Community Benefit Insight - Tax-exempt hospital

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Salina Regional Health Center Inc

400 South Santa Fe

Salina, KS 67401

EIN: 481169103

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Salina Surgical Hospital

401 South Santa Fe Avenue
Salina, KS 67401

2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)

Salina Regional Health Center

Salina Surgical Hospital

Bed count	16	Medicare provider number	170187	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

Salina Regional Health Center IncDisplay data for year:

Community Benefit Spending- 2015
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

13.62%

Spending by Community Benefit Category- 2015
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2012-2015

Additional data

Community Benefit Expenditures: 2015

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 3,318,743 1.39 %
Medicaid as % of operating expenses	$ 13,751,249 5.77 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 2,280,697 0.96 %
Subsidized health services as % of operating expenses	$ 12,357,559 5.19 %
Research as % of operating expenses	$ 2,408 0.00 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 145,416 0.06 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 590,209 0.25 %
Community building* as % of operating expenses	$ 3,447 0.00 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	2
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	1
Workforce development	1
Other	0
Persons served (optional)	50
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	50
Other	0
Community building expense as % of operating expenses	$ 3,447 0.00 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 2,349 68.15 %
Workforce development as % of community building expenses	$ 1,098 31.85 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2015

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 24,928,857 10.46 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 1,996,451 8.01 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2015

