TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Nathaniel Knackstedt...................................................................... Director/Chief of Staff (Thru 02/24)	40.00 .................	X				432,384	54,579
(2) Kathy Kaiser...................................................................... Chairperson	1.00 .................	X	X			0	0
(3) Lois McLelland...................................................................... Treasurer	1.00 .................	X	X			0	0
(4) Karisa Cowan...................................................................... Vice-Chairperson	1.00 .................	X	X			0	0
(5) Kathy Burt...................................................................... Secretary	1.00 .................	X	X			0	0
(6) Gary Shook...................................................................... Director	1.00 .................	X				0	0
(7) Melissa Nech...................................................................... Director	1.00 .................	X				4,967	0
(8) James Tusten...................................................................... President/CEO	40.00 .................	X	X			206,251	46,974
(9) Mike Harmon...................................................................... Director	1.00 .................	X				0	0
(10) Eric Schoendaler...................................................................... Director	1.00 .................	X				0	0
(11) T Scott Webb DO...................................................................... Director/Chief of Staff (Eff. 02/24)	40.00 .................	X				477,642	45,791
(12) Michael Anderson...................................................................... CFO	20.00 .................		X			148,451	2,888
(13) Amanda Hoffman...................................................................... Pharmacist/COO	40.00 .................			X		263,388	57,855
(14) Patrick Stiles...................................................................... General Surgeon	40.00 .................				X	930,799	51,844
(15) Roxanne Stiles...................................................................... General Surgeon	40.00 .................				X	653,351	25,132
(16) Kyle Renner...................................................................... Physician	40.00 .................				X	383,270	53,906
(17) Garrett Rebel...................................................................... CRNA	40.00 .................				X	312,848	49,099

(A) Name and business address	(B) Description of services	(C) Compensation
Cerner Coporation PO Box 959156 St Louis,MO63195	Computer support services	693,906
Wichita Surgical Specialists 818 N Emporia Suite 200 Wichita,KS67214	Surgical services	496,742
Allstaff Chartered 1704 K-96 Highway Great Bend,KS67530	Medical and Surgical staffing	491,046
Kansas Pathology Consultants PA 8201 E 34th St N Bldg 1300 STE 130 Wichita,KS67226	Pathology Services	465,180
Daniel Brendan Rice 13710 E Ayesbury Street Wichita,KS67228	Emergency Room Coverage	418,311
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 14

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

Clara Barton Hospital Association Inc

Employer identification number

48-0576039

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

Clara Barton Hospital Association Inc

Employer identification number

48-0576039

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization Clara Barton Hospital Association Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization Clara Barton Hospital Association Inc		Employer identification number 48-0576039

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization Clara Barton Hospital Association Inc			Employer identification number 48-0576039
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Clara Barton Hospital Association Inc

Employer identification number

48-0576039

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

9,726

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

9,726

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	Clara Barton Hospital Association, Inc., is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members.

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Clara Barton Hospital Association Inc

Employer identification number

48-0576039

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....	5,402,267	1,987,882	3,414,385
c	Leasehold improvements	23,613,813	9,378,113	14,235,700
d	Equipment ....	9,470,388	6,760,703	2,709,685
e	Other .....	71,962		71,962
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				20,431,732

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	45,777,739
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	300,322
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................			2e	300,322
3	Subtract line 2e from line 1..................			3	45,477,417
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	45,477,417

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1	46,339,461
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e	0
3	Subtract line 2e from line 1...................		3	46,339,461
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	46,339,461

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part X, Line 2:	Management is not aware of any uncertainties in income tax positions.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
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Attach to Form 990.
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Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

Clara Barton Hospital Association Inc

Employer identification number

48-0576039

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	541,857		541,857	1.170 %
b	Medicaid (from Worksheet 3, column a) . . . . .	3,302,035	1,902,965	1,399,070	3.020 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	3,843,892	1,902,965	1,940,927	4.190 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	47,887		47,887	0.100 %
f	Health professions education (from Worksheet 5) . . .	197,073		197,073	0.430 %
g	Subsidized health services (from Worksheet 6) . . . .	12,081,572	8,737,399	3,344,173	7.220 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	12,326,532	8,737,399	3,589,133	7.750 %
k	Total. Add lines 7d and 7j .	16,170,424	10,640,364	5,530,060	11.940 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,359,440

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

27,189

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

12,560,479

Enter Medicare allowable costs of care relating to payments on line 5.....

12,620,493

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-60,014

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)
1	Clara Barton Hospital 250 West 9th Street Hoisington,KS675441799 H005003	X	X	X	X	Physician clinics & rural health clinics

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Clara Barton Hospital Association Inc
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://clarabartonhospital.com/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://clarabartonhospital.com/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Clara Barton Hospital Association Inc
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://clarabartonhospital.com/

The FAP application form was widely available on a website (list url):

