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            <CityNm>St Louis</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63195</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Wichita Surgical Specialists</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>818 N Emporia Suite 200</AddressLine1Txt>
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            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67214</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Surgical services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Allstaff Chartered</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621990</BusinessCd>
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      <OtherRevenueMiscGrp>
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        <ExclusionAmt>89804</ExclusionAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ExplanationTxt>Part V, Section B, Line 5: The CHNA was conducted in collaboration with the Barton County Health Department. The Hospital reached out to members of the community with broad interests in the community served and special knowledge of or expertise in public health from groups such as local hospitals, public health community, free clinics, community based clinics, service providers, school leaders, and local government. A Town Hall meeting of 30 attendees was conducted. The Town Hall meeting reflected on the size and seriousness of any health concerns cited and discussed current community health strengths, as well as identifying and ranking top community health concerns. In addition to the Town Hall meeting, CHNA surveys were completed by Barton County residents. The survey was created to measure Barton County residents' views regarding health care perceptions of delivery, access, and health practices.</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 6b: Barton County Health Department (located in Great Bend, KS - Barton County)</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 11: The annual update below pertains to the CHNA and implementation strategy completed for the 2021 tax year, which is the third-annual update for the three-year cycle. The Hospital also partnered with various community organizations to help address these needs.1. Nutrition/Healthy FoodClara Barton Medical Center (CBMC) continues to offer a full range of inpatient and outpatient nutrition services designed to help our patients achieve optimal health and feel their best. Our goal is to provide evidence-based nutrition care for treatment of acute and chronic illnesses and to promote nutritional health for adults and children who are either referred by their physician or taking steps on their own to improve their health. Whether someone simply wants to learn to eat healthier, or if they have special dietary needs, our registered dietitian will conduct an individualized nutrition assessment and create an individualized plan just for that person. Barton County Meals on Wheels serves approximately 100 clients in Great Bend, Hoisington, and Ellinwood. Meals are prepped by the Great Bend Senior Center, and are delivered from 11 a.m. to 12:30 p.m. CBMC volunteers to deliver meals to the Hoisington residence. Karissa Winkel, Family and Community Wellness Agent for K-State Research and Extension presented a healthy nutrition topic and recipe samples the first Wednesday of each month at the Great Bend Recreation Center.K-State Extension held a virtual learning Living Well Wednesday presentation on "Women's Health and Functional Medicine". The Kansas Food Bank along with USDA provided monthly food boxes to low-income seniors in the Russell community. Seniors were required to fill out an application and provide proof of ID, current address and income. Packages included: nonfat dry and ultra-high temperature fluid milk, juice, farina, oats, ready-to-eat cereal, rice, pasta, peanut butter, dry beans, canned meat, poultry or fish, and canned fruits and vegetables.CBMC hosted a Providers Guide It Walkers Stride It presentation. Open to the public. Morgan Feldkamp, PA presented "Nutrition Awareness".K-State Extension held a virtual learning Living Well Wednesday presentation on "Navigating Diets, Supplements, and Women's Health in a Confusing World". The Walk Kansas program kicked off. This was an 8-week State challenge that focused on physical activity and healthy eating. Great Bend Summer Street Stroll Farmers Market was downtown on the east side of the Courthouse square on Thursdays 4-7pm. They offered fresh veggies, fruits, jellies, jams, and various homemade items. The market also served as the designated market for the Kansas Senior Farmers Market Nutrition Program for Barton County where seniors were able to redeem checks for locally grown fresh fruits and veggies.The Kansas Senior Farmers Market Nutrition Program (KSFMNP) offered eligible seniors $50 worth of coupons that could be redeemed at participating farmers markets. The following items were available for purchase: "fresh, nutritious, unprepared, locally grown fruits, vegetables, locally produced honey and cut herbs that are grown in Kansas". On the third Saturday during the summer months, starting in June, A Farmers Market "The Hoisington Market Square" was held in front of the thrift store on Main Street in Hoisington.The Summer Food Service Program funded by the United States Department of Agriculture allowed kids 18 years and younger to eat free in Great Bend and Hoisington.CBMC hosted a Rethink Your Drink challenge. The event encouraged participants to track the amount of water they drank each day. They recorded if they drank at least 48 ounces a day.Kids Ag Day was held for Barton County 4th graders. Organized by the Ag-Business Committee of the Great Bend Chamber of Commerce. Held at the Diamond K Farm, owned by the Koelsch family. Nearly 400 Barton County students attended. Students learned about where food and other products they use on a daily basis come from. One of the stations visited by the students discussed nutrition and the dangers of vaping and tobacco use.Karissa Winkel at the K-State