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	NO

Supplemental Information: 2015

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 216656617 including grants of $ 27500) (Revenue $ 243798876)
SALINA REGIONAL HEALTH CENTER'S HOSPITAL AND HEALTH SYSTEM HAS A PRIMARY SERVICE AREA OF SALINE COUNTY, THREE IMMEDIATELY ADJACENT COUNTIES AS ITS SECONDARY SERVICE AREA, AND A 14-COUNTY REFERRAL AREA WITH SPECILITIES DRAWING PATIENTS FROM THE ENTIRE STATE AND BEYOND. DURING THE FISCAL YEAR, SALINA REGIONAL HEALTH CENTER, INC., DISCHARGED 9,941 INPATIENTS RESULTING IN 43,326 PATIENT DAYS, TREATED OUTPATIENTS IN 183,746 VISITS, AND GENERATED $217 MILLION IN NET PATIENT SERVICE REVENUE. THE AMOUNT OF UNCOMPENSATED CARE AMOUNTED TO $34 MILLION OF WHICH $9 MILLION OF CHARGES WERE CHARITY CARE DEDUCTIONS AND $25 MILLION WERE BAD DEBT WRITE OFFS.ORTHOPEDIC SURGERYTO FILL THE GROWING NEED FOR ORTHOPEDIC CARE, SALINA REGIONAL HEALTH CENTER OPENED SALINA REGIONAL ORTHOPEDIC CLINIC. THE CLINIC IS HEADED BY CHRISTOPHER BLAIR, D.O.SALINA REGIONAL ORTHOPEDIC CLINIC IS A COMPREHENSIVE, MULTIDISCIPLINARY ORTHOPEDIC TEAM AND PRACTICE - PROVIDING SERVICES FROM EMERGENCY ROOM CARE AND FOLLOW-UP, DIAGNOSIS AND TREATMENT TO POST-OPERATIVE CARE AND REHAB, PHYSICAL THERAPY AND SPORTS MEDICINE.AN ATHLETIC TRAINER IS ON STAFF FOR BOTH PATIENTS AND AREA SCHOOLS.AT SALINA REGIONAL ORTHOPEDIC CLINIC, PATIENTS ARE FULLY EDUCATED ABOUT THEIR CONDITIONS AND TREATMENT OPTIONS, BECAUSE THE MORE PATIENTS KNOW, THE MORE VESTED THEY'LL BE IN THEIR REHABILITATION. BECAUSE SALINA REGIONAL ORTHOPEDIC CLINIC IS A VITAL PART OF SALINA REGIONAL HEALTH CENTER, EVERY ASSET OF THE HOSPITAL IS IMMEDIATELY AVAILABLE TO ORTHO PATIENTS.VCAREVCARE IS A TOOL THAT MAKES IT POSSIBLE FOR PHYSICIANS TO USE COMPUTERS AND VIDEO COMMUNICATION IN ORDER TO PROVIDE VIRTUAL CONSULTATIONS. THESE VIRTUAL CONSULTATIONS OCCUR IN REAL TIME AND ALLOW BOTH PROVIDER AND PATIENT TO PARTICIPATE IN A VISIT REMOTELY THAT IS JUST AS PRIVATE AS AN IN-PERSON APPOINTMENT. THIS CONNECTION HAS GRANTED RURAL HOSPITALS AND PATIENTS ACCESS TO SPECIALTY CARE, ELIMINATING THE COSTS AND TIME ASSOCIATED WITH TRAVELING TO RECEIVE CARE AND REDUCING THE AMOUNT OF TIME FOR PATIENTS TO MISS WORK OR SCHOOL. DIAGNOSTIC OR SCREENING TESTS THAT ARE ORDERED BY THE PHYSICIAN CAN BE DONE AT THE PATIENT'S LOCAL HOSPITAL IF THE TEST IS OFFERED.PRIMARY STROKE CENTER CERTIFICATIONSALINA REGIONAL HEALTH CENTER HAS BEEN AWARDED PRIMARY STROKE CENTER CERTIFICATION BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM. THE CERTIFICATION COMES AS VALIDATION OF THE HOSPITAL'S EFFORTS TO ENHANCE STROKE CARE IN THE REGION. SALINA REGIONAL FIRST BEGAN WORKING TOWARDS PRIMARY STROKE CENTER CERTIFICATION IN 2015 AND WENT LIVE WITH A DEDICATED STROKE RESPONSE TEAM IN APRIL 2016 THAT RESPONDS TO CASES IN THE EMERGENCY DEPARTMENT WHENEVER STROKE IS SUSPECTED. EMERGENCY RESPONDERS CAN ACTIVATE THE TEAM AND HAVE IT READY TO RECEIVE PATIENTS THE MOMENT THEY ARRIVE AT SALINA REGIONAL HEALTH CENTER. MEMBERS OF THE TEAM INCLUDE EMERGENCY ROOM PHYSICIANS, NURSES, RADIOLOGY STAFF, PHARMACISTS AND LAB PERSONNEL WHO ALL HAVE RECEIVED SPECIALIZED TRAINING TO PROVIDE STROKE CARE.PEDIATRIC NEUROLOGYSALINA REGIONAL HEALTH CENTER BEGAN OFFERING PEDIATRIC NEUROLOGY SERVICES WITH THE ARRIVAL OF BRITTON ZUCCARELLI, M.D., A PEDIATRIC NEUROLOGIST AT SALINA