https://clarabartonhospital.com/

A plain language summary of the FAP was widely available on a website (list url):
https://clarabartonhospital.com/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	Clara Barton Hospital Association Inc
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Clara Barton Hospital Association Inc
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Clara Barton Hospital Association, Inc.	Part V, Section B, Line 5: The CHNA was conducted in collaboration with the Barton County Health Department. The Hospital reached out to members of the community with broad interests in the community served and special knowledge of or expertise in public health from groups such as local hospitals, public health community, free clinics, community based clinics, service providers, school leaders, and local government. A Town Hall meeting of 30 attendees was conducted. The Town Hall meeting reflected on the size and seriousness of any health concerns cited and discussed current community health strengths, as well as identifying and ranking top community health concerns. In addition to the Town Hall meeting, CHNA surveys were completed by Barton County residents. The survey was created to measure Barton County residents' views regarding health care perceptions of delivery, access, and health practices.
Clara Barton Hospital Association, Inc.	Part V, Section B, Line 6b: Barton County Health Department (located in Great Bend, KS - Barton County)
Clara Barton Hospital Association, Inc.	Part V, Section B, Line 11: The annual update below pertains to the CHNA and implementation strategy completed for the 2021 tax year, which is the third-annual update for the three-year cycle. The Hospital also partnered with various community organizations to help address these needs.1. Nutrition/Healthy FoodClara Barton Medical Center (CBMC) continues to offer a full range of inpatient and outpatient nutrition services designed to help our patients achieve optimal health and feel their best. Our goal is to provide evidence-based nutrition care for treatment of acute and chronic illnesses and to promote nutritional health for adults and children who are either referred by their physician or taking steps on their own to improve their health. Whether someone simply wants to learn to eat healthier, or if they have special dietary needs, our registered dietitian will conduct an individualized nutrition assessment and create an individualized plan just for that person. Barton County Meals on Wheels serves approximately 100 clients in Great Bend, Hoisington, and Ellinwood. Meals are prepped by the Great Bend Senior Center, and are delivered from 11 a.m. to 12:30 p.m. CBMC volunteers to deliver meals to the Hoisington residence. Karissa Winkel, Family and Community Wellness Agent for K-State Research and Extension presented a healthy nutrition topic and recipe samples the first Wednesday of each month at the Great Bend Recreation Center.K-State Extension held a virtual learning Living Well Wednesday presentation on "Women's Health and Functional Medicine". The Kansas Food Bank along with USDA provided monthly food boxes to low-income seniors in the Russell community. Seniors were required to fill out an application and provide proof of ID, current address and income. Packages included: nonfat dry and ultra-high temperature fluid milk, juice, farina, oats, ready-to-eat cereal, rice, pasta, peanut butter, dry beans, canned meat, poultry or fish, and canned fruits and vegetables.CBMC hosted a Providers Guide It Walkers Stride It presentation. Open to the public. Morgan Feldkamp, PA presented "Nutrition Awareness".K-State Extension held a virtual learning Living Well Wednesday presentation on "Navigating Diets, Supplements, and Women's Health in a Confusing World". The Walk Kansas program kicked off. This was an 8-week State challenge that focused on physical activity and healthy eating. Great Bend Summer Street Stroll Farmers Market was downtown on the east side of the Courthouse square on Thursdays 4-7pm. They offered fresh veggies, fruits, jellies, jams, and various homemade items. The market also served as the designated market for the Kansas Senior Farmers Market Nutrition Program for Barton County where seniors were able to redeem checks for locally grown fresh fruits and veggies.The Kansas Senior Farmers Market Nutrition Program (KSFMNP) offered eligible seniors $50 worth of coupons that could be redeemed at participating farmers markets. The following items were available for purchase: "fresh, nutritious, unprepared, locally grown fruits, vegetables, locally produced honey and cut herbs that are grown in Kansas". On the third Saturday during the summer months, starting in June, A Farmers Market "The Hoisington Market Square" was held in front of the thrift store on Main Street in Hoisington.The Summer Food Service Program funded by the United States Department of Agriculture allowed kids 18 years and younger to eat free in Great Bend and Hoisington.CBMC hosted a Rethink Your Drink challenge. The event encouraged participants to track the amount of water they drank each day. They recorded if they drank at least 48 ounces a day.Kids Ag Day was held for Barton County 4th graders. Organized by the Ag-Business Committee of the Great Bend Chamber of Commerce. Held at the Diamond K Farm, owned by the Koelsch family. Nearly 400 Barton County students attended. Students learned about where food and other products they use on a daily basis come from. One of the stations visited by the students discussed nutrition and the dangers of vaping and tobacco use.Karissa Winkel at the K-State Research and Extension hosted Family Meals Make Families Stronger event at Gambino's Pizza in Great Bend. She highlighted that statistics show that family dynamics improve with the frequency of family meals. Families then built a pizza choosing ingredients from the MyPlate food groups. Wheatland Electric employees delivered $13,938 and 7,365 pounds of food to the Great Bend Food Bank right before Thanksgiving. Karissa Winkel with K-State Research and Extension presented Nourishing the Brain: Recommendations for Combating Neurodegenerative Diseases at the Great Bend Senior Center at 1 p.m. She discussed how the right eating plan can optimize brain health.CBMC presented a $1,000 donation to the Hoisington Food Bank. The funds were raised through a Pie in the Face contest, with Dr. PJ Stiles, general surgeon, earning the honor of taking the pie. Karissa Winkel - Cottonwood Extension District presented Cooking for 1-2. She shared how to cook tasty, healthier meals for 1-2. She showed cooking methods with minimal food waste while maximizing your wallet.Eldercare who services Great Bend, Hoisington, and Ellinwood announced a new program where community members could sponsor a Senior to help pay for their meals as a way to ensure that older citizens get the nutrition they need. UWCK awarded funds to First United Methodist Church, so it could continue its vital work of distributing food boxes to residents in need throughout Barton County, ensuring no one in the community goes hungry.CBMC continued to post healthy and nutritious recipes on their Facebook page. Examples: Cranberry Walnut Apple Slaw, Cheesy Chicken Fiesta Casserole, Stovetop Green Beans with Almonds, Air Fryer Stuffed Chicken Parmesan, Air Fryer Cajun Potatoes, Easy Salsa Rice, Carrot Cake Bars with Cream Cheese Frosting, Sweet Pepper Cucumber Salad, and Alcohol-free Sangria.CBMC offers free fruit for patients and employees in the cafeteria.2. TransportationSunflower added a new 12-passenger van equipped with a wheelchair lift to it's fleet, allowing for additional availability.Great Bend Public Works Director received a grant to improve sidewalks, curbs, gutters and ADA accessibility on Main Street, from 10th Street to 19th Street. The grant also covered improvements to sidewalks around the Barton County Court House.Overcoming Transportation Barriers Recognizing transportation as a critical barrier to student success, UWCK awarded funds to Barton County Academy to support students from Hoisington and Barton Hills. By partnering with Catch a Ride, the academy aims to provide reliable transportation Monday through Thursday on school days, ensuring students can attend classes and achieve their educational goals.Volunteers In Action of Central Kansas (VIACK) is a non-emergency transportation program in Great Bend. They have a group of volunteers to help transport individuals to their medical appointments. They make trips to Hoisington, Larned, Hays, Hutchinson, Salina, Dodge City, Pratt, and Wichita. CARS (Community Action Ride System): Provides rides for various purposes like medical appointments, employment, school, shopping, and more. They serve Barton Jasper, Newton, and McDonald counties. Rides are provided by volunteer drivers using their own vehicles, with limited accommodation for wheelchairs, walkers, etc. Requires advanced reservations, and is first-come, first-served.OATS Transit: Serves Barton County and offers transportation within the county and to adjacent counties. Fares vary based on distance, with in-county trips cost $3.00, adjacent county trips cost $4.00, and long-distance trips (three or more counties) cost $6.00. Sunflower Catch-a-Ride Public Transportation currently provides transportation anywhere within the Barton County area Monday - Friday 8 a.m. - 4.00 p.m. and weekends by appointment. Cost is $2.00 one way, with a 24-hour advanced reservation required. CBMC offers financial assistance to cover transportation to and from CBMC for patients in need. Mini-Bus Services provided, within Great Bend city limits. The buses are available Monday - Friday 8 a.m. - 5 p.m. no weekend services. The Min-Bus requires advanced notice. Passengers must call at least the day before to schedule their rides. An after-hour's answering machine is available to leave a message. Fares: $1.50 one way, $3.00 round trip, each extra stop is $1.00.
