4A (Expenses $ 10682184 including grants of $ 3330) (Revenue $ 13967169)
Wamego Hospital Association is a 18-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2022, Wamego Hospital Association treated 192 adults and children for a total of 1,216 patient days of service. The hospital also provided services for 45,338 outpatient visits, which included 121 outpatient surgeries and 3,358 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.

4B (Expenses $ 0 including grants of $ 0) (Revenue $ 0)
"- WAMEGO HOSPITAL ASSOCIATION (WHA) DEVELOPS PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVES HEALTH IN THE COMMUNITY OF WAMEGO, KANSAS. AS A PART OF ASCENSION VIA CHRISTI HEALTH, A CATHOLIC HEALTH SYSTEM, WE SHARE THE MISSION OF ""ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. WHA IS DEDICATED TO SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS."" THE OBLIGATION TO REACH OUT TO THOSE IN NEED AND IMPROVE COMMUNITY HEALTH FLOWS DIRECTLY FROM OUR IDENTITY AS A FAITH-BASED HEALING MINISTRY. AS A MISSION DRIVEN ORGANIZATION, WE PROVIDE COMMUNITY BENEFIT BECAUSE WE ARE COMMITTED TO OUR CORE VALUES OF: (1) SERVICE OF THE POOR - GENEROSITY OF SPIRIT, ESPECIALLY FOR PERSONS MOST IN NEED; (2) REVERENCE - RESPECT AND COMPASSION FOR THE DIGNITY AND DIVERSITY OF LIFE; (3) INTEGRITY - INSPIRING TRUST THROUGH PERSONAL LEADERSHIP; (4) WISDOM - INTEGRATING EXCELLENCE AND STEWARDSHIP; (5) CREATIVITY - COURAGEOUS INNOVATION AND (6) DEDICATION - AFFIRMING THE HOPE AND JOY OF OUR MINISTRY."

Schedule H, Part V, Section B, Line 3E
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 AND COMMUNITY LEADERS 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 , 1
Facility , 1 - WAMEGO HEALTH CENTER. IN WAMEGO HEALTH CENTER'S MOST RECENT CHNA, COMMUNITY INPUT WAS OBTAINED IN FY 2020 THROUGH THE FOLLOWING METHODS: COMMUNITY SURVEYS AND FOCUS GROUPS REPRESENTING UNDERSERVED COMMUNITIES. ORGANIZATIONS THAT ASSISTED IN PROVIDING INPUT INCLUDED: WICHITA STATE UNIVERSITY'S CENTER FOR APPLIED RESEARCH AND EVALUATION (WSU-CARE) AND THE FLINT HILLS WELLNESS COALITION. THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS REPRESENTED THROUGH THESE METHODS AND/OR ORGANIZATIONS INCLUDE: MINORITY AND IMMIGRANT POPULATIONS, CHILDREN, ELDERLY, HOMELESS, AND LOW INCOME FAMILIES.

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - WAMEGO HEALTH CENTER. THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH: - THE ASCENSION VIA CHRISTI HOSPITAL MANHATTAN - THE MANHATTAN SURGICAL HOSPITAL

