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      <Desc>DURING THE FISCAL YEAR SALINA REGIONAL HEALTH CENTER, INC. DISCHARGED 9,738 INPATIENTS RESULTING IN 43,338 PATIENT DAYS, TREATED OUTPATIENTS IN 230,561 VISITS AND GENERATED 231 MILLION IN NET PATIENT SERVICE REVENUE. THE AMOUNT OF UNCOMPENSATED CARE GIVEN DURING THE FISCAL YEAR WAS $32 MILLION, IN WHICH $8 MILLION WAS CHARITY CARE DEDUCTIONS AND $24 MILLION WAS BAD DEBT WRITE OFFS.ORTHOPEDIC SURGERYTO FILL THE GROWING NEED FOR ORTHOPEDIC CARE, SALINA REGIONAL HEALTH CENTER OPENED SALINA REGIONAL ORTHOPEDIC CLINIC. THE CLINIC IS HEADED BY TIMOTHY HAWKES, DO.SALINA REGIONAL ORTHOPEDIC CLINIC IS A COMPREHENSIVE, MULTIDISCIPLINARY ORTHOPEDIC TEAM AND PRACTICE - PROVIDING SERVICES FROM EMERGENCY ROOM CARE AND FOLLOW-UP, DIAGNOSIS AND TREATMENT TO POST-OPERATIVE CARE AND REHAB, PHYSICAL THERAPY AND SPORTS MEDICINE.AN ATHLETIC TRAINER IS ON STAFF FOR BOTH PATIENTS AND AREA SCHOOLS.AT SALINA REGIONAL ORTHOPEDIC CLINIC, PATIENTS ARE FULLY EDUCATED ABOUT THEIR CONDITIONS AND TREATMENT OPTIONS, BECAUSE THE MORE PATIENTS KNOW, THE MORE VESTED THEY'LL BE IN THEIR REHABILITATION. BECAUSE SALINA REGIONAL ORTHOPEDIC CLINIC IS A VITAL PART OF SALINA REGIONAL HEALTH CENTER, EVERY ASSET OF THE HOSPITAL IS IMMEDIATELY AVAILABLE TO ORTHO PATIENTS.VCAREVCARE IS A TOOL THAT MAKES IT POSSIBLE FOR PHYSICIANS TO USE COMPUTERS AND VIDEO COMMUNICATION IN ORDER TO PROVIDE VIRTUAL CONSULTATIONS. THESE VIRTUAL CONSULTATIONS OCCUR IN REAL TIME AND ALLOW BOTH PROVIDER AND PATIENT TO PARTICIPATE IN A VISIT REMOTELY THAT IS JUST AS PRIVATE AS AN IN-PERSON APPOINTMENT. THIS CONNECTION HAS GRANTED RURAL HOSPITALS AND PATIENTS ACCESS TO SPECIALTY CARE, ELIMINATING THE COSTS AND TIME ASSOCIATED WITH TRAVELING TO RECEIVE CARE AND REDUCING THE AMOUNT OF TIME FOR PATIENTS TO MISS WORK OR SCHOOL. DIAGNOSTIC OR SCREENING TESTS THAT ARE ORDERED BY THE PHYSICIAN CAN BE DONE AT THE PATIENT'S LOCAL HOSPITAL IF THE TEST IS OFFERED.PRIMARY STROKE CENTER CERTIFICATIONSALINA REGIONAL HEALTH CENTER HAS BEEN AWARDED PRIMARY STROKE CENTER CERTIFICATION BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM. THE CERTIFICATION COMES AS VALIDATION OF THE HOSPITAL'S EFFORTS TO ENHANCE STROKE CARE IN THE REGION. SALINA REGIONAL FIRST BEGAN WORKING TOWARDS PRIMARY STROKE CENTER CERTIFICATION IN 2015 AND WENT LIVE WITH A DEDICATED STROKE RESPONSE TEAM IN APRIL 2016 THAT RESPONDS TO CASES IN THE EMERGENCY DEPARTMENT WHENEVER STROKE IS SUSPECTED. EMERGENCY RESPONDERS CAN ACTIVATE THE TEAM AND HAVE IT READY TO RECEIVE PATIENTS THE MOMENT THEY ARRIVE AT SALINA REGIONAL HEALTH CENTER. 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.PEDIATRIC NEUROLOGYSALINA REGIONAL HEALTH CENTER BEGAN OFFERING PEDIATRIC NEUROLOGY SERVICES WITH THE ARRIVAL OF BRITTON ZUCCARELLI, M.D., A PEDIATRIC NEUROLOGIST AT SALINA PEDIATRIC CARE. SHE SPECIALIZES IN EVALUATING CHILDREN, BIRTH THROUGH 22 YEARS OF AGE, SUSPECTED OF NEUROLOGICAL ANOMALIES AND TREATS A WIDE RANGE OF CONDITIONS. NEUROLOGICAL DISORDERS CAN INCLUDE HEADACHES, SEIZURES, DEVELOPMENTAL DELAY, AUTISM, ADHD, TREMOR AND MORE.DR. ZUCCARELLI PROVIDES TREATMENT OPTIONS AND MEDICATIONS FOR PATIENTS, AS WELL AS ALTERNATIVE REMEDIES FOR NEUROLOGICAL DISORDERS THAT INVOLVE BOTOX INJECTION, ACUPUNCTURE AND NERVE BLOCKS.PREVIOUSLY, CHILDREN FROM THE REGION HAD TO TRAVEL AS FAR AWAY AS KANSAS CITY TO SEEK CARE FROM A PEDIATRIC NEUROLOGIST, WHERE THE AVERAGE WAIT TIME FOR APPOINTMENTS WAS SIX TO NINE MONTHS. NOW SALINA OFFERS PEDIATRIC NEUROLOGY SERVICES, SAVING MANY FAMILIES LONG WAITS FOR APPOINTMENTS AND TRAVEL TIME.NEW BUILDING FOR COMCAREAGING POPULATIONS ARE INCREASING THE DEMAND FOR PRIMARY CARE PHYSICIANS ACROSS THE COUNTRY AND BY 2019 THE NUMBER OF SENIORS AGE 65 AND OLDER IS EXPECTED TO GROW BY 20 PERCENT IN NORTH CENTRAL KANSAS.THESE FACTORS AND MORE PLAYED A HEAVY ROLE IN SALINA REGIONAL HEALTH CENTER'S DECISION TO CONSTRUCT A $10 MILLION MEDICAL OFFICE BUILDING ON SOUTH OHIO STREET IN SALINA TO BE A NEW HOME FOR COMCARE FAMILY PHYSICIANS AND STAFF. THE THREE STORY BUILDING CAN ACCOMMODATE UP TO 17 FAMILY PHYSICIAN PRACTICES WITH COMPREHENSIVE LAB, IMAGING AND ANCILLARY SUPPORT SERVICES ON SITE.MODERN AMENITIES, SPACIOUS LOBBIES AND INCREASED COMFORT AND CONVENIENCE ARE COMMON FIRST IMPRESSIONS PATIENTS EXPERIENCE AS THEY WALK IN FOR THEIR FIRST DOCTOR'S APPOINTMENT AT COMCARE'S NEW LOCATION ON SOUTH OHIO STREET IN SALINA.THE NEW THREE-STORY FACILITY OFFERS 47,672 SQUARE FEET OF SPACE - A MORE THAN 20,000 FEET INCREASE OVER THE OLD ELM STREET LOCATION. THE ADDED SPACE, SOME OF WHICH IS STILL UNFINISHED AFFORDS ROOM FOR FUTURE GROWTH AND THE ABILITY TO ACCOMMODATE AND RECRUIT UP TO EIGHT ADDITIONAL FAMILY MEDICINE PHYSICIANS. NEW ROBOTIC TECHNOLOGY ALLOWS GREATER USE FOR COMPLEX SURGERIES.SALINA REGIONAL HEALTH CENTER HAS IMPLEMENTED THE LATEST DA VINCI ROBOTIC SURGICAL SYSTEM, WHICH OFFERS BROADER CAPABILITIES TO PERFORM MORE COMPLEX MINIMALLY INVASIVE SURGERIES. WITH LONGER INSTRUMENT SHAFTS, SMALLER, THINNER ARMS AND NEWLY DESIGNED INSTRUMENT JOINTS, THE NEW DA VINCI XI SYSTEM ALLOWS SURGEONS TO OPERATE IN MULTIPLE QUADRANTS