Clara Barton Hospital Association, Inc.	Part V, Section B, Line 11: CAB (Commission on Aging Bus) is operated by the City of Great Bend Commission on Aging. They provide transportation within the city limits of Great Bend and to locations like the airport and other designated stops. Fares vary depending on the destination, with in-city rides cost $4.00 and trips to the airport cost $8.00. Service hours are Monday through Friday, 6:30 a.m. - 6:30 p.m. with answering machine available after hours.The Hoisington Trolley provides transportation in the city of Hoisington Monday - Friday 9 a.m. - 4 p.m. They will go out of the city limits (one mile) during regular operating hours. Suggested donation is $1.00 for each time boarding the Trolley. A 20-ride pass can be purchased for $15. CBMC offers Trolley coupons for anyone in need at no cost.CBMC has two care team management nurses who assist patients as needed to arrange transportation rides.Cardinal Cruiser bikes are available in Hoisington as part of the bike sharing program. They are available for free checkout at one of four locations throughout Hoisington: the city billing office, the Hoisington Public Library, the Hoisington Rec Commission at the Activity Center and the Rodeway Inn & Suites. Using a shared document at those locations, the city keeps an updated list of which bikes have been checked in or out and from which location. Most of the bikes are of the standard single-speed variety, the city did mix it up with a side-by-side trike and two tandem bicycles.3. Mental HealthCBMC continues to partner with the KU Alzheimer's Disease Center to improve assessment of Alzheimer patients and to provide care giver counceling on site once a month.CBMC hosted a month long Stressless Challenge. Employees tracked their downtime for 28 days. Stress can have surprising effects on overall-health, from the way one thinks and feels to the way one eats and behaves. There are a lot of ways stress can affect you, but you can have a major effect on your stress by taking as little as 5 minutes for yourself to unwind each day. Employees were encouraged to try stretching, meditating or just to do something they enjoyed. Drawings were held to promote relaxation: Pedicure, Aromatherapy Lotion & Scrub, Foot Peel, Candle.Mark Thompson with BCBSKS presented a Lunch & Learn at CBMC called Stress Eating. The session addressed common emotional eating triggers and strategies to manage emotional eating. All those who attended were entered in a drawing for an insulated lunch bag packed with healthy snacks.Ten Barton County High School students took the opportunity to make their voices heard at the State Capitol during Mental Health Advocacy Day. The students represented the #Zero Reasons Why suicide-prevention program. #ZRW is a teen-led campaign to reduce teen suicide and emphasize that mental health is as important as physical health.Barton County College held Suspenders4Hope training. 3 Councilors from The Center of Counseling and 1 Councilor from Dropping 22 attended the specialized training. Karissa Winkel, Family Community Wellness Agent for K-State and Extension presented a session titled "The Sunshine Vitamin" at the Great Bend Activity Center. She discussed the importance of The Sunshine Vitamin, how it can lower your risk for depression, and how to include enough vitamin D in your diet. She also shared a vitamin D-rich treat and a take home recipe.Dropping 22 received a $10,000 donation from 100+ Who Care Barton County. This group was created and named based on the staggering statistic that 22 veterans take their own lives each day. This organization works to combat the trauma, depression, PTSD and anxiety faced not only by veterans, but the military community and first responders, in hopes of lowering that number as close to zero.The Center for Counseling & Consultation held a Mental Health Awareness Day event at the courthouse square in Great Bend. The Center and approximately 20 community partners had informational booths set up. Food, drinks, yard games, drum circle and bounce house were available during the event. The Barton County Health Department received a $35,000 grant from The Kansas Department for Aging and Disability Services (KDADS) to provide community-based suicide prevention services. Danielle Fahrney, joined The Center for Counseling & Consultation as a SUD counselor. She will work with clients on their treatment plans, providing education about topics such as relapse prevention; triggers that can lead to using drugs; coping skills; and stress management.The Center for Counseling & Consultation became fully licensed as a Certified Community Behavioral Health Center. A CCBHC provides integrated, client-centered care; it is a multi-dimensional program that cares for the whole person. The Center for Health hired Kiani Simms as a therapist. She is there to help people with concerns such as depression, anxiety and adjustment issues. This includes foster children and other youngsters struggling with their own families. She is also comfortable working with clients who are deaf or hard-of-hearing.Barton County received a grant for community-based suicide prevention services, including evidence-based strategies aimed at reducing suicidal ideation, attempts, and deaths. Laura Patzner joined The Center for Counseling & Consultation staff as a crisis case manager. Patzner has a varied background that includes training in many areas such as trauma response, criminal-justice response, community advocacy, prevention strategies and organizational leadership.Tammy Tipton, BSN,RN from Blue Cross and Blue Shield of Kansas came to CBMC and presented a session on Self Care. The session addressed not only taking care of our physical health but also social, emotional and spiritual health.Juvenile Services held Parent Classes for eight consecutive Tuesdays from 6 to 9 p.m. Experts helped parents and children through real life experiences. Dakotah Sanders spoke to the public about his past abuse and addiction. He shared the details of his recovery and the mindsets he developed along the way. Sanders works for Horizons Community Mental Health Center in Hutchinson as a peer-support specialist and mentor. The Center for Counseling & Consultation kicked off The Mobile Crisis Response program. Tracie Haselhorst and Jennifer Johnson are combining their experience and education to help support people facing mental-health crises in our area. Barton County held the 12th annual "Golden Belt Glow 4 Life" 5K run/walk to help raise money to promote suicide awareness and prevention at Veteran's Park in Great Bend. The event was put on by The Central Kansas Partnership Suicide Prevention Task Force.Rise Up Central Kansas held its third annual Recovery Out Loud, Every Voice Matters event at Jack Kilby Square in Great Bend. This event was a platform for anyone wanting to share their stories about substance use disorders, or for anyone recovering from mental health issues or trauma to do so. Rise Up focuses on prevention, intervention, and resilience. Jessica Blehm joined The Center for Counseling & Consultation in Great Bend. She is a Licensed Specialist Clinical Social Worker who is especially interested in younger and older people struggling with mental health issues. She offers treatment for conditions such as depression, anxiety and life transitions. She is a Dialectical Behavioral Therapist, which helps people who are suicidal, self-harming or have diagnoses of borderline personality disorder.CBMC expanded its mental health therapy services with the addition of Marcus Herrera, LCPC, NCC to its clinical team, offering mental health therapy service in both the Hoisington and Great Bend clinic locations. Marcus has extensively worked with children, adults, families, and individuals in a variety of settings, including child welfare systems, inpatient facilities, and outpatient organizations.CBMC expanded its mental health therapy services with the addition of Sarah Vonfeldt, LMSW, to its clinical team, offering mental health therapy services in both the Hoisington and Russell locations. Sarah is a clinical social worker who works with those experiencing a variety of mental health issues.4. Child CareGreat Bend received $4,382,493 through Great Bend Economic Development and Advancing Barton County Childcare. These funds will be utilized to establish an innovative community hub, featuring overnight childcare facilities, a makerspace, a workforce center, and health screenings. This center will open 28 childcare slots, including two rooms solely dedicated to after-hours and overnight childcare.A ribbon cutting and open house was held at Bright Beginnings, a newly built daycare in Great Bend. The 6,500 square-foot daycare center will accommodate up to 80 children.
