2025-05-14T14:16:03-05:00 2024-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2023-07-01 480559088 Hays Medical Center Inc HAYS 7856235000 2220 Canterbury Drive Hays KS 67601 EDWARD HERRMAN CEO 7856235000 2025-05-09 1 0 Eric L Otting P00298454 7852334226 2025-05-09 2023 2025-03-06 01:10:19Z Edward Herrman 2220 Canterbury Drive Hays KS 67601 259735597 0 X www.haysmed.com X 1944 KS Hays 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. 11 8 1780 110 0 0 1013060 2575880 224265221 244364322 5216705 11016451 1101925 1778944 231596911 259735597 20681 520370 0 0 117498640 120341418 0 0 309544 124270499 138988296 241789820 259850084 -10192909 -114487 258450921 260409553 81196845 82948201 177254076 177461352 X Hays 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. 0 0 232518247 520370 246143266 Patient 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-4,221, Newborn ICU-28, Newborn-571, Rehab-175, Total admissions-4,995. Patient days: ICU/CPCU-8,088, Medical/Surgical-8,964, Obstetrics-1,194, Newborn ICU-364, Newborn-951, Rehab-1,692, Total patient days-21,253. Other statistical information: Surgical procedures-8,620, Cardiac caths-1,614, Emergency room visits-12,197, Outpatient procedures-168,323, Medical oncology service visits-6,509, Clinic visits-152,876. 232518247 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 209 0 1 1780 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Michelle Beckner 7856232350 2220 Canterbury Drive Hays KS 67601 Brian Lang Chair thru. Dec 2023 0.50 X X 0 0 0 Alan Moore Board Member 0.50 X 0 0 0 Daniel Schippers Board Member/Treasurer begin. Jan. 2024 0.50 X X 0 0 0 Melissa Romme Board Member/Vice Chair begin. Jan. 2024 0.50 X X 0 0 0 Wayne Kieffer Board Member 0.50 X 0 0 0 Mary Martin Board Member 0.50 X 0 0 0 Jana Horsfall Vice Chair thru. Dec 2023/Chair begin. Jan. 2024 0.50 X X 0 0 0 DG Bickle Secretary 0.50 X X 0 0 0 Kenneth Beran Treasurer thru. Dec. 2023 0.50 X X 0 0 0 Ernesto Lopez-Corona MD Physician/Board Member 40.00 X 601663 0 53641 Edward Herrman President & CEO 36.00 4.00 X X 813427 0 167091 Kayla Gray MD Physician/Board Member 40.00 X 376980 0 19773 Jerod Grove MD Physician/Board Member (Jan-Mar) 40.00 X 531543 0 50433 Oluwaseun Akinbo Physician/Board Member (Apr-May) 40.00 X 753798 0 41620 Michelle Beckner Chief Financial Officer 36.00 4.00 X 394228 0 92172 Terry Siek Chief Nursing Officer 36.00 4.00 X 276253 0 62549 Shae Veach VP Regional Development 36.00 4.00 X 284429 0 86101 Joannah Applequist Chief Legal Officer 36.00 4.00 X 369423 0 71790 Bryan Brady VP Physician Practice and Ancillary Services 36.00 4.00 X 233333 0 75035 Manmohan Biring Physician 40.00 X 1491469 0 51554 Max Decarvalho Physician 40.00 X 975505 0 44019 Gulraiz Cheema Physician 40.00 X 1118975 0 43464 Douglas Tangel Physician 40.00 X 761739 0 39242 Bed Chhatkuli Physician 40.00 X 729009 0 50366 9711774 0 948850 193 0 1 0 Weatherby Healthcare PO Box 972633 Dallas TX 753972633 Physician services 5150586 Qualivis LLC PO Box 123847 Dallas TX 753123847 Contract staffing 5004752 Quest Diagnostics Inc PO Box 772976 Chicago IL 606770276 Lab services 4077880 BRG Healthcare Corp 2200 Powell Street Suite 1200 Emeryville CA 94608 Consulting fees 2210344 Trustmark Health Benefits Inc 62897 Collection Center Dr Chicago IL 606930628 TPA fees 1520182 74 2303664 272216 2575880 Patient service revenue 621990 235294056 235294056 Retail pharmacy 456110 3235451 3235451 Services to CAH network and afill 900099 3145929 3145929 Fitness center 713940 1356644 1356644 1332242 1332242 244364322 2190308 2190308 613387 0 613387 613387 613387 8821042 5101 0 0 8821042 5101 8826143 8826143 Cafeteria revenue 722210 511702 511702 Shared savings from insurance com 900099 397486 397486 Physician practice billing 900099 256369 256369 1165557 259735597 246143266 0 11016451 X 520370 520370 5381296 2625640 2755656 93339469 87431983 5807332 100154 3571249 3326990 240206 4053 11951519 11095515 843794 12210 6097885 5594200 497587 6098 959993 959993 218061 218061 20232 20232 218928 218928 39125653 31548524 7568612 8517 656028 56031 599997 1262818 282674 979252 892 7715995 5757594 1958401 2251673 1756343 467928 27402 146651 114803 31271 577 718049 591933 126064 52 1261249 987306 270790 3153 8710355 6818466 1870113 21776 1362943 1281117 81826 Pharmaceuticals 37650846 37650846 Medical Supplies 21823408 21823408 Repairs and maintenance 5198441 4623778 571753 2910 Taxes and assessments 4931411 4903585 27826 4755562 3727141 906671 121750 259850084 232518247 27022293 309544 441667 5822367 12558202 15166683 29147082 29490291 5803878 5905511 7007985 6534170 271519785 214926779 58649884 56593006 85752179 88158335 39988806 31377963 19101238 21361227 258450921 260409553 31934781 36515012 47410000 44645000 1852064 1788189 81196845 82948201 X 164079076 162471352 13175000 14990000 177254076 177461352 258450921 260409553 X -114487 -1493237 1815000 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 20232 0 0 0 20232 0 Part II-B, Line 1: Hays 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. 