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HAYS MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HAYS MEDICAL CENTER INC (EIN 48-0559088)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-08
IRS object ID
202321289349303117
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-08T13:38:07-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1623 SW 10th Ave Suite 300AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480559088EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hays Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHAYSBusinessNameControlTxt
Phone7856235000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12220 Canterbury DriveAddressLine1Txt
CityHaysCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDWARD HERRMANPersonNm
Person TitleCEOPersonTitleTxt
Phone7856235000PhoneNum
Signature2023-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstEDWARDPersonFirstNm
Person LastHERRMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEric L OttingPreparerPersonNm
PTINP00298454PTIN
Phone7852334226PhoneNum
Preparation2023-05-05PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEdward HerrmanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12220 Canterbury DriveAddressLine1Txt
CityHaysCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$238,825,985GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.haysmed.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionHays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Organization is striving to become the best tertiary care center in rural America.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1794TotalEmployeeCnt
Total Volunteers129TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,219,584PYContributionsGrantsAmt
CY Contributions Grants$8,070,104CYContributionsGrantsAmt
PY Program Service Revenue$207,153,531PYProgramServiceRevenueAmt
CY Program Service Revenue$211,683,373CYProgramServiceRevenueAmt
PY Investment Income$5,864,510PYInvestmentIncomeAmt
CY Investment Income$17,969,085CYInvestmentIncomeAmt
PY Other Revenue$1,829,035PYOtherRevenueAmt
CY Other Revenue$1,026,569CYOtherRevenueAmt
PY Total Revenue$221,066,660PYTotalRevenueAmt
CY Total Revenue$238,749,131CYTotalRevenueAmt
PY Grants And Similar Paid$50,971PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,783CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$113,411,430PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$117,255,057CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$281,875CYTotalFundraisingExpenseAmt
PY Other Expenses$99,159,157PYOtherExpensesAmt
CY Other Expenses$118,080,850CYOtherExpensesAmt
PY Total Expenses$212,621,558PYTotalExpensesAmt
CY Total Expenses$235,350,690CYTotalExpensesAmt
PY Revenues Less Expenses$8,445,102PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,398,441CYRevenuesLessExpensesAmt
Total Assets BOY$373,847,436TotalAssetsBOYAmt
Total Assets EOY$266,498,873TotalAssetsEOYAmt
Total Liabilities BOY$118,881,341TotalLiabilitiesBOYAmt
Total Liabilities EOY$83,631,802TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$254,966,095NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$182,867,071NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Organization is striving to become the best tertiary care center in rural America.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$212,984,044ExpenseAmt
Grant$14,783GrantAmt
Revenue$212,709,942RevenueAmt
DescPatient Care Program services consist of routine and ancillary department healthcare services provided by a healthcare organization as defined in Section 501(c)(3) of the IRS code. Admissions: Acute-4,310, Newborn ICU-29, Newborn-544, Total admissions-4,883. Patient days: ICU/CPCU-7,206, Medical/Surgical-12,716, Obstetrics-1,086, Newborn ICU-338, Newborn-893, Total patient days-22,239. Other statistical information: Surgical procedures-7,731, Cardiac caths-1,613, Emergency room visits-12,001, Outpatient procedures-166,564, Medical oncology service visits-6,270, Clinic visits-150,301.Desc
Total Program Service Expenses$212,984,044TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document56IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1794EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMichelle BecknerPersonNm
Phone7856232350PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12220 Canterbury DriveAddressLine1Txt
CityHaysCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brian Lang
Chair0.50Yes (X)Yes (X)$0$0$0
Alan Moore
Vice Chair0.50Yes (X)Yes (X)$0$0$0
Kenneth Beran
Treasurer0.50Yes (X)Yes (X)$0$0$0
Jayne Clarke
Secretary0.50Yes (X)Yes (X)$0$0$0
Daniel Schippers
Board Member0.50Yes (X)$0$0$0
Wayne Kieffer
Board Member0.50Yes (X)$0$0$0
Mary Martin
Board Member0.50Yes (X)$0$0$0
Roger Dietz MD
Physician/Board Member40.00Yes (X)$324,824$0$49,253
Jana Horsfall
Board Member0.50Yes (X)$0$0$0
DG Bickle
Board Member0.50Yes (X)$0$0$0
Ernesto Lopez-Corona MD
Physician/Board Member beg Jan 202240.00Yes (X)$568,650$0$56,561
Edward Herrman
President & CEO36.00Yes (X)Yes (X)$714,451$0$159,4474.00
Gulraiz Cheema
Physician/Board Member thru Dec 202140.00Yes (X)$899,925$0$54,038
Brenda Dykstra
Board Member thru Nov. 20210.50Yes (X)$0$0$0
Chris Ruder
Board Member thru Nov. 20210.50Yes (X)$0$0$0
George Harms
Chief Financial Officer36.00Yes (X)$347,401$0$96,9534.00
Terry Siek
Chief Nursing Officer36.00$273,415$0$68,2534.00Yes (X)
Shae Veach
VP Regional Development36.00$294,439$0$92,3034.00Yes (X)
Joannah Applequist
Chief Legal Officer36.00$307,734$0$66,8044.00Yes (X)
Manmohan Biring
Physician40.00$1,883,086$0$55,295Yes (X)
Robert Phillips
Physician40.00$1,235,364$0$29,472Yes (X)
Max Decarvalho
Physician40.00$972,067$0$47,778Yes (X)
Douglas Tangel
Physician40.00$702,056$0$48,695Yes (X)
Mohammed Janif
Physician40.00$672,213$0$48,453Yes (X)
Bryce Young
