2023-10-02T15:30:36-05:00 2022-12-31 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2022-01-01 481236156 GREAT PLAINS OF SABETHA INC % JASON BARB GREA 3166851523 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 JASON BARB CFO 3166851523 2023-05-15 true Dave Dellasega 999009999 SHAWNELL LINOT P01663908 3162652811 2 2022 2023-04-26 12:10:37Z JASON BARB 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 18312120 false X WWW.SABETHAHOSPITAL.COM X 2000 KS ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL CARE TO THE GENERAL PUBLIC IN SABETHA, KANSAS AND SURROUNDING RURAL COMMUNITIES. 7 6 189 61 0 2617490 1407177 14957295 16419018 25870 39870 455009 446055 18055664 18312120 0 0 0 0 8991431 9995923 0 0 0 7192522 8318647 16183953 18314570 1871711 -2450 12316796 11809986 3038153 2521030 9278643 9288956 X 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 CIRCUMSTANCES. false false 15623739 0 16419018 The largest program Sabetha Community Hospital provides that is identified as a need through the Community Health Needs Assessment is outreach education which is done monthly through calendars sent out to the community and surrounding region. We provide pre-natal classes and breastfeeding support is offered to expectant moms whether they are a first-time mom or have multiple children. We offer the services of a certified car seat specialist to make sure the baby is safe when leaving the hospital. The hospital has two technicians that will conduct car seat safety checks for the community as well. SEE SCHEDULE O FOR CONTINUATION. 15623739 true true false true false false false false false false true false false false 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 true false true 61 0 true 189 true false false false false false true true false false false false false false X 7 6 true false false false true true true true true false false true true true true true true false false false X JASON BARB 3166851523 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 X JAMES LONGABAUGH ADMINISTRATOR 40.0 0.0 X 369230 0 76521 CHRISTIAN TRAMP PHYSICIAN 40.0 0.0 X 296997 0 72386 NATALIE FRYE NURSE PRACTITIONER 40.0 0.0 X 230403 0 50952 CURT COLSON PRESIDENT/DIRECTOR 2.25 40.0 X X 0 216245 60227 RACHEL ALLEN PHYSICIAN 40.0 0.0 X 184290 0 57046 KEVIN KENNALLY PHYSICIAN 40.0 0.0 X 202212 0 25421 JASON BARB CFO 2.25 40.0 X 0 176924 49870 GREGG WENGER PHYSICIAN 40.0 0.0 X 149546 0 21232 LORI LACKEY CFO 40.0 0.0 X 100426 0 29114 DAVE DELLASEGA PRESIDENT/SECRETARY/DIRECTOR 2.25 40.0 X X 0 56610 18962 DURREL KELLEY SENIOR VP OF OPERATIONS 2.25 40.0 X 0 55687 8928 LORA KEY ADMINISTRATOR 40.0 0.0 X 42870 0 6023 ARTHUR HENDRICKSON DIRECTOR 0.25 2.25 X 0 0 0 CHARLES WESTIN CHAIRMAN/DIRECTOR 0.25 2.25 X X 0 0 0 DR BABARBA BROWN APPLEGATE DIRECTOR 0.25 2.25 X 0 0 0 JOHN TERRILL CHAIRMAN/DIRECTOR 0.25 2.25 X X 0 0 0 ROGER JOHN SECRETARY/DIRECTOR 0.25 2.25 X X 0 0 0 STEVE CARLSON TREASURER/DIRECTOR 0.25 2.25 X X 0 0 0 1575974 505466 476682 11 false true false GREAT PLAINS HEALTH ALLIANCE 250 NORTH ROCK ROAD STE 160 WICHITA KS 67206 MANAGEMENT SERVICES 862813 NORTHEASTERN ANES SVCS 1706 GRACELAND DR SABETHA KS 66534 CRNA SERVICES 445502 RURAL PARTNERS IN MEDICINE 8181 ARISTA PLACE STE 100 BROOMFIELD CO 80021 GENERAL SURGEONS 404123 STORMONT VAIL HEALTH 1500 SW 10TH ST TOPEKA KS 66604 REFERENCE LAB 187103 SQUADBUILDERS INC 8400 WEST 100TH ST SUITE 180 OVERLAND PARK KS 66210 CONTRACT NURSING 206733 6 1054911 352266 1407177 NET PATIENT SERVICE REVENUE 621300 15917058 15917058 340(b) Pharmacy Revenue 621300 501960 501960 16419018 39572 39572 0 0 18600 18600 0 18600 18600 298 298 298 298 0 0 0 0 0 0 0 0 0 EMPLOYEE/GUEST MEALS 722513 16534 16534 OUTSIDE SERVICES 621300 27826 27826 WELLNESS CENTER 900099 262681 262681 120414 120414 427455 18312120 16419018 485925 X 0 0 0 0 624184 624184 0 7373549 6646991 726558 528074 467822 60252 934447 771271 163176 535669 450080 85589 120123 120123 61046 61046 38357 38357 2358 2358 0 0 3145957 2766687 379270 0 56559 30204 26355 220654 140785 79869 11471 407 11064 0 570814 546946 23868 21245 7425 13820 0 72940 59739 13201 23495 20677 2818 0 663122 622765 40357 159339 54024 105315 MEDICAL SUPPLIES & DRUGS 2336802 2336802 RENTAL EQUIPMENT & REPAIRS 525653 499404 26249 RECRUITING 46943 45311 1632 DUES & SUBSCRIPTIONS 55528 20813 34715 186241 135586 50655 18314570 15623739 2690831 0 833350 418947 4888948 4905820 285922 