OF THE ABDOMEN MAKING IT MORE SUITABLE FOR COMPLEX GENERAL, UROLOGIC AND GYNECOLOGIC SURGERIES.SALINA REGIONAL FIRST STARTED OFFERING ROBOT ASSISTED SURGERY IN 2009 WITH THE DA VINCI SI SYSTEM. ONCE IMPLEMENTED IT QUICKLY BECAME A PREFERRED MEANS FOR HYSTERECTOMY, PROSTATECTOMY AND OTHER UROLOGIC SURGERIES AND SOME MINOR GENERAL SURGERIES. ALONG WITH THE NEW ARCHITECTURE OF THE XI SYSTEM A FIREFLY FLUORESCENCE IMAGING VISION SYSTEM AND VESSEL SEALER AND STAPLER INSTRUMENTS ARE INCLUDED WITH THE TECHNOLOGY. THE FIREFLY IMAGING SYSTEM USES A SPECIAL VIDEO CAMERA AND GLOWING DYE TO VIEW BLOOD FLOW IN VESSELS AND PROFUSION OF TISSUE OR BILE MOVING THROUGH DUCTS TO MORE ACCURATELY IDENTIFY ANATOMICAL FUNCTION. THE VESSEL SEALER AND STAPLER INSTRUMENTS AFFORD DELICATE CUTTING AND SEALING OF VESSELS AND STAPLE PLACEMENT DURING A PROCEDURE.AS AN ADDITION TO THE TECHNOLOGY SALINA REGIONAL ALSO ACQUIRED AN INTEGRATED MOTION TABLE THAT REPOSITIONS PATIENTS IN COORDINATION WITH THE ROBOTIC MOVEMENTS DIRECTED BY THE SURGEON TO FACILITATE GREATER ANATOMICAL ACCESS DURING SURGERY.</Desc>
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        <Desc>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.ADDITIONALLY, SRHC INVESTED IN ITS COMMUNITY THROUGH A DONATION TO THE GREATER SALINA COMMUNITY FOUNDATION.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN BOYER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENT BUER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE DEXTRAS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PEG TICHACEK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN HERRINGTON ER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>443724</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26835</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REX ROMEISER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATIE PLATTEN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHUCK OLEEN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHEAL TERRY</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>793507</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31024</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOE TALLON</PersonNm>
        <TitleTxt>VP FINANCE/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>338631</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28290</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY BARNES</PersonNm>
        <TitleTxt>VP INFORMATION TECHNOLOGY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>314480</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25490</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN HINNENKAMP</PersonNm>
        <TitleTxt>VP FACILITIES MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>241206</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17636</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOEL PHELPS</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>447245</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35006</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUANNE SMITH</PersonNm>
        <TitleTxt>VP PATIENT CARE/CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>232969</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34178</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA COX</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>188975</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20900</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUSTIN WHITLOW</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>801738</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28318</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BOSWELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>809822</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35286</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY WILLIAMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>511788</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30150</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD TOON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>609701</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30262</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIER SWISHER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>538573</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31066</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>6272359</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>374441</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>138</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIMPSON CONSTRUCTION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1831 S ANNA</AddressLine1Txt>
            <CityNm>WICHITA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67277</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>3960022</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ANESTHESIA ASSOCIATES OF CENTRAL KANSAS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>520 S SANTA FE</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>1668119</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CPT ENTERPRISES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2337 CRAWFORD ST</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>1507434</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WEATHERBY LOCUMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972633</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>1203851</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REHABCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 502096</AddressLine1Txt>
