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MCH Rehab Center Physical, Occupational, and Speech Therapy Morris County Hospital Rehab Center has trained and certified therapists on staff to assist you. Our highly credentialed staff, with many years of professional experience, stay up to date on the most current techniques and evidence-based practices. Our Facility Conveniently located within the Morris County Hospital, our facility offers both inpatient and outpatient care and includes a heated pool for Aquatic Therapy. Our Commitment to You The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical and occupational therapy fields. Your return to good health is our common goal. Our Patient Care Program Each patient will receive a comprehensive evaluation by a licensed physical therapist, occupational therapist, and/or speech-language pathologist. Based on the evaluation, the therapist will determine the appropriate, individually-tailored program and provide extensive patient education. Each therapist works with the patient to create an understanding of their condition and the recognition that the best treatment plan rarely stops with the final clinical visit. EVALUATION On the first visit, patients will receive a comprehensive evaluation that will likely take 30-60 minutes and will identify any limitations and impairments that may be affecting overall function. ESTABLISH GOALS Together with the therapist, goals will be determined specific to each patient to: Restore maximum function Increase the speed of recovery Prevent re-occurrence Promote long-term health and wellness TREATMENT A specific treatment plan will consist of one-on-one patient-to-therapist interaction with approximately 1-hour sessions. Private patient rooms, along with a large gym area, will provide patients with respect and comfort during treatments. Treatments may consist of, but are not limited to, therapeutic exercises and/or activities, manual techniques, modalities, and home instruction. EDUCATION & WELLNESS An important component of treatment plans includes teaching patients how to take care of themselves and to prevent future injury. The patient is an equal part of the team and should participate in the treatment given. Wellness is the key to a future that is pain-free, giving one the freedom of movement to live your life to its fullest. COMMON CONDITIONS Back & Neck Pain Nerve Injury or Radiculopathy Hip, Knee, & Foot/Ankle Pathology or Pain Total Joint Arthroplasty Sprains & Strains Bursitis & Capsulitis Shoulder Pathology or Pain Elbow & Hand Pathology or Pain Dementia Swallowing Disorders Frequent Falling Difficulty Walking OUR SERVICES Physical Therapy Occupational Therapy Speech Therapy Aquatic Therapy Cardiac Rehab Swingbed & Inpatient Services Post-operative Rehab Lymphedema Management Custom Orthotics/Splinting Brace Fitting Work Conditioning Vital Stim Therapy Post-Concussion Rehab Balance Re-Training/Vestibular Rehab Prenatal & Postpartum Rehab Cancer Recovery Treatment ASTYM Pelvic Floor Therapy Cupping Blood Flow Restriction Therapy (BFR) More Information Physical Therapy Broadly, physical therapy involves the prevention, diagnosis, and treatment of “movement dysfunctions.” A PT will examine patients and develop treatment plans that promote mobility, pain reduction, restoration, and prevention. Occupational Therapy In its simplest terms, occupational therapists and occupational therapy assistants help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations). Learn More Speech Therapy Speech Therapy is so much more than just “talking.” Speech Therapy is an extensive field that can benefit all ages, from birth to adult. Speech Therapy addresses cognition (memory, orientation, sequencing, executive functioning, medication management), speech-language disorders (adult and children), voice disorders, and swallowing difficulties. Learn More Cardiac Rehabilitation Cardiac Rehabilitation is an individualized and personalized treatment plan designed for patients with specific heart conditions. Cardiac Rehab will include evaluation and instruction on physical activity, nutrition, stress management, and other health-related areas. Learn More Aquatic Therapy Experienced therapists are waiting to help in a state-of-the-art facility featuring an underwater camera system, Assisted entrance and exit, Temperature-controlled environment, Removable floor for depth control, and water currents with variable speed. Learn More Women’s Health Physical Therapy Women’s health physical therapy encompasses a variety of health care issues specific to women and the reproductive system. Morris County Hospital Rehab Center Women’s Health program focuses treatment on the specific needs of women in order to help them regain their well-being and active lives. Learn More Vital Stim Therapy Vital Stim Therapy is used in conjunction with traditional oral motor exercises in order to strengthen swallowing muscles and improve overall swallow function. Often times, patients regain their swallowing ability faster and more thoroughly than with traditional dysphagia techniques. Learn More MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 MCH Rehab Center Staff Dawn Palmquist PT, DPT Director of Rehab Services Ashley Orear LPTA Physical Therapist Assistant Luke Plummer PT, DPT Physical Therapist Kelsey Hartman MOTR/L, CLT Occupational Therapist Christy Ziegenhirt PT, BS, CKTP Physical Therapist Samantha Odell COTA Occupational Therapy Assistant Chris Achilles CPTA, MS, ATC Physical Therapist Assistant Timothy Stewart MS, SLP Speech Therapist Return to All MCH Services