Research and Extension hosted Family Meals Make Families Stronger event at Gambino's Pizza in Great Bend. She highlighted that statistics show that family dynamics improve with the frequency of family meals. Families then built a pizza choosing ingredients from the MyPlate food groups. Wheatland Electric employees delivered $13,938 and 7,365 pounds of food to the Great Bend Food Bank right before Thanksgiving. Karissa Winkel with K-State Research and Extension presented Nourishing the Brain: Recommendations for Combating Neurodegenerative Diseases at the Great Bend Senior Center at 1 p.m. She discussed how the right eating plan can optimize brain health.CBMC presented a $1,000 donation to the Hoisington Food Bank. The funds were raised through a Pie in the Face contest, with Dr. PJ Stiles, general surgeon, earning the honor of taking the pie. Karissa Winkel - Cottonwood Extension District presented Cooking for 1-2. She shared how to cook tasty, healthier meals for 1-2. She showed cooking methods with minimal food waste while maximizing your wallet.Eldercare who services Great Bend, Hoisington, and Ellinwood announced a new program where community members could sponsor a Senior to help pay for their meals as a way to ensure that older citizens get the nutrition they need. UWCK awarded funds to First United Methodist Church, so it could continue its vital work of distributing food boxes to residents in need throughout Barton County, ensuring no one in the community goes hungry.CBMC continued to post healthy and nutritious recipes on their Facebook page. Examples: Cranberry Walnut Apple Slaw, Cheesy Chicken Fiesta Casserole, Stovetop Green Beans with Almonds, Air Fryer Stuffed Chicken Parmesan, Air Fryer Cajun Potatoes, Easy Salsa Rice, Carrot Cake Bars with Cream Cheese Frosting, Sweet Pepper Cucumber Salad, and Alcohol-free Sangria.CBMC offers free fruit for patients and employees in the cafeteria.2. TransportationSunflower added a new 12-passenger van equipped with a wheelchair lift to it's fleet, allowing for additional availability.Great Bend Public Works Director received a grant to improve sidewalks, curbs, gutters and ADA accessibility on Main Street, from 10th Street to 19th Street. The grant also covered improvements to sidewalks around the Barton County Court House.Overcoming Transportation Barriers Recognizing transportation as a critical barrier to student success, UWCK awarded funds to Barton County Academy to support students from Hoisington and Barton Hills. By partnering with Catch a Ride, the academy aims to provide reliable transportation Monday through Thursday on school days, ensuring students can attend classes and achieve their educational goals.Volunteers In Action of Central Kansas (VIACK) is a non-emergency transportation program in Great Bend. They have a group of volunteers to help transport individuals to their medical appointments. They make trips to Hoisington, Larned, Hays, Hutchinson, Salina, Dodge City, Pratt, and Wichita. CARS (Community Action Ride System): Provides rides for various purposes like medical appointments, employment, school, shopping, and more. They serve Barton Jasper, Newton, and McDonald counties. Rides are provided by volunteer drivers using their own vehicles, with limited accommodation for wheelchairs, walkers, etc. Requires advanced reservations, and is first-come, first-served.OATS Transit: Serves Barton County and offers transportation within the county and to adjacent counties. Fares vary based on distance, with in-county trips cost $3.00, adjacent county trips cost $4.00, and long-distance trips (three or more counties) cost $6.00. Sunflower Catch-a-Ride Public Transportation currently provides transportation anywhere within the Barton County area Monday - Friday 8 a.m. - 4.00 p.m. and weekends by appointment. Cost is $2.00 one way, with a 24-hour advanced reservation required. CBMC offers financial assistance to cover transportation to and from CBMC for patients in need. Mini-Bus Services provided, within Great Bend city limits. The buses are available Monday - Friday 8 a.m. - 5 p.m. no weekend services. The Min-Bus requires advanced notice. Passengers must call at least the day before to schedule their rides. An after-hour's answering machine is available to leave a message. Fares: $1.50 one way, $3.00 round trip, each extra stop is $1.00.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Clara Barton Hospital Association, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: CAB (Commission on Aging Bus) is operated by the City of Great Bend Commission on Aging. They provide transportation within the city limits of Great Bend and to locations like the airport and other designated stops. Fares vary depending on the destination, with in-city rides cost $4.00 and trips to the airport cost $8.00. Service hours are Monday through Friday, 6:30 a.m. - 6:30 p.m. with answering machine available after hours.The Hoisington Trolley provides transportation in the city of Hoisington Monday - Friday 9 a.m. - 4 p.m. They will go out of the city limits (one mile) during regular operating hours. Suggested donation is $1.00 for each time boarding the Trolley. A 20-ride pass can be purchased for $15. CBMC offers Trolley coupons for anyone in need at no cost.CBMC has two care team management nurses who assist patients as needed to arrange transportation rides.Cardinal Cruiser bikes are available in Hoisington as part of the bike sharing program. They are available for free checkout at one of four locations throughout Hoisington: the city billing office, the Hoisington Public Library, the Hoisington Rec Commission at the Activity Center and the Rodeway Inn &amp; Suites. Using a shared document at those locations, the city keeps an updated list of which bikes have been checked in or out and from which location. Most of the bikes are of the standard single-speed variety, the city did mix it up with a side-by-side trike and two tandem bicycles.3. Mental HealthCBMC continues to partner with the KU Alzheimer's Disease Center to improve assessment of Alzheimer patients and to