            <CityNm>SAINT LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63150</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>1170563</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>27</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>4150</FundraisingAmt>
      <RelatedOrganizationsAmt>15855</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>907608</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3600</AllOtherContributionsAmt>
      <TotalContributionsAmt>931213</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621550</BusinessCd>
        <TotalRevenueColumnAmt>255977076</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>255977076</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>JOINT VENTURE REVENUE</Desc>
        <BusinessCd>621550</BusinessCd>
        <TotalRevenueColumnAmt>3273904</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>3273904</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>621550</BusinessCd>
        <TotalRevenueColumnAmt>827786</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>827786</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EHR INCENTIVE PAYMENTS</Desc>
        <BusinessCd>621550</BusinessCd>
        <TotalRevenueColumnAmt>180388</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>180388</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1825863</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1825863</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>262085017</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>5529189</TotalRevenueColumnAmt>
        <ExclusionAmt>5529189</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>169741</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>221734</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>-51993</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-51993</TotalRevenueColumnAmt>
        <ExclusionAmt>-51993</ExclusionAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>458418</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-458418</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-458418</TotalRevenueColumnAmt>
        <ExclusionAmt>-458418</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>4150</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>20871</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>9941</TotalRevenueColumnAmt>
        <ExclusionAmt>9941</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>559703</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>456153</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>103550</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>103550</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>268148499</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>258914663</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>5028719</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>729839</TotalAmt>
        <ProgramServicesAmt>729839</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>37300</TotalAmt>
        <ProgramServicesAmt>37300</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3446277</TotalAmt>
        <ProgramServicesAmt>594238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2852039</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>158633</TotalAmt>
        <ProgramServicesAmt>158633</ProgramServicesAmt>
      </CompDisqualPersonsGrp>
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        <TotalAmt>93458180</TotalAmt>
        <ProgramServicesAmt>86427265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7030915</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>3422437</TotalAmt>
        <ProgramServicesAmt>3168304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>254133</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>7967814</TotalAmt>
        <ProgramServicesAmt>6980768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>987046</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>6251943</TotalAmt>
        <ProgramServicesAmt>5700008</ProgramServicesAmt>
        <ManagementAndGeneralAmt>551935</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>403927</TotalAmt>
        <ManagementAndGeneralAmt>403927</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>89815</TotalAmt>
        <ProgramServicesAmt>15234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74581</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>21033610</TotalAmt>
        <ProgramServicesAmt>19562706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1470904</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>989327</TotalAmt>
        <ProgramServicesAmt>89754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>899573</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4239859</TotalAmt>
