2016-02-15T09:56:02-06:00 2015-03-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2014-04-01 481226829 GREAT PLAINS OF PHILLIPS CO INC % MIKE HAND GREA 3166851523 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 MIKE HAND CFO AND SENIOR VICE PRESIDENT 3166851523 2016-02-15 true STEVEN L WEBB P00235405 3162652811 2014 2016-08-17 19:52:53Z PHILLIPS COUNTY HOSPITAL MIKE HAND 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 12088825 false X WWW.PHILLIPSHOSPITAL.ORG X 1999 KS TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE. 10 9 136 57 0 431715 434932 9719891 11353415 676 1861 230288 298617 10382570 12088825 0 0 0 0 5498402 5911190 0 0 0 4943022 6531205 10441424 12442395 -58854 -353570 4097407 3911346 1719946 1887455 2377461 2023891 TO OPERATE HOSPITAL FACILITIES FOR THE DELIVERY OF HOSPITAL AND RELATED HEALTH CARE SERVICES, HEALTH RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS, WITHOUT REGARD TO RACE, CREED, COLOR, SEX OR FINANCIAL CIRCUMSTANCE. false false 9959947 0 11494500 THE PHILLIPS COUNTY HOSPITAL'S PRIMARY FUNCTION IS THE DELIVERY OF HEALTHCARE AND WELLNESS SERVICES TO INPATIENTS AND OUTPATIENTS IN PHILLIPS COUNTY KANSAS. INPATIENT CARE INCLUDES ACUTE CARE, SWING BED, INTERMEDIATE SWING BED AND SURGICAL SERVICES. OUTPATIENT SERVICES INCLUDE THE RURAL HEALTH CLINICS, THERAPY, SURGICAL AND ANCILLARY SERVICES. 9959947 true true false true false false false false false false true false false true false false true true 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 false false false true 34 0 true 136 true false false false false false false false false false false X 10 9 true false false false true true true true true false false true true true true true true false false false X MIKE HAND 3166851523 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 DAVE DELLASEGA PRESIDENT/CEO/DIRECTOR 2.0 40.0 X X 0 184141 24592 STEVE CARLSON TREASURER/DIRECTOR 0.25 2.25 X X 0 0 0 LOGAN SPRUNGER VICE PRESIDENT/DIRECTOR 0.25 2.25 X X 0 0 0 ROBERT HAMILTON SECRETARY/DIRECTOR 0.25 2.25 X X 0 0 0 BETH MEYERES VICE PRESIDENT/DIRECTOR 0.25 2.25 X X 0 0 0 THOMAS E KELLER DVM CHAIRMAN/DIRECTOR 0.25 2.25 X X 0 0 0 JOHN TERRILL VICE PRESIDENT/DIRECTOR 0.25 2.25 X X 0 0 0 DAVE RANKIN DIRECTOR 0.25 2.25 X 0 0 0 BILL NAVIS VICE PRESIDENT/DIRECTOR 0.25 2.25 X X 0 0 0 DR BARBARA BROWN APPLEGATE DIRECTOR 0.25 2.25 X 0 0 0 TERRY DESCHAINE DIRECTOR 0.25 2.25 X 0 0 0 MIKE HAND CFO 2.0 40.0 X 0 136809 28363 DAVE ENGEL ADMINISTRATOR 40.0 0.0 X 145448 0 30797 JENNIFER HAMONS PHYSICIAN ASSISTANT 40.0 0.0 X 113122 0 26354 DANIELLE BOHL PHYSICAL THERAPIST 40.0 0.0 X 115691 0 19654 BEN STEPHENSON PHYSICIAN 40.0 0.0 X 289737 0 34894 SARAH MILLER PHYSICIAN ASSISTANT 40.0 0.0 X 107448 0 11269 771446 320950 175923 5 false true false DOCS WHO CARE LOCUM TENEN 728755 MHS DATA CENTER COMPUTER SUPPORT 241416 GREAT PLAINS HEALTH ALLIANCE MANAGEMENT SERVICES 130065 CASCADE HEALTH SERVICES CONTRACT NURSING 120677 GPHA - CBO CENTRALIZED BILLING 117765 5 5000 329555 100377 434932 NET PATIENT SERVICE REVENUE 621300 10089152 10089152 340B PRESCRIPTION DRUGS 621300 1264263 1264263 11353415 