2020-08-07T11:26:32-05:00 2019-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2018-10-01 481169103 Salina Regional Health Center Inc SALI 7854527145 400 South Santa Fe Salina KS 67401 Joe Tallon VP Finance/CFO 7854527145 2020-08-06 1 Kim Hunwardsen CPA P00484560 6122536500 2020-08-05 216.147.181.49 2020-08-06 16:28:19 CD P 5755687E6BF8D8D10BDE3B83E6631EF3D64C584D D3378820D935081F195CBADBE51BD5BF5BECC312 2018 2020-09-23 17:36:50Z Joe Tallon 400 South Santa Fe Salina KS 67401 298268879 0 X www.srhc.com X 1995 KS To provide high quality acute medical care 14 10 2410 200 3099502 2656040 906794 946184 277749944 289750804 16993306 6523529 79679 124956 295729723 297345473 735927 575172 0 0 117831488 120703569 0 0 0 153879334 171583810 272446749 292862551 23282974 4482922 490853906 500278602 28877438 29488580 461976468 470790022 To provide quality health care services in a healing and spiritual environment 0 0 236188259 286822148 During the fiscal year Salina Regional Health Center, Inc. discharged 8,951 inpatients resulting in 42,428 patient days, treated outpatients in 252,286 visits and generated 255 million in net patient service revenue. The amount of uncompensated care given during the fiscal year was $35 million, in which $7 million was charity care deductions and $28 million was bad debt write offs. 562672 562672 Salina Regional Health Center, Inc. and its auxiliary provide grants to further the activities of the Community Health Improvement Program (CHIP) at the Salina Regional Health Foundation. 12500 12500 Salina Regional Health Center, Inc. and its auxiliary provide scholarships to students attending nursing school. 236763431 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 65 0 1 2410 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X Joe Tallon VP FinanceCFO 7854527145 400 South Santa Fe Salina KS 67401 Scott Boswell Physician 40.00 0.00 X 1088718 0 33832 Timothy Hawkes Physician 40.00 0.00 X 863311 0 23568 Justin Hanke Physician 40.00 0.00 X 801426 0 35674 Jeffrey Geitz Physician 40.00 0.00 X 741089 0 36982 Kier Swisher Physician 40.00 0.00 X 671899 0 32381 Micheal Terry President/CEO 40.00 2.00 X X 561951 0 60122 Sean Herrington ER MD Trustee 40.00 1.00 X 563844 0 29516 Joel Phelps COO 40.00 2.00 X 449028 0 37046 Joe Tallon VP Finance/CFO 40.00 3.00 X 292481 0 28040 Brenda Cox VP Human Resources 40.00 0.00 X 252769 0 28576 Luanne Smith VP Patient Care/CNO 40.00 0.00 X 218334 0 22681 Larry Barnes Former VP CIO 0.00 0.00 X 119389 0 3696 John Hinnenkamp Former VP Facilities Mgmt 0.00 0.00 X 107983 0 4434 Robert Freelove Family Practice MD Secretary 2.00 1.00 X X 12853 0 0 Jim Maes Chair 2.00 1.00 X X 0 0 0 Robert Heath Treasurer 2.00 1.00 X X 0 0 0 Morrie Soderberg Past Chair 2.00 1.00 X X 0 0 0 Larry Britegam Trustee 2.00 0.00 X 0 0 0 Brian Boyer Trustee 2.00 0.00 X 0 0 0 Kent Buer Trustee 2.00 0.00 X 0 0 0 Suzanne Dextras Trustee 2.00 0.00 X 0 0 0 Katie Platten Trustee 2.00 0.00 X 0 0 0 Chuck Oleen Trustee 2.00 0.00 X 0 0 0 Robyn Chadwick Trustee 2.00 0.00 X 0 0 0 Mark Ritter Treasurer 2.00 0.00 X 0 0 0 6745075 0 376548 134 1 1 0 Navin Haffty & Associates LLC 1900 W Park Dr Ste 180 Westborough MA 01581 Consulting 3196220 Simpson Construction Services 1831 S Anna Wichita KS 67277 Construction 2498946 Integrated Solutions 3030 Courtland Circle Salina KS 67104 Information Technology 1840387 Rehabcare PO Box 502096 Saint Louis MO 63150 Consulting 1811966 Anesthesia Associates of Central Kansas 520 S Santa Fe Salina KS 67401 Anesthesia Services 1727434 36 66574 875555 4055 946184 Patient services 621550 283852249 283852249 Joint Venture Revenue 621550 3099502 3099502 Cafeteria 621550 868040 868040 1931013 1931013 289750804 6665990 6665990 78203 135775 -57572 -57572 -57572 316511 148295 310677 -148295 5834 -142461 -142461 21932 10250 11682 11682 489255 318409 170846 170846 297345473 286822148 3099502 6477639 562672 562672 12500 12500 2987070 684982 2302088 145101 145101 96771569 81932710 14838859 3106262 2790450 315812 11151957 7585463 3566494 6541610 5438601 1103009 319602 319602 124028 53478 70550 15384 15384 29200140 24429929 4770211 871340 6271 865069 4885234 3264617 1620617 6162573 2267496 3895077 4269530 2219493 2050037 406079 179741 226338 