2019-08-13T09:51:59-05:00 2018-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2017-10-01 481169103 Salina Regional Health Center Inc SALI 7854527145 400 South Santa Fe Salina KS 67401 Joe Tallon VP Finance/CFO 7854527145 2019-08-13 1 Kim Hunwardsen CPA P00484560 6122536500 2019-08-13 199.116.168.122 2019-08-13 07:44:58 CD P D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2017 2019-02-21 02:37:17Z Joe Tallon 400 South Santa Fe Salina KS 67401 296384406 0 X www.srhc.com X 1995 KS To provide high quality acute medical care 14 11 2350 200 3371561 2450836 931213 906794 262085017 277749944 5070771 16993306 61498 79679 268148499 295729723 767139 735927 0 0 114705284 117831488 0 0 0 139160186 153879334 254632609 272446749 13515890 23282974 462759612 490853906 25708154 28877438 437051458 461976468 To provide quality health care services in a healing and spiritual environment 0 0 247921181 274520530 During the fiscal year Salina Regional Health Center, Inc. discharged 8,721 inpatients resulting in 40,683 patient days, treated outpatients in 257,259 visits and generated 245 million in net patient service revenue. The amount of uncompensated care given during the fiscal year was $34 million, in which $8 million was charity care deductions and $26 million was bad debt write offs. In FY19, Salina Regional Health Center, Inc. began offering gastroenterology clinic services. 720927 720927 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. 15000 15000 Salina Regional Health Center, Inc. and its auxiliary provide scholarships to students attending nursing school. 248657108 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 90 0 1 2350 1 1 1 0 0 0 0 0 0 0 0 0 X 14 11 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 Jim Maes Chair 2.00 1.00 X X 0 0 0 Robert Freelove Family Practice MD Secretary 2.00 1.00 X X 3000 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 Sean Herrington ER MD Trustee 40.00 1.00 X 562472 0 35378 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 Micheal Terry President/CEO 40.00 2.00 X X 879454 0 37515 Joe Tallon VP Finance/CFO 40.00 3.00 X 349102 0 27690 Larry Barnes until Jan 2018 VP Information Technology 40.00 0.00 X 401711 0 31722 John Hinnenkamp VP Facilities Management 40.00 2.00 X 205714 0 16871 Joel Phelps COO 40.00 2.00 X 420058 0 35041 Luanne Smith VP Patient Care/CNO 40.00 0.00 X 257702 0 30368 Brenda Cox VP Human Resources 40.00 0.00 X 245341 0 29273 Justin Whitlow Physician 40.00 0.00 X 729095 0 31194 Scott Boswell Physician 40.00 0.00 X 835685 0 32292 Christopher Blair Physician 40.00 0.00 X 716045 0 18130 Justin Hanke Physician 40.00 0.00 X 708077 0 25691 Kier Swisher Physician 40.00 0.00 X 680919 0 36685 6994375 0 387850 138 0 1 0 Simpson Construction Services 1831 S Anna Wichita KS 67277 Construction 2919691 Rehabcare PO Box 502096 Saint Louis MO 63150 Consulting 1630207 Anesthesia Associates of Central Kansas 520 S Santa Fe Salina KS 67401 Anesthesia Services 1432076 Cpt Enterprises Inc 2337 Crawford St Salina KS 67401 Professional Services 1302951 Weatherby Locums Inc PO Box 972633 Dallas TX 75397 Locums Physician Services 1198820 38 90072 812746 3976 906794 Patient services 621550 271285370 271285370 Joint Venture Revenue 621550 3371561 3371561 Cafeteria 621550 831334 831334 EHR Incentive Payments 621550 21640 21640 2240039 2240039 277749944 6549782 6549782 218853 288377 -69524 -69524 -69524 10443524 0 10443524 10443524 10443524 19049 11993 7056 7056 496460 354313 142147 142147 295729723 274520530 3371561 16930838 720927 720927 15000 15000 3219317 609795 2609522 164759 164759 94132978 86991174 7141804 3138631 2858457 280174 10784848 9739494 1045354 6390955 5808731 582224 373155 373155 110551 30347 80204 23673129 21730831 1942298 942966 64602 878364 4569131 3975846 593285 5971148 2699600 3271548 4209837 4193320 16517 368545 276160 92385 2009911 1948516 61395 14913110 12276323 2636787 2053954 2053954 Medical and Patient Sup 62873780 62870817 2963 Bad Debt 26259203 26259203 Dues, Licenses, and Tax 3541644 3369252 172392 Federal Income Tax Expe 1051585 1051585 957685 957685 272446749 248657108 23789641 0 22171647 19034723 31695256 48710060 2221252 2755163 4441148 4840339 310069163 182805036 118316383 127264127 250239436 257365359 23110911 21858920 7078238 7078238 3485341 1946977 462759612 490853906 19369495 23488402 6338659 5389036 25708154 28877438 X 424495129 449063702 4613237 4755886 7943092 8156880 437051458 461976468 462759612 490853906 X 23282974 4857079 -3215043 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 17882 17882 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. 1628616 15950 121809 20924 1745451 1450006 14902 183342 19634 1628616 1352545 15033 118309 35881 1450006 1394029 11565 -34167 18882 1352545 1115634 167724 129862 19191 1394029 0.00000 0.54230 0.45770 1 1 1 8113073 8113073 165275784 94187126 71088658 122774556 86734358 36040198 13905750 1883552 12022198 127264127 285075 Estimated Third Party Settlements 2662701 Due to Related Parties 2153230 Deferred Compensation Payable 288030 5389036 X Part X, Line 2: The Health Center and its subsidiaries are organized as Kansas not-for-profit corporations and have been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3), except for Health Enterprises. The entities recognized by the IRS as tax exempt are annually required to file Returns of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the tax exempt entities are subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. In those cases, those entities would file an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report its unrelated business taxable income. 