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - WAMEGO HEALTH CENTER. WICHITA STATE UNIVERSITY'S CENTER FOR APPLIED RESEARCH AND EVALUATION WAS CONTRACTED BY THE FLINT HILL WELLNESS COALITION TO CONDUCT A COMMUNITY-WIDE NEEDS ASSESSMENT FOR RILEY AND POTTAWATAMIE COUNTY. COLLABORATING ORGANIZATIONS INCLUDED THE CAROLINE F. PEINE FOUNDATION, CITY OF MANHATTAN, GREATER MANHATTAN COMMUNITY FOUNDATION, KANSAS STATE UNIVERSITY, KONZA PRAIRIE COMMUNITY HEALTH & DENTAL CENTER, KONZA UNITED WAY AND THE RILEY COUNTY HEALTH DEPARTMENT.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - WAMEGO HEALTH CENTER - PART 1. IN WAMEGO HEALTH CENTER'S MOST RECENT CHNA, THE FOLLOWING WERE IDENTIFIED AS SIGNIFICANT NEEDS IN THE COMMUNITY: PHYSICAL HEALTH - ACCESS TO CARE: AFFORDABLE HEALTH SERVICES, HEALTH INSURANCE, AND PRESCRIPTIONS - PHYSICAL ACTIVITY & NUTRITION: FACILITIES FOR PHYSICAL ACTIVITY AND ACCESS TO HEALTHY FOOD OPTIONS MENTAL HEALTH - ACCESS TO CARE: AFFORDABLE AND HIGH-QUALITY MENTAL HEALTH SERVICES, HEALTH INSURANCE THAT INCLUDES MENTAL HEALTH CARE, AVAILABILITY OF MENTAL HEALTH PROVIDERS, AND CHILDREN'S MENTAL HEALTH SERVICES CHILDREN (BIRTH TO AGE 12) - SOCIAL DETERMINANTS OF HEALTH: CHILDCARE FOR CHILDREN 0-5, AFTER SCHOOL PROGRAMS, RECREATIONAL ACTIVITIES - EDUCATION: PARENTING EDUCATION/SKILLS DEVELOPMENT, AND MENTORING PROGRAMS TEENS (13 TO 18 YEARS OLD) - MENTAL HEALTH: MENTAL HEALTH CARE AND SUBSTANCE ABUSE PREVENTION AND TREATMENT - SKILLS DEVELOPMENT AND EDUCATION: EMPLOYMENT OPPORTUNITIES, WORKFORCE TRAINING, AND FINANCIAL SKILLS TRAINING OLDER ADULTS - SOCIAL DETERMINANTS OF HEALTH: AFFORDABLE HOUSING - EDUCATION: INDEPENDENT LIVING - ACCESS TO CARE: MEDICAL CARE, HOME HEALTH CARE OPTIONS; AFFORDABLE PRESCRIPTION DURING THE FY 2021- 2023 PROCESS, THE SIGNIFICANT NEEDS WERE FURTHER CATEGORIZED INTO THEMES AROUND MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, ACCESS TO CARE, SKILLS DEVELOPMENT AND EDUCATION, AND PHYSICAL ACTIVITY AND NUTRITION TO BETTER DEVELOP THE IMPLEMENTATION STRATEGIES AROUND THE PRIORITIZED NEEDS. THE FY 2021- 2023 IMPLEMENTATION STRATEGY SPECIFICALLY ADDRESSED: ACCESS TO CARE: HEALTH INSURANCE AND AFFORDABLE HEALTH SERVICES - ASCENSION VIA CHRISTI'S PRIORITIES FOR 2022 INCLUDED PROVIDING EDUCATION IN SUPPORT OF AND ADVOCATING FOR AN INCREASED UNDERSTANDING OF THE NEED FOR GREATER ACCESS TO CARE FOR THE MOST VULNERABLE THROUGH PROGRAMS SUCH AS MEDICAID EXPANSION, EXPANDING ACCESS TO TELEMEDICINE, PROTECTING PATIENT ACCESS TO AFFORDABLE MEDICATIONS PROVIDED THROUGH 340B, AND PROVIDING EDUCATION ON THE NEED FOR