Cottonwood Falls, Kansas MCH Clinic Chase County We provide Family Practice, caring for the entire family. Address 411 Walnut Street Cottonwood Falls, KS 66845 Contact phone (620) 273-6131 emergency 911 fax (620) 273-6133 email webmaster@mrcohosp.com Office Hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm closed closed by appointment ONLY Chase County Clinic Providers Melanie S. Byram MD Carol Coirier PA-C Sydnee P. Nelson MD

MCH Radiology Department Nuclear Medicine As of 2023, MCH is proud to offer in house nuclear medicine! General Nuclear Medicine: Nuclear medicine comprises diagnostic examinations that result in images of body anatomy and function. The images are developed based on the detection of energy emitted from a radioactive substance given to the patient, either intravenously or by mouth. Generally, radiation to the patient is similar to that resulting from standard x-ray examinations. Cardiac Nuclear Medicine: A nuclear stress test is a procedure that checks the blood flow to the heart and how well your heart is beating. You will receive a small, safe amount of radioactive medication that circulates to the heart muscle. A special camera is used to measure how well this medication spreads throughout the heart. Hours The following exams are available every Thursday: Bone Imaging Cardiac Blood Pool Single Cardiac Rest/Stress Testing Gastric Emptying Study Gastrointestinal Blood Loss Imaging Hepatobiliary Imaging Intestine Imaging Kidney Imaging Parathyroid Study Pulmonary Perfusion Imaging Thyroid Imaging An appointment is required for these exams and start time is dependent on the exam being performed. Frequently Asked Questions... How Do I Prepare for a Nuclear Study? Some Nuclear Studies have a prep and some do not. When scheduling your appointment, you will be informed of any prep, we will also call you to remind you of your prep the day prior to your exam. What Does the Equipment Look Like? During most nuclear medicine examinations, you will lie down on a scanning table. Consequently, the only piece of equipment you may notice is the specialized nuclear imaging camera used during the procedure. It is enclosed in metallic housing designed to facilitate imaging of specific parts of the body. It can look like a large round metallic apparatus suspended from a tall, moveable post or a sleek one-piece metal arm that hangs over the examination table. A nearby computer console processes the data from the procedure. How Does the Procedure Work? You are given a small dose of radioactive material, usually intravenously but sometimes orally, that localizes in specific body organ systems. This compound, called a radiopharmaceutical agent or tracer, eventually collects in the organ and gives off energy as gamma rays. The gamma camera detects the rays and works with a computer to produce images and measurements of organs and tissues. We offer online sharing of your medical images using Nuance Powershare. This service allows us to share images with your provider in a secure and convenient way! All imaging will be sent to the physicians of Manhattan Radiology to be read and reported. Your ordering provider will have your report within 24 to 48 hours. Your provider should contact you with your results. All services require a written order from a physician in good standing and licensed to practice medicine in the State of Kansas. Return to MCH Radiology Department Return to All MCH Services

MCH Rehab Center Aquatic Therapy What is Aquatic Therapy? Experienced therapists are waiting to help in a state-of-the-art facility featuring an underwater camera system, assisted entrance and exit, a temperature-controlled environment, a removable floor for depth control, and water currents with variable speeds. Aquatic therapy is often used in conjunction with traditional land-based therapy to enhance and restore a person's functional abilities. Populations that may benefit range from children to older adults. Oftentimes, patients may regain their quality of life faster and more thoroughly than with land therapy alone. How does aquatic therapy promote healing? Buoyancy The buoyancy of water provides support, allowing a patient to move more easily. This can reduce apprehension about movement. Heat Aquatic therapy is provided in a heated pool with temperatures ranging from 92-94 degrees. Exercising in warm water increases blood flow and oxygen delivery to the injury, which promotes healing. Hydrostatic Pressure Pressure from water molecules surrounding the body helps circulate blood from the legs to the heart, often reducing swelling in the ankles and feet. Resistance Water resistance improves balance and strength in all muscle directions, as well as increasing sensory awareness. Resistance can be tailored to each individual patient based on the speed of movement. Benefits of Aquatic Therapy... Accelerate healing Decrease apprehension to movement Initiate rehab at an earlier stage; therefore returning to activities of daily living in the shortest possible time Decrease rehabilitation time and overall treatment costs Enhance exercise and create a safe environment for progressive rehabilitation Improve tolerance to weight-bearing activity