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. Rummage Sales 11542 11542 4369 Festival Fitness 5 Race 7507 7507 7624 19049 19049 11993 11993 7056 1 1 X 1 X 1 X 1 1 0 1 0 4058 1761042 0 1761042 0.00650 32533 29851179 16984814 12866365 0.04720 36591 31612221 16984814 14627407 0.05370 8 950 75044 5338 69706 0.00030 8 1737385 1313703 423682 0.00160 22 73003 101528976 70602773 30926203 0.11350 1 2994 0 2994 0.00000 1 89514 0 89514 0.00030 40 73953 103433913 71921814 31512099 0.11570 40 110544 135046134 88906628 46139506 0.16940 2 7150 7150 0.00000 1 3703 3703 0.00000 3 10853 10853 0.00000 1 26259203 72619267 80038491 -7419224 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 15 1 0 1 1 X See line 10a X 1 15 1 www.srhc.com/about/community_benefit_report.php 0 1 X 200.000000000000 300.000000000000 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: In conducting its most recent CHNA, Salina Regional Health Center, Inc., partnered with Saline County Health Department, Salina Area United Way, Salina Surgical Hospital, USD 305, North Central Flint Hills Area Agency on Aging, and Central Kansas Foundation. The group used the Institute of Medicine Community Health Improvement Process framework. In utilizing this framework, the group developed a Community Profile, which described the factors that contribute to the health and the health status of the community. Publicly available resources from the Kansas State Department of Health and Environment, Kansas Health Matters, and Center for Disease Control and Prevention Behavioral Risk Factor Surveillance System, representing a wide range of data relevant to the health needs of the area, was used. In June 2015, several community organizations were invited to review the community measures, discuss the issues and provide input as to the relative importance of each measure. 48 people from 35 nonprofit organizations, governmental entities, and businesses provided input. Additionally, input was received through surveys made available to the public through online sources and the public library, health department, and several other health organizations. 178 surveys were received. Salina Regional Health Center, Inc. Part V, Section B, Line 6b: Saline County Health DepartmentSalina Surgical HospitalSalina Area United WayUSD 305North Central Flint Hills Area Agency on AgingCentral Kansas Foundation Salina Regional Health Center, Inc. Part V, Section B, Line 11: This Implementation Strategy report summarizes Salina's plans to address the prioritized needs from the 2015 Community Health Needs Assessment. Prioritized needs include depression/mental health, cancer, aging population, overweight/obesity in adults, child obesity, drug overdose and substance abuse, domestic violence, diabetes, heart disease related indicators, tobacco use, pregnancy related indicators, immunizations, STD rate, trauma/falls, and stroke. SRHC makes donations annually to Salina Regional Health Center Foundation. Through the Foundation, SRHC provides funding to several organizations to address many of the issues identified in the CHNA report. Funding is provided to support efforts toward addressing the aging population, childhood obesity, drug overdose and substance abuse, mental health, heart disease and stroke.In addition to monetary support, SRHC has addressed the identified needs as follows:Aging population - SRHC participated in the Sunflower (Senior Fair) Fair. Over 900 seniors attend the event. SRHC Trauma Services along with Saline Fire/EMS gave a free demo and instruction on performing hands only CPR (over 150 instructed). SRHC rehab was at the fair to discuss fall risk and hand out home fall risk checklist sheets. SRHC Chest pain Services performed free Blood pressure checks and handed out medication cards to all participants. Tammy Walker Cancer Center and Veridian behavioral health also had booths at the fair. SRHC participated in a break out session which focused on Stroke and Heart disease with Dr. Ostmeyer and Dr. Jepson.The following donations/activities were also done through the Foundation:$50,000 to OCCK to support regional medical transportation needs. Free medical transportation via the MediVan to any affiliated SRHC clinic or hospital.$150,000 to support nursing scholarships as advised by the SRHC Scholarship Committee. $200,000 to Kansas Wesleyan to establish an Endowed Chair in the School of Nursing (second installment of a $1,000,000 pledge). 