Former COO (key employee)0.00$163,726$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,359,351TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$873,305TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K171IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Quest Diagnostics Inc
PO Box 772976ChicagoIL606770276Lab Services$4,843,465
Favorite Healthcare Staffing Inc
PO Box 26225Overland ParkKS66225Contract Staffing$4,540,028
Weatherby Healthcare
PO Box 972633DallasTX753972633Physician Services$3,003,306
Foulston Siefkin LLP
1551 N Waterfront Parkway Suite 1WichitaKS67206Legal Fees$903,124
Alliance Recruiting Resources
PO Box 223901DallasTX752223901Physician Services$834,569
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K37CntrctRcvdGreaterThan100KCnt
Related Organizations$882,099RelatedOrganizationsAmt
Government Grants$7,187,005GovernmentGrantsAmt
All Other Contributions$1,000AllOtherContributionsAmt
Total Contributions$8,070,104TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient service revenue621990$204,617,903$204,617,903
Services to CAH network and afill900099$2,468,539$2,468,539
Retail pharmacy446110$2,360,181$2,360,181
Fitness center713940$1,189,185$1,189,185

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,047,565TotalRevenueColumnAmt
Related Or Exempt Func Income$1,047,565RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$211,683,373TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,621,999TotalRevenueColumnAmt
Exclusion$1,621,999ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$286,093RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$286,093RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$286,093TotalRevenueColumnAmt
Related Or Exempt Func Income$286,093RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,305,503SecuritiesAmt
Other$118,437OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$76,854OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$16,305,503SecuritiesAmt
Other$41,583OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,347,086TotalRevenueColumnAmt
Exclusion$16,347,086ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria revenue722210$587,706$587,706
Physician practice billing900099$140,589$140,589
Shared savings from insurance com900099$11,367$11,367

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$814TotalRevenueColumnAmt
Related Or Exempt Func Income$814RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$740,476OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$238,749,131TotalRevenueColumnAmt
Related Or Exempt Func Income$212,709,942RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,969,085ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,783TotalAmt
Program Services$14,783ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,492,262TotalAmt
Program Services$2,052,724ProgramServicesAmt
Management And General$2,439,538ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$93,306,506TotalAmt
Program Services$86,902,868ProgramServicesAmt
Management And General$6,348,527ManagementAndGeneralAmt
Fundraising$55,111FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,052,745TotalAmt
Program Services$4,045,524ProgramServicesAmt
Management And General$4,527ManagementAndGeneralAmt
Fundraising$2,694FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,360,059TotalAmt
Program Services$8,642,542ProgramServicesAmt
Management And General$711,778ManagementAndGeneralAmt
Fundraising$5,739FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,043,485TotalAmt
Program Services$5,523,141ProgramServicesAmt
Management And General$516,718ManagementAndGeneralAmt
Fundraising$3,626FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,159,319TotalAmt
Management And General$1,159,319ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,005TotalAmt
Management And General$11,005ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$13,859TotalAmt
Management And General$13,859ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$231,533TotalAmt
Management And General$231,533ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,857,367TotalAmt
Program Services$27,329,870ProgramServicesAmt
Management And General$2,502,001ManagementAndGeneralAmt
Fundraising$25,496FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$485,724TotalAmt
Program Services$4,464ProgramServicesAmt
Management And General$481,260ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,085,414TotalAmt
Program Services$274,970ProgramServicesAmt
Management And General$803,367ManagementAndGeneralAmt
Fundraising$7,077FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,538,376TotalAmt
Program Services$4,906,574ProgramServicesAmt
Management And General$1,631,802ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,317,629TotalAmt
Program Services$1,797,451ProgramServicesAmt
Management And General$515,548ManagementAndGeneralAmt
Fundraising$4,630FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$395,098TotalAmt
Program Services$355,038ProgramServicesAmt
Management And General$40,046ManagementAndGeneralAmt
Fundraising$14FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$616,444TotalAmt
Program Services$570,896ProgramServicesAmt
Management And General$42,100ManagementAndGeneralAmt
Fundraising$3,448FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,510,881TotalAmt
Program Services$1,179,998ProgramServicesAmt
Management And General$326,955ManagementAndGeneralAmt
Fundraising$3,928FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,536,366TotalAmt
Program Services$6,659,632ProgramServicesAmt
Management And General$2,867,809ManagementAndGeneralAmt
Fundraising$8,925FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,076,704TotalAmt
Program Services$1,048,121ProgramServicesAmt
Management And General$28,583ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Pharmaceuticals$28,994,750$28,994,750
Medical Supplies$22,418,098$22,418,098
Repairs and maintenance$5,250,515$4,903,936$344,443$2,136
Taxes and assessments$1,552,869$1,449,227$103,642