706 706 0 0 583 0 583 0 583 583 1155 0 1155 1155 1155 0 0 0 OUTSIDE SERVICES 621300 141085 141085 VENDOR REBATES 900099 22894 22894 EMPLOYEE AND GUEST MEALS 722513 22278 22278 111777 111777 298034 12088825 11494500 159393 0 0 0 0 149715 149715 0 4596143 3756411 839732 298350 267943 30407 531137 382220 148917 335845 266278 69567 104601 104601 81020 81020 53942 53942 0 0 0 2435873 2104112 331761 0 64404 3001 61403 292392 219151 73241 51932 30219 21713 0 175979 101927 74052 10818 10242 576 0 69170 35781 33389 24441 18327 6114 0 373526 213606 159920 85281 49624 35657 340B PRESCRIPTION DRUGS 1516337 1516337 MEDICAL SUPPLIES 455677 455677 EQUIPMENT RENTAL/MAINTENANCE 305879 265727 40152 PROVISION FOR BAD DEBTS 161033 161033 268900 102331 166569 12442395 9959947 2482448 0 60296 74150 657151 316815 0 0 1527226 1209670 0 0 0 0 0 0 246450 247688 33780 29164 8943460 7314601 1572504 1628859 0 0 0 0 0 0 0 0 0 405000 4097407 3911346 1108852 1404087 0 0 0 0 55783 154277 0 0 0 0 349240 329091 0 0 206071 0 1719946 1887455 X 2177147 1827749 200314 196142 0 0 2377461 2023891 4097407 3911346 -353570 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 3444 false false false 3444 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING. 48100 48100 3644268 2719397 924871 5044220 4489414 554806 206872 105790 101082 1628859 DUE FROM THIRD-PARTY PAYORS 405000 405000 11927792 -161033 -161033 12088825 12088825 12281362 12281362 161033 161033 12442395 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 PROVISION FOR UNCOLLECTIBLE ACCOUNTS (161,033) SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS 161,033 true true false true X true true false true true 101615 1699 99916 0.00810 427335 244974 182361 0.01480 528950 246673 282277 0.02290 88670 88670 0.00720 13615 13615 0.00110 102285 102285 0.00830 631235 246673 384562 0.03120 false 161033 5073133 5073133 X true true 1 1 GREAT PLAINS OF PHILLIPS CO INC 625 THIRD STREET PHILLIPSBURG KS 67661 WWW.PHILLIPSHOSPITAL.ORG H074001 X X X X RURAL HEALTH CLINIC GREAT PLAINS OF PHILLIPS CO INC 1 false false true X X X X X X X X X 13 true false false true X WWW.PHILLIPSHOSPITAL.ORG X true 13 false true false true X 0. 300. X X X X true true X X X true X WWW.PHILLIPSHOSPITAL.ORG X WWW.PHILLIPSHOSPITAL.ORG X WWW.PHILLIPSHOSPITAL.ORG X X X true X false X X X X true X X false false SCHEDULE H, PART V, LINE 5 THE DEVELOPMENT OF THE ASSESSMENT BRINGS TOGETHER COMMUNITY HEALTH LEADERS AND PROVIDERS, ALONG WITH LOCAL RESIDENTS TO RESEARCH AND PRIORITIZE COUNTY HEALTH NEEDS. THE ASSESSMENT WAS COORDINATED AND PRODUCED BY VVV RESEARCH & DEVELOPMENT INC, A CONSULTANT WITH TWENTY YEARS OF EXPERIENCE HELPING HOSPITALS ENGAGE THEIR COMMUNITIES. ADDITIONALLY, THE HOSPITAL WORKED CLOSELY WITH ITS COMMUNITY PARTNERS - PHILLIPS COUNTY MEDICAL CLINIC AND LOGAN MEDICAL CLINIC TO IDENTIFY THE NEEDS OF THE CITIZENS. SCHEDULE H, PART V, LINE 11 THE CHNA CONDUCTED HIGHLIGHTED TEN AREAS OF IMPROVEMENT. ONE AREA WAS THE RECRUITMENT OF DOCTORS, AND PHILLIPS COUNTY HOSPITAL PUT FORTH A PLAN TO UTILIZE RECRUITMENT STRATEGIES WITH FOUNDATION SUPPORT FOR PHYSICIAN LOAN FORGIVENESS AND