SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC
 
Employer identification number

48-1172106
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    33,038,092   33,038,092 6.20 %
b Medicaid (from Worksheet 3, column a) . . . . .     77,533,468 126,005,891 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 110,571,560 126,005,891 33,038,092 6.20 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     678,855 15,922 662,933 0.12 %
f Health professions education (from Worksheet 5) . . .     30,636,465 9,257,344 21,379,121 4.01 %
g Subsidized health services (from Worksheet 6) . . . .     4,780,167 4,029,620 750,547 0.14 %
h Research (from Worksheet 7) .     66,109 0 66,109 0.01 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     346,529 0 346,529 0.06 %
j Total. Other Benefits . . 0 0 36,508,125 13,302,886 23,205,239 4.35 %
k Total. Add lines 7d and 7j . 0 0 147,079,685 139,308,777 56,243,331 10.55 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     0 0 0 0 %
2 Economic development     0 0 0 0 %
3 Community support     0 0 0 0 %
4 Environmental improvements     707 0 707 0 %
5 Leadership development and
training for community members		     0 0 0 0 %
6 Coalition building     0 0 0 0 %
7 Community health improvement advocacy     0 0 0 0 %
8 Workforce development     473 0 473 0 %
9 Other     0 0 0 0 %
10 Total 0 0 1,180 0 1,180 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
7,054,280
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
228,837,754
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
221,574,016
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
7,263,738
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1KANSAS HEART HOSPITAL LLC
  		CARDIAC ACUTE CARE HOSPITAL 49 %   51 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC
929 N ST FRANCIS
WICHITA,KS67214
https://www.viachristi.org/locations/hospitals
KANSAS H-087-001 		X X   X   X X     A
2 Rock Regional Hospital LLC
3251 N Rock Rd
Derby,KS67037
https://rockregionalhospitalderby.com
H-087-014 		X X         X     B
Schedule H (Form 990) 2018
Page 4
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://healthcare.ascension.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Page 5
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://healthcare.ascension.org/Financial-Assistance
b
https://healthcare.ascension.org/Financial-Assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Page 6
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Page 7
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Page 4
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1 Yes  
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2 Yes  
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://rockregionalhospitalderby.com/our-hospital/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Page 5
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://rockregionalhospitalderby.com/billing-financial-policy/
b
https://rockregionalhospitalderby.com/billing-financial-policy/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Page 6
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Page 7
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Page 8
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E Facility Group A - Ascension Via Christi Hospitals Wichita, Inc. - Line 1 TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility Group A - Ascension Via Christi Hospitals Wichita, Inc. - Line 1. THE FY 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS THE THIRD TIME THAT ALL ASCENSION VIA CHRISTI HOSPITALS IN SEDGWICK COUNTY PARTNERED WITH THE UNITED WAY OF THE PLAINS (UWP) AND SEDGWICK COUNTY HEALTH DEPARTMENT (SCHD) TO JOINTLY ASSESS THE HEALTH NEEDS OF SEDGWICK COUNTY RESIDENTS. THE ACTUAL CHNA PROCESS IS DIVIDED INTO THREE MAJOR PARTS: (1) THE ENVIRONMENTAL SCAN; (2) NEEDS SURVEY WHICH INCLUDED RANDOMLY SELECTED HOUSEHOLDS, GOVERNMENT AND NOT-FOR-PROFIT ORGANIZATIONAL LEADERS, AND COMMUNITY LEADERS ELECTED AND/OR APPOINTED GOVERNMENT OFFICIALS AND PRESIDENTS/CEOS FROM THE AREA'S LARGEST BUSINESSES; (3) PRIORITY STUDY - WHERE ALL THREE ORGANIZATIONS TOOK THE DATA COLLECTED BACK TO THEIR RESPECTIVE LEADERS TO ESTABLISH ORGANIZATIONAL PRIORITIES BASED ON NEEDS, ORGANIZATIONAL RESOURCES AND EXPERTISE IN DEALING WITH THE ISSUES. A RANDOM SAMPLE OF 6,500 SEDGWICK AND BUTLER COUNTY HOUSEHOLDS WAS SELECTED. PRE-SURVEY POSTCARDS WERE MAILED VIA FIRST CLASS MAIL ON OCTOBER 26, 2018, INFORMING POTENTIAL RESPONDENTS ABOUT THE CHNA, ASKING THEM TO WATCH FOR AND COMPLETE THEIR SURVEYS AND GIVING THEM THE OPPORTUNITY TO REQUEST THE SURVEY IN SPANISH OR VIETNAMESE, IF PREFERRED. THEN ON NOVEMBER 6, 2018, SURVEYS, COVER LETTERS AND POSTAGE-PAID RETURN ENVELOPES WERE MAILED OUT VIA FIRST CLASS WITH A REQUESTED RETURN DATE OF NOVEMBER 22, 2018. FOLLOW-UP REMINDER POSTCARDS WERE MAILED OUT ON NOVEMBER 15, 2018. THE RESPONSE RATE FROM THE RANDOMLY SELECTED HOUSEHOLDS WAS 6.1%. IN ADDITION, IN AN EFFORT TO DRAW UPON THE RECOGNITION AND REPUTATION OF INDIVIDUALS IN SEDGWICK AND BUTLER COUNTIES, COMMUNITY LEADERS WERE IDENTIFIED BY NONPROFIT HEALTH AND HUMAN SERVICES AGENCIES BY ASKING EACH EXECUTIVE DIRECTOR TO IDENTIFY UP TO TEN COMMUNITY LEADERS THEY BELIEVED SHOULD BE SURVEYED TO GAUGE THE COMMUNITY'S PULSE AS IT PERTAINS TO THE AREA'S HEALTH AND HUMAN SERVICE NEEDS. ALL COMMUNITY LEADERS IDENTIFIED BY AT LEAST TWO AGENCY EXECUTIVE DIRECTORS WERE INCLUDED IN THE SURVEY RESEARCH. THEY INCLUDED NONPROFIT HEALTH AND HUMAN SERVICES AGENCIES EXECUTIVE DIRECTORS, AS WELL AS PRESIDENTS/CHIEF EXECUTIVE OFFICERS OF THE AREA'S LARGEST EMPLOYERS, LOCAL ELECTED AND APPOINTED GOVERNMENT OFFICIALS, PUBLIC SCHOOL DISTRICT SUPERINTENDENTS AND BOARD PRESIDENTS WERE INVITED TO PARTICIPATE. SURVEYS WERE MAILED OUT TO 456 COMMUNITY LEADERS AND THE RESPONSE RATE WAS 18.1 PERCENT. TO GET A FEELING OF REAL COMMUNITY NEEDS THAT ARE BEING ADDRESSED BY LOCAL NOT-FOR-PROFIT AND GOVERNMENT AGENCIES, USING THE UNITED WAY OF THE PLAINS 2-1-1 DATABASE AND THE MEMBERSHIP LIST OF THE COALITION OF COMMUNITY HEALTH CLINICS FOR WICHITA-SEDGWICK COUNTY, 174 EXECUTIVE DIRECTORS OF PROGRAMS DEALING WITH POOR AND/OR VULNERABLE POPULATIONS WERE ASKED TO PARTICIPATE IN THE SURVEY EFFORT. THE RESPONSE RATE FROM THIS TARGET GROUP WAS 45.0 PERCENT. ALL THREE ORGANIZATIONS DEVELOPED THE SURVEY INSTRUMENT BASED ON PRIOR CHNA TOOLS SO THAT TREND ANALYSIS COUND BE COMPLETED; UNITED WAY OF THE PLAINS' RESEARCH DEPARTMENT TOOK THE LEAD ROLE IN THE SURVEY DISTRIBUTION METHOD, MAILING, COLLECTION, DATA ENTRY, DATA ANALYSIS AND DEVELOPING A COMMUNITY REPORT. THE SEDGWICK COUNTY HEALTH DEPARTMENT'S DIRECTOR PROVIDED THE LEADERSHIP FOR ORGANIZING AND HOSTING THE FOCUS GROUPS (E.G. NEIGHBORHOOD ASSOCIATIONS, SENIOR CENTERS, MINORITY CHURCH GROUPS, ETC.), AS WELL AS DEVELOPING A POWERPOINT OF THE FINDINGS FROM THE FOCUS GROUP DISCUSSIONS. ASCENSION VIA CHRISTI'S DIRECTOR OF COMMUNITY BENEFIT WAS THE PRIMARY CONTACT FOR PROVIDING THE FUNDING FOR GETTING THE SURVEYS PRINTED, MAILING COSTS, PROVIDING A FREE-POSTAGE PAID RETURN MAILING ENVELOPE FOR EACH RESPONDENT AND WRITING A SEPARATE REPORT, BASED ON THE UWP ANALYSIS, THAT COMPLIED WITH ALL OF THE IRS REQUIREMENTS.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility Group A - Ascension Via Christi Hospitals Wichita, Inc. - Line 1. THE FY 2019 CHNA WAS CONDUCTED IN PARTNERSHIP WITH ASCENSION VIA CHRISTI HOSPITAL WICHITA ST. TERESA, INC., ASCENSION VIA CHRISTI REHABILITATION HOSPITAL, INC., ROCK REGIONAL HOSPITAL LLC AND KANSAS SURGERY & RECOVERY CENTER.
Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Facility Group A - Ascension Via Christi Hospitals Wichita, Inc. - Line 1. THE FY 2019 CHNA WAS CONDUCTED IN PARTNERSHIP WITH UNITED WAY OF THE PLAINS (UWP) AND SEDGWICK COUNTY DIVISION OF HEALTH (SCDH).
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility Group A - Ascension Via Christi Hospitals Wichita, Inc. - Line 1 (1). SCH H, Part V, Line 11 SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE MOST RECENT CHNA INCLUDE: (1) HEALTH INSURANCE - AVCH-W PROVIDES TREATMENT TO ALL PEOPLE WHO COME IN NEEDING ASSISTANCE, REGARDLESS OF THEIR ABILITY TO PAY. HOWEVER, ONCE IN THE DOOR, A CASE MANAGER WILL WORK WITH EACH PATIENT TO SEE IF THEY QUALIFY FOR TRADITIONAL CHARITY CARE AND/OR A GOVERNMENT PROGRAM. IF THEY DO, THE PATIENT IS SIGNED UP IMMEDIATELY AND STRONGLY ENCOURAGED TO FIND A MEDICAL HOME IF THEY DO NOT CURRENTLY HAVE ONE AND PROVIDED WITH A LIST OF COMMUNITY FEDERALLY QUALIFIED HEALTH CLINICS IN ADDITION TO OTHER CLINICS AVAILABLE IN THE COMMUNITY. IN ADDITION, DURING 2018, THE LEADERSHIP TEAM AT AVCH-W AND ITS BOARD OF DIRECTORS, CONTINUED TO BE A STRONG PROPONENT IN THE NEED TO EXPAND MEDICAID ACROSS KANSAS SO IT IS MORE AFFORDABLE. THIS EFFORT WAS COORDINATED THROUGH THE AVCH'S ADVOCACY OFFICER WHO HAS REGULAR CONTACT WITH ELECTED STATE OFFICIALS SHARING EXPANSION PROGRAM SUCCESS STORIES GATHERED FROM OTHER STATES WHICH HAVE ALREADY IMPLEMENTED MEDICAID EXPANSION; WRITTEN LETTERS OF SUPPORT TO VARIOUS NEWS OUTLETS THROUGHOUT THE STATE; JOINING OTHER HOSPITAL COALITIONS WHO ARE ALSO SUPPORTIVE OF EXPANSION EFFORTS THROUGHOUT THE STATE INCLUDING KANSAS HOSPITAL ASSOCIATION; PROVIDING TESTIMONY TO STATE LEGISLATORS WHEN APPROPRIATE AND PROMOTING THE NEED FOR MEDICAID EXPANSION THROUGH SOCIAL MEDIA OUTLETS. (2) BASIC MEDICAL CARE FOR LOW-INCOME: AVCH-W CONTINUES TO OFFER CHARITY CARE TO THE POOR, TAKES CARE OF THOSE WHO ARE RECIPIENTS OF MEDICAID AND MEDICARE KNOWING THAT THE GOVERNMENT WILL NOT BE PAYING THE FULL COST OF THAT CARE. AVCH-W, LIKE ALL ASCENSION HOSPITALS, WORK WITH THE PATIENT AND/OR THEIR FAMILY TO MAKE SURE THEY RECEIVE TREATMENT WHEN PRESENTING AT THE HOSPITAL. PRIOR TO DISCHARGE, A CASE MANAGER IDENTIFIES BASIC MEDICAL CARE OPTIONS WITH THE PATIENT/CAREGIVER AND PROVIDES THEM WITH APPLICATION FORMS AND CONTACT NUMBERS. PEOPLE WHO ARE ILL AND DENIED MEDICAL CARE NOT ONLY JEOPARDIZE THEIR OWN HEALTH BUT MAY IMPACT OTHERS WHO SHARE THEIR ENVIRONMENT. DURING FY2019, AVCH, CLINICS AND OTHER MINISTRIES LOCATED IN SEDGWICK COUNTY PROVIDED $21,8 MILLION IN CHARITY CARE AND $7.0 MILLION IN UNCOMPENSATED CARE FOR MEDICAID PATIENTS. FOR THE LAST THREE YEARS, AVC HOSPITALS, CLINICS AND OTHER MINISTRIES HAVE HOSTED A MEDICAL MISSION AT HOME (MM@H) EVENT, IN PARTNERSHIP WITH COMMUNITY CLINICS, WICHITA STATE UNIVERSITY, NEWMAN UNIVERSITY AND THE UNIVERSITY OF KANSAS MEDICAL SCHOOL IN WICHITA. SINCE BEGINNING THE MM@H, NEARLY 700 PEOPLE HAVE BEEN SERVED. (3) DRUG AND ALCOHOL ABUSE - AVCH-W DOES PROVIDE COMPREHENSIVE BEHAVIORAL AND MENTAL HEALTH TREATMENT OPTIONS IN SEDGWICK COUNTY IN PARTNERSHIP WITH PSYCHIATRISTS FROM THE UNIVERSITY OF KANSAS SCHOOL OF MEDICINE. SOME OF THE PATIENTS BROUGHT INTO THE ER BY LAW ENFORCEMENT, FAMILY OR FRIENDS DO ABUSE DRUGS AND/OR ALCOHOL AND MAY NEED TO BE ADMITTED TO THE HOSPITAL DUE TO AN OVERDOSE OR MAY BE TEMPORARILY CHECKED IN TO THE AVC-W'S ST JOSEPH PSYCHIATRIC OBSERVATION UNIT UNTIL THEY ARE STABLE, BUT AVCH-W DOES NOT OPERATE A DETOX FACILITY. SHOULD INDIVIDUALS HAVE AN ADDICTION, THERE ARE NUMEROUS AGENCIES IN THE AREA THAT OFFER THIS KIND OF COUNSELING. (4) BEHAVIORAL HEALTH/COUNSELING - THE AVCH-W BEHAVIORAL HEALTH STAFF ARE ACTIVELY INVOLVED WITH THE SEDGWICK COUNTY'S COALITION THAT IS WORKING TO BRING A NEW MODEL OF CARE FOR MENTALLY ILL PEOPLE TO THE WICHITA AREA. AVCH-W HAS RECENTLY MOVED THE BEHAVIORAL HEALTH CENTER TO THE ST JOSEPH CAMPUS AFTER A MAJOR RENOVATION OF THAT FACILITY. IN ADDITION, AVCH-W OPENED A NEW PSYCHIATRIC OBSERVATION UNIT TO OFFER IMMEDIATE BEHAVIORAL HEALTH CARE SERVICES TO THOSE IN CRISIS AND BROUGHT INTO THE ER BY LAW ENFORCEMENT, FAMILY OR FRIENDS. AVCH-W STAFF HAVE MADE TRIPS DOWN TO TEXAS WITH LAW ENFORCEMENT, CHAMBER AND OTHERS TO LEARN ABOUT A FULL MODEL PROGRAM THAT IS SHOWING SUCCESS IN DEALING WITH ADDICTIONS/MENTAL ILLNESS COMORBIDITY TO SEE IF THE PROGRAM COULD BE SUCCESSFULLY REPLICATED IN SEDGWICK COUNTY (5) DOMESTIC/FAMILY VIOLENCE - CHILD ABUSE PREVENTION/EDUCATION - CHILDREN WHO ARE VICTIMIZED MAY REQUIRE IMMEDIATE MEDICAL TREATMENT, BUT THEIR ORDEAL ALSO HAS AN IMPACT ON LAW ENFORCEMENT OFFICERS, THE JUDICIAL AND CORRECTIONAL SYSTEMS WHEN THEIR ABUSE IS INVESTIGATED, PROSECUTED AND THE ACCUSED ARE SENTENCED FOR THEIR CRIME. MANY YOUNG PARENTS HAVE LIMITED FIRST-HAND EXPERIENCE WITH DEALING WITH BABIES, AND AS A RESULT, MAY INADVERTENTLY HURT THEIR CHILD EVEN THOUGH THEY LOVE THEM. THAT IS WHY AVCH-W OFFERS TRADITIONAL PARENTING CLASSES IN ADDITION TO NON-TRADITIONAL TRAINING, LIKE BOOT CAMP FOR NEW DADS. IN ADDITION, AVCH-W PROVIDES SEVERAL DIFFERENT SAFETY CLASSES AND/OR SERVICES FOR PROTECTING CHILDREN (E.G. INFANT SEAT INSTALLATION AND GIVE-AWAYS FOR LOW-INCOME FAMILIES, CHILD BICYCLE SAFETY CLASSES AND FREE BIKE HELMETS FOR LOW-INCOME CHILDREN, CPR FOR INFANTS AND CHILDREN, ETC.) (6) SEXUAL ASSAULT - THE WICHITA/SEDGWICK COUNTY LAW ENFORCEMENT AGENCIES, AS WELL AS THE EMERGENCY MEDICAL SERVICES HAVE BEEN TRAINED TO TAKE SEXUAL ASSAULT VICTIMS TO AVCH-W'S ST JOSEPH CAMPUS SO THAT THE FORENSIC NURSING DEPARTMENT CAN MEET THESE VICTIMS AND BEGIN THE ARDOUS PROCESS OF COLLECTING EVIDENCE FOR PROSECUTION. FORENSIC NURSES UNDERGO A SIGNIFICANT AMOUNT OF ADDITIONAL TRAINING AND CERTIFICATION IN ORDER TO ENSURE THE EVIDENCE COLLECTED HAS BEEN PROCESSED CORRECTLY AND WILL HOLD UP IN CRIMINAL COURT. NOT EVERY HOSPITAL IN WICHITA HAS FORENSIC NURSES; HOWEVER, AVCH-W HAS BUILT A SOLID FOUNDATION WITH LAW ENFORCEMENT AGENCIES AND THE DISTRICT ATTORNEY'S OFFICE AND AS A RESULT HAS