO LESS THAN COSTS. HCH CONSIDERS THIS FULL AMOUNT AS COMMUNITY BENEFIT AS THE HOSPITAL IS PROVIDING SERVICES NOT JUST BELOW THE AGREED UPON RATE WITH MEDICARE, BUT AT A LOSS. SCHEDULE H, PART III, SECTION C, LINE 9B CHARITY CARE APPLICATIONS ARE MADE AVAILABLE TO ALL PATIENTS AT TIME OF REGISTRATION, ON STATEMENTS, AND ON THE WEBSITE. 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT IS MADE ON AN ACCOUNT, IF PAYMENT ISN'T MADE AND A CHARITY CARE APPLICATION ISN'T COMPLETED THE PATIENT'S NAME IS RUN THROUGH A COMPANY TO CHECK FOR PRESUMPTIVE CHARITY CARE. IF THEY QUALIFY, THEY ARE OFFERED AN APPLICATION AGAIN. IF THEY FAIL TO COMPLETE THE APPLICATION, THEY ARE WRITTEN OFF TO CHARITY CARE UNDER OUR PRESUMPTIVE CHARITY CARE PROGRAM. IF THEY DO NOT QUALIFY FOR CHARITY CARE, AND HAVE NOT RESPONDED TO OUR REQUESTS FOR PAYMENTS FOR 120 DAYS, THEN THE ACCOUNT IS PUT ON A LIST FOR APPROVAL BY THE BOARD OF TRUSTEES. ONCE AN ACCOUNT IS GRANTED APPROVAL BY THE BOARD, IT IS SENT TO THE COLLECTION AGENCY. WE GIVE THE COLLECTION AGENCY SEVERAL MONTHS TO COLLECT THE DEBT. IF THEY ARE UNSUCCESSFUL, THE ACCOUNT IS RETURNED TO THE HOSPITAL AND WRITTEN OFF. SCHEDULE H, PART VI, LINE 2 NOT ONLY DID WE SEEK FEEDBACK FROM COMMITTEE MEMBERS REPRESENTING LESSER-HEARD VOICES FROM OUR COMMUNITY, BUT WE MADE AN ONLINE SURVEY AVAILABLE, WE PUT HARD COPIES OF THE SURVEY IN MULTIPLE PLACES INCLUDING ALL OF THE TOWNS IN OUR SERVICE AREA. WE COMBINED THAT FEEDBACK WITH STATISTICAL INFORMATION FROM RELIABLE SOURCES TO IDENTIFY PRIORITIES. SCHEDULE H, PART VI, LINE 3 WE POST INFORMATION ABOUT OUR FAPS EXISTENCE IN PROMINENT LOCATIONS. WE MAKE COPIES OF THE FAP AVAILABLE DURING REGISTRATION, IN INPATIENT ROOMS, ONLINE, AND ON OUR BILLING CORRESPONDENCE. SCHEDULE H, PART VI, LINE 4 THE HOSPITAL SERVES A GEOGRAPHIC AREA THAT ENCOMPASSES ATCHISON, BROWN, DONIPHAN, JACKSON AND NEMAHA COUNTIES IN KANSAS, AND RICHARDSON COUNTY IN NEBRASKA. OF THOSE PATIENTS, 85% ARE FROM BROWN AND DONIPHAN COUNTIES. THESE ARE MOSTLY RURAL COMMUNITIES. 88% OF THE POPULATION OF THE BROWN AND DONIPHAN COUNTIES THAT IS 25 YEARS OR OLDER HAS A MINIMUM OF A HIGH SCHOOL DIPLOMA, 16% HAS A BACHELORS DEGREE OR HIGHER. THE AVERAGE MEDIAN HOUSEHOLD INCOME IS $41,300 COMPARED TO THE STATE WIDE MEDIAN HOUSEHOLD INCOME OF $50,594. 16% OF THE POPULATION LIVES IN POVERTY; 19% FOR BROWN COUNTY ALONE. 16% OF THE POPULATION IN BROWN AND DONIPHAN COUNTIES DOES NOT HAVE HEALTH INSURANCE. SCHEDULE H, PART VI, LINE 5 WE SUPPORT A WIDE ARRAY OF PROGRAMS AND PROJECTS IN OUR COMMUNITY. MANY OF OUR KEY EMPLOYEES SERVE ON MULTIPLE BOARDS THAT HAVE A POSITIVE IMPACT ON VARIOUS ASPECTS OF THE COMMUNITY. WE PROVIDE DONATIONS OF BOTH TIME AND MONEY TO VARIOUS SERVICE ORGANIZATIONS. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 true SCHOLARSHIPS 6 9231 SCHEDULE I, PART I, LINE 2 COMMUNITY SCHOLARSHIP - HCH HAS GIVEN SCHOLARSHIPS TO COMMUNITY MEMBERS PURSUING A DEGREE IN THE MEDICAL FIELD. AFTER THE SCHOLARSHIP IS APPROVED BY HOSPITAL CEO, THE TUITION IS PAID TO THE SCHOOL, THE STUDENT OR THE STUDENT LOAN HOLDER. X X X false false false true false false false false false DR STEFFEN SHAMBURG PHYSICIAN/CHIEF OF STAFF 352434 0 63716 0 0 0 12991 0 20893 0 450034 0 JOHN MOORE CEO 144090 0 431 0 16886 0 6938 0 21523 0 189868 0 JEAN ABEITA PHARMACIST 136072 0 431 0 2866 0 5941 0 20893 0 166203 0 DUSTIN WILLIAMS PHYSICIAN ASSISTANT 140666 0 117 0 0 0 6024 0 21108 0 167915 0 DR BRYON BIGHAM PHYSICIAN 248679 0 66065 0 0 0 10261 0 23393 0 348398 0 DR CROSBY GERNON RADIOLOGIST 399569 0 129118 0 0 0 35028 0 21108 0 584823 0 DR PETER ROSA PHYSICIAN 224470 0 74817 0 0 0 9692 0 23608 0 332587 0 SCHEDULE J, PART I, LINE 5A THE DOCTORS ARE PAID A PERFORMANCE BONUS BASED ON PRODUCTIVITY AND CONSIDERATION OF REVENUES AND EXPENSES. A CITY OF HIAWATHA KANSAS 483025665 