KVC HOSPITALS INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- KVC HOSPITALS INC (EIN 27-1672159)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349310223
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T15:48:50-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 641062246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271672159 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KVC HOSPITALS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARILYN JACOBSON | InCareOfNm |
| Business Name Control | KVCH | BusinessNameControlTxt |
| Phone | 9133224900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21350 W 153RD ST | AddressLine1Txt |
| City | OLATHE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66061 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARILYN JACOBSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9133224900 | PhoneNum |
| Signature | 2018-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael J Engle | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JASON HOOPER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21350 W 153RD ST | AddressLine1Txt |
| City | OLATHE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,295,299 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KVC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | IT IS THE MISSION OF KVC TO ENRICH AND ENHANCE THE LIVES OF CHILDREN AND THEIR FAMILIES BY PROVIDING MEDICAL AND BEHAVIORAL HEALTHCARE, SOCIAL SERVICES AND EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 576 | TotalEmployeeCnt |
| Total Volunteers | 160 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $202,581 | PYContributionsGrantsAmt |
| CY Contributions Grants | $239,702 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,340,235 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,364,174 | CYProgramServiceRevenueAmt |
| PY Investment Income | $769 | PYInvestmentIncomeAmt |
| CY Investment Income | $783 | CYInvestmentIncomeAmt |
| PY Other Revenue | $291,334 | PYOtherRevenueAmt |
| CY Other Revenue | $690,640 | CYOtherRevenueAmt |
| PY Total Revenue | $22,834,919 | PYTotalRevenueAmt |
| CY Total Revenue | $24,295,299 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,803,443 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,170,517 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,172,405 | PYOtherExpensesAmt |
| CY Other Expenses | $9,337,706 | CYOtherExpensesAmt |
| PY Total Expenses | $21,975,848 | PYTotalExpensesAmt |
| CY Total Expenses | $21,508,223 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $859,071 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,787,076 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,100,220 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,198,618 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,650,315 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,892,460 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,449,905 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,306,158 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IT IS THE MISSION OF KVC HOSPITALS TO ENRICH CHILDREN'S LIVES BY PROVIDING COMPREHENSIVE AND COMPASSIONATE TRAUMA-INFORMED PSYCHIATRIC CARE, BEHAVIORAL HEALTHCARE, EDUCATION AND MEDICAL SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,297,942 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,919,238 | RevenueAmt |
| Desc | WHEATLAND: KVC WHEATLAND OFFERS A CONTINUUM OF BEHAVIORAL HEALTHCARE SERVICES WHICH INCLUDE THE INTEGRATION OF MEDICAL SERVICES FOR CHILDREN & ADOLESCENTS EACH YEAR AT ITS JOINT COMMISSION ACCREDITED FACILITY IN HAYS, KS AND ADHERES TO THE HIGHEST INDUSTRY SAFETY STANDARDS. KVC IS KNOWN FOR PROVIDING ENHANCED INPATIENT PSYCHIATRIC SERVICES TO CHILDREN AND ADOLESCENTS WITH MANY BEING REFERRED BY COMMUNITY MENTAL HEALTH CENTERS, MEDICAL HOSPITALS/PROVIDERS, AND DIRECT COMMUNITY REFERRALS. KVC OFFERS THE UNIQUE "NO REJECT/NO EJECT" ADMISSIONS POLICY WHICH REFLECTS ITS "SAFETY NET" STATUS FOR THE STATE OF KANSAS.(SEE CONTINUATION ON SCHEDULE O) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,442,372 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $19,444,936 | RevenueAmt |
| Desc | PRAIRIE RIDGE: KVC PRAIRIE RIDGE OFFERS A CONTINUUM OF BEHAVIORAL HEALTHCARE SERVICES WHICH INCLUDE THE INTEGRATION OF MEDICAL SERVICES TO MORE THAN 3,000 CHILDREN, ADOLESCENTS AND ADULTS EACH YEAR AT ITS JOINT COMMISSION-ACCREDITED, 75-ACRE CAMPUS IN KANSAS CITY AND ADHERES TO THE HIGHEST INDUSTRY SAFETY STANDARDS. KVC IS KNOWN FOR PROVIDING ENHANCED INPATIENT PSYCHIATRIC SERVICES TO CHILDREN, ADOLESCENTS AND ADULTS WITH MANY BEING REFERRED BY COMMUNITY MENTAL HEALTH CENTERS, MEDICAL HOSPITALS/PROVIDERS, AND DIRECT COMMUNITY REFERRALS. KVC OFFERS THE UNIQUE "NO REJECT/NO EJECT" ADMISSIONS POLICY WHICH REFLECTS ITS "SAFETY NET" STATUS FOR THE STATE OF KANSAS.(SEE CONTINUATION ON SCHEDULE O) | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $19,740,314 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 576 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARILYN JACOBSON | PersonNm |