provide care giver counceling on site once a month.CBMC hosted a month long Stressless Challenge. Employees tracked their downtime for 28 days. Stress can have surprising effects on overall-health, from the way one thinks and feels to the way one eats and behaves. There are a lot of ways stress can affect you, but you can have a major effect on your stress by taking as little as 5 minutes for yourself to unwind each day. Employees were encouraged to try stretching, meditating or just to do something they enjoyed. Drawings were held to promote relaxation: Pedicure, Aromatherapy Lotion &amp; Scrub, Foot Peel, Candle.Mark Thompson with BCBSKS presented a Lunch &amp; Learn at CBMC called Stress Eating. The session addressed common emotional eating triggers and strategies to manage emotional eating. All those who attended were entered in a drawing for an insulated lunch bag packed with healthy snacks.Ten Barton County High School students took the opportunity to make their voices heard at the State Capitol during Mental Health Advocacy Day. The students represented the #Zero Reasons Why suicide-prevention program. #ZRW is a teen-led campaign to reduce teen suicide and emphasize that mental health is as important as physical health.Barton County College held Suspenders4Hope training. 3 Councilors from The Center of Counseling and 1 Councilor from Dropping 22 attended the specialized training. Karissa Winkel, Family Community Wellness Agent for K-State and Extension presented a session titled "The Sunshine Vitamin" at the Great Bend Activity Center. She discussed the importance of The Sunshine Vitamin, how it can lower your risk for depression, and how to include enough vitamin D in your diet. She also shared a vitamin D-rich treat and a take home recipe.Dropping 22 received a $10,000 donation from 100+ Who Care Barton County. This group was created and named based on the staggering statistic that 22 veterans take their own lives each day. This organization works to combat the trauma, depression, PTSD and anxiety faced not only by veterans, but the military community and first responders, in hopes of lowering that number as close to zero.The Center for Counseling &amp; Consultation held a Mental Health Awareness Day event at the courthouse square in Great Bend. The Center and approximately 20 community partners had informational booths set up. Food, drinks, yard games, drum circle and bounce house were available during the event. The Barton County Health Department received a $35,000 grant from The Kansas Department for Aging and Disability Services (KDADS) to provide community-based suicide prevention services. Danielle Fahrney, joined The Center for Counseling &amp; Consultation as a SUD counselor. She will work with clients on their treatment plans, providing education about topics such as relapse prevention; triggers that can lead to using drugs; coping skills; and stress management.The Center for Counseling &amp; Consultation became fully licensed as a Certified Community Behavioral Health Center. A CCBHC provides integrated, client-centered care; it is a multi-dimensional program that cares for the whole person. The Center for Health hired Kiani Simms as a therapist. She is there to help people with concerns such as depression, anxiety and adjustment issues. This includes foster children and other youngsters struggling with their own families. She is also comfortable working with clients who are deaf or hard-of-hearing.Barton County received a grant for community-based suicide prevention services, including evidence-based strategies aimed at reducing suicidal ideation, attempts, and deaths. Laura Patzner joined The Center for Counseling &amp; Consultation staff as a crisis case manager. Patzner has a varied background that includes training in many areas such as trauma response, criminal-justice response, community advocacy, prevention strategies and organizational leadership.Tammy Tipton, BSN,RN from Blue Cross and Blue Shield of Kansas came to CBMC and presented a session on Self Care. The session addressed not only taking care of our physical health but also social, emotional and spiritual health.Juvenile Services held Parent Classes for eight consecutive Tuesdays from 6 to 9 p.m. Experts helped parents and children through real life experiences. Dakotah Sanders spoke to the public about his past abuse and addiction. He shared the details of his recovery and the mindsets he developed along the way. Sanders works for Horizons Community Mental Health Center in Hutchinson as a peer-support specialist and mentor. The Center for Counseling &amp; Consultation kicked off The Mobile Crisis Response program. Tracie Haselhorst and Jennifer Johnson are combining their experience and education to help support people facing mental-health crises in our area. Barton County held the 12th annual "Golden Belt Glow 4 Life" 5K run/walk to help raise money to promote suicide awareness and prevention at Veteran's Park in Great Bend. The event was put on by The Central Kansas Partnership Suicide Prevention Task Force.Rise Up Central Kansas held its third annual Recovery Out Loud, Every Voice Matters event at Jack Kilby Square in Great Bend. This event was a platform for anyone wanting to share their stories about substance use disorders, or for anyone recovering from mental health issues or trauma to do so. Rise Up focuses on prevention, intervention, and resilience. Jessica Blehm joined The Center for Counseling &amp; Consultation in Great Bend. She is a Licensed Specialist Clinical Social Worker who is especially interested in younger and older people struggling with mental health issues. She offers treatment for conditions such as depression, anxiety and life transitions. She is a Dialectical Behavioral Therapist, which helps people who are suicidal, self-harming or have diagnoses of borderline personality disorder.CBMC expanded its mental health therapy services with the addition of Marcus Herrera, LCPC, NCC to its clinical team, offering mental health therapy service in both the Hoisington and Great Bend clinic locations. Marcus