Clara Barton Hospital Association, Inc.	Part V, Section B, Line 11: The Great Bend Economic Development group announced the receipt of $394,000 from the Patterson Family Foundation Thriving Rural Grant program. The grant funds will be used to purchase equipment and furnishings for the IGNITE Innovation Center which includes licensed childcare slots.A ribbon cutting and open house was held at the Little Panthers Preschool and USD 428 District Education Center in Great Bend. Attendees were able to tour the facility, enroll their three or four-year-olds, enjoy light refreshments, or even apply for jobs within the district. At the ceremony it was announced that all 118 morning sessions had been filled, and 71 children were enrolled for afternoon sessions. Enrollment for 25 all-day students who are children of district staff was also filled.USD 431 Hoisington continues to make progress on a new childcare facility. The new daycare facility will be located behind Roosevelt Elementary School. At the school board meeting they reviewed a contract with ABCC which recognizes USD 431 as the owner of the land on which the building will sit. ABCC will pay a dollar to lease the land every year as part of the contract. Beyond that, ABCC will handle all the insurance and utilities, and the building will be independent of the district.5. Chronic Comorbidities (Obesity, Heart Disease, High Blood Pressure, Diabetes, Cancer)Clara Barton Medical Center (CBMC) offers a comprehensive Diabetes Education Program geared toward those living with diabetes. It provides current evidence-based education on diabetes education from a diabetes educator in an open and conducive environment. It allows participants to take charge of their own care and diabetes management. And to improve their lives through the diabetes education services. Program content includes healthy eating, being active, monitoring glucometers, continuous glucose meters, taking meds, insulin injection education, insulin pumps, reducing risks and complications, healthy coping, problem solving, stress, sick days, hypoglycemia and hyperglycemia. Participants work closely with the registered dietician to develop an individualized wellness plan of strategies to achieve diabetes related goals.CBMC registered dietician works closely with patients needing individual assistance for obesity, high cholesterol, high blood pressure, chronic kidney disease, cancer, gut health problems, food disorders, and practical lifestyle advice.CBMC offers cardiac rehabilitation. This service includes lifestyle modification, supervised exercise and education to help individuals learn healthy lifestyle techniques to prevent progression of coronary artery disease (CAD) and assist in recovery following a heart attack or cardiac surgery.CBMC offers respiratory therapy. This department provides diagnostic and therapeutic services to those who are dealing with acute or chronic health issues that include asthma, bronchitis, emphysema, pneumonia, cardiovascular disease and trauma. They care for individuals that range in age from infant to geriatrics by evaluating, treating and maintaining lung function.CBMC has a care management team who works with patients to manage their medications and works with them and their other care professionals to make sure they are receiving the continuation of care they need. CBMC kicked off 2024 with an Eat Well Live Well program. 8 hours of PTO could be earned for those employees that participated and completed several wellness initiatives throughout the year. CBMC offered employees free lab draws for employees that signed up to participate in the Eat Well Live Well Wellness program. Quarterly Lab fairs were offered to the public at a discounted rate on the 3rd Saturday of the month at CBMC during 2024.The Annual Heart Walk was held. It was sponsored by the Heart of Kansas Family Health Care Inc. and the Great Bend Rec from 9:00 a.m. - 12p.m. A free breakfast was provided.K-State Research and Extension Cottonwood District opened registration for the Walk Kansas program. This is an annual eight-week activity challenge that focuses on physical activity and healthy eating.The Great Bend Recreation Commission held a program on Tuesdays and Thursdays in Great Bend called Stay Strong Stay Healthy. The program was designed to increase an aging adult's access to a safe, structured, and effective strength training program. Over 8 weeks, participants learned exercises to improve their strength, flexibility, and balance. Installation of new lights along the Vets Park walking path on the north side of the park was completed in Great bend. This will make it safer for community members to walk and exercise.The Great Bend Recreation Commission held a 10-week program on Monday, Wednesday and Friday called "Healthy Walking with Friends". This group met for 10 weeks to enjoy walking at Veteran's Lake together.CBMC received certification as a Patient-Centered Medical Home by the National Committee for Quality Assurance (NCQA). This certification establishes a model of care that is patient-focused, improving the quality of care, enhancing patient experience, building relationships between patients and providers, and providing additional clinic services to better serve patient needs. CBMC hosted a volunteer pick up trash event. Participants got their workouts in picking up trash and improving the environment.Dr. Perez Tamayo from Central Care Cancer Center came and gave free Skin Cancer Screenings to any CBMC employee who wanted one. Employees could sign up for a quick scan or a full body scan.The Barton County Youth Crew (BCYC) is a student-led task force focused on promoting healthy habits and positive change in the community. They held a Lei Off Tobacco Program at Great Bend High School. Hawaiian Leis were handed out to each student as they shared information about the dangers of tobacco. CBMC sponsored National Walk at Lunch Day. The walk was held at the Great Bend and Hoisington Clinic Locations. This event encouraged residents to get out and walk.The Pilot Club of Great Bend gave away free fittings and helmets to the USD 428 students who have perfect attendance and earned a new bike from generous local community sponsors and donations. CBMC hosted a Make Your Move challenge. The event encouraged participants to track the number of minutes of exercise they did daily. Activities could include Walking, Running, House Work, Bicycling, Swimming, Weight Lifting Yoga, Elliptical, Yard Work, etc.The City of Hoisington received a transportation construction grant from the Kansas Department of Transportation's Cost Share Program. The funds will be used to resurface Green and Vine Street and to make pedestrian improvements.CBMC Partners with Holistic Pain Management to Provide Outreach Services, aimed at providing advanced pain management services to our community. This collaboration will bring much-needed pain relief treatments to patients in Hoisington and the surrounding areas, eliminating the need for long drives to receive care. They will be in clinic the 2nd and 4th Wednesdays of the month. Karissa Winkel with K-State Research and Extension held a Walk with Ease series. This indoor class took place from 2:00 p.m. to 3:00 p.m. on MWF at the Great Bend Rec. This series was set up to help people with arthritis or other related conditions to reduce pain, increase balance, strength, walking pace and improve overall health. The class was created by the National Arthritis Foundation.The City of Hoisington set up free indoor pickleball courts in the City Auditorium. It is air-conditioned, climate-controlled, lighting is controlled, no wind, no outside variables. Court time must be reserved. Equipment for the game may be borrowed, or players can bring their own.The City of Hoisington announced that it is moving forward with improvements at a pair of parks and throughout town. At Bicentennial Park and Heritage Park, New playground equipment will be installed. This was made possible because of the City of Hoisington's Quality of Life endowment. The city will also be replacing city lights with new LED lights. Grants will cover the expense of purchasing the first 400 light bulbs. This will create an energy savings for the community.
