2016-11-15T16:50:53-06:00 2015-12-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2015-01-01 300078435 GREELEY COUNTY HEALTH SERVICES INC % LUKE SENDEN GREE 6203764221 506 THIRD STREET TRIBUNE KS 67879 JAMIE GUIN INTERIM CEO 8162216300 2016-08-15 true STEVEN L WEBB P00235405 3162652811 2015 2017-02-10 21:41:12Z STEVEN MANGAN 506 THIRD STREET TRIBUNE KS 67879 10426052 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 5 164 17 0 1150567 1133915 9671285 8888872 9241 11557 249255 391708 11080348 10426052 0 0 0 0 5592793 6039384 0 0 0 4585836 4520070 10178629 10559454 901719 -133402 6335090 5733354 2181133 1712799 4153957 4020555 X THE MISSION OF GREELEY COUNTY HEALTH SERVIECS IS TO BE A COMPASSIONATE, INNOVATIVE AND CARING FAMILY WITH YOUR HEALTH AND WELL-BEING IN MIND. false false 8710563 9143846 A CRITICAL ACCESS HOSPITAL WITH 328 TOTAL ADMISSIONS IN 2015, ALSO PROVIDED RURAL HEALTH CLINIC/OUTPATIENT SERVICES WITH 10,847 CLINIC VISITS, AS WELL AS PROVIDED LONG TERM CARE SERVICES FOR 10,338 RESIDENT PATIENT DAYS IN 2015. 8710563 true true false true false 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 true true false false false false false false false false true 5 0 true 164 false false false false false false false false false false false X 5 5 false true false false false false false true true false false true true true true true true true true false KS X LUKE SENDEN 6203764221 506 THIRD STREET TRIBUNE KS 67879 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 CINDY SCHNEIDER 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 TIM CASHMAN INTERIM CFO 40.0 0.0 X 0 0 0 JENNIFER DEAL CHIEF FINANCIAL OFFICER 40.0 0.0 X 0 0 0 LEE RHODES CEO 40.0 0.0 X 0 0 0 MELISSA BORTHWICK PHYSICIANS ASSISTANT 32.0 0.0 X 128450 0 8059 WENDEL ELLIS MD 32.0 0.0 X 361496 0 30624 SHEILA M SCHEFFE MD 24.0 0.0 X 146725 0 4408 BRIAN MILLER PHYSICAL THERAPY MANAGER 40.0 0.0 X 115526 0 4794 752197 0 47885 8 false true false QUOROM HEALTH RESOURCES 1573 MALLORY LANE STE 200 BRENTWOOD TN 37027 MANAGEMENT SERVICES 742303 BENEFIT MANAGEMENT INC 2015 16TH ST GREAT BEND KS 67530 BENEFITS MANAGEMENT 172282 HI PLAINS ULTRASOUND 1618 CONARD AVENUE GARDEN CITY KS 67846 MEDICAL SERVICES 108530 HEALTHLAND INC 1600 UTICA AVENUE SOUTH STE 300 MINNEAPOLIS MN 55416 IT SERVICES 144702 4 954811 179104 29728 1133915 NET PATIENT SERVICE REVENUE 621110 8888872 8888872 8888872 11557 11557 0 0 13195 13195 0 13195 13195 0 0 0 0 OUTSIDE SERVICES 621110 254974 254974 EMPLOYEE/GUEST MEALS 722513 110345 110345 All Other Misc Revenue 900099 13194 13194 378513 10426052 9143846 148291 0 0 0 0 0 0 4903463 4506108 397355 119217 110347 8870 672815 353197 319618 343889 285981 57908 739931 739931 5220 5220 114363 114363 0 0 0 933719 902853 30866 17009 17009 332909 281308 51601 0 0 225806 197177 28629 59950 44281 15669 0 39713 32303 7410 19537 19537 0 451452 438762 12690 93978 91344 2634 MEDICAL SUPPLIES 877788 877788 BAD DEBT EXPENSE 251307 251307 FOOD 181404 181404 REPAIRS & MAINTENANCE 98324 92321 6003 77660 44545 33115 10559454 8710563 1848891 0 364974 193619 1055292 1329735 0 0 1434949 991055 0 0 0 0 0 0 128677 152556 185508 180729 6386419 3555029 3128690 2831390 0 0 0 0 0 0 0 0 37000 54270 6335090 5733354 1101691 974517 0 0 48339 0 0 0 0 0 0 0 0 0 596103 320510 435000 417772 2181133 1712799 X 1619298 1507603 2534659 2512952 0 0 4153957 4020555 6335090 5733354 -133402 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 2404 false false false 2404 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE DUES PAID TO THE KHA WAS FOR LOBBYING AND ADVOCACY. false false 49851 49851 3689397 1616491 2072907 2585785 1930684 655101 61386 7855 53531 2831390 0 DUE TO THIRD PARTY PAYERS 417772 417772 10174745 -251307 -251307 10426052 10426052 10308147 10308147 251307 251307 10559454 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 (251,307) SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE 251,307 true true X true X true X true true true false true true 186512 186512 0.01860 959659 890995 959659 0.00660 1146171 890995 1146171 0.02520 4440 4440 0.00040 4440 4440 0.00040 1150611 890995 1150611 0.02560 false 251307 2809449 1648681 1160768 X true true 1 1 GREELEY COUNTY HEALTH SERVICES 506 THIRD STREET TRIBUNE KS 67879 HTTP://MYGCHS.COM H036001 X X X X GREELEY COUNTY HEALTH SERVICES 1 false false true X X X X X X X X 13 true false false true X SEE PART V, SECTION C X true 13 true SEE PART V, SECTION C false false true X 200. 300. X X true true X X X true X SEE PART V, SECTION C X http://mygchs.com/pfac-application/ X X X X true false X 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 7A HTTP://MYGCHS.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 10A HTTP://MYGCHS.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 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 T 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 http://mygchs.com/wp-content/uploads/Financial-Assistance-Policy.pdf SCHEDULE H, PART V, LINE 22D GREELEY COUNTY HEALTH SERVICES USES THE SAME GROSS CHARGE FOR ALL PATIENTS SEEKING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE REGARDLESS OF THE PRIMARY PAYOR AND/OR FAP ELIGIBILITY. ALL FAP-ELIGIBLE PATIENTS RECEIVE A SLIDING FEE SCHEDULE DISCOUNT BETWEEN 20% AND 100% BASED ON INCOME GUIDELINES. 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 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 $251,307. 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, 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 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 false false false false false false false false false WENDEL ELLIS MD 361496 0 0 0 0 0 10939 0 19685 0 392120 0 SHEILA M SCHEFFE MD 146725 0 0 0 0 0 4408 0 0 0 151133 0 SCHEDULE J, PART I, LINE 3 COMPENSATION FOR LEE RHODES, 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. CHRIS DIXON TRUSTEE 399346 DRUG STORE PURCHASES false X EQUIPMENT 1 59728 FMV false false false SCHEDULE M, PART I, COLUMN B THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. 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 AND A CHIEF FINANCIAL OFFICER TO MANAGE DAY-TO-DAY OPERATIONS AND FINANCIAL RESPONSIBILITIES. DURING 2015, LEE RHODES SERVED AS THE TOP MANAGEMENT OFFICIAL AND JENNIFER DEAL SERVED AS THE TOP FINANCIAL OFFICAL FOR GREELEY COUNTY HEALTH SERVICES. THEIR 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 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 C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.