has extensively worked with children, adults, families, and individuals in a variety of settings, including child welfare systems, inpatient facilities, and outpatient organizations.CBMC expanded its mental health therapy services with the addition of Sarah Vonfeldt, LMSW, to its clinical team, offering mental health therapy services in both the Hoisington and Russell locations. Sarah is a clinical social worker who works with those experiencing a variety of mental health issues.4. Child CareGreat Bend received $4,382,493 through Great Bend Economic Development and Advancing Barton County Childcare. These funds will be utilized to establish an innovative community hub, featuring overnight childcare facilities, a makerspace, a workforce center, and health screenings. This center will open 28 childcare slots, including two rooms solely dedicated to after-hours and overnight childcare.A ribbon cutting and open house was held at Bright Beginnings, a newly built daycare in Great Bend. The 6,500 square-foot daycare center will accommodate up to 80 children.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Clara Barton Hospital Association, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: The Great Bend Economic Development group announced the receipt of $394,000 from the Patterson Family Foundation Thriving Rural Grant program. The grant funds will be used to purchase equipment and furnishings for the IGNITE Innovation Center which includes licensed childcare slots.A ribbon cutting and open house was held at the Little Panthers Preschool and USD 428 District Education Center in Great Bend. Attendees were able to tour the facility, enroll their three or four-year-olds, enjoy light refreshments, or even apply for jobs within the district. At the ceremony it was announced that all 118 morning sessions had been filled, and 71 children were enrolled for afternoon sessions. Enrollment for 25 all-day students who are children of district staff was also filled.USD 431 Hoisington continues to make progress on a new childcare facility. The new daycare facility will be located behind Roosevelt Elementary School. At the school board meeting they reviewed a contract with ABCC which recognizes USD 431 as the owner of the land on which the building will sit. ABCC will pay a dollar to lease the land every year as part of the contract. Beyond that, ABCC will handle all the insurance and utilities, and the building will be independent of the district.5. Chronic Comorbidities (Obesity, Heart Disease, High Blood Pressure, Diabetes, Cancer)Clara Barton Medical Center (CBMC) offers a comprehensive Diabetes Education Program geared toward those living with diabetes. It provides current evidence-based education on diabetes education from a diabetes educator in an open and conducive environment. It allows participants to take charge of their own care and diabetes management. And to improve their lives through the diabetes education services. Program content includes healthy eating, being active, monitoring glucometers, continuous glucose meters, taking meds, insulin injection education, insulin pumps, reducing risks and complications, healthy coping, problem solving, stress, sick days, hypoglycemia and hyperglycemia. Participants work closely with the registered dietician to develop an individualized wellness plan of strategies to achieve diabetes related goals.CBMC registered dietician works closely with patients needing individual assistance for obesity, high cholesterol, high blood pressure, chronic kidney disease, cancer, gut health problems, food disorders, and practical lifestyle advice.CBMC offers cardiac rehabilitation. This service includes lifestyle modification, supervised exercise and education to help individuals learn healthy lifestyle techniques to prevent progression of coronary artery disease (CAD) and assist in recovery following a heart attack or cardiac surgery.CBMC offers respiratory therapy. This department provides diagnostic and therapeutic services to those who are dealing with acute or chronic health issues that include asthma, bronchitis, emphysema, pneumonia, cardiovascular disease and trauma. They care for individuals that range in age from infant to geriatrics by evaluating, treating and maintaining lung function.CBMC has a care management team who works with patients to manage their medications and works with them and their other care professionals to make sure they are receiving the continuation of care they need. CBMC kicked off 2024 with an Eat Well Live Well program. 8 hours of PTO could be earned for those employees that participated and completed several wellness initiatives throughout the year. CBMC offered employees free lab draws for employees that signed up to participate in the Eat Well Live Well Wellness program. Quarterly Lab fairs were offered to the public at a discounted rate on the 3rd Saturday of the month at CBMC during 2024.The Annual Heart Walk was held. It was sponsored by the Heart of Kansas Family Health Care Inc. and the Great Bend Rec from 9:00 a.m. - 12p.m. A free breakfast was provided.K-State Research and Extension Cottonwood District opened registration for the Walk Kansas program. This is an annual eight-week activity challenge that focuses on physical activity and healthy eating.The Great Bend Recreation Commission held a program on Tuesdays and Thursdays in Great Bend called Stay Strong Stay Healthy. The program was designed to increase an aging adult's access to a safe, structured, and effective strength training program. Over 8 weeks, participants learned exercises to improve their strength, flexibility, and balance. Installation of new lights along the Vets Park walking path on the north side of the park was completed in Great bend. This will make it safer for community members to walk and exercise.The Great Bend Recreation Commission held a 10-week program on Monday, Wednesday and Friday called "Healthy Walking with Friends". This group met for 10 weeks to enjoy walking at Veteran's Lake together.CBMC received certification as a Patient-Centered Medical Home by the