2668539 335473 2333066 302 302 18296213 8123767 10172446 2135946 554010 1581936 Medical and Patient Sup 66916516 65690592 1225924 Bad Debt 28395506 28395506 Dues, Licenses, and Tax 3760129 1696851 2063278 UBIT Expense 1147200 1147200 2009549 378344 1631205 292862551 236763431 56099120 0 19034723 16579400 48710060 40479023 2755163 3728631 4840339 4396903 315528627 199543882 127264127 115984745 257365359 287095307 21858920 23239787 7078238 7078238 1946977 1696568 490853906 500278602 23488402 22250091 5389036 7238489 28877438 29488580 X 449063702 457096492 4755886 4781098 8156880 8912432 461976468 470790022 490853906 500278602 X 4482922 3151719 1178913 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15384 15384 0 Part II-B, Line 1: A portion of annual dues paid by Salina Regional Health Center, Inc., to various health care organizations has been identified as association lobbying activities by those organizations. The amount reported as other activities represents the portion of dues identified as association lobbying activities by these organizations. Salina Regional Health Center, Inc., does not participate in activities supporting a political candidate. 1745451 15468 344718 37043 2068594 1628616 15950 121809 20924 1745451 1450006 14902 183342 19634 1628616 1352545 15033 118309 35881 1450006 1394029 11565 -34167 18882 1352545 0.00000 0.61970 0.38030 1 1 1 8057038 8057038 167047921 100027564 67020357 136472026 97580340 38891686 3951642 1935978 2015664 115984745 1002634 Due to Related Parties 3302908 Deferred Compensation Payable 400549 Estimated Third-Party Payor Settlem 2532398 7238489 X 269593870 3151719 383760 3535479 266058391 31287082 31287082 297345473 261561080 0 261561080 31301471 31301471 292862551 Part X, Line 2: The Health Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Health Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Net Assets Released from Restrictions 240,331. Intercompany Transfers 393,968. Investment Income on Restricted Assets -250,539. Part XI, Line 4b - Other Adjustments: Auxiliary Revenue 252,213. Reclassification of revenue/expense accounts, net 1,492,163. Bad Debts 28,395,506. UBIT Expense 1,147,200. Part XII, Line 4b - Other Adjustments: Auxiliary Expense 266,602. Reclassification of revenue/expense accounts, net 1,492,163. Bad Debts 28,395,506. UBIT Expense 1,147,200. Rummage Sale 14648 14648 4099 Festival Fitness 5 Race 7284 7284 6151 21932 21932 10250 10250 11682 1 1 X 1 X 1 X 1 1 0 1 1 3752 2368257 2368257 0.00810 49359 30324580 18390218 11934362 0.04080 53111 32692837 18390218 14302619 0.04890 6 77965 1044 76921 0.00030 8 24 2347911 899022 1448889 0.00490 26 176857 110794055 75801362 34992693 0.11950 1 78782 78782 0.00030 41 176881 113298713 76701428 36597285 0.12500 41 229992 145991550 95091646 50899904 0.17390 1 28395506 73783970 86994973 -13211003 X 1 1 1 Salina Surgical Center LLC Surgical services 0.50000 0.50000 2 Salina Surgery Properties LLC Real property rental 0.50000 0.50000 1 1 Salina Regional Health Center Inc 400 South Santa Fe Salina KS 67401 www.srhc.com H-085-001 X X X X Salina Regional Health Center Inc 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X see line 10a X 1 18 1 www.srhc.com/about/community_benefit_report.php 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X www.srhc.com/patients-and-visitors/billing-information.php X www.srhc.com/patients-and-visitors/billing-information.php X www.srhc.com/patients-and-visitors/billing-information.php X X X X X X 1 X 0 X X X X X 1 X 0 0 Salina Regional Health Center, Inc. Part V, Section B, Line 5: The Community Health Assessment Core group was made up of representatives of Salina Regional Health Center, the Salina Saline County Health Department, United Way of Salina, Salina Surgical Hospital, Domestic Violence Association of Central Kansas, North Central KS Area on Aging, Central Kansas Mental Health and the Central Kansas Foundation who partnered to conduct an assessment of the health status and needs of our community. Several tools and frameworks have been developed to guide communities through the CHNA process. The framework that was selected by the CHNA Core Group is the Institute of Medicine Community Health Improvement Process. An