EXTENDING THE CURRENT PUBLIC HEALTH EMERGENCY PAST JANUARY 21, 2022. ASCENSION VIA CHRISTI'S EFFORTS ALSO INCLUDED INVOLVEMENT IN EFFORTS TO GAIN GREATER UNDERSTANDING REGARDING THE ABILITY OF OUR STATE'S PUBLIC HEALTH OFFICIALS TO ADDRESS INFECTIOUS DISEASE OUTBREAKS. ASCENSION VIA CHRISTI SUCCESSFULLY COMMUNICATED A CRITICAL NEED IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS FOR INCREASED PROGRAMS, PROVIDERS, AND AVAILABILITY TO MENTAL HEALTH CARE, PROVIDING EDUCATION REGARDING THE NEED TO EXPAND REGIONAL MENTAL HEALTH BED ACCESS IN THE SOUTH-CENTRAL KANSAS REGION. FURTHERMORE, THE ORGANIZATION PROVIDED SUPPORT IN RESPONSE TO THE INCREASED UNDERSTANDING OF THE NEED TO IMPROVE THE WORKFORCE SHORTAGES IN THE HEALTHCARE INDUSTRY. ALSO IN THIS AREA, THE STATE OF KANSAS RECEIVED APPROVAL FROM CMS OF A CHANGE IN THE HEALTH CARE ACCESS IMPROVEMENT PROGRAM (HCAIP) ASSESSMENT RATE TO HOSPITALS WHICH ALLOWS THE STATE TO DRAW DOWN FEDERAL MATCHING FUNDS TO SUPPORT MEDICAID (KANCARE) REIMBURSEMENT RATES TO PHYSICIANS AND HOSPITALS. ACCESS TO HEALTHY FOOD: - HOSPITAL STAFF ASSISTED HOMEBOUND AND ELDERLY COMMUNITY MEMBERS THROUGH THE ADOPTION OF MEALS-ON-WHEELS ROUTES. STAFF SPENT OVER 55.5 COMBINED HOURS DELIVERING 512 MEALS. - HOSPITAL STAFF ALSO SPENT HOURS VOLUNTEERING TO PROVIDE GARDENING SERVICES SUCH AS WEEDING, PLANTING, PROVIDING GARDEN TOURS, AND SERVING ON THE WAMEGO COMMUNITY GARDEN COMMITTEE. THE WAMEGO COMMUNITY GARDEN PROVIDES VEGETABLES FREE OF CHARGE TO COMMUNITY MEMBERS WHO ARE WILLING TO HARVEST THE PRODUCE. WAMEGO HEALTH CENTER STAFF VOLUNTEER TO HARVEST AND DONATE EXCESS PRODUCE TO A LOCAL FOOD PANTRY. A MEMBER OF THE FINANCE DEPARTMENT SPENT 13 HOURS AT THE COMMUNITY MATCH DAY TO HELP RAISE FUNDS FOR THE COMMUNITY GARDEN. THE HOSPITAL PAID FOR AND MADE 125 COPIES OF BROCHURES AND HAD POSTAGE EXPENSE OF $6.36 TO MAIL OUT THANK YOU' S AND RECEIPTS OF DONATIONS. MENTAL HEALTH: - WAMEGO HEALTH CENTER STAFF PROVIDE IN-KIND COUNSELING FREE OF CHARGE FOR LOW INCOME, UNDER/UNINSURED. STAFF PROVIDED COUNSELING TO INDIVIDUALS AND WITHIN GROUP THERAPY SESSIONS. STAFF PROVIDED OVER 19 HOURS OF COUNSELING TO 13 INDIVIDUALS DURING FY22. - THE MENTAL HEALTH FIRST AID PROGRAM WAS PUT ON INDEFINITE HOLD. THE THERAPIST THAT WAS TRAINED ON MENTAL HEALTH FIRST AID ENDED UP LEAVING EMPLOYMENT WITH WAMEGO HEALTH CENTER. THE HOSPITAL CONTINUES TO EXPLORE OPTIONS AND CONTINUES PARTNERSHIPS WITH THE COUNTY EMS WHO HAVE TRAINED STAFF IN MENTAL HEALTH FIRST AID. - WAMEGO HEALTH CENTER ARRANGES AND PAYS FOR SECURE TRANSPORTATION OF QUALIFYING LOW-INCOME INDIVIDUALS IN NEED