National Committee for Quality Assurance (NCQA). This certification establishes a model of care that is patient-focused, improving the quality of care, enhancing patient experience, building relationships between patients and providers, and providing additional clinic services to better serve patient needs. CBMC hosted a volunteer pick up trash event. Participants got their workouts in picking up trash and improving the environment.Dr. Perez Tamayo from Central Care Cancer Center came and gave free Skin Cancer Screenings to any CBMC employee who wanted one. Employees could sign up for a quick scan or a full body scan.The Barton County Youth Crew (BCYC) is a student-led task force focused on promoting healthy habits and positive change in the community. They held a Lei Off Tobacco Program at Great Bend High School. Hawaiian Leis were handed out to each student as they shared information about the dangers of tobacco. CBMC sponsored National Walk at Lunch Day. The walk was held at the Great Bend and Hoisington Clinic Locations. This event encouraged residents to get out and walk.The Pilot Club of Great Bend gave away free fittings and helmets to the USD 428 students who have perfect attendance and earned a new bike from generous local community sponsors and donations. CBMC hosted a Make Your Move challenge. The event encouraged participants to track the number of minutes of exercise they did daily. Activities could include Walking, Running, House Work, Bicycling, Swimming, Weight Lifting Yoga, Elliptical, Yard Work, etc.The City of Hoisington received a transportation construction grant from the Kansas Department of Transportation's Cost Share Program. The funds will be used to resurface Green and Vine Street and to make pedestrian improvements.CBMC Partners with Holistic Pain Management to Provide Outreach Services, aimed at providing advanced pain management services to our community. This collaboration will bring much-needed pain relief treatments to patients in Hoisington and the surrounding areas, eliminating the need for long drives to receive care. They will be in clinic the 2nd and 4th Wednesdays of the month. Karissa Winkel with K-State Research and Extension held a Walk with Ease series. This indoor class took place from 2:00 p.m. to 3:00 p.m. on MWF at the Great Bend Rec. This series was set up to help people with arthritis or other related conditions to reduce pain, increase balance, strength, walking pace and improve overall health. The class was created by the National Arthritis Foundation.The City of Hoisington set up free indoor pickleball courts in the City Auditorium. It is air-conditioned, climate-controlled, lighting is controlled, no wind, no outside variables. Court time must be reserved. Equipment for the game may be borrowed, or players can bring their own.The City of Hoisington announced that it is moving forward with improvements at a pair of parks and throughout town. At Bicentennial Park and Heritage Park, New playground equipment will be installed. This was made possible because of the City of Hoisington's Quality of Life endowment. The city will also be replacing city lights with new LED lights. Grants will cover the expense of purchasing the first 400 light bulbs. This will create an energy savings for the community.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Clara Barton Hospital Association, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: Karissa Winkel, K-State Research and Extension presented "Lower Your Risk of Breast Cancer" at the Great Bend Activity Center over the noon hour. She identified risk factors for developing breast cancer, discussed lifestyle choices that reduce the risk of breast cancer, and helped everyone gain a better understanding of early detection. CBMC hosted a 2nd volunteer pick up trash event. Participants got their workouts in picking up trash and improving the environment.Karissa Winkel, K-State Research and Extension presented "Dining with Diabetes" from 11a.m. - 1 p.m. at Trinity Lutheran Church. This program was designed to boost the health of those with prediabetes and Type 2 diabetes and to teach strategies to control glucose levels. The program served to educate family members and caregivers while connecting participants to resources. The program included nutritional education, hands on cooking and the importance of physical activity and how to realistically include it in day-to-day life.CBMC and several other businesses sponsored a Turkey Trot 5K fun run in Great Bend. It included a 5k race and a one-mile fun run.CBMC hosted a Maintain Don't Gain Challenge. The goal of the challenge was to maintain your weight during the Holiday season. From Thanksgiving through the New Year. Karissa Winkel, K-State Research and Extension presented "Healthy Body, Healthy Brain" at the Great Bend Activity Center over the noon hour. Healthy minds live in healthy bodies, which means taking care of your heart and cardiovascular system in the best way to protect your brain. She shared the risk factors that take a toll on the body and brain and recognize the health benefits related to the MIND diet.CBMC offers a full range of both inpatient and outpatient nutrition services designed to help patients achieve optimal health.6. Educate Public on the Services Offered in the CommunityClara Barton Medical Center (CBMC) has a Social Determinants Resource List and a Community Resource List available to give to patients or community members needing assistance.The CBMC radio show airs the second Thursday of every month at 8:30 a.m. on 1590 KVGB &amp; 95.5 FM local. Educational topics are shared with the community by subject matter experts. Topics included The Community Health Needs Assessment, PCMH, Speech, Occupational and Physical Therapy, Colon Screenings, Wellness Exams, Pediatrics, School Physicals, Holistic Pain Management, Lab Fairs and Mental Health.Laundry Love sponsored by the United Way is held on the third Saturday of every month in Great Bend. The goal is to help prevent physical and emotional strain that poor health and hygiene places on the under-resourced