important initial step in the process is the preparation, analysis and interpretation of data describing the community: the Community Profile. The Community Profile describes the factors that contribute to the health and the health status of the community. Data Sources - There are numerous publicly available sources for valid, reliable data. The Kansas State Department of Health and Environment (KDHE) collects information that includes pregnancy outcomes, births, deaths, cancer incidence, reportable diseases, and more. Kansas community specific data are accessible on the KDHE web site. In 2011 The Kansas Partnership for Improving Community Health (KanPICH) launched the Kansas Health Matters web site to assist communities with the CHNA/CHIP process. The measures compiled in this report come from multiple sources that use scientifically sound data collection and analysis methods. More information about the methods used to produce these data is available from each source. Salina Regional Health Center, Inc. Part V, Section B, Line 6a: Salina Surgical Center Salina Regional Health Center, Inc. Part V, Section B, Line 6b: Salina Saline County Health DepartmentUnited Way of SalinaSalina Surgical HospitalDVACKNorth Central KS Area on AgingCentral Kansas Mental HealthCentral Kansas Foundation Salina Regional Health Center, Inc. Part V, Section B, Line 11: The community health needs assessment was completed during the tax year and as such the hospital has not taken specific actions with respect to the current implementation strategy. The following community health priority areas were identified and the following actions will be taken by the hospital during future years.Depression/Mental HealthVeridian Behavioral Health is a multi-disciplinary center offering dedicated quality mental health care. Veridian is part of the behavioral health department of Salina Regional Health Center. As part of SRHC, we offer a full continuum of care for Central Kansas. Many of Veridian's services are geared toward individuals and families who are struggling with common life problems such as depression, anxiety, marital problems, parent-child conflicts or grief and loss. Our services are provided in a convenient and comfortable, private office setting. Veridian psychiatrists provide direct care in an office setting while actively serving in various settings, such as intensive outpatient care, inpatient care in Salina Regional Health Center and in nursing homes. Obesity (Child and Adult)Continue support and funding of the School Marathon program. Salina Regional Health Foundation is having a fundraising campaign for the Center Street Park. The park will be designed for children of all abilities and disabilities. The inclusive playground area will be multi-generational and will include a quarter mile walking/jogging path around the playground. In addition, various pieces of adult outdoor exercise equipment will be located in and around the playground area.Aging PopulationThe Meds to Bed program: One of the main goals with Meds program is enhanced education on medication at discharge. The SRHC Rehab will educate the community through a series of talks and workshops throughout the aging community on Fall Prevention. Falls among the elderly will be the primary topic of SRHC for the 2019 Sunflower Fair which is a health and wellness event for individuals with disabilities, seniors, and caregivers. The fair will also include the SRHC rehab department doing fall risk assessments for participants and two breakout sessions on fall prevention and fall injury recovery. SRHC will also be the major sponsor of the entire Sunflower Fair (Senior Fair).Heart Disease Related IndicatorsSalina Regional Health Center has started the accreditation process from the American College of Cardiology (ACC) to become an Accredited Chest Pain Center with Percutaneous Coronary Intervention (PCI). Striving for this national accreditation demonstrates Salina Regional Health Center's commitment to always being ready to treat patients with heart attacks. It shows that we have the advanced skills to provide effective chest pain care. It is possible many of our heart attack patients might be treated without emergency surgery with