        <ProgramServicesAmt>3733557</ProgramServicesAmt>
        <ManagementAndGeneralAmt>506302</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>5576626</TotalAmt>
        <ProgramServicesAmt>2661590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2915036</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4175673</TotalAmt>
        <ProgramServicesAmt>4147697</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27976</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>448967</TotalAmt>
        <ProgramServicesAmt>348551</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100416</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2155545</TotalAmt>
        <ProgramServicesAmt>2090384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65161</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>13591684</TotalAmt>
        <ProgramServicesAmt>11515809</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2075875</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH CENTER INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>400 SOUTH SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.SRHC.COM</WebsiteAddressTxt>
        <StateLicenseNum>H-085-001</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH CENTER INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE LINE 10A</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.SRHC.COM/ABOUT/COMMUNITY_BENEFIT_REPORT.PHP</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.SRHC.COM/PATIENTS-AND-VISITORS/BILLING-INFORMATION.PHP</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.SRHC.COM/PATIENTS-AND-VISITORS/BILLING-INFORMATION.PHP</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.SRHC.COM/PATIENTS-AND-VISITORS/BILLING-INFORMATION.PHP</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SALINA REGIONAL HEALTH CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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 THATCONTRIBUTE 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SALINA REGIONAL HEALTH CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SALINA REGIONAL HEALTH CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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 - SALINA REGIONAL HEALTH CENTER WAS THE PREMIERE SPONSOR FOR THE 2016 SUNFLOWER (SENIOR) FAIR. SRHC ALSO PARTICIPATED IN A BREAK OUT SESSION WHICH WAS A PANEL OF STROKE EXPERTS DISCUSSING THE SIGNS OF STROKE AND STROKE PREVENTION. THE HOMEMEDS PROGRAM (ALSO KNOWN AS THE MEDICATION MANAGEMENT IMPROVEMENT SYSTEM) ADDRESSES MEDICATION PROBLEMS AMONG FRAIL OLDER ADULTS. THIS PROGRAM IS OPERATED THROUGH THE NORTH CENTRAL KANSAS FLINT HILLS AREA AGENCY ON AGING, INC. AND IS FUNDED IN PART BY SALINA REGIONAL HEALTH CENTER FOUNDATION. SRHC PHARMACY RESIDENTS PROVIDE THE PHARMACY PORTION OF THE PROGRAM. AGENCY STAFF MEMBERS WORK WITH A CONSULTING PHARMACIST TO VERIFY THE ACCURACY AND APPROPRIATENESS OF THE CLIENT'S CURRENT MEDICATION LIST, IDENTIFY PROBLEMS THAT WARRANT RE-EVALUATION BY THE PHYSICIAN, AND FOLLOW THROUGH WITH THE CLIENT AND PHYSICIAN TO RESOLVE IDENTIFIED PROBLEMS.STROKE - SALINA REGIONAL HEALTH CENTER WAS THE PREMIERE SPONSOR FOR THE 2016 SUNFLOWER (SENIOR) FAIR. SRHC ALSO PARTICIPATED IN A BREAK OUT SESSION WHICH WAS A PANEL OF STROKE EXPERTS DISCUSSING THE SIGNS OF STROKE AND STROKE PREVENTION. OVER 1700 SENIOR CITIZENS ATTENDED THE EVENT WITH 200 ATTENDING THE STROKE PANEL DISCUSSION. SRHC TEAMED UP WITH SALINA FIRE AND EMS AND SPONSORED A "FRIDAY NIGHT LIGHTS OUT FOR STROKE" EVENT. STROKE WARNING SIGN INFORMATION WAS DISTRIBUTED AT AREA HIGH SCHOOL FOOTBALL GAMES EDUCATING THE PUBLIC ON WARNING SIGNS AND EARLY STROKE INDICATORS. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SALINA REGIONAL HEALTH CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20E: PRESUMPTIVE ELIGIBILITY MAY BE UTILIZED IF A PATIENT QUALIFIES UNDER THE ELIGIBILITY SCREENING DONE BY SALINA FAMILY HEALTHCARE CLINIC, A COMMUNITY CLINIC.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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SALINA REGIONAL HEALTH CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>20</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - SALINA REGIONAL OUTPATIENT IMAGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S SANTA FE LOWER LEVEL</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT IMAGING CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - SALINA REGIONAL ONCOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>511 S SANTA FE</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - COMCARE SANTA FE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S SANTA FE SUITE 300</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC, LAB &amp; X-RAY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - COMCARE ELM CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>617 E ELM STREET</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC, IMAGING CENTER &amp; LAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - SALINA REGIONAL NEUROSURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S SANTA FE SUITE 