in the community. Each family is given funds for up to five loads of laundry. In 2024 25 to 30 clients participated.CBMC held a Lactation Class. Certified Lactation Consultants Breanna Helton, Rn, and Emily DeLaurentis, RN covered an array of topics providing all mothers or those expecting with the knowledge and tools they need for a successful breastfeeding journey. Classes were held quarterly during 2024.CBMC held its annual meeting. Garrett Rebel, Sam Travis and Matt Barlow, all CRNA's attended the meeting, introduced themselves, explained the type of services they provide at Clara Barton in Surgery and sat on a panel and answered questions from community members.The Family Crisis Center held a ribbon cutting to announce the opening of Sara's Blessings. They converted their basement into a shop for clients and those in need of clothing, hygiene items and household goods. The shop is open Monday through Friday from 8:30 a.m. to 5 p.m.Officer Emma Mooney and Cpl. Amber Kal from the Great Bend Police Department presented a Stop N/ Learn Session for females in respect to awareness and self-protection "Defensive Living". Principles and strategies for effectively reducing the likelihood of assaults were examined during the program along with a lot of other topics.CBMC presented Thursdays with Therapy. An engaging, free community event where Clara Barton therapists discuss various topics in a 30-45 minute session, followed by basic functional strength exercise(s). These events were held the 2nd Thursday of even months at 10:00 a.m. in the Turnbull Safe Room at Clara Barton Medical Center. Karissa Winkel, Family Community Wellness Agent for K-State and Extension presented "Make Active Habit Stick". In this session, she talked about why it is hard to fit regular exercise into your routine and how to combat these barriers with proven habit-formation techniques. She spoke about how to plan for setbacks, adapt to life changes and find support and how to apply these changes to make active habits stick. Stephen L. Billinger, Barton County Undersheriff presented "Barton County Sheriff's Department Q &amp; A". Mr. Billinger gave an informational session on several topics that included auto and home protection, scams, self-awareness, concealed carry-along, then allowed for questions regarding other topics.Karissa Winkel, Family Community Wellness Agent for K-State and Extension presented "Understanding Social Security". Financial well-being is part of overall health. Being in control of your personal finances empowers you to make healthy decisions for you and your family. In this session Karissa discussed how social security works, eligibility for benefits and how to find your full retirement age. Bev Frizell Registered Dietician at the Barton County Health Departments held a series of classes that ran for six weeks called "Becoming a Mom". Topics included nutrition, labor and delivery, breastfeeding, and more.CBMC hosted a Providers Guide It Walkers Stride It presentation. Open to the public. Dr. Webb, DO presented "Skin Cancer Awareness".CBMC started sending out reminders to the community to schedule their school/sports physical. Summer gets busy and you do not want to wait until the last minute. Clara Barton Foundation presented at the Hoisington Chamber of Commerce Meeting. Michelle Moshier updated the community on the upcoming fundraising event to bring a new C-arm to the hospital, enhancing capabilities for interventional and surgical procedures.Hoisington hosted the Biking Across Kansas riders at the Hoisington Activity Center. Approximately 750 bikers participated along with lots of support people. The Kansas Wetlands Education Center offered a summer library program for area public libraries called "Wetland Adventures". The program let kids know what adventures they can find in their own backyard as well as what is out at Cheyenne Bottoms. The Barton County Health Department held a Community Baby Shower at the Barton County Courthouse. The free event showcased approximately two dozen vendors who provided information on Safe Sleep and the services they provide to new families. Pregnant women and new dads were all welcome to attend. Car seat checks were also available in the parking lot of the health department. USD 428 offered the summer REACH program from June 26 - July 21. The program was held at Jefferson and Riley Elementary schools, from 8 a.m. to 2 p.m. Monday through Thursday, and 8 a.m. to 12 p.m. on Friday's. The program provided enrichment activities and is separate from academic summer school. It was available to K-5 students.Central Kansas CASA sponsored a free swim night at the Great Bend Wetlands Waterpark. They did this as their way to remind the community that they are here, and they wanted to encourage healthy family activities. CBMC announced that starting August 5th Dr. Klug will be visiting the Hoisington clinic location on the first Monday of each month, providing outreach sports medicine services. CBMC hosted a Providers Guide It Walkers Stride It presentation. Open to the public. Debra Brockel, PA presented "Water Safety".CBMC brought in Jackie Stiles to speak to the public on "Beating the Odds". Jackie educated the public on Ocular Melanoma. Stuff the Bus event in Hoisington. This was a school and food pantry supply drive sponsored by the United Way. The bus was parked at the Town &amp; Country Supermarket &amp; Dollar General in Hoisington.CBMC Provided Free Speech Screenings for Kids (from birth - 18 years of age) during the Month of April. Screenings were done in the Therapy Department Monday - Friday 8 a.m. - 5 p.m.CBMC announced that starting August 5th Dr. Klug will be visiting the Hoisington clinic location on the first Monday of each month, providing outreach sports medicine services.