172428 2371131 2183515 0 0 0 0 0 0 243682 212082 99661 83424 14108232 10709467 3214168 3398765 0 0 257473 253065 0 0 0 0 122461 181940 12316796 11809986 2211544 2072382 0 0 457864 32701 0 0 0 0 0 0 368745 415947 0 0 0 0 3038153 2521030 X 9278094 9250409 549 38547 9278643 9288956 12316796 11809986 X -2450 12763 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X true false false false false false true 2358 false false false 2358 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING. 45460 45460 6655290 5459504 1195786 7016584 5058587 1957997 390898 191376 199522 3398765 18324883 12763 12763 18312120 18312120 18314570 18314570 18314570 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 EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 12,763 ------------ TOTAL 12,763 true true X true X false true true false true true 36224 36224 0.00200 837245 598199 239046 0.01310 873469 598199 275270 0.01510 97998 2180 95818 0.00520 1638 1638 0.00010 99636 2180 97456 0.00530 973105 600379 372726 0.02040 false 348375 6826653 6826653 X true true 1 1 SABETHA COMMUNITY HOSPITAL 14TH OREGON PO BOX 229 SABETHA KS 66534 WWW.SABETHAHOSPITAL.ORG H066002 X X X X SABETHA COMMUNITY HOSPITAL 1 false false true X X X X X X X X X 21 true true false true X SEE SCHEDULE H, PART V, SECTION C X true 21 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 0. X X X X true true X X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 A PRIORITY OF THE PROGRAM IS TO SOLICIT INPUT FROM A BROAD CROSS SECTION OF THE COMMUNITY, NOT SIMPLY MEMBERS OF THE LOCAL HEALTHCARE SECTOR. THE MEETING PARTICIPANTS INCLUDED COMMUNITY RESIDENTS AND GOVERNMENTAL AND BUSINESS LEADERS WITHIN THE COMMUNITY. SCHEDULE H, PART V, SECTION B, LINE 6A NEMAHA VALLEY COMMUNITY HOSPITAL SCHEDULE H, PART V, LINE 7A http://www.sabethahospital.com/getpage.php?name=chna SCHEDULE H, PART V, LINE 10A http://www.sabethahospital.com/getpage.php?name=chna SCHEDULE H, PART V, LINE 11 Recent information obtained from the 2021 Community Needs Health Assessment (CHNA) continue to guide Sabetha Community Hospital (SCH) energy and resources and have the organization to sharpen it's focus on needs identified. While continuing to build on 2019 data, other areas of unmet needs will become part of the overall strategy moving forward. Access to mental health services continues to be an area of need. This has been previously noted and interaction with local mental health stakeholders has continued. This includes exchanges of information from the local primary care providers and mental health agencies that serve Northeast Kansas. Streamlining referrals and access to these services will continue to be a priority. To that end, plans are underway to facilitate construction or remodeling of a facility that can house and assist providers in delivering the services clients so desperately need. In the interim, ongoing interaction with Rural Health Clinic and hospital staff will continue to be refined. Suicide prevention was identified as an unmet need that will be addressed. This will dovetail off of the mental health service's enhancements. While somewhat of a distinct issue, similar resources can come to bear on addressing this issue. The National Suicide and Crisis Lifeline (988) will serve as a conduit to obtain initial consultations and counseling for clients in need. That cannot, and will not, be the only addition to the suicide prevention activities. Local primary care providers and staff, as well as hospital staff, will continue ongoing education in identification for those in need. Several Sabetha Community Hospital nurses have already taken additional mental health crisis screening courses to begin this endeavor. Another area of unmet need identified in the 2021 CHNA was childcare options. This has certainly been a difficult issue to improve without private sector involvement. That has not deterred Sabetha Community Hospital from pushing forward to plan construction and/or remodeling of a childcare facility that could help to alleviate the local need for this service. While plans are to initially provide this service option for the families of the 150 employees of Sabetha Community Hospital, it would certainly help to alleviate the waiting lists at other local facilities providing childcare. Affordable housing was identified as a need in the area. This has been a longstanding issue without an easy, quick, or