Clara Barton Hospital Association, Inc.	Part V, Section B, Line 11: Karissa Winkel, K-State Research and Extension presented "Lower Your Risk of Breast Cancer" at the Great Bend Activity Center over the noon hour. She identified risk factors for developing breast cancer, discussed lifestyle choices that reduce the risk of breast cancer, and helped everyone gain a better understanding of early detection. CBMC hosted a 2nd volunteer pick up trash event. Participants got their workouts in picking up trash and improving the environment.Karissa Winkel, K-State Research and Extension presented "Dining with Diabetes" from 11a.m. - 1 p.m. at Trinity Lutheran Church. This program was designed to boost the health of those with prediabetes and Type 2 diabetes and to teach strategies to control glucose levels. The program served to educate family members and caregivers while connecting participants to resources. The program included nutritional education, hands on cooking and the importance of physical activity and how to realistically include it in day-to-day life.CBMC and several other businesses sponsored a Turkey Trot 5K fun run in Great Bend. It included a 5k race and a one-mile fun run.CBMC hosted a Maintain Don't Gain Challenge. The goal of the challenge was to maintain your weight during the Holiday season. From Thanksgiving through the New Year. Karissa Winkel, K-State Research and Extension presented "Healthy Body, Healthy Brain" at the Great Bend Activity Center over the noon hour. Healthy minds live in healthy bodies, which means taking care of your heart and cardiovascular system in the best way to protect your brain. She shared the risk factors that take a toll on the body and brain and recognize the health benefits related to the MIND diet.CBMC offers a full range of both inpatient and outpatient nutrition services designed to help patients achieve optimal health.6. Educate Public on the Services Offered in the CommunityClara Barton Medical Center (CBMC) has a Social Determinants Resource List and a Community Resource List available to give to patients or community members needing assistance.The CBMC radio show airs the second Thursday of every month at 8:30 a.m. on 1590 KVGB & 95.5 FM local. Educational topics are shared with the community by subject matter experts. Topics included The Community Health Needs Assessment, PCMH, Speech, Occupational and Physical Therapy, Colon Screenings, Wellness Exams, Pediatrics, School Physicals, Holistic Pain Management, Lab Fairs and Mental Health.Laundry Love sponsored by the United Way is held on the third Saturday of every month in Great Bend. The goal is to help prevent physical and emotional strain that poor health and hygiene places on the under-resourced in the community. Each family is given funds for up to five loads of laundry. In 2024 25 to 30 clients participated.CBMC held a Lactation Class. Certified Lactation Consultants Breanna Helton, Rn, and Emily DeLaurentis, RN covered an array of topics providing all mothers or those expecting with the knowledge and tools they need for a successful breastfeeding journey. Classes were held quarterly during 2024.CBMC held its annual meeting. Garrett Rebel, Sam Travis and Matt Barlow, all CRNA's attended the meeting, introduced themselves, explained the type of services they provide at Clara Barton in Surgery and sat on a panel and answered questions from community members.The Family Crisis Center held a ribbon cutting to announce the opening of Sara's Blessings. They converted their basement into a shop for clients and those in need of clothing, hygiene items and household goods. The shop is open Monday through Friday from 8:30 a.m. to 5 p.m.Officer Emma Mooney and Cpl. Amber Kal from the Great Bend Police Department presented a Stop N/ Learn Session for females in respect to awareness and self-protection "Defensive Living". Principles and strategies for effectively reducing the likelihood of assaults were examined during the program along with a lot of other topics.CBMC presented Thursdays with Therapy. An engaging, free community event where Clara Barton therapists discuss various topics in a 30-45 minute session, followed by basic functional strength exercise(s). These events were held the 2nd Thursday of even months at 10:00 a.m. in the Turnbull Safe Room at Clara Barton Medical Center. Karissa Winkel, Family Community Wellness Agent for K-State and Extension presented "Make Active Habit Stick". In this session, she talked about why it is hard to fit regular exercise into your routine and how to combat these barriers with proven habit-formation techniques. She spoke about how to plan for setbacks, adapt to life changes and find support and how to apply these changes to make active habits stick. Stephen L. Billinger, Barton County Undersheriff presented "Barton County Sheriff's Department Q & A". Mr. Billinger gave an informational session on several topics that included auto and home protection, scams, self-awareness, concealed carry-along, then allowed for questions regarding other topics.Karissa Winkel, Family Community Wellness Agent for K-State and Extension presented "Understanding Social Security". Financial well-being is part of overall health. Being in control of your personal finances empowers you to make healthy decisions for you and your family. In this session Karissa discussed how social security works, eligibility for benefits and how to find your full retirement age. Bev Frizell Registered Dietician at the Barton County Health Departments held a series of classes that ran for six weeks called "Becoming a Mom". Topics included nutrition, labor and delivery, breastfeeding, and more.CBMC hosted a Providers Guide It Walkers Stride It presentation. Open to the public. Dr. Webb, DO presented "Skin Cancer Awareness".CBMC started sending out reminders to the community to schedule their school/sports physical. Summer gets busy and you do not want to wait until the last minute. Clara Barton Foundation presented at the Hoisington Chamber of Commerce Meeting. Michelle Moshier updated the community on the upcoming fundraising event to bring a new C-arm to the hospital, enhancing capabilities for interventional and surgical procedures.Hoisington hosted the Biking Across Kansas riders at the Hoisington Activity Center. Approximately 750 bikers participated along with lots of support people. The Kansas Wetlands Education Center offered a summer library program for area public libraries called "Wetland Adventures". The program let kids know what adventures they can find in their own backyard as well as what is out at Cheyenne Bottoms. The Barton County Health Department held a Community Baby Shower at the Barton County Courthouse. The free event showcased approximately two dozen vendors who provided information on Safe Sleep and the services they provide to new families. Pregnant women and new dads were all welcome to attend. Car seat checks were also available in the parking lot of the health department. USD 428 offered the summer REACH program from June 26 - July 21. The program was held at Jefferson and Riley Elementary schools, from 8 a.m. to 2 p.m. Monday through Thursday, and 8 a.m. to 12 p.m. on Friday's. The program provided enrichment activities and is separate from academic summer school. It was available to K-5 students.Central Kansas CASA sponsored a free swim night at the Great Bend Wetlands Waterpark. They did this as their way to remind the community that they are here, and they wanted to encourage healthy family activities. CBMC announced that starting August 5th Dr. Klug will be visiting the Hoisington clinic location on the first Monday of each month, providing outreach sports medicine services. CBMC hosted a Providers Guide It Walkers Stride It presentation. Open to the public. Debra Brockel, PA presented "Water Safety".CBMC brought in Jackie Stiles to speak to the public on "Beating the Odds". Jackie educated the public on Ocular Melanoma. Stuff the Bus event in Hoisington. This was a school and food pantry supply drive sponsored by the United Way. The bus was parked at the Town & Country Supermarket & Dollar General in Hoisington.CBMC Provided Free Speech Screenings for Kids (from birth - 18 years of age) during the Month of April. Screenings were done in the Therapy Department Monday - Friday 8 a.m. - 5 p.m.CBMC announced that starting August 5th Dr. Klug will be visiting the Hoisington clinic location on the first Monday of each month, providing outreach sports medicine services.
Clara Barton Hospital Association, Inc.	Part V, Section B, Line 11: Free school sports physicals for the 2024-2025 school year for area middle and high school students were provided by The University of Kansas Health System, in collaboration with Great Bend USD 428. Physicals were done from 7 a.m. - 11 a.m. at St Rose Medical Pavilion in Great Bend.CBMC announced that they now have a certified Hand Therapist, Benton Hrabe.CBMC announced that members of the Therapy Team received their certification for Level 2 Dry Needling, meaning they can treat a wider range of areas and conditions with more complex skills. The primary objective of dry needling is to restore function and speed up your return to active rehabilitation.CBMC hosted a Providers Guide It Walkers Stride It presentation. Open to the public. Dr. Johnson and Dr. Ryan, presented "Pediatrics". They educated the public on the services they provide.The Barton County Health Department spoke on the radio to highlight National Preparedness Month. Think of emergencies or disasters that might happen in your area and how to be prepared for that. CBMC attended the Women's Expo at the Great Bend Events Center to share information on their latest services. The Barton County Health Department was also there giving free flu shots.CBMC hosted a "Healthcare Career Day" in the East Conference Room for current employees looking to further your education, to high school students exploring healthcare careers, or to community