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            <BusinessNameLine1Txt>NATIONAL THERAPEUTIC ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11623 ARBOR ST</AddressLine1Txt>
            <CityNm>OMAHA</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68144</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OUTSOURCES THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>201355</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALL STAFF</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1704 K96 HIGHWAY</AddressLine1Txt>
            <CityNm>GREAT BEND</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67530</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT SERVICES</ServicesDesc>
        <CompensationAmt>148995</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OPENWORK HEALTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1701 WILLIAMS ST</AddressLine1Txt>
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            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67530</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>137741</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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        <ServicesDesc>NURSING AGENCY</ServicesDesc>
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        <TotalRevenueColumnAmt>9899823</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>722320</BusinessCd>
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      <OtherRevenueMiscGrp>
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        <TotalRevenueColumnAmt>446</TotalRevenueColumnAmt>
        <ExclusionAmt>446</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ManagementAndGeneralAmt>145476</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>462</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      </EnvironmentalImprovementsGrp>
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      <BadDebtExpenseAmt>237171</BadDebtExpenseAmt>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://www.ottawacountyhealthcenter.org/community-health-needs-assessment</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://www.ottawacountyhealthcenter.org/community-health-needs-assessment</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
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        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://www.ottawacountyhealthcenter.org/patientinformation</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>https://www.ottawacountyhealthcenter.org/patientinformation</FAPSummaryOnWebsiteURLTxt>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY 1, 1 - OTTAWA COUNTY HEALTH CENTER. THE ASSESSMENT PROCESS WAS INITIATED AND CHAIRED JOINTLY BY OTTAWA COUNTY HEALTH CENTER, OTTAWA COUNTY HEALTH DEPARTMENT, OTTAWA COUNTY HEALTH PLANNING COMMISSION AND OTTAWA COUNTY ECONOMIC DEVELOPMENT. A BROAD-BASED GROUP OF COMMUNITY LEADERS AND COUNTY RESIDENTS WERE INVITED TO PARTICIPATE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY 1, 1 - OTTAWA COUNTY HEALTH CENTER. OTTAWA COUNTY HEALTH DEPARTMENT, OTTAWA COUNTY HEALTH PLANNING COMMISSION AND OTTAWA COUNTY ECONOMIC DEVELOPMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY 1, 1 - OTTAWA COUNTY HEALTH CENTER. NOTE: A NEW CHNA CONDUCTED IN SEPTEMBER 2025 WILL GUIDE INITIATIVES FOR 2026-2028 WHILE CONTINUING TO ADDRESS PRIOR CHNA PRIORITIES. 