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,028,899TotalAmt
Program Services$3,909,437ProgramServicesAmt
Management And General$960,411ManagementAndGeneralAmt
Fundraising$159,051FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$235,350,690TotalAmt
Program Services$212,984,044ProgramServicesAmt
Management And General$22,084,771ManagementAndGeneralAmt
Fundraising$281,875FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$261,508BOYAmt
EOY$356,576EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$78,202,301BOYAmt
EOY$25,454,311EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,082,109BOYAmt
EOY$26,292,754EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,845,483BOYAmt
EOY$5,972,701EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,007,041BOYAmt
EOY$8,249,356EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$258,565,084LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$198,566,402LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$62,580,041BOYAmt
EOY$59,998,682EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$127,820,362BOYAmt
EOY$79,939,745EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$48,981,068BOYAmt
EOY$43,896,381EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,067,523BOYAmt
EOY$16,338,367EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$373,847,436BOYAmt
EOY$266,498,873EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$50,440,404BOYAmt
EOY$29,573,004EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$26,951,435BOYAmt
EOY$3,010,882EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$50,105,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,489,502BOYAmt
EOY$942,916EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,881,341BOYAmt
EOY$83,631,802EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$244,716,095BOYAmt
EOY$170,927,071EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,250,000BOYAmt
EOY$11,940,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$254,966,095BOYAmt
EOY$182,867,071EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$373,847,436BOYAmt
EOY$266,498,873EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,398,441ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$22,336,678NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$53,160,787OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$13,859GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$13,859TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationHays Medical Center, 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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,716,519BeginningYearBalanceAmt
Contributions$1,549,264ContributionsAmt
Investment Earnings Or Losses$1,229,200InvestmentEarningsOrLossesAmt
Other Expenditures$1,130,831OtherExpendituresAmt
End Year Balance$15,364,152EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,952,988BeginningYearBalanceAmt
Contributions$647,679ContributionsAmt
Investment Earnings Or Losses$1,866,539InvestmentEarningsOrLossesAmt
Other Expenditures$750,687OtherExpendituresAmt
End Year Balance$13,716,519EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,177,350BeginningYearBalanceAmt
Contributions$1,258,089ContributionsAmt
Investment Earnings Or Losses$342,717InvestmentEarningsOrLossesAmt
Other Expenditures$825,168OtherExpendituresAmt
End Year Balance$11,952,988EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,240,794BeginningYearBalanceAmt
Contributions$569,494ContributionsAmt
Investment Earnings Or Losses$292,554InvestmentEarningsOrLossesAmt
Other Expenditures$925,492OtherExpendituresAmt
End Year Balance$11,177,350EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,826,332BeginningYearBalanceAmt
Contributions$1,449,394ContributionsAmt
Investment Earnings Or Losses$757,003InvestmentEarningsOrLossesAmt
Other Expenditures$2,791,935OtherExpendituresAmt
End Year Balance$11,240,794EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.12340BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.73270PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.14390TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$992,195OtherCostOrOtherBasisAmt
Book Value$992,195BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,249,002OtherCostOrOtherBasisAmt
Depreciation$57,379,212DepreciationAmt
Book Value$27,869,790BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,322,274OtherCostOrOtherBasisAmt
Depreciation$130,477,192DepreciationAmt
Book Value$28,845,082BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,001,613OtherCostOrOtherBasisAmt
Depreciation$10,709,998DepreciationAmt
Book Value$2,291,615BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$59,998,682TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$75,000BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Hedge funds$22,419,775F
Private equity fund$8,172,588F
Real estate limited partnership$7,473,657F
Limited partnership$5,755,361F
FieldValueIRS element (for citing)
Total Book Value Securities$43,896,381TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Beneficial interest in net assets of foundations$11,940,000
Intercompany receivables$841,896
Estimated third party payor settlements$1,196,020
Deferred financing costs$596,377
Other receivables$1,713,853
Interest receivable$50,221
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,338,367TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated third-party payor settlementsDesc
Amt$942,916Amt
FieldValueIRS element (for citing)
Total Liability$942,916TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The endowed funds held by the Hays Medical Center Foundation are used to help meet both the immediate and long range health care needs of patients of Hays Medical Center, Inc. The Hays Medical Center Foundation provides grants and assistance to Hays Medical Center, Inc., for property and equipment acquisitions, education, and community health issues.