BEEN CALLED MANY TIMES TO THE WITNESS STAND TO VALIDATE THEIR INITIAL FINDINGS WHICH HAS LED TO CRIMINAL PROSECUTION. (7) HUMAN TRAFFICKING - AVCH-W'S PREVENTION AND EDUCATION PROGRAM HAS BECOME A NATIONAL BEST PRACTICE MODEL THAT IS BEING REPLICATED THROUGHOUT ASCENSION DUE TO ITS WORK WITH VICTIMS, LAW ENFORCEMENT, FORENSIC NURSING AND INNOVATIVE PRACTICES. THE GOALS FOR THE HT PROGRAM IS TO OFFER PROGRAM SUPPORT FOR OTHER ASCENSION MINISTRIES GETTING STARTED AND TO IMPLEMENT A TARGETED EDUCATION AND PREVENTION PROGRAM FOR CHILDREN AT-RISK. THIS NEW PROGRAM BEING PILOTED IS WORKING SPECIFICALLY WITH YOUTH, WHO ARE INPATIENTS OF AVCH-W'S BEHAVIORAL HEALTH UNIT. ITS GOAL IS TO TEACH VULNERABLE YOUTH, WHO ALREADY HAVE BEHAVIORAL/EMOTIONAL DISORDERS, HOW TO RECOGNIZE THE RECRUITING BEHAVIORS OF TRAFFICKERS AND TO HELP EACH OF THEM DEVELOP A PERSONALIZED SAFETY PLAN TO AVOID BECOMING TRAFFICKING VICTIMS THEMSELVES AND TO HELP SPREAD THIS AWARENESS TO THEIR PEERS. IN TAX YEAR 2018, AVCH-W HUMAN TRAFFICKING PROGRAM HELD 32 EDUCATIONAL SESSIONS AND EVENTS BUILDING THE AWARENESS AND EDUCATION OF 1,273 PARTICIPANTS. SINCE THE PROGRAM STARTED IN WICHITA/SEDGWICK COUNTY, 126 HUMAN TRAFFICKING PATIENTS HAVE BEEN PROVIDED MEDICAL ASSISTANCE. (8) MEDICAL TRANSPORTATION SERVICES - WHILE AVCH-W DOES NOT HAVE A FORMAL TRANSPORTATION PROGRAM, WHEN PATIENTS ARE DISCHARGED FROM THE HOSPITAL AND DO NOT HAVE ANY WAY TO GET HOME, THEIR SOCIAL WORKER WILL GRANT THEM A ONE-TIME PASS TO TAKE THEM TO WHERE THEY WILL BE STAYING WITHIN A CERTAIN MILEAGE RANGE IN SEDGWICK COUNTY. IN ADDITION, IF A PATIENT IS NEEDING TO BE TRANSFERRED TO ANOTHER FACILITY FOR MEDICAL SERVICES NOT AVAILABLE AT AVCH-W, THAT SPECIAL MEDICAL TRANSPORTATION WILL BE PROVIDED AT NO COST FOR THOSE WHO ARE UNINSURED OR HAVE NO OTHER MEANS OF GETTING THERE.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - Facility Group A - Ascension Via Christi Hospitals Wichita, Inc. - Line 1 (2). SIGNIFICANT NEEDS IDENTIFIED BUT NOT BEING ADDRESSED INCLUDE: (1) AFFORDABLE HEALTH INSURANCE - THE HOSPITAL DOES NOT HAVE THE RESOURCES TO GO ABOVE AND BEYOND WHAT IT CURRENTLY PROVIDES THROUGH ITS FINANCIAL ASSISTANCE PROGRAM. (2) DOMESTIC/FAMILY VIOLENCE - BEYOND THE CLASSES PROVIDED BY AVCH-W, THE HOSPITAL CHOOSES TO WORK CLOSELY WITH SEVERAL ORGANIZATIONS WHO HAVE BEEN PROVIDING SAFE SHELTER FOR DOMESTIC/FAMILY VIOLENCE VICTIMS AND THEIR CHILDREN FOR DECADES AND WILL CONTINUE TO DO SO. THE HOSPITAL FOCUSES PRIMARILY ON NEW AND YOUNGER PARENTS IN TEACHING THEM HOW TO ADDRESS THE NEEDS OF THE INFANTS AS A PROACTIVE MEASURE. (3) DRUG/ALCOHOL ABUSE - AVCH-W IS NOT CURRENTLY ABLE TO TREAT LARGE VOLUMES OF D/A PATIENTS DUE TO LIMITED RESOURCES AND STAFF EXPERTISE. THERE ARE OTHER ORGANIZATIONS IN THE AREA WHO ARE THE EXPERTS IN DEALING WITH ADDICTIONS FOR THIS TYPE OF PATIENT. AVCH-W WORKS WITH THESE EXISTING AGENCIES THROUGH THEIR EMERGENCY DEPARTMENT, BEHAVIOR HEALTH DEPARTMENT AND CASE MANAGEMENT DEPARTMENT AND THROUGH REPRESENTATION WITH A COMMUNITY COALITION ORGANIZED TO MEET THIS GROWING DEMAND. (4) MEDICAL TRANSPORTATION SERVICES - THE NEED IDENTIFIED WAS PRIMARILY LOOKING AT NON-EMERGENT MEDICAL TRANSPORTATION FOR REGULARLY SCHEDULED DOCTOR APPOINTMENTS OR TREATMENTS. THERE ARE SEVERAL ORGANIZATIONS THAT PROVIDE THIS SERVICE BUT RESIDENTS NEED TO CALL AHEAD AND MAKE APPOINTMENTS AND THE AVAILABLE TIME SLOTS ARE NOT ALWAYS AS CONVENIENT AS RESIDENTS WOULD LIKE. AVCH-W RESOURCES DO NOT ALLOW THEM TO GET INTO THE TRANSPORTATION BUSINESS GIVEN THE EXISTENCE OF A MASS TRANSIT SYSTEM ALREADY IN PLACE AND OPERATED BY THE LOCAL GOVERNMENT. THE HOSPITAL WILL PROVIDE SOME LIMITED TRANSPORTATION FOR PATIENTS WHO ARE DISCHARGED FOLLOWING TREATMENT IF THERE IS NO OTHER TRANSPORTATION ASSISTANCE AVAILABLE AND PATIENTS DON'T HAVE THE RESOURCES TO GET THEM HOME. PART OF THE REASON WHY LIMITED ACTIONS IN SOME AND NO ACTION IN OTHER NEEDS WAS DUE TO THE FACT THAT THE MOST RECENTLY CONDUCTED CHNA WASN'T ADOPTED BY THE RESPECTIVE BOARDS UNTIL THE END OF THE 2019 FISCAL YEAR. THE 2016 CHNA'S TOP FIVE AREAS OF CONCERN WERE: HEALTH INSURANCE COVERAGE, TREATMENT FOR LIFE-THREATENING DISEASES, BASIC MEDICAL CARE FOR LOW-INCOME, MEDICAL RESEARCH AND CHILD ABUSE PREVENTION/EDUCATION. TWO OF THESE IDENTIFIED NEEDS, HEALTH INSURANCE AND BASIC MEDICAL CARE FOR LOW -INCOME, WERE AGAIN IDENTIFIED IN THE 2019 CHNA. A THIRD, CHILD ABUSE PREVENTION/EDUCATION WAS SIMILARLY RELATED TO A THIRD AREA IDENTIFIED IN 2019 UNDER THE HEADING DOMESTIC/FAMILY VIOLENCE. ALL THREE OF THESE AREAS, WHILE PARTIALLY ADDRESSED BY AVCH-W THROUGH SUPPORT OF MEDICAID EXPANSION AND, UNREIMBURSED COSTS FOR THE MEDICAID; MEDICAL MISSIONS AT HOME EVENTS; PARENTING EDUCATION CLASSES AND MORE; THESE ARE LONG-TERM ISSUES, MANY SPANNING OVER GENERATIONS THAT WILL REQUIRE CULTURAL SHIFTS, ADDITIONAL GOVERNMENT FUNDING AND INCREASED MENTAL/SOCIAL BEHAVIOR SUPPORT.
Schedule H, Part V, Section B, Line 2 Facility Group B - Rock Regional Hospital, LLC - LINE 2 On April 9, 2019 the newly constructed Rock Regional Hospital opened for patients. The 89,466 square foot facility features the following: * 24 Private Patient Suites * 7 ICU Suites * 6 Emergency Department Rooms * 4 State-of-the-Art Operating Suites * 2 Procedure Rooms * 2 Heart Catheterization Suites * Advanced Imaging Services * Laboratory Services * Caring and Compassionate Staff The following services and specialties are provided: Anesthesia Cardiology Ear, Nose and Throat Care (Otolaryngology) Emergency Medicine Family Medicine Gastroenterology (GI) General Surgery Gynecology Internal Medicine lnterventional Radiology Orthopedics Pain Management Physical Medicine & Rehabilitation Plastics Podiatry Pulmonology Urology
Schedule H, Part V, Section B, Line 3E Facility Group B - Rock Regional Hospital, LLC - Line 2 TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.
Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - Facility Group B - Rock Regional Hospital, LLC - Line 2. THE FY 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS THE THIRD TIME THAT ALL ASCENSION VIA CHRISTI HOSPITALS IN SEDGWICK COUNTY PARTNERED WITH THE UNITED WAY OF THE PLAINS (UWP) AND SEDGWICK COUNTY HEALTH DEPARTMENT (SCHD) TO JOINTLY ASSESS THE HEALTH NEEDS OF SEDGWICK COUNTY RESIDENTS. THE ACTUAL CHNA PROCESS IS DIVIDED INTO THREE MAJOR PARTS: (1) THE ENVIRONMENTAL SCAN; (2) NEEDS SURVEY WHICH INCLUDED RANDOMLY SELECTED HOUSEHOLDS, GOVERNMENT AND NOT-FOR-PROFIT ORGANIZATIONAL LEADERS, AND COMMUNITY LEADERS ELECTED AND/OR APPOINTED GOVERNMENT OFFICIALS AND PRESIDENTS/CEOS FROM THE AREA'S LARGEST BUSINESSES; (3) PRIORITY STUDY - WHERE ALL THREE ORGANIZATIONS TOOK THE DATA COLLECTED BACK TO THEIR RESPECTIVE LEADERS TO ESTABLISH ORGANIZATIONAL PRIORITIES BASED ON NEEDS, ORGANIZATIONAL RESOURCES AND EXPERTISE IN DEALING WITH THE ISSUES. A RANDOM SAMPLE OF 6,500 SEDGWICK AND BUTLER COUNTY HOUSEHOLDS WAS SELECTED. PRE-SURVEY POSTCARDS WERE MAILED VIA FIRST CLASS MAIL ON OCTOBER 26, 2018, INFORMING POTENTIAL RESPONDENTS ABOUT THE CHNA, ASKING THEM TO WATCH FOR AND COMPLETE THEIR SURVEYS AND GIVING THEM THE OPPORTUNITY TO REQUEST THE SURVEY IN SPANISH OR VIETNAMESE, IF PREFERRED. THEN ON NOVEMBER 6, 2018, SURVEYS, COVER LETTERS AND POSTAGE-PAID RETURN ENVELOPES WERE MAILED OUT VIA FIRST CLASS WITH A REQUESTED RETURN DATE OF NOVEMBER 22, 2018. FOLLOW-UP REMINDER POSTCARDS WERE MAILED OUT ON NOVEMBER 15, 2018. THE RESPONSE RATE FROM THE RANDOMLY SELECTED HOUSEHOLDS WAS 6.1%. IN ADDITION, IN AN EFFORT TO DRAW UPON THE RECOGNITION AND REPUTATION OF INDIVIDUALS IN SEDGWICK AND BUTLER COUNTIES, COMMUNITY LEADERS WERE IDENTIFIED BY NONPROFIT HEALTH AND HUMAN SERVICES AGENCIES BY ASKING EACH EXECUTIVE DIRECTOR TO IDENTIFY UP TO TEN COMMUNITY LEADERS THEY BELIEVED SHOULD BE SURVEYED TO GAUGE THE COMMUNITY'S PULSE AS IT PERTAINS TO THE AREA'S HEALTH AND HUMAN SERVICE NEEDS. ALL COMMUNITY LEADERS IDENTIFIED BY AT LEAST TWO AGENCY EXECUTIVE DIRECTORS WERE INCLUDED IN THE SURVEY RESEARCH. THEY INCLUDED NONPROFIT HEALTH AND HUMAN SERVICES AGENCIES EXECUTIVE DIRECTORS, AS WELL AS PRESIDENTS/CHIEF EXECUTIVE OFFICERS OF THE AREA'S LARGEST EMPLOYERS, LOCAL ELECTED AND APPOINTED GOVERNMENT OFFICIALS, PUBLIC SCHOOL DISTRICT SUPERINTENDENTS AND BOARD PRESIDENTS WERE INVITED TO PARTICIPATE. SURVEYS WERE MAILED OUT TO 456 COMMUNITY LEADERS AND THE RESPONSE RATE WAS 18.1 PERCENT. TO GET A FEELING OF REAL COMMUNITY NEEDS THAT ARE BEING ADDRESSED BY LOCAL NOT-FOR-PROFIT AND GOVERNMENT AGENCIES, USING THE UNITED WAY OF THE PLAINS 2-1-1 DATABASE AND THE MEMBERSHIP LIST OF THE COALITION OF COMMUNITY HEALTH CLINICS FOR WICHITA-SEDGWICK COUNTY, 174 EXECUTIVE DIRECTORS OF PROGRAMS DEALING WITH POOR AND/OR VULNERABLE POPULATIONS WERE ASKED TO PARTICIPATE IN THE SURVEY EFFORT. THE RESPONSE RATE FROM THIS TARGET GROUP WAS 45.0 PERCENT. ALL THREE ORGANIZATIONS DEVELOPED THE SURVEY INSTRUMENT BASED ON PRIOR CHNA TOOLS SO THAT TREND ANALYSIS COUND BE COMPLETED; UNITED WAY OF THE PLAINS' RESEARCH DEPARTMENT TOOK THE LEAD ROLE IN THE SURVEY DISTRIBUTION METHOD, MAILING, COLLECTION, DATA ENTRY, DATA ANALYSIS AND DEVELOPING A COMMUNITY REPORT. THE SEDGWICK COUNTY HEALTH DEPARTMENT'S DIRECTOR PROVIDED THE LEADERSHIP FOR ORGANIZING AND HOSTING THE FOCUS GROUPS (E.G. NEIGHBORHOOD ASSOCIATIONS, SENIOR CENTERS, MINORITY CHURCH GROUPS, ETC.), AS WELL AS DEVELOPING A POWERPOINT OF THE FINDINGS FROM THE FOCUS GROUP DISCUSSIONS. ASCENSION VIA CHRISTI'S DIRECTOR OF COMMUNITY BENEFIT WAS THE PRIMARY CONTACT FOR PROVIDING THE FUNDING FOR GETTING THE SURVEYS PRINTED, MAILING COSTS, PROVIDING A FREE-POSTAGE PAID RETURN MAILING ENVELOPE FOR EACH RESPONDENT AND WRITING A SEPARATE REPORT, BASED ON THE UWP ANALYSIS, THAT COMPLIED WITH ALL OF THE IRS REQUIREMENTS.
Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - Facility Group B - Rock Regional Hospital, LLC - Line 2. THE FY 2019 CHNA WAS CONDUCTED IN PARTNERSHIP WITH ASCENSION VIA CHRISTI HOSPITAL WICHITA ST. TERESA, INC., ASCENSION VIA CHRISTI REHABILITATION HOSPITAL, INC., ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. AND KANSAS SURGERY & RECOVERY CENTER.
Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - Facility Group B - Rock Regional Hospital, LLC - Line 2. THE FY 2019 CHNA WAS CONDUCTED IN PARTNERSHIP WITH UNITED WAY OF THE PLAINS (UWP) AND SEDGWICK COUNTY DIVISION OF HEALTH (SCDH).
Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - Facility Group B - Rock Regional Hospital, LLC - Line 2 (1). SCH H, Part V, Line 11 SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE MOST RECENT CHNA INCLUDE: (1) HEALTH INSURANCE Goal: To support the expansion of Medicaid in the State of Kansas and encouraging patients to participate in the Accountable Care Act insurance exchange programs if not already insured. Strategies: - This goal is focused on the low-income, uninsured populations of Kansas - The goal is addressing policy change by State legislators - Target population for this goal is elected officials and the voters of Kansas - Will continue researching successful Medicaid expansion strategies adopted in other States focusing on alternative expansion models to determine if they would be a good fit for Kansas. - Stressing the importance to the public their personal responsibility in adopting healthy behaviors and the need for those not insured to enroll in an ACA cost-sharing plan. - Evidence based research which summarized finding from 324 studies on the impact of state Medicaid expansions under the ACA (published between 2014 through 2019) indicates that the expansion is linked to gains in coverage; improvements in access, financial security, and some measures of health status/outcomes and economic benefits for states and providers (2) BASIC MEDICAL CARE FOR LOW-INCOME Goal: To improve the patients' understanding on the need and benefits of having a medical care home and assist them in gaining entry through active referrals and application for coverage through government programs (e.g. Medicaid). Strategies: - Strategy will address social determinants