14697330 1691353 1431401 2978946 14841138 14495373 1608246 -291800 1114489 14697330 13716519 1549264 360421 1130831 14495373 11952988 647679 1866539 750687 13716519 11177350 1258089 342717 825168 11952988 0.14490 0.72920 0.12590 0 1 1 315200 315200 88182756 61202372 26980384 169394100 142841689 26552411 13627729 10882718 2745011 56593006 75000 F Hedge funds 15807276 F Private equity fund 4918456 F Real estate limited partnership 4636896 F Limited partnership 5940335 F 31377963 Beneficial interest in net assets of foundations 14990000 Intercompany receivables 1231876 Estimated third-party payor settlements 1300000 Deferred financing costs 513642 Other receivables 1927496 Interest receivable 174711 Operating right of use lease assets 623502 Contract receivables 600000 21361227 Estimated third-party payor settlements 1164687 Right of use lease liabilities 623502 1788189 X 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. Central American/Caribbean 0 0 Investments 13045844 Switzerland 0 0 Investments 4427950 0 0 0 0 0 0 17473794 0 17473794 0 0 1 0 1 0 1 1 X 1 X 130.000000000000 1 X 1 1 0 1 1 588593 588593 0.00230 13330422 9587217 3743205 0.01440 13919015 9587217 4331798 0.01670 1753478 1386923 366555 0.00140 932314 88710 843604 0.00320 80046316 46334213 33712103 0.12970 7575 7575 0.00000 82739683 47809846 34929837 0.13430 96658698 57397063 39261635 0.15100 590789 590789 0.00230 590789 590789 0.00230 1 3437946 0 71952155 87198098 -15245943 X 1 1 2 1 Hays Medical Center Inc 2220 Canterbury Hays KS 67601 X X X 2 Pawnee Valley Community Hospital Inc 923 Carroll Ave Larned KS 67550 X X X X Hays Medical Center Inc 1 0 0 1 X X X X X X X X X 23 1 0 1 1 X https://www.haysmed.com/wp-content/uploads/2024/06/2024-Community-Health-Ne X 1 23 1 https://www.haysmed.com/wp-content/uploads/2024/06/2024-Community-Health-Ne 0 1 X 130.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X https://www.haysmed.com/wp-content/uploads/2023/03/BUS116A.pdf X https://www.haysmed.com/billing-financial/#/financial-assistance-applicatio X X X X 1 X 0 X X X X 1 X 0 0 Pawnee Valley Community Hospital Inc 2 0 0 1 X X X X X X X X X 23 1 0 1 1 X https://pawneevalleyhospital.com/wp-content/uploads/2024/06/CHNA_2024_Pawne X http://www.pawneecountykansas.com/ X 1 23 1 https://pawneevalleyhospital.com/wp-content/uploads/2024/07/CHNA2024_ImpDet 0 1 X 130.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X https://pawneevalleyhospital.com/billing/#financial-assistance-policy X https://pawneevalleyhospital.com/billing/#financial-assistance-policy X X X X 1 X 0 X X X X 1 X 0 0 Hays Medical Center, Inc. Part V, Section B, Line 5: The CHNA conducted in 2024 in collaboration with the Ellis County Health Department identified significant health needs within Ellis County and the 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 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 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 board interest of the community served by the Hospital. Key stakeholders included: Ellis County Public Health, First Care Clinic, Fort Hays State University, North Center Kansas Vo-Tech, USD 489, Thomas More Prep, Ellis County EMS, Medical and Dental Providers, Early Childhood Connections, Area Agency on Aging and City and County Commissioners. The CHNA was coordinated and produced by VVV Research and Development, Inc., 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 conducted in February 2024 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, Country Living of Larned, The Center for Counseling & Consulation, Heart of Kansas Family Health Care, Larned Police Department, 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, local business owners, 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 Health Department 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 fifth Community Health Needs Assessment along with the Ellis County Health Department in 2024. 