OF TRANSPORTATION TO A DIFFERENT HOSPITAL FOR SPECIALIZED BEHAVIORAL HEALTH TREATMENT THAT MAY NOT BE AVAILABLE LOCALLY. IN FY22, HOSPITAL NURSING STAFF ARRANGED AND PAID FOR THE SECURE TRANSPORT OF 20 INDIVIDUALS (COSTING $8,199). HEALTHCARE WORKFORCE DEVELOPMENT: - WAMEGO HEALTH CENTER PROVIDED 4 HEALTHCARE SCHOLARSHIPS OF $500 EACH FOR HIGH SCHOOL STUDENTS PURSUING A CAREER IN THE HEALTH FIELD. SCHOLARSHIPS ARE ADMINISTERED THROUGH THE WAMEGO COMMUNITY FOUNDATION - STAFF WORK CLOSELY WITH WAMEGO HIGH SCHOOL (WHS) TO MENTOR STUDENTS, PROVIDE EXPERTISE DURING SENIOR INTERVIEW DAY, AND PROVIDE SHADOWING OPPORTUNITIES IN ORDER TO ENGAGE YOUTH EARLY IN HEALTHCARE CAREERS. IN FY22, STAFF SUPPORTED 5 (4 HOURS OF VOLUNTEER TIME) WHS STUDENTS DURING SENIOR INTERVIEW DAY. STAFF CONDUCTED MOCK INTERVIEWS FOR HIGH SCHOOERS INTERESTED IN GOING INTO HEALTHCARE FIELDS. COVID RESPONSE: ALTHOUGH COVID-19 DID NOT COME UP AS A NEED WITHIN THE CHNA DUE TO THE TIMING OF WHEN THE CHNA WAS CONDUCTED, IT WAS A SIGNIFICANT COMMUNITY NEED THAT SEVERELY IMPACTED THE HOSPITAL, PARTNERSHIPS, AND THE COMMUNITY AS A WHOLE. ALTHOUGH COVID WAS NOT REPORTED UNDER COMMUNITY BENEFIT DURING FY22, THE STRATEGIES AND ACTIVITIES WERE STILL TRACKED. THE MAIN FOCUS FOR FY22 WAS RECOVERY. HOSPITAL LEADERSHIP SPENT TIME CONDUCTING MEDIA INTERVIEWS, PARTICIPATING IN COMMUNITY MEETINGS, AND RECOVERY AND OTHER TASK FORCES TO DISCUSS COVID, VACCINES, AND COORDINATE WITH STATE AND OTHER AREA AGENCIES. WAMEGO HEALTH CENTER IS COMMITTED TO IMPROVING COMMUNITY HEALTH BY DIRECTLY, AND INDIRECTLY, ADDRESSING COMMUNITY NEEDS. HOWEVER, CERTAIN FACTORS IMPACT WAMEGO HEALTH CENTER'S ABILITY TO FULLY ADDRESS ALL OF THE SIGNIFICANT NEEDS. THE NEEDS LISTED BELOW ARE NOT INCLUDED IN WAMEGO HEALTH CENTER'S IMPLEMENTATION STRATEGY FOR THE FOLLOWING REASONS: PHYSICAL HEALTH - ACCESS TO CARE - AFFORDABLE PRESCRIPTIONS - WHILE THE HOSPITAL DOESN'T DIRECTLY ADDRESS THIS ON A WIDE SCALE, WAMEGO HEALTH CENTER WILL ASSIST WITH SOME LIMITED PRESCRIPTIONS FOR PATIENTS BY CONTACTING THE MANUFACTURER TO SEE IF THERE ARE SAMPLES AVAILABLE IF AN INDIVIDUAL HAS NO OTHER OPTIONS OR RESOURCES. THE HOSPITAL ALSO DOES NOT HAVE THE RESOURCES TO GO ABOVE WHAT WAMEGO HEALTH CENTER IS ALREADY PROVIDING TO THE COMMUNITY FOR PRESCRIPTIONS. - PHYSICAL ACTIVITY AND NUTRITION - FACILITIES FOR PHYSICAL ACTIVITY - WAMEGO HEALTH CENTER SPECIALIZES IN PROVIDING HEALTHCARE AND DOES NOT HAVE THE FACILITIES, RESOURCES, OR EXPERTISE TO PROVIDE FACILITIES FOR PHYSICAL ACTIVITY. THERE ARE OTHER ORGANIZATIONS THAT OFFER FACILITIES FOR PHYSICAL ACTIVITY.