members ready for a fresh start in a rewarding field. The Barton County Health Department extended their hours to better serve the public. "Becoming a Mom" 6 sessions - 1 per week were held at the Barton County Health Department. The course included discussion on health pregnancy, labor and delivery, infant feeding, infant care, postpartum health for mothers and pregnancy nutrition.Bev Schmeidler, County Clerk/Election Officer presented Election 101 over the noon hour. She went into detail and explained what's all involved in the process of elections.CBMC held a Drive-Thru Flu Vaccination Drive making it easy for community members to receive their Fluzone, FluBlok and High-Dose Fluzone. The Barton County Health department went to the surrounding small towns in the Great Bend area to offer flu shots.October is Cybersecurity Awareness Month. CBMC shared the message to be careful in this regard.CBMC announced Walk In flu shots available to the public at all 3 clinic locations. No need to make an appointment.Holy Family School hosted presenter Ben Tracy at 7 p.m. who spoke on online safety, and responsible social media use. Drawing on personal experience, he shares his compelling story about the impact of teenage social media usage at schools and organizations nationwide.The Staff of the Barton County Health Department presented "Discover the Services Your Health Department Offers". The group explained the wide range of services provided by their office from preventative care and vaccinations to mental health resources and addressing specific needs at every stage of life. The local Health Department is committed to supporting the health and well-being of the community.National Drug Take Back Day. The Barton County Health Department and the Barton County Sherriff sponsored this event from 10 a.m. to 2 p.m. They were set up on the east side of the courthouse. The public is encouraged to bring their non needed prescription drugs and sharps, and they will be disposed of properly.CBMC sent out reminders to the public that it was National Breast Cancer Awareness month. Clara Barton offers state-of-the-art 3D Mammograph. The encouraged the public to be proactive as early detection saves lives.Sgt. Joshua Buss & Lt. Heather Smith, from the Great Bend Police Department presented "Law Enforcement Flock Systems & Drones". They educated those attending on how these devices help law enforcement in solving crimes. CBMC and the Kansas Hospital Association funded the start-up fees for USD 431 to kick off a new chapter of HOSA - Future Health Professionals at Hoisington High School. This is a student-led group, much like the Future Farmers of America or Future Business Leaders of America. It allows students the opportunity to explore health care occupations, practice leadership, and learn about different health care occupations.The Kansas Department of Health and Environment (KDHE) issued a boil water advisory for the City of Great Bend public water supply system located in Barton County. They also issued information on the protocol that should be followed when using water.
Clara Barton Hospital Association, Inc.	Part V, Section B, Line 20e: CBH notified all uninsured patients about the Hospital's FAP by letter, orally, and on patient statements.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	1 - Clara Barton Medical Clinic 252 W 9th Street Hoisington,KS67544	Rural health clinic
2	2 - Clara Barton Surgical Clinic 252 W 9th Street Suite B Hoisington,KS67544	Physician clinic
3	3 - Russell Family Medical Care 410 N Main Street Suite C Russell,KS67665	Rural health clinic
4	4 - Clara Barton Medical Clinic 906 McKinley Street Great Bend,KS67530	Rural health clinic
5
6
7
8
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 7:	Financial assistance at cost was determined by utilizing departmental cost-to-charge ratios for financial assistance provided in areas that are reported as subsidized health services. An overall cost-to-charge ratio derived from Worksheet 2 was used to determine the cost of financial assistance provided for services not reported as subsidized health services.Unreimbursed Medicaid costs were also determined using a blend of cost-to-charge ratios for certain services and an overall cost-to-charge ratio derived from Worksheet 2 for all other services.The cost of providing subsidized health services was determined using a cost-to-charge ratio for each service.Actual costs and revenues were utilized for all other items reported on line 7.
Part I, Line 7g:	Subsidized health services are comprised of services that the Hospital provides despite a financial loss to the organization. These services include the operation of a 24-hour emergency room, physician clinics, diabetic and dietician services, and various therapy services. The amount of costs attributed to physician clinics amount to $7,685,605.
Part III, Line 4:	The Hospital recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, the Hospital recognizes revenue on the basis of its standard rates for services provided. On the basis of historical experience, a significant portion of the Hospital's uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Hospital records a significant provision for bad debts related to uninsured patients in the period the services are provided.Part III, Line 2:Bad debt expense at cost was determined by utilizing departmental cost-to-charge ratios for financial assistance provided in areas that are reported as subsidized health services. An overall cost-to-charge ratio derived from Worksheet 2 was applied to the charges deemed uncollectible during the year for all other services.Part III, Line 3:Bad debt expense attributable to patients eligible under the organization's financial assistance policy was determined using an estimated 2% of total bad debts. The Hospital takes steps to assist individuals who are believed to qualify for financial assistance prior to writing accounts off as uncollectible.All non-reimbursed costs for treatment of patients in our community provides a community benefit since patients unwilling or unable to pay have received a valuable service at no cost or at a reduced cost to them. This improves the health of our community as a whole.
Part III, Line 8:	Medicare allowable costs were determined by using amounts from the Hospital's Medicare cost report as filed with the Medicare Administrative Contractor. The Medicare cost report apportions actual costs to the Medicare program using charges for ancillary services and patient days for nursing services. Caring for Medicare patients fulfills a community need and relieves a government burden as these patients typically have low or fixed income. Therefore, any shortfall should be included as a community benefit.
Part III, Line 9b:	The collection policy states that the patient must cooperate with the Hospital to provide the information and documentation necessary to apply for other existing financial resources that may be available to pay for health care services, such as Medicaid. Then the information is gathered and assessed in order to determine eligibility for charity care. Whenever possible, prior to admission, the Hospital will conduct a pre-admission interview with the patient, the guarantor, and/or the patient's legal representative. Those patients who may qualify for financial assistance from a governmental program will be referred to the appropriate program, prior to the consideration for charity care.
Part VI, Line 2:	The Hospital works closely with the Barton County Health Department and Kansas Department of Health and Environment to identify trends in the community. Education and information is provided to the public, including information on West Nile, chicken pox, and whooping cough, for example. The Hospital also trends data in the hospital and clinics to identify emerging issues. The Hospital has provided, a fall prevention program, "Stepping On", for interested elderly members of Hoisington and surrounding areas. The Hospital also trends trauma data in the emergency room and as a result provided literature to the public on fall prevention.
Part VI, Line 3:	There is signage posted at admissions desk. Patients are referred to a financial counselor at admission if they do not have insurance. The financial counselor also works with a Medicaid helper to try and get qualified patients registered for the Medicaid program. Effort is made during billing of deductible and co-payment to see if patient can qualify for charity care.
Part VI, Line 4:	The community being served is located in central Kansas and consists of approximately 2,660 residents. The average household income is $50,344. 15.1% of the community residents live below federal poverty level. Neighboring hospitals include facilities in Ellinwood and Great Bend. They are approximately 18 and 11 miles away respectively.
Part VI, Line 5:	The Hospital's Board of Directors is elected from the community at large. This allows independent individuals who reside in the primary service area to serve as a director. The Hospital also extends medical staff privileges to all qualified physicians in the community. Any surplus in funds is retained by the Hospital and aids in improving overall patient care and facility maintenance.