Goals of Aquatic Therapy... Improve confidence during daily functional activities Improve cardiovascular function and endurance Improve muscle strength Reduce stress Increase range of motion and flexibility Improve balance and coordination Who can be helped with Aquatic Therapy? Aquatic therapy is beneficial to patients of all ages. Common diagnoses that can be improved with aquatic therapy include, but are not limited to: Low Back Pain Joint & Muscle Pain Orthopedic Injuries Sporting Injuries Work-Related Injuries Post-Operative Hips, Ankles & Shoulders Osteoarthritis Impaired Balance Difficulty Walking Generalized Weakness Multiple Sclerosis Stroke Fibromyalgia Spinal Cord Injuries Cerebral Palsy Autism/Asperger's Disease Developmental Delay Parkinson's Disease Traumatic Brain Injuries OUR COMMITMENT TO YOU The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services

MCH Radiology Department Morris County Hospital Radiology Department is proud to provide our patients with exceptional care and advanced technology. Over the last several years our department has experienced numerous changes in order to offer new and innovative technologies and better serve you. MCH Radiology Department Hours Monday through Friday from 7:00am – 5:00pm Your scheduled start time will be dependent on the type of service you need. We are staffed on call 24 hours a day, 7 days a week for emergency needs. For more detailed information, review your service below or contact us 620-767-6811 ext. 121 Cancer Support MCH Radiology cancer support mission is to provide comfort, dignity, and hope to patient facing cancer and to empower young women in out community through compassionate support. With the support of the Morris County Hospital Foundation, we provide comfort, dignity, and encouragement to women facing a cancer diagnosis. Each woman receives a thoughtful gift along with information about wigs, financial grants, and local resources—small but meaningful reminders that she is not alone. Breast cancer patients undergoing mastectomies and lumpectomies at MCH are offered a Pink Box—a carefully assembled gift designed to support women during their surgical journey. Each box includes practical recovery items such as a drain-holding camisole, shower lanyards, seatbelt cushion, and mastectomy care tools, along with breast cancer awareness items. Pink Boxes are made possible by the generous support of the Hospital Auxiliary and the Mammography Department, offering both comfort and hope during an overwhelming time. We are also proud to partner with The Cancer Research Foundation to provide patient bags as part of our lung cancer screening program for those diagnosed with lung cancer. These bags are designed to offer encouragement, resources, and reassurance at a moment when patients may feel frightened and uncertain- reminding them they are supported from the very beginning of their journey. Beyond cancer care, we are excited to partner with our local school to expand our mission to empower young women by providing makeup and hygiene products to those in need. We believe confidence matters, self-worth matters, and every young woman deserves to feel seen and supported. Through every project, our goal remains the same: to surround local women in need with compassion, strength, and a community that truly cares. Our Radiology Services CT Scan (Computed Tomography) Computed Tomography is a sophisticated form of x-ray imaging that provides pictures of the body in a series of slices. A CT scan shows clear images of bone, internal organs, muscles and blood vessels which allows doctors to distinguish between normal, diseased, or injured tissue. Learn More DEXA Scan (Bone Density) DEXA scans measure your bone density with a low dose of radiation, which is interpreted by sophisticated computer analysis. Your test results will assist your physician in determining whether you need treatment for bone loss. Learn More Diagnostic Radiology An x-ray image is produced when a small amount of radiation passes through the body. Your provider may order an x-ray to help diagnose an injury or disease in nearly any part of the body. Learn More Mammography This procedure uses very low doses of radiation to obtain images of the breasts, allowing doctors to detect small cancers even before they can be felt. Learn More MRI MRI provides excellent images without radiation exposure by using a super conductive electromagnet, radio waves and sophisticated computer software to generate and enhance images. The result is an unprecedented view of internal organs, body structure and systems which provide detailed images needed to make an accurate diagnosis. Learn More Nuclear Medicine Nuclear medicine comprises diagnostic examinations that result in images of body anatomy and function. The images are developed based on the detection of energy emitted from a radioactive substance given to the patient, either intravenously or by mouth. Generally, radiation to the patient is similar to that resulting from standard x-ray examinations. Learn More Ultrasound Ultrasound uses a hand-held probe to send high frequency sound waves into your body, then sophisticated software displays an image of the body’s interior by the rate at which the echoes return to the probe. Learn More We offer online sharing of your medical images using Nuance Powershare. This service allows us to share images with your provider