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - WAMEGO HEALTH CENTER - PART 2. MENTAL HEALTH - ACCESS TO CARE - AFFORDABLE HEALTH INSURANCE THAT INCLUDES MENTAL HEALTH CARE, INCREASED NUMBER OF MENTAL HEALTH PROVIDERS, AND CHILDREN'S MENTAL HEALTH SERVICES - THE LEADERSHIP TEAM DOES CONTINUE TO ADVOCATE FOR MEDICAID EXPANSION AND RESOURCES FOR MENTAL HEALTH SERVICES. HOWEVER, THE HOSPITAL DOES NOT SPECIALIZE IN INSURANCE, NOR DOES IT HAVE THE RESOURCES, TO PROVIDE MORE THAN WHAT WAMEGO HEALTH CENTER IS ALREADY OFFERING THROUGH FINANCIAL ASSISTANCE. THE HOSPITAL PARTNERS AND PROVIDES SECURE TRANSPORTS TO OTHER MENTAL HEALTH FACILITIES FOR LOW-INCOME AND UNDER/UNINSURED PERSONS. THERE ARE ALSO OTHER PROVIDERS THAT PROVIDE THESE SERVICES THAT WAMEGO HEALTH CENTER IS NOT RESOURCED AT A CAPACITY TO PROVIDE. CHILDREN (BIRTH TO AGE 12) - SOCIAL DETERMINANTS OF HEALTH: CHILD CARE FOR CHILDREN 0-5 YEARS, AFTER SCHOOL PROGRAMS, AND RECREATIONAL ACTIVITIES - THE HOSPITAL IS NOT A LICENSED CHILDCARE OR AFTER SCHOOL FACILITY AND DOES NOT PROVIDE THESE TYPES OF SERVICES. OTHER AREA AGENCIES SPECIALIZE IN CHILD CARE AND RECREATIONAL ACTIVITIES. - EDUCATION: PARENTING EDUCATION/SKILLS DEVELOPMENT, AND MENTORING PROGRAMS FOR CHILDREN - WAMEGO HEALTH CENTER DOES NOT HAVE FORMAL PARENTING OR MENTORING PROGRAMS. WAMEGO HEALTH CENTER WILL REFER PATIENTS TO ASCENSION VIA CHRISTI HOSPITALS WICHITA (AVCH-W) PARENTING AND EDUCATIONAL CLASSES. TEENS (13 TO 18 YEARS): - MENTAL HEALTH: MENTAL HEALTH CARE, SUBSTANCE ABUSE PREVENTION/TREATMENT - WAMEGO HEALTH CENTER DOES NOT PROVIDE COMPREHENSIVE DRUG AND ALCOHOL TREATMENT OPTIONS, OR SPECIFIC MENTAL HEALTH PROGRAMS FOR TEENS. THERE ARE OTHER ORGANIZATIONS WHO ARE THE EXPERTS IN DEALING WITH ADDICTIONS BY OFFERING COUNSELING, EDUCATION AND PREVENTION, PSYCHOLOGICAL TESTING AND ASSESSMENT, MENTAL HEALTH HOTLINES, AND PSYCHIATRIC MEDICATION SERVICES. SEVERAL OF THESE ORGANIZATIONS ARE IDENTIFIED IN THE CHNA LOCATED AT HEALTHCARE.ASCENSION.ORG/CHNA. - SKILLS DEVELOPMENT AND EDUCATION: WAMEGO HEALTH CENTER DOES NOT SPECIALIZE IN THESE AND DOES NOT HAVE FORMAL PROGRAMS FOR TEENS. HOWEVER, THE HOSPITAL WILL WORK WITH AREA SCHOOL WHEN ASKED TO PROVIDE CLASSROOM TRAINING AND EDUCATION. OLDER ADULTS - SOCIAL DETERMINANTS OF HEALTH: AFFORDABLE HOUSING - WAMEGO HEALTH CENTER DOES SPECIALIZE IN OR HAVE THE RESOURCES TO DEVELOP AFFORDABLE HOUSING. OTHER AREA AGENCIES SPECIALIZE IN AFFORDABLE AND LOW INCOME HOUSING. - EDUCATION: INDEPENDENT LIVING IN THE HOME - THE HOSPITAL DOES NOT HAVE A FORMAL EDUCATIONAL PROGRAM AROUND INDEPENDENT LIVING IN THE HOME FOR OLDER ADULTS. WHEN ASKED, HOSPITAL STAFF WITH EXPERTISE WILL GIVE INTERVIEWS AND TALKS ABOUT HEALTH-RELATED TOPICS. ACCESS TO CARE: - AFFORDABLE PRESCRIPTIONS - AS AFOREMENTIONED, WHILE THE HOSPITAL DOESN'T DIRECTLY ADDRESS THIS ON A WIDE SCALE, WAMEGO HEALTH CENTER WILL ASSIST WITH SOME LIMITED PRESCRIPTIONS FOR PATIENTS BY CONTACTING THE MANUFACTURER TO SEE IF THERE ARE SAMPLES AVAILABLE IF AN INDIVIDUAL HAS NO OTHER OPTIONS OR RESOURCES. THE HOSPITAL ALSO DOES NOT HAVE THE RESOURCES TO GO ABOVE WHAT WAMEGO HEALTH CENTER IS ALREADY PROVIDING TO THE COMMUNITY FOR PRESCRIPTIONS. - HOME HEALTH CARE OPTIONS - WAMEGO HOSPITAL ASSOCIATION DOES NOT HAVE A HOME HEALTH CARE PROGRAM AND DOES NOT SPECIALIZE IN IT. OTHER AREA AGENCIES SPECIALIZE IN PROVIDING HOME HEALTH CARE TO THE ELDERLY. TO FIND A LIST OF RESOURCES FOR EACH NEED NOT BEING ADDRESSED, PLEASE REFER TO THE WAMEGO HEALTH CENTER CHNA: HTTPS://HEALTHCARE.ASCENSION.ORG/CHNA.

Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG
"IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance if such Patient is deemed to have sufficient assets to pay pursuant to an ""Asset Test."" The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC."

Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE
THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY.

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 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
WAMEGO HOSPITAL ASSOCIATION STAFF DONATED THEIR TIME TO ADVANCE COMMUNITY BUILDING THROUGH COMMUNITY SUPPORT ACTIVITIES, SPECIFICALLY WORKING WITH WAMEGO HIGH SCHOOL (WHS) STUDENTS TO TO PROVIDE EXPERTISE DURING SENIOR INTERVIEW DAY. IN FY 2022, FAMILY CLINIC PHYSICIANS SUPPORTED SIX WHS STUDENTS DURING SENIOR INTERVIEW DAY, FOR A TOTAL OF 4 HOURS OF STAFF TIME.

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 2022 WAS $798,169 AT CHARGES, ($335,231 AT COST).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS.

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 GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. 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 A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
WAMEGO HOSPITAL ASSOCIATION 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 IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. 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 FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES.

Schedule H, Part V, Section B, Line 16a FAP website
- WAMEGO HEALTH CENTER: Line 16a URL: https://wamegohealthcenter.org/patients-visitors/billing-and-insurance-information/;

Schedule H, Part V, Section B, Line 16b FAP Application website
- WAMEGO HEALTH CENTER: Line 16b URL: https://wamegohealthcenter.org/patients-visitors/billing-and-insurance-information/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- WAMEGO HEALTH CENTER: Line 16c URL: https://wamegohealthcenter.org/patients-visitors/billing-and-insurance-information/;

Schedule H, Part VI, Line 4 Community information
THE TOTAL POPULATION OF THE POTTAWATOMIE COUNTY IS ESTIMATED TO BE 25,790 RESIDENTS IN THE CALENDAR YEAR 2021. THE TOTAL POPULATION INCREASE FROM 2020 TO 2021 WAS 1.7%. THE MEDIAN Household INCOME OF POTTAWATOMIE COUNTY IS $76,089 (US CENSUS QUICK FACTS, 2017-2021). APPROXIMATELY 8.0% OF RESIDENTS LIVE BELOW THE POVERTY LINE. POTTAWATOMIE COUNTY IS FEDERALLY DESIGNATED A MEDICALLY UNDERSERVED AREA THROUGH THE HUMAN RESOURCES AND SERVICES ADMINISTRATION. THERE IS ONE OTHER HOSPITAL (COMMUNITY HEALTHCARE SYSTEMS, INC.) LOCATED WITHIN THE PRIMARY SERVICE AREA (KANSAS HOSPITAL ASSOCIATION)