2022 CHNA PRIORITIES: THE BELOW PRIORITIES AND GOALS WERE ESTABLISHED FOLLOWING OUR SEPTEMBER 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. OCHC WILL TAKE STEPS AND CREATE INITIATIVES TO ADDRESS THESE PRIORITIES OVER THE NEXT THREE YEARS. PRIORITY 1: OBESITY/PHYSICAL INACTIVITY/LACK OF HEALTHY BEHAVIORS GOAL 1: IMPROVE ACCESS TO/INCREASE INTEREST IN THE WELLNESS CENTER GOAL 2: COMMUNITY HEALTH EDUCATION PRIORITY 2: LACK OF AWARENESS REGARDING AVAILABLE HEALTH SERVICE IN THE COMMUNITY GOAL 1: PROMOTE OTTAWA COUNTY HEALTH CENTER'S SERVICES OFFERED GOAL 2: PROVIDE EDUCATIONAL OPPORTUNITIES TO SURROUNDING AREA RESIDENTS THE HOSPITAL WILL WORK WITH COMMUNITY PARTNERS AND/OR HEALTH ISSUE EXPERTS ON THE FOLLOWING FOR EACH OF THE APPROACHES TO ADDRESSING THE IDENTIFIED HEALTH NEEDS: DEVELOP WORK PLANS TO SUPPORT EFFECTIVE IMPLEMENTATION, CREATE MECHANISMS TO MONITOR AND MEASURE OUTCOMES. AND PROVIDE ON-GOING STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE COMMUNITY HEALTH. WHILE SOME OF THE NEEDS WERE COMBINED IN IDENTIFYING THE ABOVE PRIORITIES, OTHER NEEDS WERE NOT ADDRESSED DUE TO A LACK OF FINANCIAL AND OTHER RESOURCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>0</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OTTAWA COUNTY HEALTH CENTER FAMILY CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>830 ELM STREET</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67467</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DELPHOS SATELLITE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>402 N MICHIGAN STREET</AddressLine1Txt>
            <CityNm>DELPHOS</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67436</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>OTTAWA COUNTY HEALTH CENTER (OCHC) ASSESSES COMMUNITY HEALTHCARE NEEDS THROUGH MULTIPLE CHANNELS: - COMMUNITY GOVERNANCE AND LOCAL INSIGHT: THE OTTAWA COUNTY COMMISSIONERS APPOINT A FIVE-MEMBER BOARD OF TRUSTEES COMPRISED OF LOCAL RESIDENTS REPRESENTING GEOGRAPHIC AND DEMOGRAPHIC DIVERSITY THROUGHOUT THE COUNTY. THIS BOARD PROVIDES ONGOING COMMUNITY PERSPECTIVE AND DIRECT INPUT INTO HOSPITAL PLANNING AND COMMUNITY HEALTH PRIORITIES. - CLINIC OPERATIONS: OCHC OPERATES THE LOCAL PHYSICIAN CLINIC, INCLUDING ITS RURAL HEALTH CLINIC DESIGNATION, ENABLING CLOSE, CONTINUOUS COMMUNICATION WITH PROVIDERS ON PATIENT HEALTH TRENDS, NEEDS, AND EMERGING CLINICAL ISSUES ACROSS AGE GROUPS AND CONDITIONS. - PARTNERSHIPS WITH COUNTY ORGANIZATIONS: THE HOSPITAL PARTNERS WITH COUNTY AGENCIES INCLUDING THE PUBLIC HEALTH DEPARTMENT, EMERGENCY MANAGEMENT, AND EMS TO IDENTIFY PATIENTS WITH SPECIALIZED OR UNMET NEEDS AND TO COORDINATE SHARED CARE EFFORTS AND COMMUNITY HEALTH PROGRAMMING. - COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA): OCHC HAS CONDUCTED FORMAL CHNAS IN 2013, 2016, 2019, AND 2022. EACH ASSESSMENT CONSISTENTLY IDENTIFIED PRIORITIES AROUND PHYSICAL ACTIVITY, HEALTHY BEHAVIORS, AND AWARENESS OF AVAILABLE COMMUNITY HEALTH SERVICES. THE 2022 CHNA GUIDED INITIATIVES FROM 2023 THROUGH 2025. IN SEPTEMBER 2025, OCHC CONDUCTED AN UPDATED CHNA TO IDENTIFY EVOLVING NEEDS AND TO INFORM INITIATIVES FOR 2026-2028. OTTAWA COUNTY