in a secure and convenient way! All imaging will be sent to the physicians of Manhattan Radiology to be read and reported. Your ordering provider will have your report within 24 to 48 hours. Your provider should contact you with your results. All services require a written order from a physician in good standing and licensed to practice medicine in the State of Kansas. Manhattan Radiology Staff All imaging services offered by Morris County Hospital Radiology are read by the board-certified radiologists of Manhattan Radiology. Kelly Ivester MD Medical Degree: Mercer University School of Medicine 2000 Internship & Residency: Baptist Medical Center, Birmingham, AL 2005 Fellowship: Tulane University Hospital 2006 American Board of Radiology certified 2005 Started with Manhattan Radiology in 2006 Curtis Mick MD Medical Degree: University of Kansas School of Medicine 2010 Residency: University of Kansas Hospital, Kansas City KS 2015 American Board of Radiology certified 2016 Started with Manhattan Radiology in 2015 Greg Welle MD Medical Degree: University of Minnesota School of Medicine, Minneapolis, MN 1989 Internship & Residency: Madigan Army Medical Center, Tacoma, WA 1994 Military Service: Army (1989-1997) Previous experience: IACH 1994-1997 American Board of Radiology certified 1994 Started with Manhattan Radiology in 1996 Hannah Olson MD Medical Degree: University of Kansas School of Medicine 2019 Internship: UMKC School of Medicine, 2020 Residency: UMKC School of Medicine, 2024 Started with Manhattan Radiology in 2024 Matthew Gish MD Medical Degree: University of Kansas School of Medicine 2004 Internship: University of Tennessee 2005 Residency: Baptist Memorial Hospital, Memphis, TN 2009 American Board of Radiology certified 2009 Started with Manhattan Radiology in 2009 Vern Huang MD Medical Degree: University of Texas Medical Branch Galveston, 2020 Internship: University of Texas Medical Branch Galveston, 2021 Residency: University of Tennessee Graduate School of Medicine, 2025 Started with Manhattan Radiology in 2025 MANHATTAN RADIOLOGY CONTACT INFO Phone: 785-539-7641 Address: 1133 College Ave STE C143, Manhattan, KS 66502 Website: https://manhattanradiology.com/ MCH Radiology Staff Imaging Director Veronica "Corky" Messer, R.T. (R) (M) A.R.R.T. LRT Radiology Technologists Deanna Buttrey, R.T (R) (M) A.R.R.T., LRT Kirstin Friesen, R.T. (R), CT, A.R.R.T., LRT Bailey Buttrey, R.T., (R), (MR) Tristyn Lawrenz , Radiologic Technologist Isabel Villegas R.T. (R) A.R.R.T, LRT Sonographers Brian Weber, RDCS Kailea Horn, RDMS (AB OB/GYN) Misty Burnett, RVT Office Staff Allicia Moreno, Administrative Secretary Return to All MCH Services

MCH Radiology Department CT Scan (Computed Tomography) Computed Tomography is a sophisticated form of x-ray imaging that provides pictures of the body in a series of slices. A CT scan shows clear images of bone, internal organs, muscles and blood vessels which allows doctors to distinguish between normal, diseased, or injured tissue. Our state-of-the-art multi-slice CT enables us to provide advanced diagnostic technology in our community. The Perspective 128 CT has several benefits for physicians and patients, including: Ability to image all body regions, expanding exam capabilities to high-end neurology and cardiac scanning. Special dose-safety features that can reduce dose by up to 60 percent, and help protect organs/areas on the body that are more sensitive to radiation. Large areas can be scanned rapidly. The system can scan a 50 cm chest in less than six seconds, this helps reduce the time patients have to hold their breath during the exam, improves image quality and reduces the need for re-examinations. Patient-friendly design enables easier patient access and more comfortable exams as well as enables patients to remain in constant contact with the technologist throughout the entire exam. Hours We are staffed on call 24 hours a day, 7 days a week for emergency needs A scheduled appointment is required for outpatients Procedures In addition to a wide range of CT scans, we offer the following special procedures: CT Guided Biopsy CT Angiography CT Guided Epidural Steroid Injections CT Guided Fluid Drains CT Lung Cancer Screening What is a lung cancer screening? The only recommended screening test for lung cancer is a low-dose CT which is a quick and painless exam. How do I get one? Speak with your provider to see if you qualify! Frequently Asked Questions... What to Expect During a CT Depending on the area of the body being examined, we may ask you to change into a gown. You’ll lie down on the CT table, which passes quickly through the scanner. Depending on what exam was ordered, you may be given a contrast dye by mouth or by injection with a small needle. How Do I Prepare for a CT Some CT exams have a prep and some do not. When scheduling your appointment, you will be informed of any prep, we will also call you to remind you of your prep the day prior to your exam. We offer online sharing of your medical images using Nuance Powershare. This service allows us to share images with your provider in a secure and convenient way! All imaging will be sent to the physicians of Manhattan Radiology to be read and reported. Your ordering provider will have your report within 24 to 48 hours. Your provider should contact you with your results. All services require a written order from a physician in good standing and licensed to practice medicine in the State of Kansas. Return to MCH Radiology Department Return to All MCH Services