SOFTWARE AND RECRUITMENT FAIR TOOLS. SECONDLY, THE HOSPITAL IS WORKING TO BUILD COOPERATION BETWEEN HEALTH CARE PROVIDERS BY DEVELOPING A COMMITTEE, IDENTIFYING BARRIERS IN COOPERATION, AND OPENING LINES OF COMMUNICATION BETWEEN PROVIDERS AND THE COMMUNITY. ADDITIONALLY, THE COMMUNITY WANTED AN OFFERING OF EXPANDED HEALTH SERVICES INCLUDING OB, DIALYSIS, AND CHEMOTHERAPY SERVICES. THE HOSPITAL PLANS TO RESEARCH MARKET DEMAND AS WELL AS FINANCIAL IMPACT OF SUPPORTING SUCH SERVICES, AND WORK ON RECRUITING AND RETAINING PROFESSIONALS AS WELL AS EDUCATING THE COMMUNITY OF SERVICES CURRENTLY AVAILABLE. ANOTHER COMMUNITY CONCERN WAS TO EXPAND HEALTH EDUCATION PROGRAMS. THE HOSPITALS STRATEGY IS TO FIRST IDENTIFY EXISTING PROGRAMS AND DETERMINE THEIR UTILIZATION AND SUPPORT ELEMENTS WHILE DETERMINING NEW PROGRAMS NEEDED. ELDERLY CARE ASSISTANCE IS A COMMUNITY CONCERN IN PHILLIPS COUNTY. AREAS OF FOCUS INCLUDE PROVIDING A CENTRALIZED RESOURCE OF ELDERLY CARE PROGRAMS AND ENHANCE OR EXPAND SENIOR PROGRAMS IN THE COMMUNITY. SUBSTANCE ABUSE LIKELY AFFECTS EVERY MEMBER OF THE COMMUNITY. RECOMMENDATIONS INCLUDE EDUCATION AND MONITORING OF PRESCRIPTION DRUG ABUSE BOTH IN THE COMMUNITY AND SCHOOLS. ADDITIONALLY, ENGAGE PROVIDERS, PHARMACISTS, AND COMMUNITY AND STATE EXPERTS IN DEVELOPING PROGRAMS AND PATHS OF COMMUNICATION. COMMUNITY MEMBERS ALSO IDENTIFIED CHEMOTHERAPY SERVICES AND PRESCRIPTION FINANCIAL AID AS SERVICES THEY WOULD LIKE TO SEE IN THE COMMUNITY. AS SUCH SERVICES ARE OFFERED, THE HOSPITAL IS WORKING ON IDENTIFYING WHY MEMBERS ARE NOT AWARE OF PROGRAMS, AND IMPROVE EDUCATION. SCHEDULE H, PART V, SECTION B, LINE 13H THE ORGANIZATION EMPLOYS A SLIDING SCALE DISCOUNT THAT TAKES INTO CONSIDERATION A PATIENT'S HOUSEHOLD INCOME AND QUALIFYING ASSETS. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S HOUSEHOLD INCOME MUST BE BELOW 300% OF THE MOST RECENT FEDERAL POVERTY LEVEL AT THE DATE OF SERVICE. TO DETERMINE THE AMOUNT OF THE DISCOUNT, AN ASSET TEST IS ALSO UTILIZED. 2 PHILLIPS COUNTY MEDICAL CLINIC 1719 HWY 183 PHILLIPSBURG KS 67661 MEDICAL CLINIC LOGAN CLINIC 214 WEST MAIN STREET LOGAN KS 67646 MEDICAL CLINIC SCHEDULE H, PART I, LINE 3C THE ORGANIZATION EMPLOYS A SLIDING SCALE DISCOUNT THAT TAKES INTO CONSIDERATION A PATIENT'S HOUSEHOLD INCOME AND QUALIFYING ASSETS. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S HOUSEHOLD INCOME MUST BE BELOW 300% OF THE MOST RECENT FEDERAL POVERTY LEVEL AT THE DATE OF SERVICE. TO DETERMINE THE AMOUNT OF THE DISCOUNT, AN ASSET TEST IS ALSO UTILIZED. 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 PURPOSE OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $161,033. 