of health, health disparities and the challenges of those who may be underserved. - Target population is medically underserved, low-income/vulnerable individuals - Evidence based research from peer-reviewed literature documents that having a medical home improves quality, reduces errors, and increases satisfaction when patients identify with a primary care medical home. Evidence from multiple settings and several countries supports the ability of medical homes to advance societal health. (3) DRUG AND ALCOHOL ABUSE RRH does treat patients brought into the ER by law enforcement, family or friend for abuse of drugs and/or alcohol. These patients may need to be admitted to the hospital due to an overdose or may be temporarily checked in or once stabilized referred to the AVCH St Joseph Psychiatric Observation Unit that just recently opened in 2019. RRH does not operate a detox facility but will take care of any patient coming in to the ER until it is safe to dismiss or make a transfer to another more appropriate facility. Individuals who have an addiction to drugs or alcohol, or who routinely abused them, can find assistance at several organizations within Sedgwick County. Organizations listed below are some of the community partners ready to assist patients once they have been released, assuming the patient is ready to be rehabilitated: Substance Abuse Center of Kansas, COMCARE, Prairie View, Recovery Unlimited, Higher Ground, Women's Recovery Center - DCCCA, Preferred Family Healthcare, Miracles, Inc., Restoration/Knox Center, Inc., Mental Health Association, 2-1-1- of Kansas and more. (4) BEHAVIORAL HEALTH/COUNSELING Goal: To partner with the community in finding more effective ways to promote mental health wellbeing by providing various levels of comprehensive, integrated and responsive mental health services, strengthening systems and enhancing community responses to those in crises. Strategies: - Strategy will address social determinants of health and the challenges of the underserved by partnering with community groups to address individuals of all ages with mental illnesses ranging from disorders that affect mood, thinking and behavior and those who care for them. - Target population: The Sedgwick County community, in addressing this goal it requires creating an environment that supports mental health through policy change, education,and a better understanding of effective interventions that are responsive, emotionally supportive and nonthreatening. (5) DOMESTIC/FAMILY VIOLENCE Goal: To engage in prevention and preparedness activities to respond appropriately when violence occurs in the community. Strategies: - Annually review staffing patterns to ensure safety of patients, staff and visitors about possible violence outbreaks on the ministry's premises. - Evidence-based research, conducted by the American Hospital Association in 2018, "...estimated that proactive and reactive violence response efforts cost U.S. hospitals and health systems approximately $2.7 billion in 2016. This included $280 million related to preparedness and prevention to address community violence, $852 million in unreimbursed medical care for victims of violence, $1.1 billion in security and training costs to prevent violence within hospitals, and an additional $429 million in medical care, staffing, indemnity, and other costs as a result of violence against hospital employees."7 - A 2017 study found that rates of violent incidents were 60 percent lower in hospital units with unit specific, comprehensive intervention plans compared to units that did not have such plans.8 - The strategies outlined here are focused on community violence that ends up coming into the hospital setting. - For domestic/family violence victims coming into the ER, clinical staff will provide appropriate referrals to local organizations whose mission it is to assist victims with counseling or relocating to safer environments. (6) SEXUAL ASSAULT/HUMAN TRAFFICKING Goal: To actively screen patients brought into the ER for signs of sexual assault/human trafficking with appropriate referral to follow. Strategies: - Ensure that front-line clinical staff have been trained and are aware of the warning signs displayed by human trafficking victims. - Ensure that front-line clinical staff are all aware and capable of implementing the AVC protocol on handling suspected human trafficking victims. - Research has shown that health care professionals can have a positive impact in finding, treating and addressing this new form of modern slavery as victims are brought in to ERs, primary care offices, urgent care centers, community health clinics and reproductive health clinics when they are sick, injured, or in need of medical treatment. (7) MEDICAL TRANSPORTATION SERVICES Providing medical transportation services was a program provided by the American Red Cross (ARC) for years in Sedgwick County. However, after the national organization reorganized the local chapters into regional centers and reprioritized the services that would be provided in the future, the medical transportation service was eliminated. United Way of the Plains, which had been one of the ARC Transportation Program's funding sources offer the grant monies to other organizations in the community, but no other service provider came forward. Limited transportation is provided by RRH when patients are discharged from the hospital and they do not have anyone who is available to take them home, are unable to access public transportation due to mobility challenges or lack of financial resources. Working with their social worker on a discharge plan, if transportation is identified as a barrier, then the social worker may grant them a one-time pass for transportation to their home or where they'll be staying during their recuperation within a certain mileage range in Sedgwick County or if they are in need of a security transport to another health care facility or psychiatric hospital RRH may underwrite that transportation if needed.