On this page... Morris County Hospital MCH Medical Clinic Morris County Health Department Council Grove, Kansas Morris County Hospital Address 600 North Washington Street Council Grove, KS 66846 Contact phone (620) 767-6811 emergency 911 fax (620) 767-5611 email webmaster@mrcohosp.com Front Entrance / Visitor Hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday 6:00 am – 8:30 pm 6:00 am – 8:30 pm 6:00 am – 8:30 pm 6:00 am – 8:30 pm 6:00 am – 8:30 pm 6:00 am – 8:30 pm 6:00 am – 8:30 pm Emergency Room Open 24-hours MCH Medical Clinic Services include... Primary Care, Wellness/Preventative Care, Cardiology, Women’s Health, Gynecology, Family Planning, Pediatric Care, D.O.T. Exams, Pain Management, work related services, shots and vaccinations, dermatology treatment and biopsies, eye exams, home sleep study, suturing and more. Address 604 North Washington Street Council Grove, KS 66846 Contact phone (620) 767-5126 emergency 911 fax (620) 767-6910 (620) 767-5611 email webmaster@mrcohosp.com Hours of Operation Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 am – 5:00 pm 7:30 am – 5:00 pm 8:00 am – 5:00 pm 7:30 am – 5:00 pm 8:00 am – 5:00 pm Closed Closed Extended Hours (by appointment only) MCH Medical Clinic Providers Daniel Samani MD Melanie S. Byram MD Lora A. Siegle MD, RHC Medical Director Haley Morgan FNP Brett A. Siegle MD Deborah Benning PA-C Sydnee P. Nelson MD Morris County Health Department Services include... Immunizations, WIC Nutrition Program, Child Passenger Safety, Family Planning, Breastfeeding Education, Healthy Start Home Visitor, Environmental Health, Senior Services, Nail Care, Testing Services, Special Health Care Needs and more. Address 221 Hockaday Street Council Grove, KS 66846 Contact phone (620) 767-5175 emergency 911 fax (620) 767-6880 email webmaster@mrcohosp.com Office Hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 5:00 pm 8:00 am – 6:00 pm Closed Closed Closed Extended Hours (by appointment only) Morris County Health Department Staff Jamie Johnson Director

MCH Rehab Center Occupational Therapy What is Occupational Therapy? “In its simplest terms, occupational therapists and occupational therapy assistants help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations).” www.aota.org Occupational therapy provides a customized plan of care to restore life skills for all age groups with a focus on activities that are meaningful to the patient. Occupations look different for everyone but are essential to a good quality of life. Occupational therapy treatment addresses pain, injury, illness, limitation, or disability that makes it difficult to do a job or school work, care for yourself, complete household chores, move around, or participate in activities. Occupational therapy will also teach patients how to adapt to the environment and/or adapt the task to fit each patient’s needs. Common Diagnoses OTs serve patients with a variety of diagnoses including, but not limited to: Physical and developmental deficits Stroke Fractures Joint replacements Arthritis Chronic pain Lymphedema (post-mastectomy care, lymph node removal, post-surgical lymphedema) Repetitive work injuries (carpal tunnel syndrome, cubital tunnel syndrome, De Quervain’s) Spinal cord injuries TBI Tendinitis/Tendinosis (medial/lateral epicondylitis, De Quervain’s, etc.) Neurological disorders Cerebral Palsy Autism Are you having trouble doing what is important to you? Have you had trouble getting through the day due to injury or disability? Ask your doctor today if occupational therapy is the choice for you! Occupational therapists help people of all ages increase their independence with daily life and work tasks including, but not limited to: Self-feeding Dressing Hygiene/toileting Adaptive equipment training (eating, dressing, toileting, grooming, writing, etc.) Wheel chair positioning Wheelchair Driving and Mobility evaluations Qualifying patients for wheelchairs working alongside doctor and vendor Handwriting Using tools Playing Upper Extremity functional tasks (fine motor, gross motor, sensory, pain) Splinting: carpal tunnel, trigger finger, fractures, De Quervain's, etc. Return to work tasks (for upper extremity) ASTYM treatment Lymphedema management MCH OCCUPATIONAL THERAPY MCH Occupational Therapy includes inpatient, swing bed, and outpatient rehab services. We offer specialized services in lymphedema management, custom hand and elbow splinting, and ASTYM treatment. The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services