HEALTH CENTER WORKED WITH FORVIS TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT OF OTTAWA COUNTY. THE ASSESSMENT IDENTIFIED OPPORTUNITIES FOR IMPROVEMENT OF HEALTH AND WELLNESS AND SUPPORTED OTTAWA COUNTY'S STRATEGIC PRIORITY OF LOCALIZING HEALTH CARE FOR THE COMMUNITY. FORVIS RESEARCHED AND ANALYZED COMMUNITY HEALTH DATA, CONDUCTED SURVEYS OF KEY LOCAL STAKEHOLDERS TO DETERMINE RELEVANT ISSUES, AND PROPOSED NECESSARY ACTION PLANS AND IMPLEMENTATION STRATEGIES TO ADDRESS THESE ISSUES. WITH THESE FINDINGS, OTTAWA COUNTY HEALTH CENTER IDENTIFIED TWO GENERAL HEALTH PRIORITIES ON WHICH TO FOCUS AS STRATEGIC INITIATIVES IN OTTAWA COUNTY. THE IMPLEMENTATION STRATEGY IS LISTED BELOW WITH THE GOALS TO ADDRESS EACH INITIATIVE OVER THE NEXT THREE YEARS. NOTE: A NEW CHNA CONDUCTED IN SEPTEMBER 2025 WILL GUIDE INITIATIVES FOR 2026-2028 WHILE CONTINUING TO ADDRESS PRIOR CHNA PRIORITIES. 2022 CHNA PRIORITIES: THE BELOW PRIORITIES AND GOALS WERE ESTABLISHED FOLLOWING OUR SEPTEMBER 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. OCHC WILL TAKE STEPS AND CREATE INITIATIVES TO ADDRESS THESE PRIORITIES OVER THE NEXT THREE YEARS. PRIORITY 1: OBESITY/PHYSICAL INACTIVITY/LACK OF HEALTHY BEHAVIORS GOAL 1: IMPROVE ACCESS TO/INCREASE INTEREST IN THE WELLNESS CENTER GOAL 2: COMMUNITY HEALTH EDUCATION PRIORITY 2: LACK OF AWARENESS REGARDING AVAILABLE HEALTH SERVICE IN THE COMMUNITY GOAL 1: PROMOTE OTTAWA COUNTY HEALTH CENTER'S SERVICES OFFERED GOAL 2: PROVIDE EDUCATIONAL OPPORTUNITIES TO SURROUNDING AREA RESIDENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>OCHC INFORMS AND EDUCATES PATIENTS AND PROSPECTIVE PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, AND LOCAL PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY THROUGH A COMPREHENSIVE PROCESS: - CONSULTATION BY PATIENT FINANCIAL COORDINATOR, BUSINESS OFFICE MANAGER, AND/OR CFO FOR PATIENTS REQUESTING ASSISTANCE. - FINANCIAL ASSISTANCE POLICY BROCHURES PROVIDED UPON ADMISSION AT OCHC AND IN THE FAMILY CARE CLINIC AS WELL AS ONLINE AND WITH EACH BILLING STATEMENT. - CASE MANAGER/SOCIAL WORKER SUPPORT FOR MEDICAID AND STATE PROGRAM ELIGIBILITY. - NOTICES ABOUT FINANCIAL ASSISTANCE IN BILLING STATEMENTS AND BILINGUAL 800-NUMBER SERVICE FOR NON-ENGLISH-SPEAKING PATIENTS. - ASSISTANCE COMPLETING DOCUMENTATION AND CALCULATIONS BASED ON FEDERAL POVERTY LEVEL GUIDELINES. DURING FY2025, OCHC PROVIDED NEARLY $80,000 IN CHARITY CARE AND FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>OCHC SERVES OTTAWA COUNTY, KANSAS, A RURAL COMMUNITY WITH AN ESTIMATED 2024 POPULATION OF APPROXIMATELY 5,853 RESIDENTS. THE HOSPITAL IS LOCATED IN MINNEAPOLIS (POPULATION ~1,938). KEY COMMUNITY CHARACTERISTICS INCLUDE: - POPULATION: ~5,853 (2024 ESTIMATE) - AGE DISTRIBUTION: 23.5% UNDER AGE 18; 22.3% AGE 65+ - RACE/ETHNICITY: PREDOMINANTLY WHITE (~95.7%), WITH SMALL REPRESENTATIONS OF BLACK/AFRICAN AMERICAN, NATIVE AMERICAN, AND OTHER RACIAL GROUPS - MEDIAN HOUSEHOLD INCOME: ~$76,755 - PER CAPITA INCOME: ~$36,223 - POVERTY RATE: ~10.2% WHILE OCHC PRIMARILY SERVES COUNTY RESIDENTS, IT ALSO TREATS PATIENTS FROM NEIGHBORING REGIONS. THE PATIENT MIX INCLUDES A SIGNIFICANT PROPORTION OF MEDICARE BENEFICIARIES, PARTICULARLY IN INPATIENT AND SWING-BED SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>OCHC ADVANCES ITS EXEMPT PURPOSE BY DELIVERING SERVICES, PROGRAMS, AND PARTNERSHIPS THAT PROMOTE COMMUNITY HEALTH: 1. COLLABORATIVE HEALTH EDUCATION AND EVENTS: PARTNERSHIPS WITH OTTAWA COUNTY PUBLIC HEALTH FOR HEALTH FAIRS; PROVISION OF SPACE FOR PUBLIC HEALTH OPERATIONS. 