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 III, LINE 2 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 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 SEE PAGES 6 AND 7 OF THE AUDITED FINANCIALS UNDER NOTE 1. SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. SCHEDULE H, PART III, LINE 9B 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 VI, LINE 2 THE FACILITY MEETS REGULARLY WITH PROVIDERS AND COMMUNITY MEMBERS INQUIRING ABOUT HEALTHCARE NEEDS IN THE COMMUNITY. THESE SESSIONS ALONG WITH MONITORING OF THE KANSAS DEPARTMENT OF HEALTH AND KANSAS HOSPITAL ASSOCIATION DATA AND ONGOING COMMUNICATION WITH LOCAL TERTIARY FACILITIES HAS PROVIDED THE COMMUNITY AND FACILITY INFORMATION TO MAKE OBJECTIVE DECISIONS. THE COMMUNITY HEALTH CARE IMPROVEMENT COUNCIL WHICH MEETS PERIODICALLY, INCLUDES REPRESENATION FROM THE HOSPITAL, CLINICS, MEDICAL STAFF, SOCIAL SERVICES, MENTAL HEALTH, SRS/KDHE, SCHOOLS, MINISTERIAL ALLIANCE, HOSPICE, EMS, PUBLIC HEALTH DEPARTMENT, HOME HEALTH AND COMMUNITY MEMBERS. MEMBERS OF THIS COMMITTEE SHARE NEEDS WITHIN THEIR RESPECTIVE ENVIRONMENTS AND THE COUNCIL RESPECTIVELY ADDRESSES MEANS TO IMPROVE COMMUNITY HEALTHCARE NEEDS. THE FACILITY AND HEALTHCARE IMPROVEMENT COUNCIL THIS PAST YEAR COMPLETED PROGRAM INITIATIVES FROM 2012. PLANNING FOR CURRENT YEAR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT WAS INITIATED WITH A COMMUNITY TOWN HALL SESSION SCHEDULED FOR MAY 2015. WORKING RELATIONSHIPS WITH COUNTY HEATLH CARE AGENCIES CONTINUES TO BE STRONG. PCH PROVIDES THERAPY SERVICES WITH THESE AGENCIES AND CONTINUES TO COLLABORATE AT VARIOUS LEVELS TO MEET THE COMMUNITY HEALTH NEEDS ASSESSMENT OUTCOMES. NUMEROUS SPECIALTY CARE SERVICES ARE PROVIDED IN THE COMMUNITY AND SAVES THOSE REQUIRING SERVICES FROM HAVING TO TRAVEL. THE GOVERNING BOARD AND LEADERSHIP OF THE HOSPITAL ARE INVOLVED IN NUMEROUS CIVIC GROUPS ACROSS THE COMMUNITY. THE GOVERNING BOARD AND LEADERSHIP PROVIDED COMMUNITY EDUCATION SESSIONS TO SIX LOCATIONS ACROSS THE COUNTY THIS PAST YEAR. THESE SESSIONS ENGAGED IN AIDING COMMUNITY MEMBERS BETTER UNDERSTAND THE NEED FOR A STATE OF THE ART FACILITY. WE HAVE A VERY ACTIVE GOVERNING BOARD OF 9 MEMBERS, WHO SPEND MUCH TIME INTERACTING WITH CITIZENS OF PHILLIPS COUNTY COVERING AN 885 SQARE MILE SERVICE AREA. WE PROVIDE HEALTHCARE EDUCATION VIA DAILY PUBLIC SERVICE ANNOUNCEMENTS, INFORM AND EDUCATE THE PUBLIC VIA MEDIA RELEASES REGARDING CURRENT LEGISLATIVE ACTIVITIES OCCURRING AT THE FEDERAL AND STATE LEVEL. THESE TOPICS ARE SHARED OPENLY AT THE GOVERNANCE MEETING FOR WHICH COMMUNITY MEMBERS ATTEND ON A REGULAR BASIS. PHILLIPS COUNTY HOSPITAL IS A COMMUNITY MEMBER OF THE KS RURAL HEALTH CARE SYSTEM IMPROVEMENT PILOT PROJECT WITH NEARBY COUNTIES. THE SECOND YEAR OF THIS GRANT DELVED INTO DEVELOPMENT OF A PROGRAM (DIABETES EDUCATION) THAT WOULD IMPROVE THE QUALITY OF HEALTH OF THOSE IN THE PROGRAM, REDUCE DIABETIC CRISIS EVENTS THAT LEAD TO EMERGENCY ROOM CARE AND/OR HOSPITALIZATION. THE PROGRAM WILL EXPAND INTO ADDRESSING MENTAL HEALTH CHALLENGES AND INCORPORATE TECHNOLOGY TO REDUCE UNNECESSARY ACCESS TO MEDICAL CARE. PHILLIPS COUNTY HOSPITAL IS AN ACTIVE MEMBER OF THE KANSAS UNIVERSITY AND HAYS MEDICAL CENTER HEART AND STROKE COLLABORATIVE GRANT. THIS INITIATIVE IS DESIGNED TO IDENTIFY HEART / STROKE CANDIDATES AND INCORPORTATE A 'HEALTH COACH' PARTNER WHO WILL ASSIST CANDIDATES TO EMBRACE HEALTHIER ACTIVITES OF LIVING TO AVOID ACUTE HEART OR STROKE EVENTS. SCHEDULE H, PART VI, LINE 3 UPON REGISTRATION FOR SERVICES, EACH PATIENT IS ASKED IF THEY NEED FINANCIAL ASSISTANCE