MCH Rehab Center Vital Stim Therapy What is Vital Stim Therapy? Vital Stim Therapy is used in conjunction with traditional oral motor exercises in order to strengthen swallowing muscles and improve overall swallow function. Often times, patients regain their swallowing ability faster and more thoroughly than with traditional dysphagia techniques. Vital Stim is the only FDA approved treatment approach that successfully combines Neuromuscular Electrical Stimulation (NMES) and traditional dysphagia techniques. Vital Stim is a method to promote swallowing through the use of electrical current directed to affected muscles. The goal of this therapy is to strengthen the swallowing muscles and improve motor control of the swallow. What is Dysphagia? Dysphagia is defined as difficulty swallowing. It can occur after a stroke or other neurological diseases, normal aging, or after a long period of inactivity. An estimated 15 million adults in the US currently suffer from dysphagia. The management of dysphagia mainly consists of diet modification to decrease choking episodes, and in severe dysphagia a feeding tube may be placed in the stomach to provide nutrition. In the last few years, new treatment options have become available, especially the use of electrical stimulation. This research based treatment tool, Vital Stim Therapy, has resulted in positive outcomes in most patients. It is simple for certified clinicians to administer and is pain free for the patient. What diagnoses can benefit from Vital Stim? Stroke Parkinson’s Disease Multiple Sclerosis Myasthenia Gravis Amyotrophic Lateral Sclerosis (ALS) Muscular Dystrophy Dementia Post head/neck cancer Dysphagia Facts... It is estimated that oropharyngeal dysphagia affects between 6 and 15 million adults and an unknown number of children in the United States. (ECRI, 1999) Dysphagia is very common after stroke. By some estimates as many as 25-50% of acute stroke patients develop dysphagia. (Mann, 2000) It is also common in various neurological diseases, head and neck cancer, and also aging. As many as 20-40% of head injured patients may present with dysphagia. (Winstein, 1981) Many patients with dysphagia suffer seriously impaired quality of life and may develop serious complications, such as dehydration and malnutrition. Therapist Training... The Vital Stim certification course consists of 12 hours of online certification and testing, as well as 16 hours of hands-on certification coursework. At the end of the course the clinician must pass a written post-test, as well as demonstrate accurate practical application of Vital Stim Therapy. All Vital Stim treatments require a physician's referral. OUR COMMITMENT TO YOU The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services

Careers at MCH New challenges and opportunities to learn are what allow great careers to thrive. Join our family and you’ll experience it firsthand — alongside expert caregivers in a culture that provides you the support you need. Together, we can deliver the world-class care our patients expect. Browse some of our key career areas below and explore how we support you in the things that really matter. MCH is an equal opportunity employer valuing the diversity and inherent dignity of all job seekers. We do not discriminate based upon race, color, religion, age, sex (including pregnancy), sexual orientation, national origin, ancestry, disability, veteran status, genetic information, gender identity, or any other applicable legally protected status. MCH is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our application process. If you need assistance or an accommodation due to a disability, please contact us by sending an email to webmaster@mrcohosp.com

On this page... Insurance Motor Accidents Workers Comp Standard Charges Billing Info Billing & Payment Information Pay Bill Here Click button to the left to get started. AblePay Health Program is a way that our patients can save up to 13% on their out-of-pocket medical expenses (deductibles and coinsurance). As a member, you have flexible payment options on every bill and the full support of AblePay’s billing experts if you have a question. The program is NO-COST and works with any primary health insurance, including Medicare. You can also include family members on your AblePay account. AblePay Customer Service Phone : 484-292-4000 AblePay Customer Service Email : support@ablepayhealth.com Please feel free to contact us at 620-767-6811, ext 325 with questions. We accept payments by mail, phone, or in person as well. Quick Pay Payment Solution Pay Bill Here The link below provides another option for our patients to make online payments for their accounts here at MCH. Please follow the prompts as they will guide you through the process. Should you have any questions or issues with this payment solution please contact our office at 620-767-6811, extension 325. Paying for Your Care Thank you for choosing Morris County Hospital, we are pleased that you and your physician have chosen us to help with your medical needs. This information has been compiled to help assist you in understanding the process and responsibilities of billing for services and care while you or your loved ones have been here. Please be advised that in addition to a bill for our services, you may also receive a bill for other professional services while a patient here (i.e. from your physician, or consulting physicians, radiologist, etc.) Questions? Our Patient Accounts staff will be happy to respond to questions about your bill, insurance correspondence, or payments. To reach us call 620-767-6811, Monday through Friday from 7 am to 5 pm. Payment Arrangments If you need to make arrangements to pay your bill or help with securing a loan from a local bank, please contact our Patient Accounts individual at 620-767-6811 ext 325. Financial Assistance Morris County Hospital offers a Financial Assistance Program that provides medical care free for patients who qualify based upon income guidelines. For assistance please contact either Patient Accounts at 620-767-6811 ext 325. Application for Financial Assistance Insurance Insurance Requirements Before hospitalization or