2. EMERGENCY PREPAREDNESS AND SAFETY RESOURCES: MAINTAINS BIOHAZARD RESPONSE EQUIPMENT, ISOLATION ROOMS, AND PARTICIPATES IN EMERGENCY PREPAREDNESS TRAININGS WITH LOCAL LAW ENFORCEMENT, FIREFIGHTING UNITS, AND EMS. 3. WELLNESS PROMOTION: OPERATES THE COMMUNITY WELLNESS CENTER OFFERING EXERCISE EQUIPMENT, POOL FACILITIES, GROUP CLASSES, PERSONAL TRAINING, DISCOUNTED YOUTH AND BUSINESS MEMBERSHIPS, AND EMPLOYEE WELLNESS ENGAGEMENT PROGRAMS. FY2025 FUNDING TOTALED NEARLY $63,000. 4. OUTREACH AND AWARENESS: ADVERTISES SERVICES VIA NEWSPAPER, SOCIAL MEDIA, DIRECT MAIL; EDUCATIONAL POSTINGS; PROVIDES COMMUNITY GROUPS MEETING SPACE; EDUCATIONAL SESSIONS WITH SOCIAL WORKER AND CASE MANAGER. 5. MOBILE INTEGRATED HEALTH: PARTNERS WITH LOCAL ORGANIZATIONS TO REACH PATIENTS FACING TRANSPORTATION BARRIERS OR REQUIRING IN-HOME CHECKS. 6. OUTPATIENT EXPANSION: DEVELOPED A WOUND CARE PROGRAM LED BY A PHYSICIAN ASSISTANT FOR LOCAL ACCESS TO SPECIALTY OUTPATIENT CARE. 7. EMERGENCY TRANSPORT SUPPORT: SUPPORTS LOCAL EMS FOR PATIENT TRANSFERS REQUIRING CLINICAL OVERSIGHT; FY2025 STAFF SUPPORT ESTIMATED AT $1,135. 8. COMMUNITY ENGAGEMENT: SPONSORS COMMUNITY 5K RUNS AND OTHER EVENTS; BOARD MEETINGS OPEN TO PUBLIC INPUT; COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED EVERY THREE YEARS. 9. FACILITY INVESTMENT AND ACCESS: THE HOSPITAL USED OPERATIONAL FUNDS TO SUBSIDIZE OVER $540,000 FOR THE OCHC FAMILY CARE CLINIC TO ENSURE PROVIDERS AND ROUTINE MEDICAL CARE WERE AVAILABLE TO OUR COUNTY RESIDENTS. THE FAMILY CARE CLINIC IS CRUCIAL TO THE OVERALL HEALTH AND SUSTAINABILITY OF OUR COMMUNITY. OTHER CAPITAL IMPROVEMENTS DIRECTED BY THE BOARD OF TRUSTEES INCLUDED A NEW ULTRASOUND MACHINE, LAB EQUIPMENT, PHARMACY SYSTEM, AND BUILDING/ROOF MAINTENANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>OCHC IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND PARTNERS WITH SALINA REGIONAL HEALTH CENTER AS ITS TERTIARY CARE REFERRAL INSTITUTION. THE HOSPITAL IS AFFILIATED WITH GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA), A NON-PROFIT PROVIDING OPERATIONAL, FINANCIAL, AND COMPLIANCE SUPPORT INCLUDING MEDICARE REIMBURSEMENT, HIPAA/COMPLIANCE TRAINING, FINANCIAL ASSISTANCE POLICY GUIDANCE, AND RURAL HOSPITAL NETWORKING. GPHA ENABLES OCHC TO MAINTAIN QUALITY STANDARDS AND EXPAND COMMUNITY HEALTH PROGRAMS EFFECTIVELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION</FormAndLineReferenceDesc>
        <ExplanationTxt>237171</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL CHARGES THAT ARE NOT COLLECTED AND ARE NOT APPROVED FOR FINANCIAL ASSISTANCE ARE CLASSIFIED AS BAD DEBTS FROM PATIENTS WHO WILL NOT PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTS WITH CUSTOMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT &amp; METHODOLOGY FOR DETERMINING MEDICARE COSTS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL CHARITY CARE CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPT FROM COLLECTION POLICIES AND