Part X, Line 2:Management is not aware of any uncertainties in income tax positions.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central American/Caribbean00Investments$19,728,461
Switzerland00Investments$6,914,963
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$26,643,424SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$26,643,424TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III Accounting Method:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other130.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,822,870TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,822,870NetCommunityBenefitExpnsAmt
Total Expense0.01620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,876,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,733,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,142,914NetCommunityBenefitExpnsAmt
Total Expense0.02190TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,699,431TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,733,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,965,784NetCommunityBenefitExpnsAmt
Total Expense0.03810TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,738,885TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,212,739DirectOffsettingRevenueAmt
Net Community Benefit Expns$526,146NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$976,031TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,609DirectOffsettingRevenueAmt
Net Community Benefit Expns$914,422NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,698,821TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,411,096DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,287,725NetCommunityBenefitExpnsAmt
Total Expense0.13720TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,183TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,183NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,416,920TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,685,444DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,731,476NetCommunityBenefitExpnsAmt
Total Expense0.14330TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,116,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,419,091DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,697,260NetCommunityBenefitExpnsAmt
Total Expense0.18140TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$383,679BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$61,564,024ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$78,207,811CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$16,643,787MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
Hays Medical Center Inc
12220 CanterburyHaysKS67601Yes (X)Yes (X)Yes (X)
Pawnee Valley Community Hospital Inc
2923 Carroll AveLarnedKS67550Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtAsset Level CriteriaAssetLevelCriteriaInd
Hays Medical Center Inc
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)20Yes (1)0Yes (1)Yes (1)Yes (X)https://www.haysmed.com/wp-content/uploads/2021/06/CHNA_2021_EllisCoKS_HaysYes (X)Yes (1)20Yes (1)https://www.haysmed.com/wp-content/uploads/2021/06/CHNA2021_ImpDetailPlan_H0Yes (1)Yes (X)130.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)https://www.haysmed.com/about-us/charity-care/Yes (X)https://www.haysmed.com/about-us/charity-care/Yes (X)https://www.haysmed.com/about-us/charity-care/Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
Pawnee Valley Community Hospital Inc
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)20Yes (1)0Yes (1)Yes (1)Yes (X)https://www.pawneevalleyhospital.com/wp-content/uploads/2021/07/June-29-CHNYes (X)Yes (1)20Yes (1)https://pawneevalleyhospital.com/wp-content/uploads/2022/01/CHNA2021_ImpDet0Yes (1)Yes (X)130.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)https://pawneevalleyhospital.com/billing/Yes (X)https://pawneevalleyhospital.com/billing/Yes (X)https://pawneevalleyhospital.com/billing/Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00Yes (X)http://www.pawneecountykansas.com/Yes (X)

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Hays Medical Center, Inc.Part V, Section B, Line 5: The CHNA conducted in collaboration with the Ellis County Health Department identified significant health needs within the Ellis County and Hays Medical Center community. A town hall meeting was organized to provide an objective consensus building method of reviewing and prioritizing county health issues. During the Town Hall meetings, the group reflected on the size and seriousness of any health concerns cited and discussed current community health strengths. The group identified and ranked top community health concerns, and all Town Hall attendees and community members were encouraged to continue to contribute ideas by going online and taking a feedback survey that addresses any additional thoughts related to the CHNA. All Town Hall priority-setting and scoring processes involved the input of a diverse group with knowledge and/or expertise in public health as well as persons who represent the broad interest of the community served by the Hospital. Key stakeholders in attendance included representatives from: Ellis County Health Department, Ellis County EMS, Ellis County Sheriff's Office, First Care Clinic FQHC, Fort Hays State University, Early Childhood Connections, High Plains Mental Health, Kansas Department for Children and Families, City of Hays, and Hays Medical Center. The CHNA was coordinated and produced by VVV Consultants, LLC, from Olathe, Kansas.
Pawnee Valley Community Hospital, Inc.Part V, Section B, Line 5: The CHNA was conducted in collaboration with the Pawnee County Health Department. A Town Hall meeting was organized to provide an objective consensus building method of reviewing and prioritizing county health issues. During the Town Hall meeting, the group reflected on the size and seriousness of any health concerns cited and discussed current community health strengths. The group identified and ranked top community health concerns, and all Town Hall attendees were encouraged to continue to contribute ideas by going online and taking a feedback survey that addresses any additional thoughts related to the CHNA. All Town Hall priority-setting and score processes involved the input of a diverse group with knowledge and/or expertise in public health as well as persons who represent the broad interests of the community served by the hospital. Key stakeholders in attendance included Larned State Hospital, Pawnee County Attorney's Office, Reed Pharmacy, County Living of Larned, Frick Vet, The Center for Counseling & Consulation, Heart of Kansas Family Health Care, Larned City Council, Pawnee County Sheriff's office, Pawnee County Health Department, County Commissioners, members of the Chamber of Commerce, members of the USD 495 School Board, local members of the media, local religious organizations and representatives of Pawnee Valley Community Hospital. The CHNA was coordinated and produced by VVV Research & Development, Inc. from Olathe, Kansas.