PEDIATRIC CARE. SHE SPECIALIZES IN EVALUATING CHILDREN, BIRTH THROUGH 22 YEARS OF AGE, SUSPECTED OF NEUROLOGICAL ANOMALIES AND TREATS A WIDE RANGE OF CONDITIONS. NEUROLOGICAL DISORDERS CAN INCLUDE HEADACHES, SEIZURES, DEVELOPMENTAL DELAY, AUTISM, ADHD, TREMOR AND MORE.DR. ZUCCARELLI PROVIDES TREATMENT OPTIONS AND MEDICATIONS FOR PATIENTS, AS WELL AS ALTERNATIVE REMEDIES FOR NEUROLOGICAL DISORDERS THAT INVOLVE BOTOX INJECTION, ACUPUNCTURE AND NERVE BLOCKS.PREVIOUSLY, CHILDREN FROM THE REGION HAD TO TRAVEL AS FAR AWAY AS KANSAS CITY TO SEEK CARE FROM A PEDIATRIC NEUROLOGIST, WHERE THE AVERAGE WAIT TIME FOR APPOINTMENTS WAS SIX TO NINE MONTHS. NOW SALINA OFFERS PEDIATRIC NEUROLOGY SERVICES, SAVING MANY FAMILIES LONG WAITS FOR APPOINTMENTS AND TRAVEL TIME.NEW BUILDING FOR COMCAREAGING POPULATIONS ARE INCREASING THE DEMAND FOR PRIMARY CARE PHYSICIANS ACROSS THE COUNTRY AND BY 2019 THE NUMBER OF SENIORS AGE 65 AND OLDER IS EXPECTED TO GROW BY 20 PERCENT IN NORTH CENTRAL KANSAS.THESE FACTORS AND MORE PLAYED A HEAVY ROLE IN SALINA REGIONAL HEALTH CENTER'S DECISION TO CONSTRUCT A $10 MILLION MEDICAL OFFICE BUILDING ON SOUTH OHIO STREET IN SALINA TO BE A NEW HOME FOR COMCARE FAMILY PHYSICIANS AND STAFF. THE THREE STORY BUILDING CAN ACCOMMODATE UP TO 17 FAMILY PHYSICIAN PRACTICES WITH COMPREHENSIVE LAB, IMAGING AND ANCILLARY SUPPORT SERVICES ON SITE.MODERN AMENITIES, SPACIOUS LOBBIES AND INCREASED COMFORT AND CONVENIENCE ARE COMMON FIRST IMPRESSIONS PATIENTS EXPERIENCE AS THEY WALK IN FOR THEIR FIRST DOCTOR'S APPOINTMENT AT COMCARE'S NEW LOCATION ON SOUTH OHIO STREET IN SALINA.THE NEW THREE-STORY FACILITY OFFERS 47,672 SQUARE FEET OF SPACE - A MORE THAN 20,000 FEET INCREASE OVER THE OLD ELM STREET LOCATION. THE ADDED SPACE, SOME OF WHICH IS STILL UNFINISHED AFFORDS ROOM FOR FUTURE GROWTH AND THE ABILITY TO ACCOMMODATE AND RECRUIT UP TO EIGHT ADDITIONAL FAMILY MEDICINE PHYSICIANS. NEW ROBOTIC TECHNOLOGY ALLOWS GREATER USE FOR COMPLEX SURGERIES.SALINA REGIONAL HEALTH CENTER HAS IMPLEMENTED THE LATEST DA VINCI ROBOTIC SURGICAL SYSTEM, WHICH OFFERS BROADER CAPABILITIES TO PERFORM MORE COMPLEX MINIMALLY INVASIVE SURGERIES. WITH LONGER INSTRUMENT SHAFTS, SMALLER, THINNER ARMS AND NEWLY DESIGNED INSTRUMENT JOINTS, THE NEW DA VINCI XI SYSTEM ALLOWS SURGEONS TO OPERATE IN MULTIPLE QUADRANTS OF THE ABDOMEN MAKING IT MORE SUITABLE FOR COMPLEX GENERAL, UROLOGIC AND GYNECOLOGIC SURGERIES.SALINA REGIONAL FIRST STARTED OFFERING ROBOT ASSISTED SURGERY IN 2009 WITH THE DA VINCI SI SYSTEM. ONCE IMPLEMENTED IT QUICKLY BECAME A PREFERRED MEANS FOR HYSTERECTOMY, PROSTATECTOMY AND OTHER UROLOGIC SURGERIES AND SOME MINOR GENERAL SURGERIES. ALONG WITH THE NEW ARCHITECTURE OF THE XI SYSTEM A FIREFLY FLUORESCENCE IMAGING VISION SYSTEM AND VESSEL SEALER AND STAPLER INSTRUMENTS ARE INCLUDED WITH THE TECHNOLOGY. THE FIREFLY IMAGING SYSTEM USES A SPECIAL VIDEO CAMERA AND GLOWING DYE TO VIEW BLOOD FLOW IN VESSELS AND PROFUSION OF TISSUE OR BILE MOVING THROUGH DUCTS TO MORE ACCURATELY IDENTIFY ANATOMICAL FUNCTION. THE VESSEL SEALER AND STAPLER INSTRUMENTS AFFORD DELICATE CUTTING AND SEALING OF VESSELS AND STAPLE PLACEMENT DURING A PROCEDURE.AS AN ADDITION TO THE TECHNOLOGY SALINA REGIONAL ALSO ACQUIRED AN INTEGRATED MOTION TABLE THAT REPOSITIONS PATIENTS IN COORDINATION WITH THE ROBOTIC MOVEMENTS DIRECTED BY THE SURGEON TO FACILITATE GREATER ANATOMICAL ACCESS DURING SURGERY.