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, Access to Providers) 18.5% Uninsured/Underinsured 13.9% Visiting Specialists (GER, NEURO, ENDO, RHE, POD, IFD Lymes) 12.0% Access to Memory Care Services 12.0% Awareness of Healthcare Services 10.2% Domestic Violence & Abuse 10.2% Access to Dentists/Periodontists 5.6%The Town Hall meeting also noted the Community's Health Strengths, which are listed below. Access to Recreational Opportunities Overall Access to Physicians Community Collaboration Access to Long-Term Water Solutions Educational Opportunities (Elementary-College) Access to Food Emergency Services Options for Internet ProvidersOn the 2024 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, Access to Providers) - Lead is High Plains Mental Health. Camber Health continues to operate an Inpatient and Outpatient youth acute mental health treatment facility in Hays. The facility treats youth 6-18 who are experiencing depression, anxiety, suicidal thoughts, the impacts of trauma, and other mental health conditions. HaysMed worked with Camber on the building, which HaysMed owns, that houses the facility. HaysMed has partnered with HPMH to establish on-site providers in HaysMed and Medical Specialists who work collaboratively with the Primary Care Provider.Access to Memory Care Services - Lead is A Different Mindset Association. Monthly meetings are held at the Center for Health Improvement with the program growing through outreach and education.Domestic Violence & Abuse - Lead is Options. Options Inc. has developed a Task force focused on youth education and engagement. Jana's Campaign continues to hold education and prevention opportunities. The effort has impacted over 100,000 K-12 students and countless number of universities across the US participating in the efforts.HaysMed 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. Hays Medical Center, Inc. Part V, Section B, Line 11: Updates to the progress are outlined below.Uninsured/Underinsured - HaysMed 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 local FQHC and HaysMed continue to engage and work with patients to gain access to needed healthcare.Visiting Specialists (GER, NEURO, ENDO, RHE, POD, IFD - Lymes) - HaysMed has expanded the availability for Maternal-Fetal Medicine in the community to six times per month. ENT continues to expand and see patients with more days added in the last year.Awareness of Healthcare Services - 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). HaysMed Center for Health Improvement has started a number of different programs to engage the community including: Walk with a Doc LiveWell - Senior focused exercise program Diabetes Solution Youth Performance Training Weight Loss SolutionsAccess to Dentists/Periodontists - The private practices and FQHC have added an additional two dentists in the Community. Pawnee Valley Community Hospital, Inc. Part V, Section B, Line 11: Pawnee Valley Community Hospital, Inc. (PVCH) conducted its fifth Community Health Needs Assessment (CHNA) along with the Pawnee County Health Department in 2024. 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.Substance Abuse (Drugs & Alcohol) - 16.3%Mental Health (Diagnosis, Placement, Aftercare, Access to Providers) - 14.0%Childcare (Accessible & Affordable) - 11.6%Provide Youth Activities - 8.5%Physician Recruitment (Primary Care-MD's, DO's) - 7.8%Health Education (Chronic/Prevention) - 6.2%Obesity (Exercise & Nutrition) - 5.4%Physical Activities for Adults - 5.4%Visiting Specialists (Onc, Ortho, CV, OBGYN, ENT, NEP, DERM) - 5.4%The Town Hall meeting also noted the Community's Health Strengths, which are listed below.Three family medicine clinicsEMT, Fire Dept and Hospital have strong collaborationThriving hospitalAccess to recreation and exerciseOpioids dispense is minimalQuality Health DeptBi-annual health fairQuality and affordable long-term careChildcare committee - improving childcareSeveral internet providers/strong connectionAvailable mental health/crisis servicesSchool programs for parent involvement and educationCommunity involvementState Hospital offers continuing educationOn the 2024 CHNA Implementation Plan, it is noted that several areas are not part of hospital mission critical operations and that PVCH will be a partner with others to address these needs. These needs and the lead partner are listed