Hays Medical Center, Inc.Part V, Section B, Line 6b: Ellis County, KS
Pawnee Valley Community Hospital, Inc.Part V, Section B, Line 6b: Pawnee County, KS
Hays Medical Center, Inc.Part V, Section B, Line 11: Hays Medical Center, Inc. conducted its fourth Community Health Needs Assessment along with the Ellis County Health Department in calendar year 2021. The Hospital and County Health Department will work with others in the community to address the needs that were identified in the survey. The needs that received the most votes are as follows: Drug & Alcohol Abuse - 13.9% Mental Health (Diagnosis, Placement, Aftercare) - 13.9% Owning Your Health/Awareness of Healthcare Services - 11.1% Access to BH Workforce - 9.7% Child Care Options - 8.3% Food Insecurity/Nutrition - 8.3% Access to Health Funding - 6.9% Nursing Home/Senior Care - 5.6% Poverty/Employment Readiness - 5.6% Suicide - 5.6%The Town Hall meeting also noted the Community's Health Strengths, which are as follows: Emergency & Ambulance Services Specialty Services Available Robust Medical System (Birth - Death) Usage of Telehealth/Telemedicine School Nurse Clinic Access Hospice Services Infant Care (Neonatal) Patient Referral (PC)In the 2020 CHNA Implementation Plan, it is noted that several areas are not part of hospital mission critical operations and that the Medical Center will be a partner with others to address these needs. These needs and the lead partner are listed below.Drug & Alcohol Abuse - the lead partners are Smokey Hill Foundation and Valley Hope - Hays Medical Center's goal, in collaboration with other community partners, is to reduce substance abuse among target populations through early detection and intervention. We have been able to develop a system of care to address substance abuse with the Smokey Hill Foundation and Valley Hope and support collaborating agencies that address substance use issues through primary care and other medical services for jointly served patients. Mental Health (Diagnosis, Placement, Aftercare) - the lead partner is High Plains Mental Health - Camber Health recently opened an Inpatient and Outpatient youth acute mental health treatment facility in Hays. The new facility treats youth 6-18 who are experiencing depression, anxiety, suicidal thoughts, the impacts of trauma, and other mental health conditions. Hays Medical Center worked with Camber on the building, which HaysMed owns, that houses the facility. Access to Behavioral Health Workforce - the lead partner is High Plains Mental Health - High Plains Mental Health works closely with Fort Hays State University and other organizations to help identify Behavioral Health workforce in the region to provide the workforce needed. This initiative will continue to evolve as the unemployment rate in Ellis County is so low.
Hays Medical Center, Inc.Part V, Section B, Line 11: Child Care Options - the lead partners are City of Hays and Ellis County - A child care task force was developed with stakeholders in the community that continues to collaborate on a variety of different opportunities to provide childcare and access to childcare. Hays Medical Center is in the process of building a Childcare facility that will hold 70 infants and toddlers and be located on-site. HaysMed has also donated land to Grow Hays that will develop a Senior Center that will house a Childcare Center on the land. Food Insecurity/Nutrition - the lead partners are Catholic Health Initiatives & Schools - The extension of the Public Health Emergency has been beneficial to children in the school system. The Community works closely with the local food pantry to ensure adequate food is secured and filled as needed. Nursing Home/Senior Care - the lead partners are City of Hays and Ellis CountyPoverty/Employment Readiness - the lead partners are City of Hays and Ellis CountySuicide - the lead partner is High Plains Mental Health - High Plains Mental Health has contracted to expand services through telemedicine in the region and Ellis County. This has helped to alleviate some of the needs, but they continually look to provide other resources that are useful in schools, hospitals, and other area agencies. Hays Medical Center is dedicated to continually learning, engaging, and fulfilling the health needs of the community we serve. As a result of this commitment the following is the description of the actions taken during the most recent fiscal year to address the significant health needs identified through the CHNA for which HaysMed is a lead partner.Updates to the progress are outlined below.Owning Your Health/Awareness of Healthcare Services Affordable Care - As a result of feedback from the CHNA, the Imagine Ellis County Coalition was formed comprising stakeholders from Hays Medical Center, private business, local county and city government, school representatives, and elected officials. Imagine Ellis County is an engaged group of Ellis County citizens collaborating on a vision for the future. An area of focus and planning centers around a comprehensive guide of resources available in Ellis County and sponsored by the United Way of Ellis County. The awareness of health care services available can be located at Health Services (elliscountykshelp.com). Hays Medical Center's Center for Health Improvement has started a number of different programs to engage the community including:Walk with a Doc LiveWell - Senior focused exercise programDiabetes SolutionYouth Performance TrainingWeight Loss SolutionsCOVID Recovery ProgramAccess to Health Funding - Hays Medical Center has led efforts and continues to collaborate with Grow Hays, Imagine Ellis County, United Way of Ellis County, and the Chamber of Commerce to provide workshops and opportunities for funding of health related programs. The most recent presentation highlighted the Kansas Commerce Department Community Service Tax Credit program and the Community Development Block Grants.