4B (Expenses $ 596544 including grants of $ 596544) (Revenue $ 0)
SALINA REGIONAL HEALTH CENTER, INC. AND ITS AUXILIARY PROVIDE GRANTS TO FURTHER THE ACTIVITIES OF THE COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) AT THE SALINA REGIONAL HEALTH FOUNDATION.

4C (Expenses $ 33800 including grants of $ 33800) (Revenue $ 0)
SALINA REGIONAL HEALTH CENTER, INC., PROVIDES SCHOLARSHIPS TO STUDENTS ATTENDING NURSING SCHOOL.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

SALINA REGIONAL HEALTH CENTER, INC.
PART V, SECTION B, LINE 6A: SALINA SURGICAL CENTER

SALINA SURGICAL CENTER
PART V, SECTION B, LINE 6A: SALINA REGIONAL HEALTH CENTER, INC.

SALINA REGIONAL HEALTH CENTER, INC.
PART V, SECTION B, LINE 6B: SALINE COUNTY HEALTH DEPARTMENTUNITED WAY OF SALINAUSD 305NORTH CENTRAL FLINT HILLS AREA AGENCY ON AGINGCENTRAL KANSAS FOUNDATION

SALINA SURGICAL CENTER
PART V, SECTION B, LINE 6B: SALINE COUNTY HEALTH DEPARTMENTUNITED WAY OF SALINAUSD 305NORTH CENTRAL FLINT HILLS AREA AGENCY ON AGINGCENTRAL KANSAS FOUNDATION

SALINA REGIONAL HEALTH CENTER, INC.
PART V, SECTION B, LINE 11: INCLUDED IN IMPLEMENTATION STRATEGY DOCUMENT.

SALINA SURGICAL CENTER
PART V, SECTION B, LINE 11: STAFF FROM SALINA SURGICAL CENTER, LLC PARTICIPATED IN THE CREATION OF THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZING THE NEEDS. EARNINGS FROM THE SALINA SURGICAL CENTER THAT ARE DISTRIBUTED TO SALINA REGIONAL HEALTH CENTER HELP FUND THE ACTIVITIES OF THE CHNA.

SALINA REGIONAL HEALTH CENTER, INC.
PART V, SECTION B, LINE 16I: IN REGARD TO LINE 16A, THE FINANCIAL ASSISTANCE POLICY WAS POSTED TO THE WEBSITE AFTER 9/30/16.

SALINA REGIONAL HEALTH CENTER, INC.
PART V, SECTION B, LINE 22D: THE LOOK-BACK METHOD IS USED TO DETERMINE AMOUNTS GENERALLY BILLED.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
THE METHODOLOGY USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE TAKES INTO CONSIDERATION INCOME, NET ASSETS, FAMILY SIZE AND RESOURCES AVAILABLE TO PAY FOR CARE. IN ADDITION, PRESUMPTIVE CHARITY CARE MAY BE APPLIED IN SITUATIONS WHERE ALL OTHER AVENUES HAVE BEEN EXHAUSTED.