below.Substance Abuse (Drugs & Alcohol) - Center for Counseling and Pawnee County Health Dept.Mental Health (Diagnosis, Placement, Aftercare, Access to Providers) - Center for Counseling and Pawnee County Health Dept.Childcare (Accessible & Affordable) - Pawnee County Childcare CoalitionProvide Youth Activities - Pawnee Co Youth Initiative Foundation/Larned Rec CenterPhysical Activities for Adults - Pawnee Co Youth Initiative Foundation/Larned Rec CenterThe remaining CHNA Health Areas of Need will be addressed with PVCH as the lead partner. Updates to the progress are outlined below.Physician Recruitment (Primary Care-MD's, DO's) and Visiting Specialists (Onc, Ortho, CV, OBGYN, ENT, NEP, DERM) - Heart of Kansas recruited a family medicine physician to work at the Larned, KS clinic.Pawnee Valley Community Hospital recruited a Board-Certified Emergency Medicine Physician to replace the resigning Emergency Department Medical Director.The Pawnee Valley Community Family Medicine Clinic family medicine physician is engaged with the Kansas Osteopathic Medicine School to receive a medical student for rotation during 2025-2026 school year.Family medicine physician at Healthy Choice Clinic engaged with the Kansas Osteopathic Medicine School and received a medical student during the 2024-2025 school year. Rotation included Pawnee Valley Community Hospital.Added additional Specialty Care Clinic days for Cardiology Nurse Practitioner from HaysMed DeBakey Heart Institute.Pawnee Valley Community hospital is actively engaged in conversations and work to add the following additional specialty care services: Psychiatric Mental Health Nurse Practitioner Rheumatology Telehealth ServicesThe Pawnee Valley Community Family Medicine Clinic family medicine physician is partnered with the HaysMed Center Women's Health to provide an obstetrical shared care model. Health Education (Chronic/Prevention) - Pawnee Valley Community Hospital Family Medicine clinic implemented and is growing a Chronic Care Management Program with ChartSpan.Pawnee Valley Community Hospital engaged and trained a Pawnee Valley Community Hospital Family Medicine clinic family medicine nurse practitioner to teach Chronic Care Management classes quarterly.Pawnee Valley Community Hospital provided education on occupational therapy services and benefits via newspaper and social media to the community in addition to the Occupational Therapist attending civic group meetings to provide the education.Pawnee Valley Community Hospital initiated a vaccine campaign educating the community on vaccines and the important role they play in health prevention and public health.Obesity (Exercise & Nutrition)Pawnee Valley Community Hospital Family Medicine clinic initiated a women's health campaign which included obesity/weight loss services for women (education, medication treatment, exercise regimens, etc.) 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. 4 1 - HaysMed Convenient Care Walk-in Clinic 3216 Vine Street Suite 20 Hays KS 67601 Convenient care services 2 - Hays Family Medicine 2509 Canterbury Hays KS 67601 Family medicine 3 - HaysMed Multispecialty Clinic 2300 N 14th Ave Suite 200 Dodge City KS 67801 Various medical specialties 4 - HaysMed Multispecialty Clinic 3720 10th St Great Bend KS 67550 Various medical specialties 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 $78,022,462 of expenses attributable to physician clinics that have net operating losses. Part III, Line 4: See Note B (pages 11-15 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, 2024. 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 instructions on how to obtain a FAP application. If the patient contacts the CSR and it is determined that at least a 1-year payment plan cannot be established with the patient, the CSR will mail a FAP application upon request or direct the patient to the website to print one out 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 21,040 people per the 2023 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 $56,800. Approximately 19.9% of the population was below the poverty line. Almost 4% 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 is not part of an affiliated health system. 1 Grow Hays 219 West 10th Hays KS 67601 481048442 501(c)(3) 10000 0 Cash paid Improve community served by the Medical Center Fort Hays State University Foundation One Tiger Place Hays KS 67601 486108086 501(c)(3) 500000 0 Pledge amount Construction of new sports medicine facility 2 Part I, Line 2: The 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. 