Schedule H, Part VI, Line 5 Promotion of community health
WAMEGO HOSPITAL ASSOCIATION'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF WAMEGO HOSPITAL ASSOCIATION'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. WAMEGO HOSPITAL ASSOCIATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. WAMEGO HOSPITAL ASSOCIATION APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE (AND/OR) MEDICAL EDUCATION (AND/OR) RESEARCH.

Schedule H, Part VI, Line 2 Needs assessment
WAMEGO HOSPITAL ASSOCIATION USES INTERNAL AND EXTERNAL DATA AND REPORTS FROM THIRD PARTIES, INCLUDING GOVERNMENT SOURCES, TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. THESE REPORTS PROVIDE KEY INFORMATION ABOUT HEALTH, SOCIOECONOMIC, DEMOGRAPHIC FACTORS THAT IDENTIFY AREAS OF NEED AND INFORM OUR STRATEGIES THAT HELP TO MEET THOSE NEEDS OF OUR COMMUNITY. THESE REPORTS INCLUDE, BUT ARE NOT LIMITED TO: 1. Local and State Department of Health Reports 2. US Census Bureau 3. Economic Impact Studies 4. Metropolitan Planning Organization - WSU Center for Economic Development and Business Research (CEDBR) 5.Sg2 healthcare intelligence 6. Decision Resources Group/ Clarivate 7. Healthcare claims datasets 8. State datasets 9. CMS 10. CDC 11. Internal data sets WAMEGO HOSPITAL ASSOCIATION UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE APPROPRIATE SERVICES NEEDED THROUGHOUT THE REGION. IN ADDITION, WAMEGO HOSPITAL ASSOCIATION CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
WAMEGO HOSPITAL ASSOCIATION, INC. IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, WAMEGO HOSPITAL ASSOCIATION, INC.'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; WAMEGO HOSPITAL ASSOCIATION, INC. PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. WAMEGO HOSPITAL ASSOCIATION, INC. WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE -https://healthcare.ascension.org/locations/kansas/kswic/wamego-wamego-health-center/financial-assistance WAMEGO HOSPITAL ASSOCIATION, INC. MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. WAMEGO HOSPITAL ASSOCIATION, INC. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. WAMEGO HOSPITAL ASSOCIATION, INC. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.

Schedule H, Part VI, Line 6 Affiliated health care system
WAMEGO HOSPITAL ASSOCIATION IS A MEMBER OF ASCENSION. 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 HEALTH MINISTRIES, LOCATED IN 19 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. WAMEGO HOSPITAL ASSOCIATION OPERATES HOSPITAL AND NON-HOSPITAL FACILITIES IN WAMEGO, KANSAS, AND IS PART OF ASCENSION VIA CHRISTI HEALTH, INC., WHICH IS A LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRY INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, EMERGENCY CARE SERVICES, RESEARCH, EDUCATION, HOME HEALTH, ANCILLARY SERVICES, FOUNDATION, 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. WAMEGO HEALTH CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN WAMGEO. IT IS THE ONLY HOSPITAL IN POTTAWATOMIE COUNTY AND SERVICES THE RESIDENTS OF POTTAWATOMIE COUNTY AND SURROUNDING COUNTIES. IT'S EMERGENCY DEPARTMENT IS OPEN 24/7 TO PROVIDE RESIDENTS WITH ACCESS TO CARE. THE HOSPITAL ALSO OFFERS LABORATORY, IMAGING AND REHABILITATION SERVICES TO ENSURE ACCESS TO NEEDED SERVICES IS AVAILABLE LOCALLY. IN ADDITION, THE HOSPITAL OPERATES WAMEGO FAMILY CLINIC WHICH PROVIDES ACCESS TO PRIMARY CARE AND PREVENTATIVE SERVICES.