PART I, LINE 6A:
THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON ITS WEBSITE AT HTTP://WWW.SRHC.COM/ABOUT/COMMUNITY_BENEFIT_REPORT.PHP

PART I, LINE 7:
AMOUNTS REPORTED ON LINES 7A AND 7B ARE FROM THE ORGANIZATION'S COST ACCOUNTING SYSTEM TAKING ALL PATIENT SEGMENTS INTO ACCOUNT. AMOUNTS ON LINES 7E, 7F, 7H AND 7I ARE FROM THE ACTUAL GENERAL LEDGER. SUBSIDIZED HEALTH SERVICES ON LINE 7G WERE CALCULATED UTILIZING IRS WORKSHEET 6.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $24,928,857.

PART II, COMMUNITY BUILDING ACTIVITIES:
AS A COMMUNITY HEALTH IMPROVEMENT ADVOCATE, SALINA REGIONAL HEALTH CENTER PROVIDES TRAUMA CASE REVIEW. SRHC ALSO PARTICIPATES IN COMMUNITY WORKFORCE DEVELOPMENT PROGRAMMING.

PART III, LINE 3:
A REVIEW OF BAD DEBT ACCOUNTS WAS CONDUCTED TO FIND ACCOUNTS THAT WERE ELIGIBLE FOR CHARITY CARE. ELIGIBILITY WAS DETERMINED BY WHETHER THE PATIENT HAD RECEIVED FINANCIAL ASSISTANCE FOR A PORTION OF THEIR RESPONSIBILITY TOWARD THE ACCOUNT. ANY CHARGES REMAINING IN BAD DEBT AFTER THE FINANCIAL ASSISTANCE WAS GRANTED WAS INCLUDED AS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.

PART III, LINE 4:
THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE TEN OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.

PART III, LINE 8:
THE PAYMENTS ARE COMPARED TO THE ACTUAL COST OF PROVIDING THE SERVICE AS ARRIVED AT THROUGH THE COST ACCOUNTING SYSTEM. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY.

PART III, LINE 9B:
IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS ADJUSTED ACCORDING TO OUR POLICY. ANY REMAINING BALANCE AFTER ADJUSTMENT IS COLLECTED UNDER THE BILLING AND COLLECTION POLICIES. OUR BILLING AND COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS WHO HAVE QUALIFED FOR FINANCIAL ASSISTANCE ARE CONSIDERED APPROVED FOR A PERIOD OF SIX MONTHS FROM THE DATE OF APPROVAL. AFTER SIX MONTHS, PATIENTS NEED TO REAPPLY FOR FINANCIAL ASSISTANCE.

PART VI, LINE 2:
IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, SRHC ANALYZES HOSPITAL DISCHARGE DATA FOR ALL COUNTIES IN THE REGION. THE KANSASHOSPITAL ASSOCIATION INPATIENT DISCHARGE DATABASE INCLUDES DATA FOR ALLREPORTING HOSPITALS. FROM THIS WE DETERMINE USAGE TRENDS THAT HELP USPLAN NEEDED SERVICES.

PART VI, LINE 3:
AT REGISTRATION, THE PATIENT IS INFORMED OF THEIR RIGHTS FOR FINANCIALASSISTANCE IF UNABLE TO PRODUCE VALID INSURANCE COVERAGE. THE PATIENT ISREFERRED TO A THIRD-PARTY VENDOR TO DETERMINE ELIGIBILITY FOR GOVERNMENTALPROGRAMS AND IF IT IS DETERMINED THEY DO NOT QUALIFY, THEY ARE SCREENEDUNDER OUR FINANCIAL ASSISTANCE GUIDELINES. WE POST OUR GUIDELINES ON OURWEBSITE AS WELL.