Schedule H, Part V, Section B, Line 11 Facility B, 2 Facility B, 2 - Facility Group B - Rock Regional Hospital, LLC - Line 2 (2). SIGNIFICANT NEEDS IDENTIFIED BUT NOT BEING ADDRESSED INCLUDE: (1) DRUG/ALCOHOL ABUSE - RRH IS NOT CURRENTLY ABLE TO TREAT LARGE VOLUMES OF D/A PATIENTS DUE TO LIMITED RESOURCES AND STAFF EXPERTISE. THERE ARE OTHER ORGANIZATIONS IN THE AREA WHO ARE THE EXPERTS IN DEALING WITH ADDICTIONS FOR THIS TYPE OF PATIENT. RRH WORKS WITH THESE EXISTING AGENCIES THROUGH THEIR EMERGENCY DEPARTMENT, BEHAVIOR HEALTH DEPARTMENT AND CASE MANAGEMENT DEPARTMENT AND THROUGH REPRESENTATION WITH A COMMUNITY COALITION ORGANIZED TO MEET THIS GROWING DEMAND. (2) MEDICAL TRANSPORTATION SERVICES - THE NEED IDENTIFIED WAS PRIMARILY LOOKING AT NON-EMERGENT MEDICAL TRANSPORTATION FOR REGULARLY SCHEDULED DOCTOR APPOINTMENTS OR TREATMENTS. THERE ARE SEVERAL ORGANIZATIONS THAT PROVIDE THIS SERVICE BUT RESIDENTS NEED TO CALL AHEAD AND MAKE APPOINTMENTS AND THE AVAILABLE TIME SLOTS ARE NOT ALWAYS AS CONVENIENT AS RESIDENTS WOULD LIKE. RRH RESOURCES DO NOT ALLOW THEM TO GET INTO THE TRANSPORTATION BUSINESS GIVEN THE EXISTENCE OF A MASS TRANSIT SYSTEM ALREADY IN PLACE AND OPERATED BY THE LOCAL GOVERNMENT. THE HOSPITAL WILL PROVIDE SOME LIMITED TRANSPORTATION FOR PATIENTS WHO ARE DISCHARGED FOLLOWING TREATMENT IF THERE IS NO OTHER TRANSPORTATION ASSISTANCE AVAILABLE AND PATIENTS DON'T HAVE THE RESOURCES TO GET THEM HOME. PART OF THE REASON WHY LIMITED ACTIONS IN SOME AND NO ACTION IN OTHER NEEDS WAS DUE TO THE FACT THAT THE MOST RECENTLY CONDUCTED CHNA WASN'T ADOPTED BY THE RESPECTIVE BOARDS UNTIL THE END OF THE 2019 FISCAL YEAR. SINCE RRH IS A BRAND NEW HOSPITAL THAT WAS BUILT IN DERBY, KANSAS, THIS IS THE FIRST CHNA WHICH HAS BEEN CONDUCTED AND THEREFORE, THE FIRST IMPLEMENATION STRATEGY SO THERE IS NO UPDATE TO PROVIDE ON ACTIONS TAKEN.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Page 9
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?21
Name and address Type of Facility (describe)
1 Via Christi Cancer Center
817 N Emporia
Wichita,KS67214 		Cancer Center
2 Via Christi Cyberknife Center
825 N Emporia
Wichita,KS67214 		Cyberknife Cancer Treatment
3 Via Christi Wound Center
825 N Emporia
WICHITA,KS67214 		Wound Center
4 Solutions for Life
6100 E Central
WICHITA,KS67208 		Medical Research
5 Via Christi Research
1100 N st Francis
Wichita,KS67214 		Medical Research
6 Via Christi Family Medicine CENTER
707 N Emporia
WICHITA,KS67214 		Family Practice Clinic
7 Via Christi Family Medicine
1121 s Clifton
Wichita,KS67218 		Family Practice Clinic
8 Dr Anthony Johnstone
1230 E 6th
Winfield,KS67156 		Family Practice Clinic
9 ASCENSION VIA CHRISTI CLINIC FAMILY MEDICINE ON CLIFTON
1121 S CLIFTON
WICHITA,KS67218 		FAMILY MEDICINE RESIDENCY CLINIC
10 ASCENSION VIA CHRISTI SLEEP CENTER ON CARRIAGE PARKWAY
818 NORTH CARRIAGE PARKWAY
WICHITA,KS67208 		SLEEP STUDY
11 ASCENSION VIA CHRISTI SLEEP CENTER ON SOCORA
750 N SOCORA SUITE 100
WICHITA,KS67212 		SLEEP STUDY
12 ASCENSION VIA CHRISTI CYSTIC FIBROSIS
707 N EMPORIA
WICHITA,KS67214 		HELPS CHILDREN AND ADULTS MANAGE CF
13 ASCENSION VIA CHRISTI EPILEPSY CENTER
VIA CHRIST HOSPITAL ST FRANCIS
WICHITA,KS37235 		EPILEPSY MONITORING
14 ASCENSION VIA CHRISTI REGIONAL BURN CENTER
929 N ST FRANCIS
WICHITA,KS67235 		BURN CARE FACILITY
15 ASCENSION VIA CHRISTI SUCTIONING CLINIC
929 N ST FRANCIS
WICHITA,KS67208 		PRESCRIPTION ONLY TREATMENT BRONCHIOLITIS
16 ASCENSION VIA CHRISTI WEIGHT MANAGEMENT IN WICHITA
1151 N ROCK ROAD
WICHITA,KS67206 		WEIGHT LOSS ASSISTANCE
17 BLOOD AND MARROW TRANSPLANT CENTER OF KANSAS
929 N ST FRANCIS
WICHITA,KS67208 		BLOOD AND MARROW TRANSPLANT
18 CARDIAC AND PULMONARY REHABILITATION
848 N ST FRANCIS
WICHITA,KS67208 		CARDIAC AND PULMONARY REHABILITATION
19 NEUROLOGY
VIA CHRIST HOSPITAL ST FRANCIS
WICHITA,KS37235 		SPECIALTY CARE FOR NEUROLOGY PATIENTS
20 TRANSITIONAL CARE CLINIC
848 N ST FRANCIS SUITE 2945
WICHITA,KS67214 		COSMETIC AND AESTHETICS SERVICES
21 ASCENSION VIA CHRSTI THERAPY CENTER ON ST FRANCIS
929 N ST FRANCIS
WICHITA,KS67214 		OCCUPATIONAL THERAPY, PHYSICAL THERAPY, ETC
Schedule H (Form 990) 2018
Page 10
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG Patients with demonstrated financial needs with income greater than 400% of the FPG may be eligible for consideration under a "Means Test" for some discount of their charges for services from the Organization based on a substantive assessment of their ability to pay. Ascension Via Christi Hospitals Wichita, Inc. will consider Medical Indigence for applicants exceeding 400% of the FPG. When the total outstanding medical debt exceeds the gross household income for the past year the patient will be eligible for financial assistance not to exceed an 85% write off.