use of outpatient services, you are responsible for meeting any special requirements of your insurance plan, such as prior approval, referrals, pre-certification, or obtaining a second opinion. If you have insurance that requires you to contact your Primary Care Physician prior to going to the emergency room, you are responsible for calling your physician for approval. Most insurance plans have special steps which must be followed unless you are seeking treatment for a life-threatening condition. Referral forms must be submitted to your insurance company by your physician. In most cases, the hospital is not allowed to provide referral forms. Insurance plans are quite different and you need to know your plan requirements. If they are not met, your benefits can be greatly reduced or denied by your insurance company. For questions on the above issues, please consult your insurance company, or our Admissions Department at 620-767-6811 ext. 325. Insurance Filing Morris County Hospital will file your insurance claim for you. Because of special requirements by insurance companies and frequent changes in the requirements, it is necessary for us to have a copy of your current insurance card. When we file your insurance, we will send you a summary of the charges being filed, if you require an itemized bill, please contact us. We will ask your insurance company to send payment directly to the Morris County Hospital, allowing your insurance company time to process and pay your bill. If payment has not been received within six weeks of the filing date, you will be billed for the unpaid balance. Motor Vehicle Accidents If you sustain an injury associated with a motor vehicle accident you must provide Morris County Hospital with information on your motor vehicle insurance carrier. Please notify our billing department when a claim number has been assigned. You must report your injury to your own motor vehicle insurance carrier. Kansas law requires claims related to injuries occurring as a result of ownership, operation, maintenance, or use of a motor vehicle to be filed with a motor vehicle insurance. Any claim for an injury arising from contact with a motor vehicle, even if the vehicle is not moving, must first be filed with your motor vehicle insurance. Most health insurance plans will not consider the claim until it has been filed with the motor vehicle insurance. Worker’s Compensation Injuries If you believe you have a work-related injury, you are required to provide Morris County Hospital with the name and address of your employer. You must report the accident to your employer within 24 hours. Failure to do so may result in loss of benefits. Health insurance plans generally will not pay claims determined to be work related. Morris County Hospital Standard Charges To improve price transparency, all U.S. hospitals and health systems are required to provide lists of standard hospital charges ― also called a chargemaster ― so patients can compare prices across hospitals. Here are a few considerations to keep in mind as you view the list of standard charges (chargemaster). These charges are rarely the price that patients pay. The chargemaster lists the dollar amount set for each service prior to insurance contract/benefit plan discounts or self-pay discounts being applied, so the price patients pay tends to be less than the standard charge. Hospital charges differ from patient to patient for the same service depending upon variations in treatment. Patients who are eligible for financial assistance also receive additional discounts. Items included in a charge vary across hospital systems. For example, what’s included in one hospital’s charge for room and board may differ from another hospital’s charge ― some hospitals bundle services together into a single charge that others may list separately. Looking at various hospital charges does not provide any indication of quality of service and outcomes. Price Transparency Tool & Information Video Instructions to use the Price Transparency Solution For the most accurate estimate of the cost of care, patients can contact Morris County Hospital at costestimate@mrcohosp.com or call 620-767-6811 for assistance in understanding the charges and related costs for a procedure or visit. Kevin Leeper, CEO 620-767-6811, Extension 146 Ron Christenson, CFO 620-767-6811, Extension 120 Billing Information Morris County Hospital strives to serve you in an effective and efficient manner. We realize that financial concerns can add to the stress of any medical need. This information is supplied to assist you in settling your accounts. Office Hours: 7:00 am to 5:00 pm Monday through Friday Medical Bill Rights A summary statement of your account is mailed every four weeks. An itemized bill is available upon request. After all insurances have paid on the accounts, payment in full is requested. Payments on accounts can be made via cash, personal checks, or by money orders. For your convenience MasterCard, Visa, and Discover Card are also accepted. MCH is now offering online bill payments as well. Your account statements will indicate how to process those payment options. For self pay patients (those without any insurance coverage) we offer a 15% discount for payment in full upon receipt of the first statement. If you are not able to pay the balance of your account in full upon receipt of your first statement, please contact