300</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - SALINA PEDIATRIC CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S SANTA FE SUITE 100</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - COMCARE STATCARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1001 S OHIO ST</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>MINOR EMERGENCY AND ILLNESS CLINIC, LAB &amp; X-RAY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - SALINA REGIONAL SURGICAL ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S SANTA FE SUITE 200</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - SALINA WOMENS CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S SANTA FE SUITE 140</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - SALINA REGIONAL CARDO THORACIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S SANTA FE SUITE 200</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - COMCARE MINNEAPOLIS CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>311 N MILL ST</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>67456</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC, LAB &amp; X-RAY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - COMCARE OCCUPATIONAL HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1101 E REPUBLIC ST</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>THERAPY, LAB AND X-RAY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - SALINA REGIONAL VERIDIAN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 HOLLY LANE</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PSYCH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - SALINA REGIONAL PULMONARY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S SANTA FE LOWER LEVEL</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - SALINA REGIONAL OUTPATIENT PT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S SANTA FE</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - SALINA REGIONAL NEUROSCIENCES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S SANTA FE SUITE 210</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - SALINA REGIONAL INFANT CHILD DEVELOPMENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>155 N OAKDALE</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CHILD DEVELOPMENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - SALINA REGIONAL PODIATRY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S SANTA FE SUITE 200</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - SALINA REGIONAL ORTHOPEDIC CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S SANTA FE SUITE 240</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>ORTHOPEDIC SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - SALINA REGIONAL URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2265 S 9TH ST</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>MINOR EMERGENCY AND ILLNESS CLINIC, LAB &amp; X-RAY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSIDIZED HEALTH SERVICES INCLUDES COSTS OF $24,474,747 ATTRIBUTABLE TO PHYSICIAN CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $24,107,476.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A COMMUNITY HEALTH IMPROVEMENT ADVOCATE, SALINA REGIONAL HEALTH CENTER PROVIDES TRAUMA CASE REVIEW. SRHC ALSO PARTICIPATES IN COMMUNITY WORKFORCE DEVELOPMENT PROGRAMMING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE TEN OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 55,740. WHEN COMPARED TO THE NATIONAL POPULATION, THIS AREA IS REPRESENTED BY AN OLDER POPULATION WITH A LOWER EDUCATIONAL LEVEL AND LOWER MEDIAN INCOME. THE AREA POPULATION GREW 0.2% BETWEEN 2010 AND 2013. THE PRIMARY SERVICE AREA POPULATION IS EXPECTED TO INCREASE BY 1.3% BY 2018, WHICH IS LOWER THAN THE RATE OF GROWTH EXPECTED FOR KANSAS (2.2%) AND THE U.S. (3.3%) FOR THE SAME TIME PERIOD.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 (81.4%) FOLLOWED BY HISPANIC (10.3%) AND BLACK (3.5%). 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 2013 WAS $47,339 COMPARED TO A KANSAS MEDIAN OF $51,273, 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. OUR PATIENT POPULATION IS COMPOSED OF 50% MEDICARE, 11% MEDICAID, 31% COMMERCIAL, 3% TRICARE WORKERS COMPENSATION AND 5% UNINSURED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 WHEN IT OPENS NEXT SUMMER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 SOUTH SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <RecipientEIN>480949407</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>390395</CashGrantAmt>
        <PurposeOfGrantTxt>TO FURTHER THE ACTIVITIES OF THE COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP); OTHER ASSISTANCE.</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER SALINA COMMUNITY FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>119 W IRON 8TH FLOOR</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <RecipientEIN>481215503</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>333333</CashGrantAmt>
        <PurposeOfGrantTxt>FUNDING FOR FIELD HOUSE REVITALIZATION PROJECT IN SALINA, KANSAS</PurposeOfGrantTxt>