a procedure called percutaneous coronary intervention (PCI). CancerOur comprehensive cancer program holds the prestigious cancer program approval by the American College of Surgeons Commission on Cancer and the American College of Radiation Oncology. In addition, the Tammy Walker Cancer Center is affiliated with the renowned Midwest Cancer Alliance, increasing access to the latest cancer treatment discoveries through a wide variety of clinical research studies. We will also maintain cancer services including Oncology and Radiation Oncology. Support services include nutrition counseling, appearance center, spiritual support, and cancer registry. The Tammy Walker Cancer Center will have several Cancer screening events throughout the year (Prostate, Skin, Breast and Colon).StrokeWe will continue exceptional stroke care and maintain our designation as a Primary Stroke Center. A dedicated stroke response team is called to the Emergency Department whenever stroke is suspected. Members of the team include emergency room physicians, nurses, radiology staff, pharmacists and lab personnel who all have received specialized training to provide stroke care. The stroke team can be activated from the field by emergency responders to ensure that the team is ready to receive and treat the patient the moment they arrive at Salina Regional Health Center. A significant portion of the Primary Stroke Center Certification revolves around staff education and performance improvement. All response efforts are closely tracked, analyzed and reviewed to create a culture of performance improvement. Public education is also key to improving stroke outcomes. As an initiative to educate the public on stroke recognition and how to respond, the acronym FAST is often used: Facial drooping, Arm weakness, Speech difficulties and Time to call emergency services. Salina Regional has distributed educational cards in the past and plans to continue educating the public on stroke recognition. Pregnancy Related IndicatorsContinue the "Becoming a Mom Program" which is a joint effort between SRHC and the Saline County Health Department.Trauma/FallsSalina Regional Health Center is a Level III Trauma Center, providing specialized care for patients with serious or life-threatening injuries. Our state-of-the-art facilities include a 26-bed Emergency Department with four trauma/cardiac event suites, 18-bed Intensive Care Unit and eight operating rooms. Trauma patients are brought to Salina Regional Health Center by ground and air ambulances from across north central Kansas. Our American College of Surgeons verified Level lll trauma center offers 24-hour coverage by a designated trauma team. The core team is made up of a trauma surgeon and an emergency department physician; ICU, surgical and emergency department nurses; and staff from radiology, laboratory, blood bank, respiratory care, security and chaplaincy.The SRHC Rehabilitation Department will educate the community through a series of talks and workshops throughout the community. Falls among the elderly will be the primary topic of SRHC for the 2019 Sunflower Fair which is the heartland's premier annual health and wellness event for individuals with disabilities, seniors, and caregivers. The fair will also include the SRHC rehab department doing fall risk assessments for participants. SRHC will also be the major sponsor of the entire Sunflower fair (Senior Fair). Salina Regional Health Center plays an integral role in the region and statewide trauma councils and will work with Concordia in their efforts toward a Level IV Trauma Center designation.DiabetesThe new Salina Regional Endocrinology Clinic is led by board-certified endocrinologist. He is board certified in Internal Medicine/Endocrinology.SRHC will continue the diabetes support group program with Pharmacy, Dietary, and Organizational Development.Many of these activities are continuations of activities the hospital has been conducting related to the prior community health needs assessment.Other agencies in the community are spearheading the following community needs with help from Salina Regional Health Center.Smoking, Percentage of Adults Who Currently Smoke Continue with smoking cessation classes.Death Rate Due to Drug PoisoningSRHC will support Central Kansas Foundation in their efforts to recruit aphysician/addictionologist. Salina Regional Health Center, Inc. Part V, Section B, Line 13b: Presumptive eligibility may be utilized if a patient qualifies under the eligibility screening done by Salina Family Healthcare Clinic, a Community Clinic. Salina Regional Health Center, Inc. Part V, Section B, Line 20e: On the back of the patient statement is information on how to obtain a FAP. SRHC also hires a third party to help uninsured patients verify eligibility for public benefits or the FAP. Salina Regional Health Center, Inc. Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. 20 1 - Salina Regional Outpatient Imaging 520 S Santa Fe Lower Level Salina KS 67401 Outpatient imaging clinic 2 - Salina Regional Oncology 511 S Santa Fe Salina KS 67401 Physician clinic 3 - Comcare Santa Fe Clinic 520 S Santa Fe Suite 300 Salina KS 67401 Physician clinic, lab & x-ray services 4 - Comcare Elm Clinic 617 E Elm Street Salina KS 67401 Physician clinic, imaging center & lab services 5 - Salina Regional Neurosurgery 501 S Santa Fe Suite 300 Salina KS 67401 Physician clinic 6 - Salina Pediatric Care 501 S Santa Fe Suite 100 Salina KS 67401 Physician clinic 7 - Comcare Statcare Clinic 1001 S Ohio St Salina KS 67401 Minor emergency and illness clinic, lab & x-ray services 8 - Salina Regional Surgical Associates 501 S Santa Fe Suite 200 Salina KS 67401 Physician clinic 9 - Salina Womens Clinic 501 S Santa Fe Suite 140 Salina KS 67401 Physician clinic 10 - Salina Regional Cardo Thoracic 501 S Santa Fe Suite 200 Salina KS 67401 Physician clinic 11 - Comcare Minneapolis Clinic 311 N Mill St Minneapolis KS 67456 Physician clinic, lab & x-ray services 12 - Comcare Occupational Health Center 1101 E Republic St Salina KS 67401 Therapy, lab and x-ray services 13 - Salina Regional Veridian 730 Holly Lane Salina KS 67401 Outpatient psych clinic 14 - Salina Regional Pulmonary 520 S Santa Fe Lower Level Salina KS 67401 Physician clinic 15 - Salina Regional Outpatient PT 520 S Santa Fe Salina KS 67401 Outpatient physical therapy 16 - Salina Regional Neurosciences 501 S Santa Fe Suite 210 Salina KS 67401 Physician clinic 17 - Salina Regional Infant Child Development 155 N Oakdale Salina KS 67401 Outpatient child development services 18 - Salina Regional Podiatry 501 S Santa Fe Suite 200 Salina KS 67401 Physician clinic 19 - Salina Regional Orthopedic Clinic 520 S Santa Fe Suite 240 Salina KS 67401 Orthopedic Services 20 - Salina Regional Urgent Care 2265 S 9th St Salina KS 67401 Minor emergency and illness clinic, lab & x-ray services Part I, Line 3c: The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive eligibility may be utilized if a patient qualifies under the eligibility screening done by Salina Family Healthcare Clinic, a Community Clinic. Part I, Line 7: Amounts reported on Lines 7a and 7b are from the organization's cost accounting system taking all patient segments into account. Amounts on lines 7e, 7f, 7i are from the actual general ledger. Subsidized health services on line 7g were calculated utilizing IRS Worksheet 6. Part I, Line 7g: Subsidized health services includes net expense of $33,669,813 attributable to physician clinics. Part I, Ln 7 Col(f): The bad debt expense included on Form 990, Part IX, line 25, Column (A), but subtracted for purposes of calculating the percentage in this column, is $28,395,506. Part I, Line 6b The community benefit report is included in SHRC's quarterly health magazine. It is also available at https://www.srhc.com/about-us/documents/2019CommunityBenefitReport.pdf. Part III, Line 2: Patient's AR are reduced by an allowance for doubtful accounts. In evaluating the collectability of the AR, the Hospital analyzes its past history to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with self-pay patients, the Hospital records a provision for bad debts in the period of the service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Part III, Line 4: The footnote to the Organization's financial statements can be found on page ten of the attached audited financial statements. Part III, Line 8: The payments are compared to the actual cost of providing the service as arrived at through the cost accounting system. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our community. Part III, Line 9b: If a patient qualifies for financial assistance, the account is adjusted according to our policy. Any remaining balance after adjustment is collected under the billing and collection policies. Our billing and collection policies are the same for all patients. Patients who have qualifed for financial assistance are considered approved for a period of six months from the date of approval. After six months, patients need to reapply for financial assistance. Part VI, Line 2: In addition to the community health needs assessment, SRHC analyzes hospital discharge data for all counties in the region. The KansasHospital Association inpatient discharge database includes data for allreporting hospitals. From this we determine usage trends that help usplan needed services. Part VI, Line 3: At registration, the patient is informed of their rights for financialassistance if unable to produce valid insurance coverage. The patient isreferred to a third-party vendor to determine eligibility for governmentalprograms and if it is determined they do not qualify, they are screenedunder our financial assistance guidelines. We post our guidelines on ourwebsite as well. Part VI, Line 4: Salina Regional Health Center, Inc. is a rural community hospital serving a primary service area of Saline County, three immediately adjacent counties are it's secondary service area, and has a 14-county referral area although certain specialties draw statewide. We are in the middle of our medical staff development plan and part of that is identifying and redefining our Primary, Secondary, and Tertiary Service areas based on CMA guidelines and our data/zip codes of where patients are from. For purposes of community health needs assessment, the principal community of SRHC is Saline County because the other three counties each have a local Critical Access Hospital within the county.The primary service area (Saline County) has a population of 55,334. Between 2017 and 2018 the population of Saline County, KS declined from 55,334 to 54,224. When compared to the national population, this area is represented by an older population with a lower educational level and lower median income.The Challenge of the Aging PopulationAs members of the baby boom generation get older and reach retirement age, they present an increasing challenge and opportunity for health care. The growth in the number of elderly patients from the boomer generation coupled with a loss of boomer-age providers will pressure an already-stressed health care system. A big unknown is how well Medicare will digest the 75 million baby boomers amid the federal government's attempt to transform how care is provided and paid for in the program.Saline County is expected to see the 65+ age-group increase from 13.69% to 21.55% in the year 2035 before it starts to decline. Cancer, high cholesterol, COPD, arthritis, Alzheimer's and depression for Medicare aged residents all currently have higher rates than the rest of the state. These indicators coupled with an increase in residents in this age group will be an issue for years to come.The service area is less ethnically diverse compared to the U.S. overall. The majority of residents are Caucasian (80.3%) followed by Hispanic (11.1%) and Black (3%). Spanish patient education materials are available at SRHC and the hospital translates via Certified Languages International and Stratus.Recognizing the relatively lower educational level in the community, the hospital writes patient information at a 4th to 6th grade reading level.Median household income in the primary service area in 2018 was $50,515 compared to a Kansas median of $58,218, and national median of $53,046. A lack of available resources to the indigent is a challenge in this environment, so in addition to providing charity care, the hospital has and continues to support the Salina Family Healthcare Center, which provides care to the indigent. Part VI, Line 5: The governing board of Salina Regional Health Center, Inc., is comprised of volunteers intentionally selected to promote the betterment of