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Clara Barton Hospital Association, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: Free school sports physicals for the 2024-2025 school year for area middle and high school students were provided by The University of Kansas Health System, in collaboration with Great Bend USD 428. Physicals were done from 7 a.m. - 11 a.m. at St Rose Medical Pavilion in Great Bend.CBMC announced that they now have a certified Hand Therapist, Benton Hrabe.CBMC announced that members of the Therapy Team received their certification for Level 2 Dry Needling, meaning they can treat a wider range of areas and conditions with more complex skills. The primary objective of dry needling is to restore function and speed up your return to active rehabilitation.CBMC hosted a Providers Guide It Walkers Stride It presentation. Open to the public. Dr. Johnson and Dr. Ryan, presented "Pediatrics". They educated the public on the services they provide.The Barton County Health Department spoke on the radio to highlight National Preparedness Month. Think of emergencies or disasters that might happen in your area and how to be prepared for that. CBMC attended the Women's Expo at the Great Bend Events Center to share information on their latest services. The Barton County Health Department was also there giving free flu shots.CBMC hosted a "Healthcare Career Day" in the East Conference Room for current employees looking to further your education, to high school students exploring healthcare careers, or to community members ready for a fresh start in a rewarding field. The Barton County Health Department extended their hours to better serve the public. "Becoming a Mom" 6 sessions - 1 per week were held at the Barton County Health Department. The course included discussion on health pregnancy, labor and delivery, infant feeding, infant care, postpartum health for mothers and pregnancy nutrition.Bev Schmeidler, County Clerk/Election Officer presented Election 101 over the noon hour. She went into detail and explained what's all involved in the process of elections.CBMC held a Drive-Thru Flu Vaccination Drive making it easy for community members to receive their Fluzone, FluBlok and High-Dose Fluzone. The Barton County Health department went to the surrounding small towns in the Great Bend area to offer flu shots.October is Cybersecurity Awareness Month. CBMC shared the message to be careful in this regard.CBMC announced Walk In flu shots available to the public at all 3 clinic locations. No need to make an appointment.Holy Family School hosted presenter Ben Tracy at 7 p.m. who spoke on online safety, and responsible social media use. Drawing on personal experience, he shares his compelling story about the impact of teenage social media usage at schools and organizations nationwide.The Staff of the Barton County Health Department presented "Discover the Services Your Health Department Offers". The group explained the wide range of services provided by their office from preventative care and vaccinations to mental health resources and addressing specific needs at every stage of life. The local Health Department is committed to supporting the health and well-being of the community.National Drug Take Back Day. The Barton County Health Department and the Barton County Sherriff sponsored this event from 10 a.m. to 2 p.m. They were set up on the east side of the courthouse. The public is encouraged to bring their non needed prescription drugs and sharps, and they will be disposed of properly.CBMC sent out reminders to the public that it was National Breast Cancer Awareness month. Clara Barton offers state-of-the-art 3D Mammograph. The encouraged the public to be proactive as early detection saves lives.Sgt. Joshua Buss &amp; Lt. Heather Smith, from the Great Bend Police Department presented "Law Enforcement Flock Systems &amp; Drones". They educated those attending on how these devices help law enforcement in solving crimes. CBMC and the Kansas Hospital Association funded the start-up fees for USD 431 to kick off a new chapter of HOSA - Future Health Professionals at Hoisington High School. This is a student-led group, much like the Future Farmers of America or Future Business Leaders of America. It allows students the opportunity to explore health care occupations, practice leadership, and learn about different health care occupations.The Kansas Department of Health and Environment (KDHE) issued a boil water advisory for the City of Great Bend public water supply system located in Barton County. They also issued information on the protocol that should be followed when using water.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Clara Barton Hospital Association, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 20e: CBH notified all uninsured patients about the Hospital's FAP by letter, orally, and on patient statements.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>1 - Clara Barton Medical Clinic</BusinessNameLine1Txt>
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            <AddressLine1Txt>252 W 9th Street</AddressLine1Txt>
            <CityNm>Hoisington</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67544</ZIPCd>
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          <FacilityTxt>Rural health clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - Clara Barton Surgical Clinic</BusinessNameLine1Txt>
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            <AddressLine1Txt>252 W 9th Street Suite B</AddressLine1Txt>
            <CityNm>Hoisington</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67544</ZIPCd>
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          <FacilityTxt>Physician clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - Russell Family Medical Care</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>410 N Main Street Suite C</AddressLine1Txt>
            <CityNm>Russell</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67665</ZIPCd>
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          <FacilityTxt>Rural health clinic</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>4 - Clara Barton Medical Clinic</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>906 McKinley Street</AddressLine1Txt>
            <CityNm>Great Bend</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67530</ZIPCd>