Schedule H, Part V, Section B Line 7a - Hospital facility's website FACILITY REPORTING GROUP A - ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. - LINE 1 https://healthcare.ascension.org/chna After selecting Kansas, click on the link for 2019 Via Christi Health CHNA Report
Schedule H, Part V, Section B Hospital Websites Part V, Section B: During the course of the tax year and/or prior to the filing of the return for the taxable year, the filing organization, which is part of a larger health system, transitioned from a separately hosted website (or websites), to being a part of the health system's centrally hosted hospital website. This transition was intended to facilitate public access to information, including enabling the health system to better manage and monitor compliance requirements that IRC Section 501(r) information be made widely available to the public. During and as a result of the migration of hospital facility information to the new central website, it is possible that there may have been brief instances of web access interruption. If so, the filing organization believes that any such interruptions would have been minor and inadvertent, and due to reasonable cause, and that any such instances would have been immediately addressed when identified. The filing organization and health system have established procedures in place as part of its centralized monitoring and management processes that are reasonably designed to address, monitor and promote compliance with the requirements of IRC Section 501(r). In an effort to be fully transparent, the filing organization has chosen to pro-actively disclose on this Form 990 this possibility of very minor and inadvertent web access interruptions that could have occurred in the normal course of migrating locally maintained hospital facility information to an improved centrally managed website. In so disclosing, the organization is not reporting that interruptions in the nature of a Section 501(r) violation in fact occurred. Rather, the organization is pro-actively disclosing that the migration process was undertaken and that, in completing that process, it is possible that brief interruptions in web access may have occurred as the hospital facility data was relocated to the central website.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization ASCENSION VIA CHRISTI HEALTH,INC. EIN: 48-1172107
Schedule H, Part I, Line 7g Subsidized Health Services SUBSIDIZED HEALTH SERVICES - NET LOSSES BY ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. INCLUDED FORENSIC NURSING, SPECIALTY CLINICS, A TRANSITIONAL CLINIC, A COMMUNITY CARES CLINIC, A HEART FAILURE CLINIC, AND HOSPITAL OUTPATIENT.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED.
Schedule H, Part II Community Building Activities THE TOTAL QUALITY MANAGEMENT DEPARTMENT COLLECTS VARIOUS RECYCLABLES IN AN EFFORT TO ENSURE GOOD STEWARDSHIP OF THE EARTH'S RESOURCES. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. (AVCH-W) INVITES STUDENTS INTERESTED IN A HEALTH CAREER TO OBSERVE THEIR DAY-TO-DAY OPERATIONS PAIRED WITH A PROFESSIONAL REPRESENTING THEIR CAREER ASPIRATIONS. THIS GIVES STUDENTS AN OPPORTUNITY TO WEIGH THEIR EXPECTATIONS WITH THE REALITY OF EACH HEALTHCARE PROFESSIONAL, SO THE STUDENT CAN MAKE AN INFORMED DECISION ABOUT WHICH CAREER TO FOLLOW AS THEY ENTER INTO COLLEGE LIFE. THIS REAL-LIFE OPPORTUNITY HAS HELPED TO RECRUIT NEW HEALTHCARE PROFESSIONALS GIVEN THEIR INITIAL EXPOSURE IN FRONT-LINE HOSPITAL WORK. THE HOSPITAL ALSO ALLOWS NOT-FOR-PROFIT COMMUNITY GROUPS TO MAKE USE OF OUR CONFERENCE ROOMS FOR THEIR REGULARLY SCHEDULED MEETINGS AND/OR CONFERENCES TO SAVE THEIR RESOURCES FOR DELIVERING PROGRAMS OR TO PROVIDE ASSISTANCE TO THOSE THEY ARE ORGANIZED TO SERVE, ESPECIALLY THE POOR AND VULNERABLE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2019 WAS $35,318,780 AT CHARGES, ($7,054,280 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART THE OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 18-20.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED.
Schedule H, Part V, Section B, Line 16a FAP website A - ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.: Line 16a URL: https://healthcare.ascension.org/Financial-Assistance; B - Rock Regional Hospital, LLC: Line 16a URL: https://rockregionalhospitalderby.com/billing-financial-policy/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.: Line 16b URL: https://healthcare.ascension.org/Financial-Assistance; B - Rock Regional Hospital, LLC: Line 16b URL: https://rockregionalhospitalderby.com/billing-financial-policy/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.: Line 16c URL: https://healthcare.ascension.org/Financial-Assistance; B - Rock Regional Hospital, LLC: Line 16c URL: https://rockregionalhospitalderby.com/billing-financial-policy/;
Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE CHNAS CONDUCTED EVERY 3 YEARS BY THE HOSPITAL, AVCH-W MAKES USE OF OTHER RESEARCH CONDUCTED IN THE COMMUNITY (E.G. SEDGWICK COUNTY HEALTH DEPARTMENT'S ANNUAL PLAN, THE UNITED WAY'S POINT-IN-TIME HOMELESS STUDY, UP-TO-DATE DOWNLOADS FROM THE CENSUS BUREAU, COUNTY HEALTH RANKINGS & ROADMAPS, KS HOSPITAL ASSOCIATION'S KS HEALTH MATTERS WEBSITE, AS WELL AS KANSAS UNIVERSITY'S INSTITUTE FOR POLICY AND SOCIAL RESEARCH). SPECIFIC RESEARCH MAY BE CONDUCTED WHEN APPLYING FOR GRANTS AND TARGETED RESEARCH FOCUSING ON PATIENTS WHO COME INTO OUR EMERGENCY ROOMS AND/OR OTHER DEPARTMENTS ARE USEFUL IN LOOKING AT POPULATION HEALTH TRENDS. IN PARTNERSHIP AVCH-W STAFF SERVE ON THE HEALTH ALLIANCE COMMITTEE ALONG WITH THE UNITED WAY OF THE PLAINS, SEDGWICK COUNTY HEALTH DEPARTMENT, UNIVERSITY OF KANSAS SCHOOL OF MEDICINE IN WICHITA AND OTHER ORGANIZATIONS WHERE ASSESSMENTS ARE CONDUCTED AND CONVERSATIONS REGULARLY HELD AROUND WHAT OTHER ASSESSMENTS ARE BEING PLANNED AND/OR CONDUCTED AS WELL AS THE FINDINGS FROM THE RESULTS OF THOSE EFFORTS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance AVCH-W FINANCIAL ASSISTANCE STAFF IS TRAINED ON HOW TO QUALIFY PATIENTS FOR MEDICAID, SCHIP AND OTHER SUCH INCOME-BASED PROGRAMS. DURING THE PATIENT'S REGISTRATION, ADMISSIONS AND DISCHARGE PROCESSES, AVCH-W ATTEMPTS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY OR DISCOUNTED CARE THROUGH THE CHARITY CARE POLICY. IN ADDITION, AVCH-W USES A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE FREE AND DISCOUNTED CARE.