PRACTICES. THESE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - OTTAWA COUNTY HEALTH CENTER: LINE 16A URL: HTTPS://WWW.OTTAWACOUNTYHEALTHCENTER.ORG/PATIENTINFORMATION;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - OTTAWA COUNTY HEALTH CENTER: LINE 16B URL: HTTPS://WWW.OTTAWACOUNTYHEALTHCENTER.ORG/PATIENTINFORMATION;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - OTTAWA COUNTY HEALTH CENTER: LINE 16C URL: HTTPS://WWW.OTTAWACOUNTYHEALTHCENTER.ORG/PATIENTINFORMATION;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>KS</ExplanationTxt>
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        <PersonNm>CURT COLSON</PersonNm>
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        <PersonNm>JODY PARKS</PersonNm>
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        <PersonNm>JASON BARB</PersonNm>
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        <PersonNm>JIM BLACKWELL</PersonNm>
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        <PersonNm>PETER MEIER</PersonNm>
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        <PersonNm>KRISTA DEWITT</PersonNm>
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        <PersonNm>CHANTELLE NILES</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3 FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL COMPENSATION REVIEWS ARE COMPLETED BY THE CEO AND CHIEF FINANCIAL OFFICER USING RECOMMENDATIONS PROVIDED BY DEPARTMENT MANAGERS AND CURRENT MARKET CONDITIONS. ALL EXECUTIVE EMPLOYEE SALARIES, INCLUDING THE PRESIDENT/CEO, ARE APPROVED BY THE GPHA BOARD OF DIRECTORS. THE AMERICAN COLLEGE HEALTHCARE EXECUTIVES AND THE KANSAS HOSPITAL ASSOCIATION ALSO HAS COMPARABLE COMPENSATION DATA THAT CAN BE USED BY THE BOARD. THE CEO RETAINS DOCUMENTATION IN ADDITION TO THAT IN THE BOARD MINUTES.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S PRIMARY PROGRAM IS THE DELIVERY OF HEALTHCARE AND RELATED SERVICES TO RESIDENTS OF OTTAWA COUNTY, KANSAS. PRIMARY SERVICES INCLUDE A RURAL HEALTH CLINIC; INPATIENT CARE (ACUTE AND SWING-BED); OUTPATIENT AND ANCILLARY SERVICES (ER, OBSERVATION, LAB, RADIOLOGY, REHABILITATION THERAPIES, WOUND CARE, ETC.); INTERMEDIATE SWING-BEDS, AND A COMMUNITY WELLNESS/FITNESS CENTER. OUR GOAL IS TO ENSURE THAT THE COMMUNITY AND SURROUNDING AREAS HAVE ACCESS TO NECESSARY AND NEEDED HEALTHCARE SERVICES LOCALLY. DURING THE 2025 FISCAL YEAR, OTTAWA COUNTY HEALTH CENTER (OCHC) CONTINUED TO FOCUS ON IMPROVING ACCESS TO CARE, STRENGTHENING COMMUNITY OUTREACH, ENHANCING WELLNESS AND PREVENTIVE SERVICES, AND INVESTING IN FACILITY AND EQUIPMENT IMPROVEMENTS TO SUPPORT HIGH-QUALITY RURAL HEALTHCARE. OCHC REMAINS COMMITTED TO SUSTAINING HEALTHCARE SERVICES AND SUPPORTING THE LONG-TERM HEALTH OF OTTAWA COUNTY AND THE SURROUNDING COMMUNITIES. FAMILY CARE CLINIC (RHC) - THE FAMILY CARE CLINIC CONTINUES TO OPERATE AS A HOSPITAL-OWNED RURAL HEALTH CLINIC SERVING OTTAWA COUNTY AND SURROUNDING COMMUNITIES. OCHC REMAINS FOCUSED ON MAINTAINING ACCESS TO LOCAL PRIMARY CARE SERVICES, WHICH ARE CRITICAL TO THE SUSTAINABILITY OF RURAL HEALTHCARE AND THE OVERALL HEALTH OF THE COMMUNITY. THE CLINIC CONTINUES TO ACCEPT NEW PATIENTS AND PROVIDES COMPREHENSIVE PRIMARY CARE SERVICES CLOSE TO HOME. - DURING FY2025, OCHC IMPLEMENTED PROGRAMS AND PROTOCOLS TO ENSURE THE DELIVERY OF