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        <GrantTypeTxt>SCHOLARSHIPS TO STUDENTS ATTENDING NURSING SCHOOL</GrantTypeTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8398</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19920</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>830056</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT BOSWELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>785346</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24476</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8182</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27104</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>845108</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY WILLIAMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>326982</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>184806</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8046</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22104</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>541938</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD TOON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>569701</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8656</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21607</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>639964</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIER SWISHER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>508573</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8247</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22820</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>569640</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>STACIE MAES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF JIM MAES, TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>86281</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LINDA HINNENKAMP</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF JOHN HINNENKAMP, KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>72352</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS WERE AMENDED TO MODIFY A BOARD MEMBER'S TERM LENGTH FROM FIVE YEARS TO FOUR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SALINA REGIONAL HEALTH CENTER HAS TWO CORPORATE MEMBERS, SALINA REGIONAL HEALTH FOUNDATION, INC. AND VIA CHRISTI HEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE. IT IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 461,189. CHANGE IN FAIR VALUE OF ASSETS HELD IN TRUST 177,389. LOSS FROM AUXILIARY 10,000. INTERCOMPANY TRANSFERS 2,194,381.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>400 SOUTH SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>480949407</EIN>
        <PrimaryActivitiesTxt>ADVANCEMENT OF HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>400 SOUTH SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>481154675</EIN>
        <PrimaryActivitiesTxt>OWN AND OPERATE MEDICAL OFFICE BUILDINGS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF SALINA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>730 HOLLY LANE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67402</ZIPCd>
        </USAddress>
        <EIN>481131570</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE AND SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SALINA REGIONAL HOME MEDICAL SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 S SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>431948057</EIN>
        <PrimaryActivitiesTxt>DURABLE MEDICAL EQUIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SUNFLOWER HEALTH NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>400 S SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>481163256</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SALINA SURGERY PROPERTIES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>401 SOUTH SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>481200039</EIN>
        <PrimaryActivitiesTxt>PROPERTY OWNERSHIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>317578</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1406233</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SALINA SURGICAL CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>401 SOUTH SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>481199515</EIN>
        <PrimaryActivitiesTxt>SURGICAL CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>3049840</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>4260529</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>400 SOUTH SANTA FE</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67402</ZIPCd>
        </USAddress>
        <EIN>481056225</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>310077</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>32750</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH PROPERTIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>5000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SALINA REGIONAL HEALTH PROPERTIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>655362</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE OF SALINA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>150000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III - RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>