| Phone | 9133224900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21350 W 153RD ST | AddressLine1Txt |
| City | OLATHE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| MARILYN JACOBSON | |||||||
| DIRECTOR/TREASURER | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $141,185 | $11,511 |
| ANNE M ROBERTS | |||||||
| DIRECTOR/BOARD SECRETARY | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $129,885 | $1,507 |
| CHAD ANDERSON | |||||||
| DIRECTOR/ASST SECRETARY | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $151,692 | $21,320 |
| ERIN STUCKY | |||||||
| DIRECTOR/VICE CHAIR | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $162,848 | $24,992 |
| JASON R HOOPER | |||||||
| DIRECTOR/BOARD PRESIDENT/PRESI | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $230,577 | $36,017 |
| RYAN SPEIER | |||||||
| PRESIDENT OF KVC HOSPITAL/DIRE | 40.0 | 0.0 | Yes (X) | Yes (X) | $130,724 | $0 | $26,522 |
| VISHAL ADMA | |||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $130,724 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $816,187 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $121,869 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VISHAL ADMA MD PA | |||||
| 15316 PERRY STREET | OVERLAND PARK | KS | 66221 | CONTRACTED SERVICES | $2,220,354 |
| MEDSERVICES PERSONNEL INC | |||||
| 873 EAST 750 ROAD | LAWRENCE | KS | 66047 | TEMPORARY STAFF | $248,903 |
| LABONE INC | |||||
| PO BOX 14730 | SAINT LOUIS | MO | 63150 | CONTRACTED SERVICES | $237,715 |
| WALKER UNIFORMS | |||||
| 2601 E TRUMAN RD | KANSAS CITY | MO | 64127 | UNIFORM SERVICES | $584,293 |
| US FOODSERVICE INC | |||||
| 17889 MCLEAN RD | MT VERNON | WA | 98273 | FOOD SERVICES | $377,731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $47,788 | FederatedCampaignsAmt |
| Government Grants | $188,671 | GovernmentGrantsAmt |
| All Other Contributions | $3,243 | AllOtherContributionsAmt |
| Total Contributions | $239,702 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $23,364,174 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,364,174 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,364,174 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $783 | TotalRevenueColumnAmt |
| Exclusion | $783 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $690,640 | TotalRevenueColumnAmt |
| Exclusion | $690,640 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $690,640 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,295,299 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,364,174 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $691,423 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,902 | TotalAmt |
| Program Services | $149,902 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,045,898 | TotalAmt |
| Program Services | $10,045,898 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,527 | TotalAmt |
| Program Services | $89,527 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,090,247 | TotalAmt |
| Program Services | $1,090,247 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $794,943 | TotalAmt |
| Program Services | $794,943 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,503,688 | TotalAmt |
| Program Services | $2,000 | ProgramServicesAmt |
| Management And General | $1,501,688 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,648 | TotalAmt |
| Program Services | $13,549 | ProgramServicesAmt |
| Management And General | $7,099 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,098,090 | TotalAmt |
| Program Services | $4,098,090 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,308 | TotalAmt |
| Program Services | $14,308 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,031,130 | TotalAmt |
| Program Services | $1,031,130 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $942,295 | TotalAmt |
| Program Services | $942,295 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,470 | TotalAmt |
| Program Services | $99,470 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,155 | TotalAmt |
| Program Services | $28,155 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562 | TotalAmt |
| Management And General | $562 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,638 | TotalAmt |