Schedule H (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Clara Barton Hospital Association Inc

Employer identification number

48-0576039

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Patrick Stiles General Surgeon	(i) (ii)	464,863 ------------- 0	465,936 ------------- 0	0 ------------- 0	10,350 ------------- 0	41,494 ------------- 0	982,643 ------------- 0	0 ------------- 0
2Roxanne Stiles General Surgeon	(i) (ii)	476,213 ------------- 0	177,138 ------------- 0	0 ------------- 0	10,350 ------------- 0	14,782 ------------- 0	678,483 ------------- 0	0 ------------- 0
3T Scott Webb DO Director/Chief of Staff (Eff. 02/24)	(i) (ii)	368,740 ------------- 0	108,902 ------------- 0	0 ------------- 0	13,800 ------------- 0	31,991 ------------- 0	523,433 ------------- 0	0 ------------- 0
4Nathaniel Knackstedt Director/Chief of Staff (Thru 02/24)	(i) (ii)	322,729 ------------- 0	109,655 ------------- 0	0 ------------- 0	13,102 ------------- 0	41,477 ------------- 0	486,963 ------------- 0	0 ------------- 0
5Kyle Renner Physician	(i) (ii)	342,737 ------------- 0	40,533 ------------- 0	0 ------------- 0	9,725 ------------- 0	44,181 ------------- 0	437,176 ------------- 0	0 ------------- 0
6Samuel Travis CRNA	(i) (ii)	312,768 ------------- 0	0 ------------- 0	0 ------------- 0	9,026 ------------- 0	41,486 ------------- 0	363,280 ------------- 0	0 ------------- 0
7Garrett Rebel CRNA	(i) (ii)	306,313 ------------- 0	6,535 ------------- 0	0 ------------- 0	7,630 ------------- 0	41,469 ------------- 0	361,947 ------------- 0	0 ------------- 0
8Amanda Hoffman Pharmacist/COO	(i) (ii)	258,388 ------------- 0	5,000 ------------- 0	0 ------------- 0	10,543 ------------- 0	47,312 ------------- 0	321,243 ------------- 0	0 ------------- 0
9James Tusten President/CEO	(i) (ii)	206,251 ------------- 0	0 ------------- 0	0 ------------- 0	5,070 ------------- 0	41,904 ------------- 0	253,225 ------------- 0	0 ------------- 0
10Michael Anderson CFO	(i) (ii)	148,451 ------------- 0	0 ------------- 0	0 ------------- 0	2,888 ------------- 0	0 ------------- 0	151,339 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Clara Barton Hospital Association Inc