Pawnee Valley Community Hospital, Inc.Part V, Section B, Line 11: Pawnee Valley Community Hospital, Inc. conducted its fourth Community Health Needs Assessment along with the Pawnee County Health Department in calendar year 2021. The Hospital and County Health Department will work with others in the community to address the needs that were identified in the survey. The needs that received the most votes are listed below. Mental Health (Diagnosis, Placement, Aftercare) - 16.5% Drug (Opioids) & Alcohol Abuse - 14.8% Access to Care After Hours - 8.7% Affordable Care - 7.8% Awareness of Health Services - 7.8% Teen Tobacco/Vaping - 7.8% Awareness of Exercise/Fitness Activities - 6.1% Insurance Coverage - 6.1% Women's Health (Maternal & Fetal, Breastfeeding, etc.) - 6.1%The Town Hall meeting also noted the Community's Health Strengths, which are listed below. Nutrition - Health Food Options Nursing Home/Senior Care Access to Services Growth Opportunity Charity Care Care Coordination/Leadership Recreational Activities Stable Health Services Health Department - Communication/Collaboration Ratio of ProvidersOn the 2020 CHNA Implementation Plan, it is noted that several areas are not part of hospital mission critical operations and that the Hospital will be a partner with others to address these needs. These needs and the lead partner are listed below.Mental Health (Diagnosis, Placement, Aftercare) - Mental Health Agency/Pawnee County Health DepartmentDrug (Opioids) & Alcohol Abuse - Mental Health Agency/Pawnee County Health Department Teen Tobacco/Vaping - Pawnee County Health Department Awareness of Exercise/Fitness Activities - Pawnee County Health DepartmentInsurance Coverage - No lead partner identified at this timeThe remaining CHNA Health Areas of Need will be addressed with Pawnee Valley Community Hospital as the lead partner. Updates to the progress are outlined below.Access to Care After Hours - Heart of Kansas (non-PVCH clinic) has extended clinic hours every Thursday evening which compliments our Tuesday evening. PVCH launched the patient portal for our family medicine clinic in April 2022, which allowas access to healthcare results and messaging. PVCH continues to offer family telemedicine clinic visits.Affordable Care - PVCH decreased the outpatient charges physical therapy, occupational therapy, speech therapy, imaging charges and lab charges by 1/3 on July 1, 2021, and again by 1/3 in January 1, 2022. PVCH has a finanical assistance program available to all patients meeting the program's guidlines. PVCH is an active participant along with KHA to support Medicaid expansion in Kansas.Awareness of Health Services - PVCH has contracted with a marketing firm to assist with understanding which services are of greatest need for our community. The firm identifed inpatient and outpatient rehab and inpatient respiratory PVCH also participates in local Larned Area Chamber Coffee and After Hours to highlight our health services.Women's Health (Maternal & Fetal, Breastfeeding, etc.) - PVCH added in 2022 a family medicine provider who has over 20 years of women's health services experience to our family medicine clinic. PVCH has initiated a weight loss program for women in 2022 and currently provides consultations and birth control options for women of all ages and annual women's health visits. Pawnee County Health Department currently provides maternal/fetal and breast feeding resources and education.
Hays Medical Center, Inc.Part V, Section B, Line 13h: The balance of the patient account is also considered.
Pawnee Valley Community Hospital, Inc.Part V, Section B, Line 13h: The balance of the patient account is also considered.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HaysMed Convenient Care Walk-in Clinic
3216 Vine Street Suite 20HaysKS67601Convenient care services
2 - Hays Family Medicine
2509 CanterburyHaysKS67601Family medicine

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Hays Medical Center, Inc.'s, cost accounting system was used to calculate community health improvement services, health professions education, and subsidized health services costs. A cost-to-charge ratio derived from Worksheet 2 was used to calculate financial assistance at cost and the community benefit expense attributable to serving Medicaid beneficiaries.
Part I, Line 7g:Subsidized health services community benefit expenses include $67,341,503 of expenses attributable to physician clinics that have net operating losses.
Part III, Line 4:See Note B (pages 11-14 of the financial statements) for a description of the Medical Center's bad debt expensePart III, Line 2:Costing methodology: A cost-to-charge ratio derived from Worksheet 2 was used to calculate bad debt expense at cost.
Part III, Line 8:The Medicare cost report was the costing methodology used to determine Medicare allowable costs. Allowable costs of care reported on line 6 were determined using amounts from Worksheet D, Part V and Worksheet D-1 in the Hays Medical Center, Inc., Medicare cost report for the fiscal year ended June 30, 2022.
Part III, Line 9b:Whenever possible, the customer service representatives (CSR's) of Hays Medical Center, Inc., try to determine the estimated self-pay balance prior to the patient receiving services. FAP eligibility is first considered at this point in time. In addition, if full payment is not received or if payment is not made within 30 days, the patient will receive a statement that includes a copy of the FAP. If the patient contacts the CSR and it is determined that at least a 2-year payment plan cannot be established with the patient, the CSR will screen for charity care and request that the charity care application be completed by the patient.
Part VI, Line 3:Information regarding the Hays Medical Center, Inc., charity care program is located on the Hays Medical Center, Inc., website for patients and community members to view, and the financial assistance application is also on the website to print off and complete. In addition, if a customer service representative of Hays Medical Center, Inc., contacts a patient about a bill and in visiting with them they determine that the patient could possibly qualify for the Hospital's charity care policy, they will send the application to the patient as well.
Part VI, Line 4:Hays Medical Center, Inc., is located in Hays, Kansas, which has a population of approximately 21,000 people per the 2020 population census performed by the U.S. Census Bureau. One of the State of Kansas Regents universities is also located in Hays, Kansas, so the population includes many college-aged students. The median household income of Hays, Kansas, is approximately $50,900. Approximately 17.6% of the population was below the poverty line. Almost 7% of the Hospital's revenue is from services provided to patients eligible for Medicaid. Hays Medical Center, Inc., is the only hospital in the city of Hays. In addition, since this is a rural area and because it is the only hospital providing tertiary level care in the region, Hays Medical Center, Inc., provides certain services to the whole western half of the State of Kansas.