| Program Services | $121,638 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,459 | TotalAmt |
| Management And General | $102,459 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS & MAINTENANCE | $172,363 | $172,363 | |
| LICENSES & DUES | $262,721 | $262,721 | |
| MEDICAL SUPPLIES | $622,941 | $622,941 | |
| BAD DEBT EXPENSE | $151,913 | $151,913 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,325 | TotalAmt |
| Program Services | $161,137 | ProgramServicesAmt |
| Management And General | $4,188 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,508,223 | TotalAmt |
| Program Services | $19,740,314 | ProgramServicesAmt |
| Management And General | $1,767,909 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,198 | BOYAmt |
| EOY | $19,541 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,121,143 | BOYAmt |
| EOY | $1,035,903 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,217,721 | BOYAmt |
| EOY | $3,330,525 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,964 | BOYAmt |
| EOY | $94,653 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,118,990 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,407,194 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $684,194 | BOYAmt |
| EOY | $711,796 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $6,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,100,220 | BOYAmt |
| EOY | $5,198,618 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,553,586 | BOYAmt |
| EOY | $1,837,582 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,000 | BOYAmt |
| EOY | $50,444 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,729 | BOYAmt |
| EOY | $4,434 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,650,315 | BOYAmt |
| EOY | $1,892,460 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,449,905 | BOYAmt |
| EOY | $3,306,158 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,449,905 | BOYAmt |
| EOY | $3,306,158 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,100,220 | BOYAmt |
| EOY | $5,198,618 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,787,076 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,930,823 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $108,788 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $108,788 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $21,508,223 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $156,775,470 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $21,508,223 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $156,884,258 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $4,994,051 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,248,513 | AffiliatedGroupTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Form4720 Filed | false | Form4720FiledInd |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $5,070,307 | CurrentYearMinus3Amt |
| Current Year Minus2 | $3,622,202 | CurrentYearMinus2Amt |
| Current Year Minus1 | $4,643,182 | CurrentYearMinus1Amt |
| Current Year | $4,994,051 | CurrentYearAmt |
| Total | $18,329,742 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $27,494,613 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $108,876 | CurrentYearMinus3Amt |
| Current Year Minus2 | $6,397 | CurrentYearMinus2Amt |
| Current Year Minus1 | $0 | CurrentYearMinus1Amt |
| Total | $115,273 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,267,577 | CurrentYearMinus3Amt |
| Current Year Minus2 | $905,551 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,160,797 | CurrentYearMinus1Amt |
| Current Year | $1,248,513 | CurrentYearAmt |
| Total | $4,582,438 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $6,873,657 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $0 | CurrentYearMinus3Amt |
| Current Year Minus2 | $0 | CurrentYearMinus2Amt |
| Current Year Minus1 | $0 | CurrentYearMinus1Amt |
| Total | $0 | TotalAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,340,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $961,835 | DepreciationAmt |
| Book Value | $378,421 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,713,853 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,445,359 | DepreciationAmt |
| Book Value | $268,494 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,881 | OtherCostOrOtherBasisAmt |