Employer identification number
48-0576039

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Hoisington Public Building Commission	47-1454939	43466QBA6	10-15-2020	12,569,466	Renovate and expand the Hospital		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	12,582,796
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	565,260
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	216,638
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	11,651,896
11 Other spent proceeds .............	148,795
12 Other unspent proceeds .............	207
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........	X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part II, Line 3, Total proceeds of issue	The difference between Part II, Line 3 and Part I, Column (e) represent year-to-date investment earnings on bond proceeds.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Clara Barton Hospital Association Inc

Employer identification number

48-0576039

Return Reference	Explanation
Form 990, Part VI, Section A, line 4	The bylaws were amended to make the President/CEO a non-voting board member.
Form 990, Part VI, Section A, line 6	Members of Clara Barton Hospital Foundation, Inc. are automatically members of Clara Barton Hospital Association, Inc.
Form 990, Part VI, Section A, line 7a	Members of Clara Barton Hospital Association, Inc. elect members of the governing body.
Form 990, Part VI, Section B, line 11b	The Form 990 is provided to governing body and reviewed prior to filing.
Form 990, Part VI, Section B, line 12c	A conflict of interest disclosure form is provided to each Board Member and is reviewed annually.
Form 990, Part VI, Section B, line 15	The organization uses the KHA Salary Survey as a guide for determining CEO compensation with Board of Directors approval. The KHA Salary Survey is used by the CEO when determining compensation for other officers and key employees.
Form 990, Part VI, Section C, line 19	The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request.
Form 990, Part XI, line 9:	Change in beneficial interest in Foundation net of transfers 163,128. Net assets released from restrictions used for operations -20,531.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Clara Barton Hospital Association Inc

Employer identification number

48-0576039

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Clara Barton Hospital Foundation Inc PO Box 25 Hoisington,KS67544 48-1077460	Provide support to Clara Barton Hospital	KS	501(c)(3)	Line 7	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Provision of inpatient and outpatient hospital services, primary care services, and surgical services to residents of our service area.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	395
6	Total number of volunteers (estimate if necessary) .............	6	17
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	461,402	324,646
9	Program service revenue (Part VIII, line 2g) .........	41,910,249	43,809,683
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	587,764	505,704
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	790,287	837,384
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	43,749,702	45,477,417
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	25,892,622	27,561,038
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 117,865
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	16,806,821	18,778,423
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	42,699,443	46,339,461
19	Revenue less expenses. Subtract line 18 from line 12.......	1,050,259	-862,044
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	40,463,972	39,403,897
21	Total liabilities (Part X, line 26).............	20,189,703	19,548,753
22	Net assets or fund balances. Subtract line 21 from line 20.....	20,274,269	19,855,144

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 39,941,593 including grants of $ ) (Revenue $ 44,195,893 )
	Clara Barton Hospital Association provided a wide range of health care services to residents of its service area including 3,709 patient days of inpatient care, 38,627 outpatient hospital visits and 45,137 visits to our primary care and surgical clinics.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses39,941,593

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	4,126,119	0	438,580

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) Samuel Travis........................................................................ CRNA	40.00 .......................	X	312,768	0	50,512

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	310,707
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	13,939

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		324,646

		Business Code
2a	Patient service revenue	622110	40,909,610	40,909,610
b	340b drug program revenue	456110	2,900,073	2,900,073
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		43,809,683

3 Investment income (including dividends, interest, and othersimilar amounts) ......			482,878			482,878
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			326,635			326,635
			(i) Real	(ii) Personal
6a	Gross rents	6a	34,735
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	34,735
d	Net rental income or (loss).......			34,735			34,735
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	213,435	500
b	Less: cost or other basis and sales expenses	7b	191,109	0
c	Gain or (loss)	7c	22,326	500
d	Net gain or (loss).........			22,826			22,826
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	All other		621990	310,666	310,666
b	Cafeteria		722210	89,804			89,804
c	Purchase discounts and rebates		621990	75,544	75,544
d	All other revenue ....
e	Total. Add lines 11a–11d ......			476,014
12	Total revenue. See instructions.....			45,477,417	44,195,893	0	956,878

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,718,537	1,348,918	369,619
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	20,552,275	18,359,927	2,103,107	89,241
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	501,700	447,397	52,115	2,188
9	Other employee benefits .......	3,370,422	3,010,259	346,031	14,132
10	Payroll taxes ...........	1,418,104	1,256,724	155,708	5,672
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	46,761		46,761
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	6,250		6,250
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	4,174,354	3,331,103	843,155	96
12	Advertising and promotion ....	96,165	49,212	46,953
13	Office expenses .......	1,778,832	1,530,323	248,007	502
14	Information technology ......	761,920	571,440	190,480
15	Royalties ..
16	Occupancy ...........	448,784	349,562	98,272	950
17	Travel ............	94,825	76,344	18,480	1
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	376,032		376,032
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,659,575	2,125,426	529,565	4,584
23	Insurance ...	409,147	105,171	303,762	214
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Pharmacy supplies	3,526,754	3,526,754
b	Medical supplies	2,085,545	2,085,545
c	Repairs and maintenance	689,787	652,601	36,906	280
d	340B program	647,150	647,150
e	All other expenses	976,542	467,737	508,800	5
25	Total functional expenses. Add lines 1 through 24e	46,339,461	39,941,593	6,280,003	117,865
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			560,580	1	67,082
2	Savings and temporary cash investments .........			4,318,021	2	3,108,438
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			4,469,835	4	5,742,684
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			1,260,430	8	1,355,069
9	Prepaid expenses and deferred charges ......			678,545	9	815,079
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	38,558,430
b	Less: accumulated depreciation	10b	18,126,698	22,320,262	10c	20,431,732
11	Investments—publicly traded securities .			5,783,982	11	6,533,274
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			1,072,317	15	1,350,539
16	Total assets. Add lines 1 through 15 (must equal line 33)...			40,463,972	16	39,403,897

17	Accounts payable and accrued expenses .....	4,800,238	17	4,875,123
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	12,438,159	20	12,395,463
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	456,306	23	293,167
24	Unsecured notes and loans payable to unrelated third parties ..	2,495,000	24	1,985,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	20,189,703	26	19,548,753

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	19,643,983	27	19,082,261
28	Net assets with donor restrictions ...........	630,286	28	772,883
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	20,274,269	32	19,855,144
33	Total liabilities and net assets/fund balances ........	40,463,972	33	39,403,897