Part VI, Line 5:Hays Medical Center, Inc., promotes the health of the community by extending medical privileges to most qualified, local physicians. In addition, the majority of the Board of Directors live and work in the city of Hays, but they are not employed by Hays Medical Center, Inc.
Part VI, Line 6:Hays Medical Center was part of the University of Kansas affiliated health care system through November 2021. Hays Medical Center separated from the affiliation with the University of Kansas agreement on November 30, 2021 and are no longer a part of this affiliated health care system.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Grow HaysBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1219 West 10thAddressLine1Txt
CityHaysCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd
FieldValueIRS element (for citing)
Recipient EIN481048442RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedCash paidValuationMethodUsedDesc
Purpose Of GrantImprove community served by the Medical CenterPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Medical Center has implemented processes to ensure that all contributions are approved by the appropriate authorizing individual. It only disburses contributions to approved reputable organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Manmohan Biring
Physician$550,589$0$1,077,605$0$254,892$0$17,400$0$37,895$0$1,938,381$0$0$0
Robert Phillips
Physician$1,198,216$0$1,250$0$35,898$0$17,400$0$12,072$0$1,264,836$0$0$0
Max Decarvalho
Physician$696,288$0$265,003$0$10,776$0$17,400$0$30,378$0$1,019,845$0$0$0
Gulraiz Cheema
Physician/Board Member thru Dec 2021$637,541$0$251,611$0$10,773$0$17,400$0$36,638$0$953,963$0$0$0
Edward Herrman
President & CEO$572,500$0$120,057$0$21,894$0$122,833$0$36,614$0$873,898$0$0$0
Douglas Tangel
Physician$641,800$0$34,979$0$25,277$0$17,400$0$31,295$0$750,751$0$0$0
Mohammed Janif
Physician$617,256$0$50,375$0$4,582$0$17,400$0$31,053$0$720,666$0$0$0
Ernesto Lopez-Corona MD
Physician/Board Member beg Jan 2022$559,056$0$1,364$0$8,230$0$17,400$0$39,161$0$625,211$0$0$0
George Harms
Chief Financial Officer$294,643$0$49,598$0$3,160$0$70,506$0$26,447$0$444,354$0$0$0
Shae Veach
VP Regional Development$237,449$0$41,679$0$15,311$0$60,341$0$31,962$0$386,742$0$0$0
Joannah Applequist
Chief Legal Officer$257,225$0$39,336$0$11,173$0$62,297$0$4,507$0$374,538$0$0$0
Roger Dietz MD
Physician/Board Member$311,574$0$1,250$0$12,000$0$17,400$0$31,853$0$374,077$0$0$0
Terry Siek
Chief Nursing Officer$232,879$0$38,972$0$1,564$0$57,473$0$10,780$0$341,668$0$0$0
Bryce Young
Former COO (key employee)$0$0$0$0$163,726$0$0$0$0$0$163,726$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Lines 4a-bSeverance payments: Bryce Young - $163,726 Contributions to plan: Edward Herrman - $105,433 George Harms - $53,106 Terry Siek - $41,052 Shae Veach - $43,088 Joannah Applequist - $44,897
Part I, Line 6A portion of incentive compensation for officers and key employees is determined by net earnings exceeding budget for the fiscal year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 4When the Medical Center transitioned from the University of Kansas Hospital Authority in December 2021, the Medical Center adopted new governing documents to match their new governing situation.
Form 990, Part VI, Section B, line 11bThe Form 990 is prepared and reviewed by an independent accounting firm. It is then reviewed by the organization's officers and accounting personnel. Their questions and concerns are addressed and either corrected or clarified in the Form 990. The final Form 990 is then provided to the board for review prior to filing.
Form 990, Part VI, Section B, line 12cOfficers, directors & key employees, along with all associates, are required to complete a conflict of interest statement annually. The statements are reviewed by the Board, the Compliance Officer, and Governance Director, as well. When conflict of interest issues arise during a Board meeting, the board members with the conflict are asked to remove themselves from discussion or from the room entirely. They are not allowed to vote on that particular issue.
Form 990, Part VI, Section B, line 15The CEO's, officers', and key employees' salaries are reviewed annually by an independent consulting group and the Compensation Committee, which is made up of members of the Board. They base the review on salary comparisons obtained by the consulting group from peer hospitals in similiar geographic regions. The last review was conducted in April 2022.
Form 990, Part VI, Section C, line 19These documents are not made available to the public.