IF THEY DO NOT HAVE INSURANCE OR HAVE A STEEP DEDUCTIBLE. IF REQUESTED, A FINANCIAL COUNSELOR WILL VISIT WITH HIM/HER AT THAT TIME PRIOR TO SERVICES TO ESTABLISH ELIGIBILITY FOR STATE/FEDERAL PROGRAMS, ESTABLISH A PAYMENT PLAN, APPLY THE SLIDING FEE DISCOUNT BASED ON INCOME OR SIMPLY EDUCATE THE PATIENT OF PAYMENT OPTIONS. THE FACILITY MAKES AVAILABLE EDUCATIONAL INFORMATION IN PATIENT ROOMS AND WAITING AREAS. THE HOSPITAL FOLLOWS ITS CHARITY CARE POLICY AND REGULARLY SENIOR MANAGEMENT MEETS TO FURTHER QUALIFY THOSE IN NEED OF FINANCIAL ASSISTANCE. ALL OF THESE OPTIONS ARE AVAILABLE IN THE HOSPITAL AND CLINIC SETTINGS. IF DISCOVERED DURING THE ACCOUNTS RECEIVABLE PROCESS THAT A PATIENT IS HAVING DIFFICULTY MAKING PAYMENTS, THE PATIENT HAS THE OPTION TO CALL THE FINANCIAL COUNSELOR DIRECTLY OR ON A PRESCRIBED BASIS THE FINANCIAL COUNSELOR IS MAKING CALLS TO PATIENTS FALLING BEHIND ON THEIR PAYMENT PLANS TO SEE HOW WE CAN ASSIST THEM. THE HOSPITAL EMPLOYS A SOCIAL SERVICES DIRECTOR WHO CONSULTS AND ASSISTS PRIVATE PAY, UNINSURED AND UNDERINSURED PATIENTS TO DETERMINE AND GAIN FINANCIAL ASSISTANCE. OUR SOCIAL WORKER ASSISTS PATIENTS IN COMPLETING THE APPLICATIONS FOR MEDICAL ASSISTANCE AND SERVES AS A RESOURCE FOR OTHER HEALTH RELATED NEEDS. FINANCIAL SERVICES AND THE CASE MANAGER WORKS WITH OUR SOCIAL SERVICES STAFF UPON NEED TO ASSIST PATIENTS WITH PUBLIC PROGRAMS WHEN WARRANTED. WE HAVE OCCASIONALLY OBTAINED ASSISTANCE THROUGH THE STATE HIGH RISK POOL INSURANCE PROGRAM BY WORKING DIRECTLY WITH THE SRS AND STATE INSURANCE COMMISSIONER FOR DIFFICULT CASES. WE HAVE IMPLEMENTED VARIOUS EDUCATIONAL OFFERINGS INCLUDING FINANCIAL ASSISTANCE AND THE "SERVICE THROUGH BILLING PROCESS" EXPECTATIONS ON OUR WEBSITE. SCHEDULE H, PART VI, LINE 4 PHILLIPS COUNTY HOSPITAL IS LOCATED IN PHILLIPSBURG, KS. THIS FACILITY MAINTAINS TWO RURAL HEALTH CLINICS, ONE IN PHILLIPSBURG AND ONE IN LOGAN, KS. THE 2010 CENSUS ESTIMATED THE POPULATION TO BE 5,642 FOR THE COUNTY IN 3,037 HOUSEHOLDS WITH A POPULATION DENSITY OF 6.4 PER SQUARE MILE. PER CAPITA MEDIAN INCOME IS $42,838. ABOUT 8.6% OF FAMILIES AND 11.2% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 20.3% OF THOSE UNDER AGE 18 AND 9.4% OF THOSE AGE 65 OR OVER. ETHNICALLY, 97.0% OF THE POPULATION IS WHITE; 2.8% HISPANIC/LATINO AND 0.2% OTHER. OF TOTAL HOUSEHOLDS 28.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 61.5% ARE FAMILY/MARRIED, 5.50% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND AND 31.00% WERE NON-FAMILIES. 28.60% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS AND 15.80% HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OR OLDER. THIS RURAL COUNTY HAS EXPERIENCED A DECLINE IN POPULATION FOR THE PAST 20 YEARS. PEOPLE AGE 35-54 MAKE UP THE LARGEST PORTION OF THE POPULATION, WITH 24.9%. THOSE AGE 65 AND OLDER REPRESENT 20.3% OF THE POPULATION. 50.5% OF THE TOTAL POPULATION IS FEMALE. THE CLINICS AND HOSPITAL SERVE EIGHT (8) COMMUNITIES IN PHILLIPS COUNTY AND THE RURAL CONTIGUOUS COUNTIES OF ROOKS, NORTON, SMITH (IN KANSAS) AND HARLAN IN NEBRASKA. HOSPITAL PATIENT MIX IS HEAVILY WEIGHTED TOWARDS MEDICARE BENEFICIARIES. MEDICARE ACUTE INPATIENT AND SWING-BED OCCUPANCY CONSISTENTLY RUNS NEAR 90%. OUR PHYSICIAN/PROVIDER RATIO TO POPULATION IS 1:5276 COMPARED TO THE STATE AVERAGE OF 1:1723. 