SERVICES TO ALL MEMBERS OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. THESE EFFORTS INCLUDE A SLIDING FEE SCHEDULE AND FINANCIAL ASSISTANCE PROGRAMS, ASSISTANCE WITH EXPEDITED MEDICAID ENROLLMENT, AND SUPPORT WITH STATE PROGRAMS SUCH AS EARLY DETECTION WORKS TO HELP PROVIDE CARE TO QUALIFYING INDIVIDUALS. THE HOSPITAL'S CASE MANAGER AND BILLING OFFICE CONTINUE TO ASSIST PATIENTS WITH INSURANCE QUESTIONS, MEDICAID APPLICATIONS, AND ACCESS TO STATE AND FEDERAL PROGRAMS AT NO COST. - OCHC REMAINS COMMITTED TO FUNDING AND SUPPORTING CLINIC OPERATIONS DESPITE THE FINANCIAL CHALLENGES ASSOCIATED WITH MAINTAINING RURAL PRIMARY CARE SERVICES. DURING FY2025, OTTAWA COUNTY HEALTH CENTER PROVIDED OVER $540,000 IN OPERATIONAL FUNDING TO SUBSIDIZE THE FAMILY CARE CLINIC AND ENSURE CONTINUED ACCESS TO PRIMARY CARE, PREVENTIVE SERVICES, AND CHRONIC DISEASE MANAGEMENT FOR COMMUNITY MEMBERS. HOSPITAL INPATIENT &amp; OUTPATIENT SERVICES AND COMMUNITY HEALTH/OUTREACH - OCHC DISTRIBUTED A MARKETING MAILER THROUGH THE UNITED STATES POSTAL SERVICE EVERY DOOR DIRECT MAIL (EDDM) PROGRAM TO ALL COUNTY RESIDENTS TO INFORM THE COMMUNITY THAT CLINIC PROVIDERS ARE ACCEPTING NEW PATIENTS. FOLLOWING THE SUCCESS OF PHASE ONE, WHICH INCREASED CLINIC VISITS, OCHC IS PREPARING TO LAUNCH PHASE THREE OF THE CAMPAIGN TO TARGET NEIGHBORING COUNTIES. - DURING FY2025, OCHC DEVELOPED AND IMPLEMENTED A WOUND CARE PROGRAM LED BY A LOCAL PHYSICIAN ASSISTANT. THIS PROGRAM ALLOWS RESIDENTS OF OTTAWA COUNTY AND SURROUNDING COMMUNITIES TO ACCESS WOUND CARE SERVICES LOCALLY RATHER THAN TRAVELING LONG DISTANCES FOR SPECIALTY CARE. THE WOUND CARE PROGRAM HAS IMPROVED CONTINUITY OF CARE, SUPPORTED FASTER HEALING AND RECOVERY, AND EXPANDED ACCESS TO ESSENTIAL OUTPATIENT SERVICES. - OCHC ALSO BEGAN PARTICIPATING WITH LOCAL PARTNERS TO ESTABLISH A MOBILE INTEGRATED HEALTH PROGRAM DESIGNED TO REACH PATIENTS WHO FACE CHALLENGES ACCESSING PROVIDER APPOINTMENTS OR WHO REQUIRE IN-HOME CHECKS AND MONITORING. THIS PROGRAM IS INTENDED TO IMPROVE ACCESS TO CARE FOR VULNERABLE POPULATIONS, REDUCE UNNECESSARY EMERGENCY ROOM UTILIZATION, AND SUPPORT PATIENTS IN MANAGING CHRONIC CONDITIONS IN THEIR HOMES. - OTTAWA COUNTY HEALTH CENTER CONTINUES TO SUPPORT THE OVERALL HEALTH AND SAFETY OF THE COMMUNITY BY PARTNERING WITH LOCAL EMERGENCY MEDICAL SERVICES (EMS) TO ENSURE PATIENTS CAN BE SAFELY TRANSPORTED TO HIGHER LEVELS OF CARE WHEN NEEDED. DUE TO STAFFING LIMITATIONS AND THE TECHNICAL REQUIREMENTS OF CERTAIN PATIENT TRANSFERS, LOCAL EMS SERVICES DO NOT ALWAYS HAVE THE CLINICAL PERSONNEL NECESSARY TO MANAGE COMPLEX OR HIGH-ACUITY TRANSPORTS. IN THESE SITUATIONS, A NURSE OR PROVIDER IS REQUIRED TO ACCOMPANY THE PATIENT DURING TRANSPORT TO PROVIDE MEDICAL OVERSIGHT AND ENSURE PATIENT SAFETY. DURING FY2025, OCHC PROVIDED APPROXIMATELY $1,135 IN STAFF SUPPORT TO ASSIST LOCAL EMS WITH THESE PATIENT TRANSFERS. THIS PARTNERSHIP HELPS ENSURE CONTINUITY OF CARE, IMPROVES PATIENT SAFETY DURING TRANSPORT, AND STRENGTHENS EMERGENCY MEDICAL SERVICES FOR OTTAWA COUNTY AND SURROUNDING COMMUNITIES. - IN ADDITION TO SERVICES PROVIDED IN MINNEAPOLIS, OCHC CONTINUES ITS COMMITMENT TO OUTREACH, OUTPATIENT ACCESS, AND COMMUNITY EDUCATION. LOCAL HEALTHCARE SERVICES ARE REGULARLY ADVERTISED IN THE COUNTY NEWSPAPER AND