single-sided solution. Sabetha Community Hospital has increased wages, especially for the entry level positions, in an attempt to make the living wage amenable to afford decent housing and living conditions. Job description changes for entry level positions have allowed additional hours of employment for workers which has in turn increased overall individual wages for these individuals. SCH will continue to explore creative options for staffing that provides additional opportunities for growth. As has been referenced in prior reports, the Sabetha Health and Wellness Center, completed in July of 2019, has blossomed as an integral part of the community. This facility is managed by SCH. Staffing and programs offered are coordinated through the administration of SCH. The Wellness Center remains very busy with a variety of fitness activities for all ages. Spin classes, aerobic classes, pickleball, basketball leagues, and many other activities continue to grow and provide much needed exercise and fitness options. This was an area identified in the 2021 CHNA and an aggressive stance to educate the community on this facility's activities will continue. Ongoing unmet needs in the area of cancer has been recognized as a need that can be improved. Additional community education has been undertaken to aid in the citizens decisions to be screened, or treated, for cancer at the local level. With the recent addition of a 3D mammography apparatus at SCH there is state of the art breast cancer screening available. Local campaigns to enhance colon cancer screening rates will help the citizens identify risks for colon cancer and screening recommendations. A new surgeon starting at SCH recently has additional training in cancer treatment and screening. This will allow even more patrons to access this service as they will not need to travel 60 miles for this. Youth health education and drug and alcohol abuse were areas identified as needs that have not been immediately addressed. Plans for more integration and coordination into the local school system are underway and at least encouraging. An inpatient drug and alcohol treatment facility is under construction in Atchison which will certainly alleviate on of the bottlenecks in the treatment of individuals in need. Areas previously identified as opportunities for improvement will continue to be addressed. Strengths in the SCH system will continue to be enhanced. Another primary care provider has been signed to a contract and will begin services locally in 2024. Access to care will be improved with new pathways of information for "alternative" forms of insurance. This will include sharing programs, Medicare Advantage, self-pay, etc. Efforts will be made to provide information, assistance, and encouragement to a segment of consumers that have often felt shunned in traditional medical systems. Previous needs assessment information continues to be addressed. Activities that have been ongoing to meet concerns expressed include: 1. Improved equipment and additional staffing for Cardiac Rehabilitation 2. Diabetic education in conjunction with a Registered Dietician 3. Community education regarding low dose CT lung cancer screening 4. Infant car seat safety checks for the community 5. Health publications on social media and local newspaper 6. Sponsoring swimming lesson scholarships for local youth 7. Assistance with prescription drug access for those in need 8. Public and nursing home flu vaccine clinics 9. Ongoing integration with local Emergency Medical Services 10. Providing nursing and healthcare scholarships SCHEDULE H, PART V, LINE 16A http://www.sabethahospital.com/getpage.php?name=Financial_Assistance SCHEDULE H, PART V, LINE 16B http://www.sabethahospital.com/getpage.php?name=Financial_Assistance SCHEDULE H, PART V, LINE 16C http://www.sabethahospital.com/getpage.php?name=Financial_Assistance 1 SABETHA FAMILY PRACTICE 1115 MAIN STREET SABETHA KS 66534 FAMILY CLINIC SCHEDULE H, PART I, LINE 3C THE ORGANIZATION USED THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS. 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 NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. 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 NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. 