19.4 PERCENT OF OUR RESIDENTS ARE UNINSURED COMPARED TO THE STATE AVERAGE OF 19.1%. SCHEDULE H, PART VI, LINE 5 PHILLIPS COUNTY HOSPITAL PROVIDES AND PROMOTES THE HEALTH OF PHILLIPS COUNTY RESIDENTS THROUGH VARIOUS AVENUES. THE HOSPITAL SUPPORTS THE DEVELOPMENT OF THE COMMUNITY WELLNESS CENTER. MOST RECENTLY THE WELLNESS CENTER EXPANDED AND THE HOSPITAL PARTNERED WITH THEM IN DEVELOPMENT OF A CONTROLLED WEIGHT REDUCTION PROGRAM. THE HOSPITAL IS INTEGRALLY INVOLVED WITH THE THERAPY POOL AND IS PROVIDING THERAPY AND SAFETY PROGRAMS YEAR ROUND. PCH AND MEDICAL CLINICS HAVE AND CONTINUE TO PROVIDE A VARIETY OF HEALTH FAIRS. A HEALTH FAIR WAS HELD WITH LOCAL BUSINESSES AND PATRONS WERE INVITED TO JOIN IN HEALTH EDUCATION ALONG WITH YOUTH RELATED SAFETY CLINICS AND FUN FOR ALL. A VARIETY OF WELLNESS CHECKS WERE CONDUCTED ALONG WITH EDUCATIONAL RESOURCES. DISCOUNTED SCHOOL PHYSICALS ARE CONDUCTED EACH YEAR FOR AREA STUDENTS. THE HOSPITAL SPONSORS SEVERAL COMMUNITY FUN RUNS ANNUALLY. THE HOSPITAL AND EMPLOYEES DONATE RESOURCES AND TIME TOWARD THE "FREE SUMMER LUNCH" PROGRAM EACH YEAR TO SERVE HOT MEALS TO LOW INCOME CHILDREN. THIS PROGRAM INCORPORATES PROPER NUTRITION FOR THE YOUTH OF PHILLIPS COUNTY. BREAKFAST WITH SANTA IS AN ANNUAL EVENT TO GET YOUTH AND FAMILIES INVOLVED WITH PROPER NUTRITION, WELLNESS EVALUATIONS AND EDUCATION. THE HOSPITAL AND CLINIC ENCOURAGE COMMUNITY INVOLVEMENT. DURING THE YEAR, 57 EMPLOYEES DONATED OVER 2,730 HOURS TOWARD HUMANITARIANISM SERVING IN MOST EVERY CIVIC CLUB IN THE COMMUNITY. THIS INVOLVEMENT DEMONSTRATES THE HEALTH SYSTEM'S COMMITMENT TO THE COMMUNITY AND THE ABILITY TO DRAW THE COMMUNITY TO OUR HEALTH CENTER. COMMUNITY HEALTH EDUCATION IS PROVIDED ON A REGULAR BASIS FOR DIABETES AND OSTOMY CARE BY AN RN. WE UTILIZE OUR ITV HOOKUP TO PROVIDE EDUCATIONAL SERIES TO OUR PATIENTS AND STAFF. HOME SAFETY ASSESSMENTS ARE PROVIDED BY THERAPY STAFF TO HELP PREVENT FALLS. THE THERAPY DEPARTMENT PROVIDED A 'HOME FALLS RISK' EDUCATIONAL SERIES TO THE COMMUNITY THAT WAS WELL ATTENDED. THE HOSPITAL OPERATES THE COMMUNITY 'LIFELINE' SYSTEM. THE HOSPITAL SERVES AS THE RESOURCE FOR INSTALLATION, MONITORING, TRAINING AND EDUCATION ON THESE SERVICES. THE SCHOOL SYSTEM INCORPORATES THE HOSPITAL STAFF INTO CAREER FAIRS FOR STUDENTS WITH BOOTHS ON THE DIFFERENT PROFESSIONS WITHIN THE HEALTH CARE INDUSTRY TO PROMOTE NEW HEALTHCARE PROFESSIONALS. THESE ARE PROVIDED TO BOTH MIDDLE SCHOOL AND SENIOR-HIGH LEVELS. STUDENTS GET THE OPPORTUNITY TO ROLE PLAY AS VICTIMS DURING DISASTER DRILLS AS A FUN EVENT, BUT ALSO TO EDUCATE THEM ON THE HAZARDS THAT OCCUR IN THE COMMUNITY AND HOW THEY WOULD BE CARED FOR IN THE EVENT OF AN ACCIDENT. DURING FLU SEASON, CLINIC PERSONNEL PROVIDE VACCINATIONS TO LOCAL BUSINESSES IN SEVERAL COMMUNITIES IN THE COUNTY. IN CONJUNCTION WITH THE LOCAL EMS, THE HOSPITAL PARTICIPATES IN BASIC LIFE SUPPORT CLASSES FOR COMMUNITY MEMBERS AND STAFF. A SUICIDE PREVENTION