ON SOCIAL MEDIA. FACEBOOK POSTS HIGHLIGHT CLASS SCHEDULES, WELLNESS PROGRAMMING, AND HEALTHY LIFESTYLE CONTENT TO ENCOURAGE COMMUNITY ENGAGEMENT. EDUCATIONAL MATERIALS COVERING FLU SHOT CLINICS, MEDICARE ADVANTAGE, HEALTH SCREENINGS, AND OTHER HEALTHCARE TOPICS ARE SHARED BOTH IN PRINT AND ONLINE TO KEEP RESIDENTS INFORMED. OCHC ALSO SUPPORTS LOCAL GROUPS BY PROVIDING CONFERENCE ROOMS FOR EDUCATIONAL AND SUPPORT MEETINGS. WELLNESS CENTER AND COMMUNITY HEALTH OUTREACH - OCHC'S WELLNESS CENTER CONTINUES TO OFFER AN UP-TO-DATE FITNESS FACILITY AND LAP POOL THAT ARE OPEN TO THE COMMUNITY AT AFFORDABLE MONTHLY RATES. AS EQUIPMENT AGES, REPLACEMENTS ARE PURCHASED TO MAINTAIN THE QUALITY AND SAFETY OF THE FACILITY. IN FY2025, OCHC HIRED A NEW WELLNESS CENTER DIRECTOR WHO HAS IMPLEMENTED NEW PROGRAMS AND EXPANDED COMMUNITY ENGAGEMENT BY SERVING MULTIPLE AGE GROUPS AND FITNESS LEVELS. THE DIRECTOR NOW PROVIDES GROUP EXERCISE CLASSES AND PERSONALIZED WEIGHT ROOM INSTRUCTION TO HELP COMMUNITY MEMBERS STAY ACTIVE AND HEALTHY. MEMBERS CAN PARTICIPATE IN A VARIETY OF FREE CLASSES AND SERVICES, INCLUDING HIIT, WATER AEROBICS, GROUP FITNESS, BEACHBODY, AND ATHLETIC TRAINING. INDEPENDENT PARTICIPATION OPTIONS ARE ALSO AVAILABLE FOR MEMBERS WHO ARE UNABLE TO ATTEND SCHEDULED CLASSES. CURRENTLY, GROUP CLASSES ARE OFFERED 6.5 HOURS PER WEEK. - PERSONAL TRAINING SERVICES HAVE ALSO BEEN INTRODUCED TO PROVIDE MORE INDIVIDUALIZED, ONE-ON-ONE TRAINING OPPORTUNITIES FOR COMMUNITY MEMBERS WHO DESIRE ADDITIONAL GUIDANCE AND SUPPORT IN ACHIEVING THEIR FITNESS AND WELLNESS GOALS. - OCHC HAS IMPLEMENTED EMPLOYEE ENGAGEMENT INITIATIVES FOCUSED ON WELLNESS AND HEALTHY LIFESTYLES, ENCOURAGING HOSPITAL STAFF TO PARTICIPATE IN WELLNESS CENTER PROGRAMS AND ACTIVITIES. THESE EFFORTS SUPPORT EMPLOYEE HEALTH, IMPROVE MORALE, AND PROMOTE A CULTURE OF WELLNESS WITHIN THE ORGANIZATION. - DISCOUNTED MEMBERSHIP RATES ARE AVAILABLE TO HIGH SCHOOL STUDENTS TO PROMOTE YOUTH FITNESS. WELLNESS CENTER MEMBERSHIP RATES ARE REVIEWED ANNUALLY AND REMAIN AFFORDABLE FOR THE COMMUNITY. THE BUSINESS MEMBERSHIP PROGRAM HAS BEEN UPDATED TO OFFER REDUCED RATES FOR LOCAL EMPLOYERS WHO SPONSOR STAFF MEMBERSHIPS. POOL HOURS HAVE BEEN EXTENDED TO MEET COMMUNITY NEEDS, AND MEMBERS HAVE 24-HOUR ACCESS TO EXERCISE EQUIPMENT. ADVERTISEMENTS ON FACEBOOK AND WORD-OF-MOUTH REFERRALS HAVE GENERATED STRONG INTEREST, RESULTING IN INCREASED MEMBERSHIP AND FACILITY UTILIZATION. - WHILE THE WELLNESS CENTER REQUIRES SIGNIFICANT HOSPITAL FUNDING BEYOND MEMBERSHIP DUES, IT CONTINUES TO PROVIDE AN INVALUABLE BENEFIT TO COMMUNITY HEALTH BY PROMOTING PHYSICAL ACTIVITY AND HEALTHY LIFESTYLES AMONG COUNTY RESIDENTS. DURING FY2025, OTTAWA COUNTY HEALTH CENTER PROVIDED NEARLY $63,000 IN OPERATIONAL FUNDING TO SUPPORT THE WELLNESS CENTER AND ITS COMMUNITY HEALTH MISSION. FINANCIAL ASSISTANCE, CHARITY CARE, AND PATIENT SUPPORT SERVICES - OTTAWA COUNTY HEALTH CENTER HAS MADE IT A PRIORITY TO SUPPORT MEMBERS OF THE COMMUNITY WHO NEED FINANCIAL ASSISTANCE. DURING FY2025, THE HOSPITAL PROVIDED NEARLY $80,000 IN CHARITY CARE AND FINANCIAL ASSISTANCE TO QUALIFYING PATIENTS. - OCHC WORKS CLOSELY WITH PATIENTS AND THEIR FAMILIES TO HELP SUBSIDIZE OR FULLY COVER THE COST OF CARE FOR INDIVIDUALS WHO QUALIFY. IN ADDITION TO DIRECT