PART VI, LINE 4:
SALINA REGIONAL HEALTH CENTER, INC. IS A RURAL COMMUNITY HOSPITAL SERVING A PRIMARY SERVICE AREA OF SALINE COUNTY, THREE IMMEDIATELY ADJACENT COUNTIES ARE IT'S SECONDARY SERVICE AREA, AND HAS A 14-COUNTY REFERRAL AREA ALTHOUGH CERTAIN SPECIALTIES DRAW STATEWIDE. FOR PURPOSES OF COMMUNITY HEALTH NEEDS ASSESSMENT, THE PRINCIPAL COMMUNITY OF SRHC IS SALINE COUNTY BECAUSE THE OTHER THREE COUNTIES EACH HAVE A LOCAL CRITICAL ACCESS HOSPITAL WITHIN THE COUNTY.THE PRIMARY SERVICE AREA (SALINE COUNTY) HAS A POPULATION OF 55,740. WHEN COMPARED TO THE NATIONAL POPULATION, THIS AREA IS REPRESENTED BY AN OLDER POPULATION WITH A LOWER EDUCATIONAL LEVEL AND LOWER MEDIAN INCOME. THE AREA POPULATION GREW 0.2% BETWEEN 2010 AND 2013. THE PRIMARY SERVICE AREA POPULATION IS EXPECTED TO INCREASE BY 1.3% BY 2018, WHICH IS LOWER THAN THE RATE OF GROWTH EXPECTED FOR KANSAS (2.2%) AND THE U.S. (3.3%) FOR THE SAME TIME PERIOD.THE CHALLENGE OF THE AGING POPULATIONAS MEMBERS OF THE BABY BOOM GENERATION GET OLDER AND REACH RETIREMENT AGE, THEY PRESENT AN INCREASING CHALLENGE AND OPPORTUNITY FOR HEALTH CARE. THE GROWTH IN THE NUMBER OF ELDERLY PATIENTS FROM THE BOOMER GENERATION COUPLED WITH A LOSS OF BOOMER-AGE PROVIDERS WILL PRESSURE AN ALREADY-STRESSED HEALTH CARE SYSTEM. A BIG UNKNOWN IS HOW WELL MEDICARE WILL DIGEST THE 75 MILLION BABY BOOMERS AMID THE FEDERAL GOVERNMENT'S ATTEMPT TO TRANSFORM HOW CARE IS PROVIDED AND PAID FOR IN THE PROGRAM.SALINE COUNTY IS EXPECTED TO SEE THE 65+ AGE-GROUP INCREASE FROM 13.69% TO 21.55% IN THE YEAR 2035 BEFORE IT STARTS TO DECLINE.CANCER, HIGH CHOLESTEROL, COPD, ARTHRITIS, ALZHEIMER'S AND DEPRESSION FOR MEDICARE AGED RESIDENTS ALL CURRENTLY HAVE HIGHER RATES THAN THE REST OF THE STATE. THESE INDICATORS COUPLED WITH AN INCREASE IN RESIDENTS IN THIS AGE GROUP WILL BE AN ISSUE FOR YEARS TO COME.THE SERVICE AREA IS LESS ETHNICALLY DIVERSE COMPARED TO THE U.S. OVERALL. THE MAJORITY OF RESIDENTS ARE CAUCASIAN (81.4%) FOLLOWED BY HISPANIC (10.3%) AND BLACK (3.5%). SPANISH PATIENT EDUCATION MATERIALS ARE AVAILABLE AT SRHC AND THE HOSPITAL HAS DEVELOPED A TEAM OF SPANISH TRANSLATORS. RECOGNIZING THE RELATIVELY LOWER EDUCATIONAL LEVEL IN THE COMMUNITY, THE HOSPITAL WRITES PATIENT INFORMATION AT A 6TH TO 8TH GRADE READING LEVEL.MEDIAN HOUSEHOLD INCOME IN THE PRIMARY SERVICE AREA IN 2013 WAS $47,339 COMPARED TO A KANSAS MEDIAN OF $51,273, AND NATIONAL MEDIAN OF $53,046. A LACK OF AVAILABLE RESOURCES TO THE INDIGENT IS A CHALLENGE IN THIS ENVIRONMENT, SO IN ADDITION TO PROVIDING CHARITY CARE, THE HOSPITAL HAS AND CONTINUES TO SUPPORT THE SALINA FAMILY HEALTHCARE CENTER, WHICH PROVIDES CARE TO THE INDIGENT. OUR PATIENT POPULATION IS COMPOSED OF 50% MEDICARE, 11% MEDICAID, 31% COMMERCIAL, 3% TRICARE WORKERS COMPENSATION AND 5% UNINSURED.