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 AND CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPTED FROM COLLECTION POLICIES AND PRACTICES. THOSE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE. SCHEDULE H, PART VI, LINE 2 During 2022, Sabetha Community Hospital continued to monitor through the CHNA Coordinator the three identified Community Health Needs Assessment. Priorities were to promote health, wellness, and chronic disease prevention especially in the areas of hypertension, diabetes, smoking cessation, and increased seatbelt usage to all ages. The hospital continues to actively manage the Health and Wellness Center. Classes are coordinated through employed staff in exercise and fitness regimens. The Hospital Cardiac Rehab Phase III program also closed for several months due to COVID but reopened to provide elders in the community who cannot utilize the Health and Wellness center due to physical limitations, an opportunity for cardiovascular exercises and socialization. The Community Health Needs assessment continues to guide and shape plans for our future. We have met with local mental health providers to gather input and recommendations for assisting them with facilities and coordination of care. Sabetha Community Hospital is a Certified Diabetic Education Facility. The diabetic educator and the dietician teach the SMART program which teaches diabetic patient's accountability for their own care. The hospital conducts low dose CT for lung cancer screening and partners with the local Community Health agency to direct patients to a smoking cessation class. The hospital now employs two certified seatbelt technician who do car seat safety checks for newborn babes leaving the hospital and car seat safety checks in the community as well. Outpatient calendars are sent out monthly to the community and surrounding region. A health scan is done so the health articles are relevant to the current needs of the community. New hospital services are also presented through this publication. That information is posted on the hospital website and Facebook page. Pre-natal classes are conducted quarterly throughout the year for expectant moms and dads. SCH partners with the local health department to provide breastfeeding services through a certified lactation consultant. The breastfeeding consultant provides information through the prenatal classes but then works with moms after baby is born. The two hospitals in the county work together to provide supplies to newborn babes and families. The Level IV Trauma committee remains active in the community by giving scholarships to community children for swimming lessons offered at the public pool. This committee also supports providers of the gun safety workshop. Stop the Bleed instructors from SCH provide e The hospital provides aid to community members who need help enrolling in Medicaid, Medicare, and third-party payers as well as the drug prescription program. This is provided through the hospital social workers and public relations staff. A resource directory is attached to the community health needs assessment on the SCH website. Priority #2 identified improving access to mental health services. The local community mental health center provides access to mental health services through a clinic setting and some telehealth. The hospital does use Avera e-care within the ER setting to help with mental health issues. Resources and the availability of mental health professionals are limited in this rural area. SCHEDULE H, PART VI, LINE 3 The following measures are used to publicize the program to the community and patients: 1. Posting the Financial Assistance Program, Financial Assistance Application and a summary of the Policy on the Sabetha Community Hospital website at the following location: www.sabethahospital.com 2. Providing paper copies of the Program, application and summary of the Program upon request in admissions and patient financial services at Sabetha Community Hospital. 3. Posting notices about the Program in the emergency department, admitting areas, Clinic lobby and business office of Sabetha Community Hospital. 4. Distributing a plain language summary of the Program and offering a Financial Assistance application to patients before discharge from the hospital. 5. Informing patients about the Program in person or during billing and customer service phone contacts. 