Form 990, Part IX, line 11gContract labor: Program service expenses 12,847,250. Management and general expenses 21,585. Fundraising expenses 173. Total expenses 12,869,008. Medical professional fees: Program service expenses 5,597,826. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,597,826. Laboratory services: Program service expenses 5,655,601. Management and general expenses 0. Fundraising expenses 25,203. Total expenses 5,680,804. Consulting services: Program service expenses 190,354. Management and general expenses 181,458. Fundraising expenses 3. Total expenses 371,815. Recruiting fees: Program service expenses 44,462. Management and general expenses 111,845. Fundraising expenses 1. Total expenses 156,308. Non-medical professional fees: Program service expenses 2,050,861. Management and general expenses 109,325. Fundraising expenses 103. Total expenses 2,160,289. Collection and billing fees: Program service expenses 8. Management and general expenses 758,396. Fundraising expenses 0. Total expenses 758,404. Other purchased services: Program service expenses 943,508. Management and general expenses 1,319,392. Fundraising expenses 13. Total expenses 2,262,913.
Form 990, Part XI, line 9:Loss on KU Med Segregation -54,850,787. Change in beneficial interest in foundations 1,690,000.
Part XII, Line 3cWhen affiliated with the University of Kansas Hospital, the University of Kansas Hospital selected the auditor of the University of Kansas Hospital System, which included Hays Medical Center. When the Medical Center transitioned from the University of Kansas Hospital in December 2021, the Compliance committee assumed oversight of the audit.
Form 990, Part VII, Line 1aBrenda Dykstra and Chris Ruder were employed by the University of Kansas, a related entity. Due to the Medical Center no longer being affiliated with the University of Kansas, the Medical Center is unable to obtain the related party compensation for these individuals.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Hays Medical Center Foundation
2220 CanterburyHaysKS67601481179684Provide grants and allocations to Hays Medical Center, Inc.KS501(c)(3)Line 11a, IHays Medical Center IncYes (1)
HaysMed Partners Inc
2220 CanterburyHaysKS67601270877152Management contract for Pawnee Valley Community HospitalKS501(c)(3)Line 3Hays Medical Center IncYes (1)
Pawnee Valley Community Hospital Inc
2220 CanterburyHaysKS67601481253246Hospital operated by Hays Medical CenterKS501(c)(3)Line 3HaysMed Partners IncYes (1)
Hadley Foundation Inc
1200 MainHaysKS67601481107034Support for Hays Medical CenterKS501(c)(3)Line 11c, III-FI0N/A
Kansas University Hospital Authority
3901 Rainbow BoulevardKansas CityKS66160481202402HospitalKS0N/A
St Rose Health Center
3515 BroadwayGreat BendKS67530472117443Health CenterKS501(c)(3)Line 3University of Kansas Hospital AuthorityYes (1)
Turning Point The Center for Hope
8900 State Line Road Ste 240LeawoodKS66206431900039HealthcareKS501(c)(3)Line 7Kansas University Hospital AuthorityYes (1)
Kansas University Physicians Inc
3901 Rainbow BoulevardKansas CityMO66160481163756HealthcareKS501(c)(3)Line 10Kansas University PhysiciansYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
KU Medwest Ambulatory Surgery
7405 Renner RoadShawneeKS66217020664568HealthcareKSKansas University Hospital Authority00
UKH Sports Med LLC
2330 Shawnee Mission PkwyWestwoodKS66205463123647HealthcareKSKansas University Hospital Authority00
KH Alliance LLC
4000 Cambridge StreetKansas CityKS66160472838147HealthcareKSKansas University Hospital Authority00
Kansas Clinical Improvement Collaborative LLC
1809 East 27th StreetHaysKS67601812776361HealthcareKSKansas University Hospital Authority00
Kansas Primary Care Alliance
2330 Shawnee Mission PkwyWestwoodKS66205463164140HealthcareKSKansas University Hospital Authority00
UKHS Great Bend LLC
2330 Shawnee Mission PkwyWestwoodKS66205830516935HealthcareKSKansas University Hospital Authority00
UKHS Sports Performance Center
2330 Shawnee Mission PkwyWestwoodKS66205830888634HealthcareKSKansas University Hospital Authority00
UKHS Great Bend Physicians LLC
2330 Shawnee Mission PkwyWestwoodKS66205831255734HealthcareKSKansas University Hospital Authority Great Bend00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Jayhawk Primary Care Inc
2300 Shawnee Mission Parkway Ste 31WestwoodKS66205481159444HealthcareKSKansas University Hospital AuthorityC0
Mid-America Cardiology Associates
4000 Cambridge Street Ste G600Kansas CityKS66160480980010HealthcareKSKansas University Hospital AuthorityC0
University of Kansas Physicians Inc
2300 Shawnee Mission Parkway Ste 20WestwoodKS66205471214865HealthcareKSKansas University Hospital AuthorityC0
UKHA Program Support Inc
2300 Shawnee Mission Parkway Ste 20WestwoodKS66205455571151HealthcareKSKansas University Hospital AuthorityC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Hays Medical Center Foundation
C$882,099FMV
Hays Medical Center Foundation
Q$307,445FMV
Pawnee Valley Community Hospital Inc
D$1,385,192FMV
Pawnee Valley Community Hospital Inc
L$626,307FMV
Pawnee Valley Community Hospital Inc
O$264,519FMV
Pawnee Valley Community Hospital Inc
Q$1,466,686FMV