428545CN5 2014-09-29 6440000 SEE PART VI false false false A 415000 0 6440000 300032 0 0 115920 0 0 0 6324080 0 2011 true false true true A false false true true false 0 false false false true A false true true false false false 0 false 0 false true A true PART I, LINE A, COLUMN F THE SERIES 2014 BONDS WERE ISSUED TO REFUND THE SERIES 2007 BONDS (ISSUED 03/29/2007) AND REFUND TWO TAXABLE BANK LOANS. FORM 990, PART III, LINE 1 HIAWATHA COMMUNITY HOSPITAL'S HIGHEST PRIORITY IS THE PROVISION OF QUALITY HEALTH CARE TO OUR PATIENTS THROUGHOUT NORTHEAST KANSAS. COMPREHENSIVE SERVICES INCLUDE PRIMARY, SECONDARY, AND LONG-TERM CARE. TO CARRY OUT THIS MISSION, HEALTH PROFESSIONALS WITHIN THE HOSPITAL CONTINUALLY WORK TOGETHER TO IMPROVE PATIENT CARE AND EDUCATION. THIS TEAM APPROACH ASSURES THAT OUR PATIENTS WILL BENEFIT FROM THE MOST UP-TO-DATE MEDICAL PRACTICES AVAILABLE. THE HOSPITAL CAN ONLY CONTINUE TO EXIST TO SERVE ITS MISSION THROUGH SOUND FINANCIAL MANAGEMENT AND STRATEGIC PLANNING. THEREFORE, THE PRINCIPLES OF COST EFFECTIVENESS AND EFFICIENCY GOVERN THE DEVELOPMENT OF HEALTH CARE POLICY FOR THE HOSPITAL. EXTERNAL AND INTERNAL ASSESSMENTS ARE DONE TO DETERMINE EVOLUTIONARY NEEDS AND TO RESPOND TO THE DEMANDS OF EVER-CHANGING TECHNOLOGY. HIAWATHA COMMUNITY HOSPITAL FEELS A STRONG COMMITMENT TO ITS EMPLOYEES AND STRIVES ALWAYS TO TREAT THEM FAIRLY, RESPONSIBLY, AND WITH A SENSE OF CONCERN FOR THEIR WELL-BEING. THE PROVISION OF COMPREHENSIVE CONTINUING EDUCATION IS ESSENTIAL TO MAINTAIN ADEQUATE SKILL LEVELS AND FOSTER A SENSE OF PRIDE AND PROFESSIONALISM. AS A COMMUNITY HOSPITAL, HIAWATHA COMMUNITY HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO PROVIDE PUBLIC HEALTH EDUCATION AND, AS SUCH, STRIVES TO SERVE AS A REGIONAL HEALTH RESOURCE CENTER. MEDICAL AND PROFESSIONAL STAFF ARE ENCOURAGED TO PARTICIPATE IN COMMUNITY ACTIVITIES AND EDUCATION. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS OR CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND DECISION MAKERS FOR THE HOSPITAL ARE COVERED UNDER THIS POLICY. CONFLICTS ARE EITHER REVIEWED BY THE CORPORATE COMPLIANCE OFFICER OR THE BOARD PRESIDENT. AT BOARD MEETINGS, THE BOARD CHAIR IS APPRAISED OF ALL CONFLICTS OF INTEREST AND THEN ASKS THE MEMBER TO ABSTAIN FROM DISCUSSING AND VOTING ON TOPICS OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE DIRECTOR OF HUMAN RESOURCES PERIODICALLY PROVIDES THE PRESIDENT OF THE BOARD OF DIRECTORS WITH A COMPENSATION SURVEY COMPILED BY THE KANSAS HOSPITAL ASSOCIATION. THE SURVEY DELINEATES COMPENSATION PACKAGES FOR ADMINISTRATORS AT HOSPITALS THAT ARE SIMILAR TO HIAWATHA. BASED ON THAT SURVEY, THE ADMINISTRATOR'S PERFORMANCE, AND THE PERFORMANCE OF THE HOSPITAL, THE BOARD SETS THE ADMINISTRATOR'S SALARY. THE LAST EVALUATION WAS GIVEN IN 2012. THE DOCTOR'S SALARY WAS REVIEWED ANNUALLY BY THE ADMINISTRATOR TO ENSURE THAT IT WAS IN A COMPETITIVE RANGE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN ESTATE RECEIVABLE $ ( 822) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICAL THERAPY TOTAL FEES:448678 FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIOLOGY TOTAL FEES:619080 FORM 990 PART IX LINE 11G DESCRIPTION:EMR SERVICES TOTAL FEES:247585 FORM 990 PART IX LINE 11G DESCRIPTION:RESPIRATORY THERAPY TOTAL FEES:115570 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:116703 FORM 990 PART IX LINE 11G DESCRIPTION:IT SERVICES TOTAL FEES:307043 FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT BILLING TOTAL FEES:117771 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:958197 HIAWATHA HOSPITAL ASSOCIATION FOUNDATION 300 UTAH STREET HIAWATHA KS 66434 481223766 FUNDRAISING KS 501(C)(3) 11D HHA false CHARITABLE REMAINDER TRUST (1) TRUST KS HHA true false false true false false false false false false false false false false true true false false false false