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          <FacilityTxt>Rural health clinic</FacilityTxt>
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        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial assistance at cost was determined by utilizing departmental cost-to-charge ratios for financial assistance provided in areas that are reported as subsidized health services. An overall cost-to-charge ratio derived from Worksheet 2 was used to determine the cost of financial assistance provided for services not reported as subsidized health services.Unreimbursed Medicaid costs were also determined using a blend of cost-to-charge ratios for certain services and an overall cost-to-charge ratio derived from Worksheet 2 for all other services.The cost of providing subsidized health services was determined using a cost-to-charge ratio for each service.Actual costs and revenues were utilized for all other items reported on line 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7g:</FormAndLineReferenceDesc>
        <ExplanationTxt>Subsidized health services are comprised of services that the Hospital provides despite a financial loss to the organization. These services include the operation of a 24-hour emergency room, physician clinics, diabetic and dietician services, and various therapy services. The amount of costs attributed to physician clinics amount to $7,685,605.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, the Hospital recognizes revenue on the basis of its standard rates for services provided. On the basis of historical experience, a significant portion of the Hospital's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Hospital records a significant provision for bad debts related to uninsured patients in the period the services are provided.Part III, Line 2:Bad debt expense at cost was determined by utilizing departmental cost-to-charge ratios for financial assistance provided in areas that are reported as subsidized health services. An overall cost-to-charge ratio derived from Worksheet 2 was applied to the charges deemed uncollectible during the year for all other services.Part III, Line 3:Bad debt expense attributable to patients eligible under the organization's financial assistance policy was determined using an estimated 2% of total bad debts. The Hospital takes steps to assist individuals who are believed to qualify for financial assistance prior to writing accounts off as uncollectible.All non-reimbursed costs for treatment of patients in our community provides a community benefit since patients unwilling or unable to pay have received a valuable service at no cost or at a reduced cost to them. This improves the health of our community as a whole.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicare allowable costs were determined by using amounts from the Hospital's Medicare cost report as filed with the Medicare Administrative Contractor. The Medicare cost report apportions actual costs to the Medicare program using charges for ancillary services and patient days for nursing services. Caring for Medicare patients fulfills a community need and relieves a government burden as these patients typically have low or fixed income. Therefore, any shortfall should be included as a community benefit.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The collection policy states that the patient must cooperate with the Hospital to provide the information and documentation necessary to apply for other existing financial resources that may be available to pay for health care services, such as Medicaid. Then the information is gathered and assessed in order to determine eligibility for charity care. Whenever possible, prior to admission, the Hospital will conduct a pre-admission interview with the patient, the guarantor, and/or the patient's legal representative. Those patients who may qualify for financial assistance from a governmental program will be referred to the appropriate program, prior to the consideration for charity care.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital works closely with the Barton County Health Department and Kansas Department of Health and Environment to identify trends in the community. Education and information is provided to the public, including information on West Nile, chicken pox, and whooping cough, for example. The Hospital also trends data in the hospital and clinics to identify emerging issues. The Hospital has provided, a fall prevention program, "Stepping On", for interested elderly members of Hoisington and surrounding areas. The Hospital also trends trauma data in the emergency room and as a result provided literature to the public on fall prevention.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>There is signage posted at admissions desk. Patients are referred to a financial counselor at admission if they do not have insurance. The financial counselor also works with a Medicaid helper to try and get qualified patients registered for the Medicaid program. Effort is made during billing of deductible and co-payment to see if patient can qualify for charity care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The community being served is located in central Kansas and consists of approximately 2,660 residents. The average household income is $50,344. 15.1% of the community residents live below federal poverty level. Neighboring hospitals include facilities in Ellinwood and Great Bend. They are approximately 18 and 11 miles away respectively.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital's Board of Directors is elected from the community at large. This allows independent individuals who reside in the primary service area to serve as a director. The Hospital also extends medical staff privileges to all qualified physicians in the community. Any surplus in funds is retained by the Hospital and aids in improving overall patient care and facility maintenance.</ExplanationTxt>
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      <SupplementalInformationDetail>
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