Schedule H, Part VI, Line 4 Community information THE PRIMARY COUNTY FOR ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. INCLUDES SEDGWICK COUNTY WHICH HAS A LAND AREA OF 998 SQUARE MILES WITH AN ESTIMATED 2018 POPULATION OF 513,607. SEDGWICK COUNTY'S RACIAL BREAKOUT INCLUDES 81.0% WHITE, 9.3% BLACK, 1.3% AMERICAN INDIAN, 4.6% ASIAN AND 14.9% PERSONS OF HISPANIC OR LATINO ORIGIN. THE DIVERSITY OF THE POPULATION IN SEDGWICK COUNTY IS GREATER THAN FOR THE STATE OF KANSAS AS A WHOLE. IT WAS REPORTED BY 14.3% OF SEDGWICK COUNTY RESIDENTS THAT A LANGUAGE OTHER THAN ENGLISH IS SPOKEN AT HOME. WHEN IT COMES TO EDUCATION, 89.1% OF SEDGWICK COUNTY RESIDENTS COMPLETED HIGH SCHOOL AND 30.7% HAD A BACHELOR'S DEGREES OR HIGHER. MEDIAN HOUSEHOLD INCOME FOR SEDGWICK COUNTY RESIDENTS BETWEEN THE YEARS OF 2013-2017 WAS $52,841. THE MEDIAN VALUE OF OWNER- OCCUPIED HOUSING UNITS, DURING THE SAME TIME PERIOD IN SEDGWICK COUNTY, WAS $130,900. SEDGWICK COUNTY REPORTS 14.2% OF ITS RESIDENTS ARE BELOW POVERTY LEVEL. THE STATEWIDE POVERTY LEVEL IS AROUND 12.0%. HOWEVER BOTH OF THESE STATISTICS HAVE IMPROVED OVER THE LAST YEAR.
Schedule H, Part VI, Line 5 Promotion of community health AVCH-W ENRICHES THE WICHITA AREA THROUGH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND TAKING CARE OF PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COMMUNITY REPRESENTATION OF THE GOVERNING BODY - WHERE THE MAJORITY OF ITS MEMBERS ARE EXTERNAL MEMBERS COMPRISED OF PERSONS WHO RESIDE OR WORK IN SEDGWICK COUNTY AND HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE MISSION OF THE ORGANIZATION AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. THESE TRUSTEES REPRESENT AREAS OF EXPERTISE IN AREAS OF HEALTHCARE, FINANCE, EDUCATION, AND LOCAL GOVERNMENT. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE MINISTRY BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO DAILY OPERATIONS. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY AND BUSINESS/FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR DETERMINING THE USE OF SURPLUS FUNDS GENERATED BY THE ORGANIZATION, WHICH ARE REINVESTED IN THE MINISTRY IN ORDER TO ALLOW THE MINISTRY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. OPEN MEDICAL STAFF - THERE ARE AROUND 850 PHYSICIAN MEDICAL STAFF OF WHICH AROUND 150 OF THESE ARE ASCENSION MEDICAL GROUP CLINIC PHYSICIANS. PRIMARY CARE PHYSICIANS AND OTHER CLINICAL STAFF ARE PROVIDING MEDICAL HOME SERVICES TO MEDICARE AND MEDICAID PATIENTS, ESPECIALLY THOSE WITH MULTIPLE CHRONIC DISEASES. COMMUNITY BOARDS/COMMITTEES/COALITIONS - AVCH-W STAFF PARTICIPATES IN THE COMMUNITY ON BOARDS AND COMMITTEES OF OTHER NOT-FOR-PROFIT ORGANIZATIONS, GOVERNMENT ENTITIES, FOUNDATIONS, AREA COLLEGES AND UNIVERSITY COMMITTEES, STATE-WIDE COALITIONS AND NATIONAL HEALTHCARE RELATED NOT-FOR-PROFIT ORGANIZATIONS. ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. HAS REPRESENTATIVES WHO REGULARLY SERVE IN SOME CAPACITY TO FULFILL THE MISSIONS OF THE FOLLOWING ORGANIZATIONS BOARDS, COMMITTEES OR ADVISORY COUNCILS: CATHOLIC CARE CENTER, CATHOLIC CHARITIES, CHILD ADVOCACY CENTER OF SEDGWICK COUNTY, GRACEMED, GUADALUPE CLINIC, KS HOSPITAL ASSOCIATION'S REIMBURSEMENT/FINANCE, PROJECT ACCESS, SAFE KIDS WICHITA COALITION, SW ONCOLOGY GROUP, UNITED WAY OF THE PLAINS, WCGME, WICHITA STATE, BUTLER COUNTY COMMUNITY COLLEGE, COWLEY COMMUNITY COLLEGE, HESSTON COLLEGE AND MORE. AVCH-W ENCOURAGES PARTICIPATION OF OUTSIDE NON-PROFIT GROUPS TO USE THEIR MINISTRIES TO PROMOTE THEIR MISSIONS, SUCH AS NEWMAN UNIVERSITY AND WICHITA STATE UNIVERSITY NURSING STUDENTS, EMPLOYEES OF THE STATE'S MEDICAID ENROLLMENT PROGRAM, UNIVERSITY OF KANSAS PSYCHIATRY CLERKSHIP, AMERICAN RED CROSS BLOOD DONATION PROGRAM AND OTHERS. IN ADDITION, AVCH-W PROVIDES RENT SUBSIDIES FOR SEDGWICK COUNTY'S EMS VEHICLES, GRACEMED CLINIC (FQHC), RONALD MCDONALD HOUSE, ST. GIANNA'S ACADEMY AND OTHER NOT-FOR-PROFIT GROUPS NEEDING SPACE TO HOLD THEIR MEETINGS, TRAININGS AND/OR ROUTINE WORK. AVCH-W STAFF PRESENT NUMEROUS EDUCATIONAL TALKS DURING THE COURSE OF THE YEAR ON VARIOUS TOPICS DEALING WITH HEALTH RELATED ISSUES FOR NEWS MEDIA WANTING TO INFORM THE PUBLIC ABOUT SPECIFIC ILLNESSES, BREASTFEEDING CLINICS FOR NEW MOMS OR NEWBORNS WHO ARE HAVING DIFFICULTY IN GRASPING THE NURSING TECHNIQUE, CRITICAL ACCESS HOSPITALS AND FIRST RESPONDERS WHO HAVE TO DEAL WITH BURN VICTIMS, THE GENERAL PUBLIC ON HEALTH PREVENTION AND WELLNESS ACTIVITIES, STUDENTS FROM GRADE SCHOOL TO COLLEGE AGE ON AVOIDING THE SPREADING OF THE COMMON COLD, CAR SEAT CHECK CLINICS, BICYCLE SAFETY, APPROPRIATE TOUCHING, HUMAN TRAFFICKING, AND WORKFORCE CAREERS.
Schedule H, Part VI, Line 6 Affiliated health care system AS PART OF ASCENSION VIA CHRISTI HEALTH, INC., ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. IS A MEMBER OF ASCENSION HEALTH ALLIANCE. AVCH'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, AND DURABLE MEDICAL EQUIPMENT). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS, ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR MINISTRY MARKETS, LOCATED IN MORE THAN 20 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: -TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. -UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. -COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. -COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED AND UNDERINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. CERTAIN COSTS SUCH AS GRADUATE MEDICAL EDUCATION AND CERTAIN OTHER ACTIVITIES ARE EXCLUDED FROM TOTAL OPERATING EXPENSES FOR PURPOSES OF THIS COMPUTATION.
Schedule H (Form 990) 2018
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