6. Providing notification of the Program in the patients' monthly billing statement which provides information and resources on how to apply for financial assistance. The Financial Assistance Program takes into consideration a patient's household income and qualifying assets. The Financial Counselor consults with private pay patients to see if they qualify for the Hospital's financial assistance policy. If discovered during the accounts receivable collection process that a patient is having trouble paying bills, both the hospital and the clinic will inform the patient that financial assistance is available. As part of the financial assistance program all applicants must apply for Medicaid. To determine if the patient may qualify for financial assistance, the financial counselor gives patient forms to complete and asks to see bank statements, tax returns, etc. Computations based on current Federal Poverty Level Guidelines are completed to see if qualifications are appropriate and the percentage of charges to be written off is determined, based on family size and household income. All instances of financial assistance are approved by upper management of the Hospital. Information about Financial Assistance is posted on the hospital website and the Financial Assistance form can be downloaded from www.sabethahospital.com. A copy of the FAP Plain Language Summary and an application are provided to patients at discharge and are always available on request from any of the billing and admissions staff. The existence of our assistance policy is posted at main and emergency room entrances, as well as in clinic lobbies. SCHEDULE H, PART VI, LINE 4 Sabetha Community Hospital is a 25 bed Critical Access Hospital located in the city of Sabetha, Nemaha County Kansas. Currently, the population of the City of Sabetha is estimated at 2584. The primary service area for Sabetha Community Hospital includes portions of Nemaha, Brown and Jackson County, Kansas, and several counties in Nebraska. For Nemaha County in 2017 there were 599 of inpatient discharges. Estimated population for Nemaha County is 10,241 according to the United States Census Bureau. People age 65 and over make up 27% of the county's total population. The racial and ethnic composition of Nemaha County is mostly white which is at 96.9%, Native American .6%, African Americans .8%, Asians .3% and Hispanics were 1.7% of the population. SCHEDULE H, PART VI, LINE 5 As a community benefit to local industries, the hospital provides wellness checks which include blood pressure checks, BMI, and blood work and, if requested, educational sessions. Another service to the local businesses is the provision of occupational assessment testing along with hearing screens. The OAS testing and hearing screens are done by certified hospital staff. The hospital offers public flu immunization clinics to the local industries. Wellness is promoted among SCH employees by providing a corporate membership to the community fitness center. Hospital staff is also encouraged to donate blood during the quarterly blood drives. CPR training for professionals in the area are also conducted. Social Services aids those in the community who request assistance and need resources for items such as meals on wheels, transportation, etc. Social Service and swingbed director coordinate transfer of patients to the local dialysis center. Medical Director for the city owned ambulance service is a hospital employed physician and the hospital provides RNs as needed for emergency indicated transfers to the local tertiary center. The six family practice physicians serve as medical directors for the Home Health and Hospice Agency. The Chief Executive Officer of Sabetha Community Hospital serves on the Health Innovations Network of Kansas Board, and the Governors KanCare Advisory Group. Hospital staff serves on various committees for the Kansas Hospital Association, and local civic groups. Sabetha Community Hospital takes its commitment to the community very seriously and participates in emergency drills, always monitoring patient and employee safety, educating staff on risk management, quality assurance, infection control issues, bloodborne pathogens, HIPAA, and Corporate Compliance. The hospital provides an avenue for nursing students to do rotations through the hospital with its affiliation with Highland Community College and Southeast Community College, Beatrice, Nebraska. Medical students in the rural residency program at Kansas University School