FINANCIAL SUPPORT, THE HOSPITAL'S CASE MANAGER AND BILLING OFFICE ASSIST PATIENTS WITH INSURANCE QUESTIONS, MEDICAID APPLICATIONS, AND ACCESS TO STATE AND FEDERAL ASSISTANCE PROGRAMS AT NO COST, ENSURING THAT FINANCIAL BARRIERS DO NOT PREVENT ACCESS TO NECESSARY MEDICAL SERVICES. CAPITAL IMPROVEMENTS AND FACILITY INVESTMENTS - OTTAWA COUNTY HEALTH CENTER TAKES PRIDE IN MAINTAINING A SAFE, MODERN, AND EFFECTIVE HEALTHCARE FACILITY AS A CRUCIAL PART OF THE ECONOMY AND SUSTAINABILITY OF OTTAWA COUNTY. DURING FY2025, OCHC COMPLETED SEVERAL CAPITAL IMPROVEMENT PROJECTS TO ENSURE THE FACILITY REMAINS UPDATED, FUNCTIONAL, AND CAPABLE OF DELIVERING HIGH-QUALITY CARE TO THE COMMUNITY. FY2025 CAPITAL IMPROVEMENT PROJECTS INCLUDED: 1. PURCHASE OF A NEW ULTRASOUND MACHINE 2. NEW LABORATORY EQUIPMENT 3. IMPLEMENTATION OF A NEW PHARMACY SYSTEM 4. BUILDING AND ROOF MAINTENANCE PROJECTS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>- THESE INVESTMENTS IMPROVE DIAGNOSTIC CAPABILITIES, ENHANCE PATIENT SAFETY, SUPPORT CLINICAL EFFICIENCY, AND ENSURE REGULATORY COMPLIANCE. LOOKING AHEAD TO FY2026, OCHC PLANS TO CONTINUE INVESTING IN FACILITY MAINTENANCE AND EQUIPMENT UPGRADES TO PRESERVE THE HOSPITAL'S INFRASTRUCTURE AND ENSURE CONTINUED ACCESS TO HIGH-QUALITY HEALTHCARE SERVICES FOR THE COMMUNITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JASON BARB AND CURT COLSON HAVE A BUSINESS RELATIONSHIP. THEY ARE ALL EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND CFO ARE COMPENSATED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GPHA'S BOARD USES COMPARABILITY DATA IN SETTING THEIR SALARIES, AND DOCUMENTATION IS RETAINED OF THE BOARD'S DELIBERATIONS AND DECISIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>GREAT PLAINS HEALTH ALLIANCE, INC. A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF OTTAWA CO, INC</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>GREAT PLAINS HEALTH ALLIANCE, INC (GPHA) IS THE SOLE MEMBER AND HAS THE AUTHORITY TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, ELECTION TO OR REMOVAL FROM THE BOARD OF DIRECTORS, THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND THE LONG RANGE OR STRATEGIC PLANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF EXECUTIVE OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW PRIOR TO FILING THE 990 WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER REVENUE - TOTAL REVENUE: 38381, RELATED OR EXEMPT FUNCTION REVENUE: 38341, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 40;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G OTHER FEES</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED MEDICAL STAFF - TOTAL EXPENSE: 1487126, PROGRAM SERVICE EXPENSE: 1487126, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; ADMINISTRATION/HUMAN RESOURCES - TOTAL EXPENSE: 34649, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 34649, FUNDRAISING EXPENSES: ; LAB SERVICES - TOTAL EXPENSE: 196063, PROGRAM SERVICE EXPENSE: 196063, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; BILLING/COLLECTIONS - TOTAL EXPENSE: 50092, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 50092, FUNDRAISING EXPENSES: ; PHARMACY SERVICES - TOTAL EXPENSE: 101612, PROGRAM SERVICE EXPENSE: 101612, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>