PROGRAM IS PRESENTED ANNUALLY. PHILLIPS COUNTY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL PROVIDES 24 HOUR EMERGENCY ROOM CARE AND FINANCIALLY SUBSIDIZES THIS SERVICE. IN FISCAL YEAR 2015, THE COST OF PHYSICIAN SERVICES TO COVER THE EMERGENCY ROOM WAS $841,371. THE HOSPITAL PARTICIPATES IN ALL GOVERNMENTAL HEALTH CARE PLANS AND IS THE ONLY HOSPITAL IN PHILLIPS COUNTY, SERVICING AN 886 SQUARE MILE AREA. WE HAVE AN OPEN MEDICAL STAFF WITH 15 SPECIALIST PHYSICIANS HOLDING OUTPATIENT CLINICS PREVENTING THE NEED FOR PERSONS IN OUR COMMUNITY TO TRAVEL LONG DISTANCES FOR THESE SPECIALTY MEDICAL SERVICES. THE HOSPITAL PROMOTES COMMUNITY HEALTH THROUGH HEALTH FAIRS, PUBLIC SERVICE ANNOUNCEMENTS, MEDIA RELEASES, COMMUNITY PRESENTATIONS, HEALTH EDUCATIONAL CLASSES, SEASONAL FLU VACCINATIONS PROVIDED ON-SITE AND AT OUR LOCAL BUSINESSES AND ANNUAL REDUCED RATE SCHOOL PHYSICALS FOR AREA ATHLETES. AREA BUSINESSES WERE ESTABLISHED IN THIS COMMUNITY DUE TO THE SUPPORT OF OUR HEALTHCARE FACILITY AND NUMEROUS PROMOTIONAL HEALTH RELATED EVENTS, LIKE RELAY FOR LIFE. THE AMERICAN HEART ASSOCIATION'S ANNUAL EVENTS ARE CONDUCTED THROUGH THE HOSPITAL. THE HOSPITAL WORKS CLOSELY WITH OUR LOCAL HOME HEALTH AND HOSPICE PROVIDERS FOR THEIR SERVICES. THE HOSPITAL HAS ALSO PARTNERED WITH SEVERAL UNIVERSITIES AND COMMUNITY COLLEGES TO PROVIDE CLINICAL EDUCATION OPPORTUNITIES ON-SITE FOR OUR PHYSICAL AND OCCUPATIONAL THERAPY, NURSING, LABORATORY, RADIOLOGY AND CODING PROFESSIONS. IN CONJUNCTION WITH THE COMMUNITY AMBULANCE SERVICE THE HOSPITAL SPONSORS ACLS, PALS AND CPR FOR PROFESSIONALS IN PHILLIPS COUNTY. TNCC CLASSES ARE SPONSORED BY THE HOSPITAL FOR NURSES AND AREA HEALTH CARE PROFESSIONALS. THE HOSPITAL ALSO PARTICIPATES IN DISASTER/BIOTERRORISM DRILLS WITH OTHER AREA HEALTH CARE FACILITIES ON A SEMI-ANNUAL BASIS. SCHEDULE H, PART VI, LINE 6 THE ORGANIZATION IS AFFILIATED WITH GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA), A NON-PROFIT 501(C) (3) ORGANIZATION, WHICH PROVIDES MANAGEMENT SERVICES AND OPERATIONAL, FINANCIAL AND ACCOUNTING SUPPORT TO THE HOSPITAL. GPHA DOES NOT PROVIDE SERVICES DIRECTLY TO PATIENTS, BUT 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, MEDICAL RECORDS PERSONNEL, DIRECTOR OF NURSING AND ADMINISTRATORS. GPHA IS A VITAL LINK IN ALLOWING CRITICAL ACCESS HOSPITALS THE ABILITY TO OFFER HIGH QUALITY MEDICINE DESPITE THE BUDGET CONSTRAINTS ENDURED IN FRONTIER POPULATION AREAS. SCHEDULE H, PART VI, LINE 7 N/A false false false false false false false false false DAVE DELLASEGA PRESIDENT/CEO/DIRECTOR 0 181781 2360 0 17850 0 6742 0 208733 0 0 MIKE HAND CFO 0 133966 2843 0 13165 0 15198 0 165172 0 0 DAVE ENGEL ADMINISTRATOR 145448 0 13745 0 17052 0 176245 0 0 0 BEN STEPHENSON PHYSICIAN 289737 0 25200 0 9694 0 324631 0 0 0 FORM 990, PART VII, SCHEDULE J, PART I, LINE 3 COMPENSATION FOR MIKE HAND AND DAVE DELLASEGA IS PROVIDED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GREAT PLAINS HEALTH ALLIANCE'S BOARD OF DIRECTORS ANNUALLY APPROVE THE COMPENSATION FOR MR. HAND AND MR. DELLASEGA. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAVE COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. A COMPENSATION REVIEW WAS DONE WHEN DAVE DELLASEGA TOOK OVER AS CEO AND WAS CONDUCTED BY THE BOARD, BUT SINCE THAT TIME THERE HAS BEEN NO FORMAL COMPENSATION REVIEW. FORM 990, PART VI, SECTION A, LINE 2 DAVE DELLASEGA AND MIKE HAND HAVE A BUSINESS RELATIONSHIP. THEY ARE BOTH EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE. FORM 990, PART VI, SECTION A, LINE 6 GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF PHILLIPS CO., INC. FORM 990 PART VI, SECTION A, LINE 7A GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B 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, SECTION B, LINE 11B THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF FINANCIAL 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, SECTION B, LINE 12C THE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL GPHA EMPLOYEES AND GPHA BOARD MEMBERS 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 MEMEBERS 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, SECTION B, LINES 15A & B 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, SECTION C, LINE 19 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 IX LINE 11G DESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:1941480 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING/COLLECTIONS TOTAL FEES:222125 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:35235 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY SERVICES TOTAL FEES:89955 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATION/HUMAN RESOURCES TOTAL FEES:101722 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE/HOUSEKEEPING TOTAL FEES:15664 FORM 990 PART IX LINE 11G DESCRIPTION:PLANT OPERATIONS TOTAL FEES:18808 FORM 990 PART IX LINE 11G DESCRIPTION:DIETARY SERVICES TOTAL FEES:10884 GREAT PLAINS HEALTH ALLIANCE INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 480617739 MANAGEMENT KS 501(C)(3) 3 NA false GREAT PLAINS HEALTH CARE FOUNDATION INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 480955870 SUPPORT KS 501(C)(3) 9 GPHA INC true GREAT PLAINS OF ELLINWOOD INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 481226976 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF KIOWA CO INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 481226833 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF OTTAWA CO INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 481226856 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF SABETHA INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 481236156 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF SMITH CO INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 481226830 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF REPUBLIC CO INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 481226977 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF CHEYENNE CO INC 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 481226831 HOSPITAL KS 501(C)(3) 3 GPHA INC true false false true false false false false false false true false true false false false false false false GREAT PLAINS HEALTH CARE FOUNDATION C 5000 FMV