of Medicine do clinical rotations with the family practice physicians. Physical therapy students through affiliation with Kansas City Kansas Community College and Indian Hills Community College, occupational therapy students through Washburn University affiliation, and social service students from Kansas State University all do clinical rotations at the hospital as well. Hospital Administration works closely with the High School counselor in the administration of local scholarships to nursing students and to those who are going into a healthcare career. Hospital staff participate in Senior Career Day at the local high school and every year middle school and high school student's job shadow at the hospital to encourage careers in healthcare. SCHEDULE H, PART VI, LINE 6 ORGANIZATION IS AFFILIATED WITH GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA), A NON-PROFIT 501(C)(3) ORGANIZATION WHICH PROVIDES MANAGEMENT SERVICES AND OPERATIONAL, FINANCE 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 HOSPITAL, COMMUNITIES AND LEADERS. GPHA PROVIDES POLICIES AND GUIDANCE TO ITS CRITICAL ACCESS FACILITIES REGARDING FINANCIAL ASSISTANCE, CONFLICTS OF INTEREST, CORPORATE COMPLIANCE, HIPAA PRIVACY AND SECURITY AND MANY OTHER AREAS. GPHA ALSO PROVIDES EDUCATIONAL SESSIONS FOR BOARD MEMBERS, BUSINESS OFFICE MANGERS, BILLERS, MEDICAL RECORDS PERSONNEL, DIRECTOR OF NURSING AND ADMINISTRATORS. GPHA IS A VITAL LINK IN ALLOWING CAH HOSPITALS TO OPERATE AT A HIGH QUALITY WITHIN THE CASH CONSTRAINTS IMPOSED BY THE CRITICAL ACCESS PROGRAM. SCHEDULE H, PART VI, LINE 7 N/A false false false false false false false false false JAMES LONGABAUGH ADMINISTRATOR 365890 0 0 0 3340 0 29700 0 46821 0 445751 0 0 0 JASON BARB CFO 0 174587 0 0 0 2337 0 2692 0 47178 0 226794 0 0 CHRISTIAN TRAMP PHYSICIAN 294085 0 0 0 2912 0 29143 0 43243 0 369383 0 0 0 GREGG WENGER PHYSICIAN 149546 0 0 0 0 0 14155 0 7077 0 170778 0 0 0 KEVIN KENNALLY PHYSICIAN 202212 0 0 0 0 0 19421 0 6000 0 227633 0 0 0 NATALIE FRYE NURSE PRACTITIONER 227660 0 0 0 2743 0 22465 0 28487 0 281355 0 0 0 RACHEL ALLEN PHYSICIAN 181547 0 0 0 2743 0 18133 0 38913 0 241336 0 0 0 CURT COLSON PRESIDENT/DIRECTOR 0 213737 0 0 0 2508 0 18997 0 41230 0 276472 0 0 FORM 990, PART VII; SCHEDULE J, PART I, LINE 3 COMPENSATION FOR DURREL KELLEY, DAVE DELLASEGA, JASON BARB, AND CURT COLSON IS PROVIDED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GREAT PLAINS HEALTH ALLIANCE'S BOARD OF DIRECTORS ANNUALLY APPROVE THE COMPENSATION FOR MR. KELLEY, MR. DELLASEGA, MR. BARB, AND MR. COLSON. 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 III, LINE 4A Stop the Bleed instructors conduct classes for the EMS technicians and various local industries. The hospital diabetic educator and dietician conducts the SMART program with diabetic patients which holds them accountable for their diabetic health. Hospital department heads present education on hospital services to the Hospital Guild which meets on a monthly basis. Staff provides presentations for local civic groups to create healthcare awareness on topics such as obesity, stroke/heart attacks, and diabetes. The second largest program Sabetha Community Hospital provides to the community is the Cardiac Rehab Phase III program. Community members can come to the hospital for reduced session fees utilizing cardiopulmonary exercise equipment. The patients who have physical limitations and are not able to use the health and wellness center benefit from the monitoring of this program by an RN or CNA. This program addresses the importance of continual exercise and the health benefits associated but brings with it a social aspect to those community members who participate providing much needed social interaction within the elderly population. In 2022, we served 124 patients in this manner. The third largest program for the hospital is involvement with school-based programs such as clinical rotations for medical students and residents, nurse practitioners, nursing, physical and occupational therapy, radiology, and lab. The hospital is very involved with the local school district hosting students who are interested in healthcare careers and would like to job shadow. The hospital also takes part in the school district school to work program. Students spend part of their day at the hospital or physician clinic as part of their daily curriculum. The hospital also administers