$23.2M in expenses

Republic County Hospital's (RCH) primary program is the delivery of healthcare and related services to patients from Republic County and contiguous counties in Northcentral Kansas and Southcentral Nebraska. Services include inpatient acute, intermediate swing bed (ISB), surgery, obstetric, emergency room and outpatient care. Republic County Hospital provides needed health care services to patients who come to our hospital for care, regardless of the patient's ability to pay and has a financial assistance program for those patients with limited resources. Major accomplishments in FY 2024 (10/01/2023- 09/30/2024) include the following: 1) Hospital staff provides education to the community including smoking cessation, vaping education and works closely with area schools related to impact testing and head injuries occurring during sports/activities. 2) The hospital maintains the outpatient seniors group therapy program Senior Life Solutions. 3) Retained and recertified for our Level 4 Trauma certification. 4) Continues to update our website meeting the price transparency requirements for CMS and No Surprises Act requirements. 5) Provide ongoing Case Management services for our patients. 6) Hospital participates in open forum coffee for local chamber of commerce on a weekly basis. 7) Hospital also regularly serves as a clinical site for nursing students and Certified Nursing Assistant (CNA) students from a neighboring community college. 8) Continues to offer regular exercise programming for our community following referral and A-fit testing. 9) Continue to provide patient assistance and diabetic education with our certified diabetic educator. 10) RCH continues to provide a lactation program for the community and provides education and patient support to mothers in the community with an international board-certified lactation consultant. The hospital also provides Childbirth Education Classes. 11) Collaborates with the North Central Kansas Healthcare foundations through providing community education on the services we provide and offering a community health fair in conjunction with their annual radiothon fundraiser. 12) Supply appropriate patients discharging from our ED with flu kits. 13) The RCH BOT reviewed and approved our 2022 Community Health Needs Assessment and Implementation Strategy -for FY ending Sept. 2025. The CHNA and Implementation Strategy can be found on our hospital website. 14) Hospital staff lead a summer safety camp for kids in collaboration with multiple stakeholders across the community including EMS and Law enforcement. Staff also provide Safe Sitter Training and Farm Safety education with support from area schools and businesses. 15) RCH support families, caregivers and the community with Pregnancy/Infant Loss programming and Alzheimer's/Dementia support. 16) Below please find: A Year in Review - RCH 2024 that list changes in roles, major accomplishments with surveys, accreditations and equipment upgrades and additional services. 2024 Year in Review: Republic County Hospital/Belleville Medical Clinic ENHANCEMENTS Fukuda Telemetry (Trauma) Designed Chemistry Analyzer (Ortho Vitros) operationalized Lab refrigeration all upgraded from residential to medical grade New phone system operationalizes at RCH and BMC Trauma Project at 50% completion_ under budget Pyxis operationalized with expanded footprint Cerner scheduling started PBRHC (Provider Based Rural Health Clinic) transition process PBRHC provider compensation plan implemented PBRHC provider employment agreements implemented BMC Staff migration completed 01Mar24 BMC asset buyout executed (contested) Dr. Lexia Zenger signed contract (11Jun24) - anticipated start October 2025 PBRHC Policy and procedure implemented PBRHC Emergency Preparedness plan implemented RHC accreditation achieved 11Sep24 KDHE RHC enrollment completed and sent to CMS (04Oct24) Senators Marshall and Moran contacted about the PIN timeline RCM rebuilt from $0 collections Physician documentation substantially improved Lab status changed from full service to RHC waived testing CLIA certification of lab KDHE certification of x-ray CLINIC/BMC ENHANCEMENTS Walk in clinic care added CR imaging converted to DR imaging (Pausch Bladeview) Ultrasound upgraded to Mindray TE X Phone system replaced Salto security locks expanded Centralized medication room completed Cerner transition commissioned and kicked off Clinic remodeling design and development substantially complete HVAC units replaced (2) PROJECTS/REPAIRS/REPLACEMENTS Fire Panel (Main) replaced IP shower project_ completed rooms 6, 7, 8, 9, 17 & 18 (OB) Lab Remodel completed (ceiling, LED lighting, floor, paint) Eupry remote temperature/condition monitoring system installed ISB room refresh (4-6 rooms) Pantry Sewer replaced Parking lots substantially patch and restriped Exterior signage addressed with project AED - placement and training for 10 new AED placements across Rp Co. communities ALLIANCES/AFFILIATIONS LEPC - Local Emergency Planning Commission (live drill, table top drills) Ministerial Alliance of Rp Co Rp Co Mental Health Coalition w/ RCHD, USD 109 and USD 426 Rp Co Resource Council Alzheimer's/Dementia Support w/ OCCK Senior Life Solutions Belleville Chamber and Mainstreet Rp Co Economic Development Sunflower Health Network Kansas Hospital Association KUMed - Cancer Screenings and Community Health Fair Nex Gen- Scholarship and Internship programs