61,352 hours of nursing students learning hours within the walls of Salina Regional Health Center.Stroke - Salina Regional Health Center's efforts to improve stroke care in the region have earned it special recognition from the American Heart Association/American Stroke Association. Officials from theassociation were on hand Wednesday, May 23rd, to present the Get With The Guidelines - Stroke Gold Plus Quality Achievement Award and the Target: Stroke Elite Plus Award - the highest levels of stroke care recognition offered by the association.Cancer - Cancer Activities include all activities at the Tammy Walker Cancer Center. Women's Cancer support groups and Men's Cancer support groups meet monthly at Tammy Walker Cancer Center. Screening clinics on Prostate, colon and skin cancers are held as well as a large Breast Cancer forum. Race for a Cure and Relay for Life are two fundraising activities SRHC is heavily involved in. Tobacco use - SRHC is a tobacco free campus. Tammy Walker Cancer center offers several tobacco related events including a tobacco cessation course. Pregnancy related indicators - Becoming a Mom Program is a citywide collaborative effort supported by SRHC. Immunizations - Tammy Walker Cancer Center focuses on HPV vaccinations. Several public meetings on the topic and a SRHC Morning Medical segment are dedicated to Saline County's low HPV vaccination rate. Saline County Health Dept. is focused heavily on immunizations. SRHC intends to address heart disease and diabetes by working with pharmacy, dietary, and organizational development.The following identified needs are not being addressed by SRHC:Domestic Violence - DVACK is the local agency focused on domestic abuse. Many of our departments, our foundation and administration work with DVACK on various projects. STD Rate - Saline County Health Dept. is focused on STD rates. Overweight/Obesity in adults - SRHC's focus has been on child obesity. With the addition of the WellPlan program from COMCARE our own employees have started a wellness committee and now have some wellness incentives. 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, 7h and 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 costs of $32,124,837 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 $26,259,203. Part II, Community Building Activities: As a community health improvement advocate, Salina Regional Health Center provides trauma case review. SRHC also participates in community workforce development programming. 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. 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 55,600. 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 (87%) followed by Hispanic (9%) and Black (3%). Spanish patient education materials are available at SRHC and the hospital has developed a team of Spanish translators. Recognizing the relatively lower educational level in the community, the hospital writes patient information at a 6th to 8th grade reading level.Median household income in the primary service area in 2017 was $49,728 compared to a Kansas median of $56,422, and national median of $60,336. 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. Our patient population is composed of 48% Medicare, 1% Medicaid, 46% Commercial Blue Cross and other third-party payor, and 5% uninsured. 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) 333136 To further the activities of the Community Health Improvement Program (CHIP); other assistance. Greater Salina Community Foundation 119 W Iron 8th Floor Salina KS 67401 481215503 501(c)(3) 333333 Funding for field house revitalization project in Salina, Kansas Ashby House 142 S Seventh St Salina KS 67401 481099925 501(c)(3) 10000 To relocate a house 3 0 Scholarships 5 15000 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 Sean Herrington ER MD Trustee 433330 0 129142 0 0 0 13462 0 25455 0 601389 0 0 0 Micheal Terry President/CEO 549454 0 330000 0 0 0 15027 0 27280 0 921761 0 0 0 Joe Tallon VP Finance/CFO 286682 0 62420 0 0 0 5300 0 25018 0 379420 0 0 0 Larry Barnes until Jan 2018 VP Information Technology 343952 0 57759 0 0 0 12694 0 21450 0 435855 0 0 0 John Hinnenkamp VP Facilities Management 205714 0 0 0 0 0 10127 0 8563 0 224404 0 0 0 Joel Phelps COO 329313 0 90745 0 0 0 12705 0 25336 0 458099 0 0 0 Luanne Smith VP Patient Care/CNO 211870 0 45832 0 0 0 14529 0 17769 0 290000 0 0 0 Brenda Cox VP Human Resources 204242 0 41099 0 0 0 11457 0 19681 0 276479 0 0 0 Justin Whitlow Physician 700595 0 28500 0 0 0 13484 0 23066 0 765645 0 0 0 Scott Boswell Physician 792846 0 42839 0 0 0 13288 0 25354 0 874327 0 0 0 Christopher Blair Physician 699545 0 16500 0 0 0 1683 0 18423 0 736151 0 0 0 Justin Hanke Physician 371345 0 336732 0 0 0 5201 0 21372 0 734650 0 0 0 Kier Swisher Physician 562889 0 118030 0 0 0 14465 0 25861 0 721245 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 92810 Employment 0 Linda Hinnenkamp Spouse of John Hinnenkamp, Key employee 71949 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 October of 2018. 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 124,214. Change in Fair value of assets held in trust 197,838. Income from Auxiliary -15,389. Intercompany transfers -3,521,706. 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 216484 1698815 0 0 0.50000 Salina Surgical Center LLC 401 South Santa Fe Salina KS 67401 481199515 Surgical center KS Related 3211801 4834494 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 267411 97081 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 330262 Book value Hospice of Salina C 550000 Cash Salina Regional Home Medical Services S 204000 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.