six healthcare scholarships to local seniors and community members. The fourth largest program is enrollment assistance for public medical programs such as Medicaid, Medicare, and Medicare Part D. Social Services and Public Relations staff are dedicated to this program during the open enrollment periods. The hospital social worker takes the lead on this project. After the open enrollment periods are closed the Social Worker is still available to the community to help with any assistance needed to for first time enrollees in Medicare or the Medicaid programs. The Social Worker also will assistance community members with needed information and resources, and work with the local pharmacies regarding prescription drug programs if the community member is unable to afford a needed medication. Addressing the needs of mental health among the elderly population as well as youth continues to be a priority. The hospital partners with the regional Community Mental Health Center to provide access to mental health services whether it be in a clinic setting or through telehealth services. Strategic planning for augmenting mental health facilities include 1491 square feet in a hospital addition that will break ground as early as next Spring, 2024. The Community Health Needs Assessment continues to illustrate the importance our families, friends, coworkers and patients place on mental health. We will continue to aggressively pursue this matter. Also outlined as a community need is the existence of a reliable child care facility. Our plan to help address this need include 1399 square feet in the hospital addition that will break ground in Spring of 2024 for a child care facility. Providing stable care with healthy food options for young children is the backbone of any healthy community. Quality healthcare is important to Sabetha Community Hospital and the hospital continues to participate in the Kansas Health Care Collaborative as well as reporting to the Medicare Beneficiary Quality Improvement Program. HCAHPS scores are monitored and used to keep staff informed of patient satisfaction and evaluate areas for needed improvement. SCH's mission remains to provide quality of health and care given in our communities. FORM 990, PART VI, SECTION A, LINE 2 DAVE DELLASEGA, DURREL KELLEY, JASON BARB, AND CURT COLSON HAVE A BUSINESS RELATIONSHIP. THEY ARE ALL 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 SABETHA, 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 BOARD MEMBERS, OFFICERS AND EMPLOYEES 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 MEMBERS 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, COO, 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 XI, LINE 9 EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 12,763 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:2388551 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING/COLLECTIONS TOTAL FEES:68579 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:201932 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY SERVICES TOTAL FEES:175485 FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN/HUMAN RESOURCES TOTAL FEES:309631 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE/HOUSEKEEPING TOTAL FEES:1779 GREAT PLAINS HEALTH CARE FOUNDATION INC 250 N ROCK ROAD STE 160 WICHITA KS 67037 480955870 SUPPORT KS 501(C)(3) 10 GPHA INC true GREAT PLAINS OF CHEYENNE COUNTY 250 N ROCK ROAD STE 160 WICHITA KS 67037 481226831 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF ELLINWOOD INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 481226976 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS HEALTH ALLIANCE INC 250 N ROCK ROAD STE 160 WICHITA KS 67037 480617739 MANAGEMENT KS 501(C)(3) 3 NA false GREAT PLAINS OF OTTAWA COUNTY INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 481226856 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF REPUBLIC COUNTY INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 481226977 HOSPITAL KS 501(C)(3) 3 GPHA INC true GREAT PLAINS OF SMITH COUNTY INC 250 N ROCK ROAD STE 160 WICHITA KS 67206 481226820 HOSPITAL KS 501(C)(3) 3 GPHA INC true GPHA EMPLOYEE BENEFITS TRUST 250 N ROCK ROAD STE 160 WICHITA KS 67206 476918582 HEALTH PLAN KS 501(C)(9) GPHA INC true false false false false false false false false false false false false true false true false false true false GPHA EMPLOYEE BENEFITS TRUST R 870728 ACTUAL