1 X X X X 0 1 0 0 0 1 0 0 0 Manmohan Biring Physician 549780 0 674277 0 267412 0 16500 0 35054 0 1543023 0 0 0 Gulraiz Cheema Physician 788338 0 327025 0 3612 0 16500 0 26964 0 1162439 0 0 0 Max Decarvalho Physician 791797 0 181776 0 1932 0 16500 0 27519 0 1019524 0 0 0 Edward Herrman President & CEO 685170 0 81491 0 46766 0 133169 0 33922 0 980518 0 0 0 Douglas Tangel Physician 503373 0 56880 0 201486 0 16500 0 22742 0 800981 0 0 0 Oluwaseun Akinbo Physician/Board Member (Apr-May) 640029 0 112929 0 840 0 16500 0 25120 0 795418 0 0 0 Bed Chhatkuli Physician 345165 0 126794 0 257050 0 16500 0 33866 0 779375 0 0 0 Ernesto Lopez-Corona MD Physician/Board Member 585731 0 0 0 15932 0 16500 0 37141 0 655304 0 0 0 Jerod Grove MD Physician/Board Member (Jan-Mar) 422781 0 82425 0 26337 0 16500 0 33933 0 581976 0 0 0 Michelle Beckner Chief Financial Officer 313223 0 30391 0 50614 0 58602 0 33570 0 486400 0 0 0 Joannah Applequist Chief Legal Officer 303848 0 30690 0 34885 0 67138 0 4652 0 441213 0 0 0 Kayla Gray MD Physician/Board Member 284126 0 51738 0 41116 0 16500 0 3273 0 396753 0 0 0 Shae Veach VP Regional Development 241040 0 24926 0 18463 0 55716 0 30385 0 370530 0 0 0 Terry Siek Chief Nursing Officer 232775 0 26047 0 17431 0 52945 0 9604 0 338802 0 0 0 Bryan Brady VP Physician Practice and Ancillary 201299 0 17200 0 14834 0 41567 0 33468 0 308368 0 0 0 Part I, Line 4b Contributions to plan: Edward Herrman - $116,669 Michelle Beckner - $48,750 Terry Siek - $39,114 Shae Veach - $41,128 Joannah Applequist - $50,638 Bryan Brady - $32,250 Part I, Line 6 A portion of incentive compensation for officers and key employees is determined by the change in net earnings for the fiscal year as compared to the previous year. Form 990, Part VI, Section B, line 11b The 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 12c Officers, 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 15 The 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 January 2024. Form 990, Part VI, Section C, line 19 These documents are not made available to the public. Form 990, Part IX, line 11g Contract labor: Program service expenses 9,683,933. Management and general expenses 733,610. Fundraising expenses 2,535. Total expenses 10,420,078. Medical provider fees: Program service expenses 11,327,734. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,327,734. Laboratory services: Program service expenses 5,533,331. Management and general expenses 0. Fundraising expenses 1,448. Total expenses 5,534,779. Consulting services: Program service expenses 11,377. Management and general expenses 3,706,333. Fundraising expenses 3. Total expenses 3,717,713. Recruiting fees: Program service expenses 79,586. Management and general expenses 644. Fundraising expenses 21. Total expenses 80,251. Other non-provider medical professional fees: Program service expenses 3,318,219. Management and general expenses 60,370. Fundraising expenses 3,833. Total expenses 3,382,422. Collection and billing fees: Program service expenses 0. Management and general expenses 797,158. Fundraising expenses 0. Total expenses 797,158. Other purchased services: Program service expenses 1,594,344. Management and general expenses 2,270,497. Fundraising expenses 677. Total expenses 3,865,518. Form 990, Part XI, line 9: Change in beneficial interest in foundations 1,815,000. Hays Medical Center Foundation 2220 Canterbury Hays KS 67601 481179684 Provide grants and allocations to Hays Medical Center, Inc. KS 501(c)(3) Line 11a, I Hays Medical Center Inc 1 HaysMed Partners Inc 2220 Canterbury Hays KS 67601 270877152 Management contract for Pawnee Valley Community Hospital KS 501(c)(3) Line 3 Hays Medical Center Inc 1 Pawnee Valley Community Hospital Inc 923 Carroll Avenue Larned KS 67550 481253246 Hospital operated by Hays Medical Center KS 501(c)(3) Line 3 HaysMed Partners Inc 1 Hadley Foundation Inc 1200 Main Hays KS 67601 481107034 Support for Hays Medical Center KS 501(c)(3) Line 11c, III-FI N/A 0 0 0 1 1 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 Hays Medical Center Foundation C 2188699 FMV Hays Medical Center Foundation Q 361368 FMV Pawnee Valley Community Hospital Inc D 66135 FMV Pawnee Valley Community Hospital Inc L 780309 FMV Pawnee Valley Community Hospital Inc O 388995 FMV Pawnee Valley Community Hospital Inc Q 2285000 FMV