PART VI, LINE 5:
THE GOVERNING BOARD OF SALINA REGIONAL HEALTH CENTER, INC., IS COMPRISED OF VOLUNTEERS INTENTIONALLY SELECTED TO PROMOTE THE BETTERMENT OF THE REGION WE SERVE. DEMONSTRATING ITS COMMITMENT TO COMMUNITY BENEFIT, THIS BOARD HAS FOR NEARLY 20 YEARS DONATED AN AVERAGE OF 10% OF THE HOSPITAL'S END-OF-YEAR OPERATING MARGIN TO THE COMMUNITY HEALTH INVEST PROGRAM (CHIP) OF THE SALINA REGIONAL HEALTH FOUNDATION. SALINA REGIONAL HEALTH CENTER, INC., ADMINISTRATORS AND GOVERNING BOARD MEMBERS ASSIST THE FOUNDATION BY PARTICIPATING IN THE CHIP COMMITTEE.SALINA REGIONAL HEALTH CENTER, INC. IS A MEMBER OF THE SUNFLOWER HEALTH NETWORK (SHN) ALONG WITH 15 CRITICAL ACCESS HOSPITALS (CAHS) DISTRIBUTED ACROSS 14 COUNTIES. A KANSAS HOSPITAL ASSOCIATION ADMINISTRATOR LED SHN STRATEGIC PLANNING THAT RESULTED IN REGIONAL HEALTH PRIORITIES, INCLUDING PROVIDING ACCESS TO SPECIALIST PHYSICIAN CARE, OPTIMIZING TIMELINESS AND SAFETY OF PATIENT TRANSFERS, AND SUSTAINING THE NUMBER OF QUALITY NURSES IN THE REGION. AS A RESULT OF THIS PROCESS, SALINA REGIONAL HEALTH CENTER, INC. WAS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL III TRAUMA CENTER, THE ONLY DESIGNATED LEVEL III TRAUMA CENTER IN THE NORTH CENTRAL KANSAS REGION. SALINA REGIONAL ALSO PROVIDES ACCESS TO COMPUTERIZED PATIENT SIMULATORS AND OTHER NURSING EDUCATION MODALITIES TO STRENGTHEN THE QUALITY OF NURSES IN REGIONAL COMMUNITIES. SALINA REGIONAL HEALTH CENTER BEGAN A PARTNERSHIP WITH THE UNIVERSITY OF KANSAS SCHOOL OF MEDICINE IN 2010 TO OPEN A MEDICAL SCHOOL CAMPUS IN SALINA. THE INTENT IS TO DEVELOP STUDENTS WHO WILL LIVE AND PRACTICE MEDICINE IN SMALLER-TOWN KANSAS TO HELP ALLEVIATE THE RURAL PHYSICIAN SHORTAGE. THE EIGHT STUDENTS IN THE INAUGURAL CLASS COMPLETED THEIR FIRST YEAR OF MEDICAL SCHOOL IN 2012. SALINA REGIONAL HEALTH CENTER IS INVESTING $1 MILLION OVER A FOUR-YEAR PERIOD TO HELP DEFRAY FACULTY AND OPERATING COSTS. THE HOSPITAL ALSO INVESTED SEVERAL HUNDRED-THOUSAND DOLLARS TO RENOVATE A BUILDING ON THE HOSPITAL CAMPUS. THE BUILDING ON SRHC CAMPUS IS PROVIDED TO KU RENT AND MAINTENANCE-FREE FOR AS LONG AS THE MEDICAL SCHOOL CAMPUS EXISTS.