| FORM 990, PART III, LINE 4 |
SABETHA COMMUNITY HOSPITALS PRIMARY FUNCTION IS THE PROVISION AND DELIVERY OF QUALITY HEALTH CARE AND WELLNESS SERVICES TO INPATIENTS AND OUTPATIENTS IN NEMAHA COUNTY, SPECIFICALLY SABETHA AND OTHER SURROUNDING COMMUNITIES. INPATIENT CARE INCLUDES ACUTE CARE, SWING BED AND INTERMEDIATE SWING BED. OUTPATIENT SERVICES INCLUDE OBSERVATION CARE, 24/7 EMERGENCY CARE ALONG WITH SPECIALTY PHYSICIANS CLINICS AND NUMEROUS ANCILLARY SERVICES. THE EVALUATION OF COVERAGE FOR THE EMERGENCY ROOM WAS ONE OF THE TOP PRIORITIES FOR 2015. THE ABILITY TO NEGOTIATE WITH THE FIVE PRIMARY CARE PHYSICIANS WITHIN THE SYSTEM WAS PARAMOUNT TO ENABLING THE PROVISION OF EXCELLENT QUALITY CARE WITHIN THE EMERGENCY DEPARTMENT. THE SCH LEVEL IV CENTER PROGRAM WAS RE-SURVEYED AND RE-DESIGNATED IN FEBRUARY 2015 PROVIDING AN ADDITIONAL ELEMENT FOR TRAUMA PATIENTS BROUGHT TO THE ER. MANY PROGRAMS IDENTIFIED THROUGH COMMUNITY ASSESSMENT ARE CONTINUALLY BEING ENHANCED AND ADDED TO AS WELL. THE IMPORTANCE OF DIABETIC EDUCATION AND SUPPORT FOR OUR PATIENTS CONTINUE TO BE A PRIMARY FOCUS FOR SCH AND THE HOSPITAL WAS RECERTIFIED AS A DIABETIC EDUCATION FACILITY IN 2015. BREASTFEEDING AND THE IMPLEMENTATION OF THE HIGH FIVE PROGRAM REMAINS IN THE FOREFRONT OF THE PERINATAL COMMITTEE. OVER FIFTY SOME MOMS AND BABES WERE SERVED BY THE CURRENT LACTATION COUNSELOR WHO IS CONTINUING EDUCATION TO BECOME A LACTATION CONSULTANT. SCH PARTNERED WITH A NEIGHBORING HOSPITAL TO CONDUCT THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT. CONTINUATION TO PROMOTE HEALTH, WELLNESS AND CHRONIC DISEASE PREVENTION REMAINED A PRIORITY. THROUGH THIS SCH THEN CONDUCTED SEVERAL MINI HEALTH FAIRS. FOR THE WOMEN, THE HEALTH FAIR FOCUSED ON WOMENS HEALTH ISSUES, HEART ISSUES, BLOOD PRESSURES, BLOOD SUGARS, SKIN CANCER CHECKS, DIETARY INFORMATION, MAMMOGRAMS AND SELF-BREAST EXAMS. FOR THE MEN, MENS HEALTH ISSUES ALONG WITH DIABETIC COUNSELING, BLOOD SUGAR CHECKS, NUTRITION FOR MEN, BLOOD PRESSURE CHECKS, AND SKIN CANCER SCREENINGS WERE PROVIDED. ACCESS TO MENTAL HEALTH CONTINUES TO BE A CHALLENGE AND REMAINS A PRIORITY. ANOTHER IMPORTANT FOCUS FOR SCH IS TO CONTINUE TO BUILD A STRONG ELECTRONIC MEDICAL RECORD TO BETTER SERVE OUR PATIENT POPULATION ENHANCING PROVISION OF CARE TO THE YOUNG AS WELL AS THE OLD WITHIN OUR COMMUNITY AND SURROUNDING AREAS THAT WE SERVE. THE CURRENT EHR SYSTEM WAS BOUGHT OUT BY CERNER AND SO TRANSITION TO A NEW EHR IS BEGINNING. SABETHA COMMUNITY HOSPITAL CONTINUES TO PARTICIPATE IN THE KANSAS HEALTH CARE COLLABORATIVE HEN 2.0 QUALITY PROJECTS. THE HCAHPS SCORES ARE USED TO KEEP STAFF INFORMED OF PATIENT SATISFACTION AND AREAS OF IMPROVEMENT. SCHS MISSION IS TO PROVIDE QUALITY OF HEALTH AND CARE GIVEN IN OUR COMMUNITIES. |
| FORM 990, PART VI, SECTION A, LINE 2 |
DAVE DELLASEGA AND MIKE HAND HAVE A BUSINESS RELATIONSHIP. THEY ARE BOTH EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE. |
| FORM 990, PART VI, SECTION A, LINE 6 |
GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF 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 A 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 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. 22,357 TRANSFER TO CITY OF SABETHA (156,600) ---------- TOTAL $ (134,243) |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:1047724 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:BILLING/COLLECTIONS TOTAL FEES:129436 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:LAB SERVICES TOTAL FEES:129210 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PHARMACY SERVICES TOTAL FEES:87996 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:ADMINISTRATION/HUMAN RESOURCES TOTAL FEES:101450 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:MAINTENANCE/HOUSEKEEPING TOTAL FEES:851 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PLANT OPERATIONS TOTAL FEES:1510 |
Attach to Form 990 or 990-EZ.