the region we serve. Demonstrating its commitment to community benefit, this board has for nearly 20 years donated an average of 10% of the hospital's end-of-year operating margin to the community health invest program (CHIP) of the Salina Regional Health Foundation. Salina Regional Health Center, Inc., administrators and governing board members assist the Foundation by participating in the CHIP committee.Salina Regional Health Center, Inc. is a member of the Sunflower Health Network (SHN) along with 15 critical access hospitals (CAHS) distributed across 14 counties. A Kansas Hospital Association administrator led SHN strategic planning that resulted in regional health priorities, including providing access to specialist physician care, optimizing timeliness and safety of patient transfers, and sustaining the number of quality nurses in the region. As a result of this process, Salina Regional Health Center, Inc. was verified by the American College of Surgeons as a level III trauma center, the only designated level III trauma center in the North Central Kansas Region. Salina Regional also provides access to computerized patient simulators and other nursing education modalities to strengthen the quality of nurses in regional communities.In an effort to attract and train professional nurses in rural Kansas the University of Kansas School of Nursing and Salina Regional Health Center announced a partnership that opened a new campus location in Salina this fall. The campus will offer students a Bachelor of Science in Nursing, which accepts students who have already completed the first two years of their undergraduate education at any regionally-accredited college or university. The school is sharing existing facilities with the University of Kansas School of Medicine in Salina and accepted 12 students in its first class. The program will join medical students at a new campus in downtown Salina. 1 Salina Regional Health Foundation Inc 400 South Santa Fe Salina KS 67401 480949407 501(c)(3) 534228 To further the activities of the Community Health Improvement Program (CHIP); other assistance. 1 Scholarships 5 12500 Part I, Line 2: All donee information is kept as a part of the organization's books and records. All nursing scholarship recipients are selected based on set criteria. To ensure scholarship money is used for the intended purpose, we make the checks out to the schools not the students. For CHIP grants, the grantee sends us a report, usually within a year from receiving the grant. X 1 0 X X X X 0 0 0 0 0 0 0 0 0 Scott Boswell Physician 792114 0 296604 0 0 0 14096 0 27160 0 1129974 0 0 0 Timothy Hawkes Physician 693811 0 169500 0 0 0 5500 0 24565 0 893376 0 0 0 Justin Hanke Physician 371345 0 430081 0 0 0 15184 0 22432 0 839042 0 0 0 Jeffrey Geitz Physician 513846 0 227243 0 0 0 13996 0 28525 0 783610 0 0 0 Kier Swisher Physician 557099 0 114800 0 0 0 14961 0 22336 0 709196 0 0 0 Micheal Terry President/CEO 561951 0 0 0 0 0 15440 0 44682 0 622073 0 0 0 Sean Herrington ER MD Trustee 434735 0 129109 0 0 0 9081 0 28361 0 601286 0 0 0 Joel Phelps COO 367475 0 81553 0 0 0 14660 0 28089 0 491777 0 0 0 Joe Tallon VP Finance/CFO 292481 0 0 0 0 0 5500 0 31284 0 329265 0 0 0 Brenda Cox VP Human Resources 208465 0 44304 0 0 0 10760 0 23921 0 287450 0 0 0 Luanne Smith VP Patient Care/CNO 218334 0 0 0 0 0 12244 0 17160 0 247738 0 0 0 Larry Barnes Former VP CIO 69469 0 49920 0 0 0 2104 0 2511 0 124004 0 0 0 John Hinnenkamp Former VP Facilities Mgmt 64617 0 43366 0 0 0 3245 0 2564 0 113792 0 0 0 Part I, Line 1a The CEO and COO use their membership at the Country Club for business purposes. Expenses are categorized by the CEO and COO as business or personal. Personal use expenditures are reimbursed to SRHC. Stacie Maes Family member of Jim Maes, trustee 95587 Employment 0 Linda Hinnenkamp Spouse of John Hinnenkamp, Key employee 49514 Employment 0 Form 990, Part VI, Section A, line 1 The Executive Committee shall consist of the Chair, Vice-Chair, Secretary, Treasurer, President and Chief Executive Officer, and any other person appointed to the Executive Committee by the remaining members of it to serve with or without vote at the direction of the committee. Unless the Board