Patient Accounts at 620-767-6811 and ask for extension 325. For those individuals that qualify, Morris County Hospital has a Financial Assistance Policy to help patients that do not have the resources to pay for the healthcare services that they have received. Please contact Patient Accounts if you want to learn more about this policy. (Click here for Income guidelines and application for assistance. ) Should you believe that your insurance company has not paid in accordance with your health plan policy, please contact your insurance company before calling Morris County Hospital. Further Billing Questions? Call (620) 767-6811 Ext. 325 Monday - Friday 8:00 am - 4:30pm for Medicare, Blue Cross, and Medicaid All other insurance, including auto accidents and workers compensation or Private-pay accounts or to set up a payment plan on a current account

MCH Rehab Center Speech Therapy What is Speech Therapy? Speech Therapy is so much more than just “talking.” Speech Therapy is an extensive field that can benefit all ages, from birth to adult. Speech Therapy addresses cognition (memory, orientation, sequencing, executive functioning, medication management), speech-language disorders (adult and children), voice disorders, and swallowing difficulties. Swallowing Often times when people have some type of swallowing difficulty they think they just have to "deal with it," which is not the case at all. Some people are more affected than others, and some have circumstances that can affect their swallowing, such as a stroke, illness/ disease, surgery, oral/laryngeal cancer, etc. Common symptoms of swallowing problems are (including, but not limited to): coughing, clearing throat after bites or drinks, feeling as if food gets "stuck," recurring pneumonia, and a change in one's voice after swallowing. Speech therapists can be helpful in identifying what muscles may be affected and work with the patient on exercises and strategies to address the weakness/problem. Cognition Speech therapists can address many cognitive deficits that may be associated with post-surgery confusion, dementia, and an overall decrease in cognition with illness or age. Speech therapy can help improve orientation, medication management, finance management, sequencing, short-term memory, and safety awareness. Language Disorders Language disorders can be either receptive or expressive... Receptive disorders refer to difficulties in understanding or processing language. Expressive disorders include difficulty putting words together, limited vocabulary, or inability to use language in a socially appropriate way. Speech disorders include the following problems, according to the American Speech-Language-Hearing Association: Articulation Disorders Include difficulties producing sounds in syllables or saying words incorrectly to the point that other people can't understand what's being said. Fluency Disorders Include problems such as stuttering, the condition in which the flow of speech is interrupted by abnormal stoppages, repetitions (st-st-stuttering), or prolonging sounds and syllables (ssssstuttering) Resonance & Voice Disorders Include problems with pitch, volume, or quality of the voice that distracts listeners from what's being said. Changes in voice can be attributed to paralyzed vocal folds, oral/laryngeal cancer, Parkinson's disease, or increased muscle tension in laryngeal musculature. Voice therapy can also be beneficial with pediatric patients in cases of vocal abuse. For example, a child who may have a hoarse voice due to increased yelling (during play, sports, cheering, etc.) Specialty speech treatments offered at MCH Rehab Center: LSVT Loud LSVT Loud is a treatment for patients with Parkinson's disease and other neurological conditions to improve vocal loudness. The treatment has been shown to improve respiratory, laryngeal, and articulatory function, as well as maximize a patient's speech intelligibility. Vital Stim Therapy Vital stim therapy is a safe and effective treatment for patients suffering from difficulty swallowing. It is a non-invasive, external electrical stimulation therapy cleared to market by the Food and Drug Administration in 2002 for the treatment of swallowing disorders with application on the anterior neck. It has been shown to accelerate recovery time, as well as help patients achieve sustained improvement and long-term results with improvements to swallow function. Myofa scial Release Myofascial release addresses the specific patient populations of head/neck cancer, treatment of fibrosis, dysphagia, various dysphonias, and trismus/TMJ disorders. What we treat at MCH Rehab Center: Adults Swallowing difficulties Stroke rehabilitation Traumatic brain injury Voice disorders Altered mental status post surgery Overall cognitive decline Children Therapy should begin as soon as possible. Children enrolled in therapy early in their development, younger than 3 years old, tend to have better outcomes than those who begin therapy later. This does not mean that older kids can't make progress in therapy; they may progress at a slower rate because they often have learned patterns that need to be changed. Cleft lip palate Language delays Speech sound/articulation delays Stuttering/fluency disorders Developmental delays Motor planning issues (apraxia of speech) Voice disorders (ex: vocal abuse) The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services