specifically directs otherwise, during the intervals between meetings of the Board, the Executive Committee shall have, and may exercise, all the powers of the Board in the management of the business and affairs of SRHC in such manner as such committee shall deem in the best interest of SRHC, except it may not amend the Articles of Incorporation or Bylaws or perform any act prohibited by law. Form 990, Part VI, Section A, line 6 Salina Regional Health Center has two corporate members, Salina Regional Health Foundation, Inc. and Via Christi Health, Inc. Form 990, Part VI, Section A, line 7a The corporate members have the power to approve appointment of members to and removal of members from the Board of Trustees. Eighty percent of the Board shall be residents of the City of Salina or the geographic region surrounding Salina. The remaining twenty percent of the Board shall be representatives of Via Christi Health, Inc. and need not be residents of the City of Salina or the surrounding area. Form 990, Part VI, Section B, line 11b The 990 will be reviewed by the CFO prior to filing with the IRS. It will be provided to the board after it is filed. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers board members, members of board committees, officers of SRHC and its affiliates, and all key management personnel. A conflict of interest questionnaire is required to be completed upon election and annually thereafter. The board of directors determines whether a conflict exists and reviews such conflicts to determine appropriate action. If there is an identified conflict, the board may ask the interested person to leave the meeting during discussion of the matter that gives rise to the potential conflict, however, if asked, the interested person may make a statement or answer questions on the matter before leaving. The interested person will not be permitted to vote on the matter. If a significant conflict is identified, the conflicted person will no longer be eligible to remain on the board and will be so informed. Form 990, Part VI, Section B, line 15 An independent compensation firm is obtained to complete an annual review and analysis of all the administrative staff members, including CEO, CFO and COO. The compiled report is forwarded to the Compensation Committee of the Board that reviews the analysis and approves the report. The compensation process and performance review for the CEO was last completed in fiscal year 2019. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request. Form 990, Part XI, line 9: Change in beneficial interest in net assets of Foundation 350,215. Change in Fair value of assets held in trust 420,341. Income from Auxiliary 14,389. Intercompany transfers 393,968. Salina Regional Health Foundation Inc 400 South Santa Fe Salina KS 67401 480949407 Advancement of healthcare KS 501(c)(3) Line 7 0 Salina Regional Health Properties Inc 400 South Santa Fe Salina KS 67401 481154675 Own and operate medical office buildings KS 501(c)(2) Salina Regional Health Center 1 Hospice of Salina Inc 730 Holly Lane Salina KS 67402 481131570 Hospice care and support KS 501(c)(3) Line 10 Salina Regional Health Center 1 Salina Regional Home Medical Services LLC 520 S Santa Fe Salina KS 67401 431948057 Durable Medical Equip KS 501(c)(3) Line 10 Salina Regional Health Center 1 Sunflower Health Network Inc 400 S Santa Fe Salina KS 67401 481163256 Health services KS 501(c)(3) Line 12b, II 0 Salina Surgery Properties LLC 401 South Santa Fe Salina KS 67401 481200039 Property ownership KS Related 290917 1533459 0 0 0.50000 Salina Surgical Center LLC 401 South Santa Fe Salina KS 67401 481199515 Surgical center KS Unrelated 3020993 4430952 0 0 0.50000 Salina Regional Health Enterprises Inc 400 South Santa Fe Salina KS 67402 481056225 Management services KS Salina Regional Health Center C 290905 178777 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 Salina Regional Health Properties S 393968 Book value Salina Regional Home Medical Services S 175000 book value Part III - Related Organizations Taxable as Partnership Form K-1 for Salina Surgery Properties, LLC and Salina Surgical Center, LLC does not include an amount reported as unrelated business income in box 20, code V.