| Book Value | $64,881 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $711,796 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 150. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,171,958 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,848,897 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $323,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,171,958 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,848,897 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $323,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,171,958 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,848,897 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $323,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $151,913 | BadDebtExpenseAmt |
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | OtherOtherDesc |
|---|---|---|---|---|---|---|
| WHEATLAND | ||||||
| 1 | 205 E 7TH STREET | HAYS | KS | 67601 | Yes (X) | CHILDRENS' PSYCHIATRIC FACILITY |
| PRAIRIE RIDGE | ||||||
| 2 | 4300 BRENNER DRIVE | KANSAS CITY | KS | 66104 | Yes (X) | CHILDRENS' PSYCHIATRIC FACILITY |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | No Emergency CareNoEmergencyCareInd | Prospective Medicare MedicaidProspectiveMedicareMedicaidInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WHEATLAND | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | false | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | Yes (true) | SEE PART V, SECTION C | false | false | Yes (true) | Yes (X) | 100 | 150. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | Yes (X) | Yes (X) | false | false |
| PRAIRIE RIDGE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | false | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | Yes (true) | SEE PART V, SECTION C | false | false | Yes (true) | Yes (X) | 100 | 150. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | Yes (X) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | THE PROCESS FOR OBTAINING INPUT FROM REPRESENTATIVES OF THE COMMUNITY WAS THE SAME FOR BOTH THE PRAIRIE RIDGE AND WHEATLAND PSYCHIATRIC HOSPITALS: METHODOLOGY - SURVEYS WITH 10 KEY STAKEHOLDERS (INFORMANTS) WERE CONDUCTED. STAKEHOLDERS WERE DETERMINED BASED ON THEIR A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN BEHAVIORAL HEALTH, B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. A WEB-BASED SURVEY TOOL WAS USED TO GATHER INPUT VIA A STANDARD 11-QUESTION SURVEY. THE QUESTIONS WERE GROUPED INTO THE FOLLOWING 4 MAJOR CATEGORIES: 1. GENERAL OPINIONS REGARDING MENTAL AND BEHAVIORAL HEALTH 2. UNDERSERVED POPULATIONS AND COMMUNITIES OF NEED 3. BARRIERS TO IMPROVING MENTAL AND BEHAVIORAL HEALTH FOR CHILDREN AND YOUTH 4. MOST CRITICAL MENTAL/BEHAVIORAL HEALTH ISSUES FOR CHILDREN AND FAMILIES STAKEHOLDERS' RESPONSES WERE SUMMARIZED AND REPORTED FOR EACH OF THE CATEGORIES. HEALTH NEEDS IDENTIFIED THROUGH KEY STAKEHOLDER INTERVIEWS WERE INCLUDED AND REPORTED AS HEALTH NEEDS. NEEDS FOR VULNERABLE POPULATIONS WERE SEPARATELY REPORTED ON THE ANALYSIS IN ORDER TO FACILITATE THE PRIORITIZATION PROCESS. KEY STAKEHOLDERS (INFORMANTS) - THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SURVEY: BRENDA SEAMAN JUDITH RODMAN JASON SCHECK JAN ADAMS TERRY CUNNINGHAM |
| SCHEDULE H, PART V, SECTION B, LINE 7A | THE CHNA REPORTS FOR THE WHEATLAND AND PRAIRIE RIDGE HOSPITALS ARE AVAILABLE AT THE ORGANIZATION'S WEBSITE AT: https://hospitals.kvc.org/about/philosophy-of-care/ |
| SCHEDULE H, PART V, SECTION B, LINE 10A | https://hospitals.kvc.org/about/philosophy-of-care/ |
| SCHEDULE H, PART V, SECTION B, LINE 11 | How needs have been addressed: 1. Coordination with other systems of care KVC Wheatland and Prairie Ridge Prairie Ridge Hospital has expanded coordination of care with other systems such as permanency (foster care), law enforcement, schools, community mental health centers, outpatient mental health providers, general practitioners and medical personnel, and the courts. The coordination of services provides support with a focus on helping children experience success at home, school, as well as throughout the community. Intervention is designed to prevent the need for hospitalization and assist in a child's successful transition back to home after a hospital. Systems have been put in place to electronically connect with providers and patients to share health information electronically. 2. Lack of trauma-informed assessment and intervention strategies KVC Prairie Ridge and Wheatland with the parent company KVC Health Systems has teamed up with Dr. Glenn Saxe, Chair of the NYU Department of Child and Adolescent Psychiatry and founder of Trauma Systems Therapy (TST) to provide national expertise, promote development and adaptation of effective trauma treatments, and offer regional training opportunities for schools and social service organizations over the last three years. 3. Access to services KVC's Prairie Ridge and Wheatland Hospital's as the state hospital alternative for children with psychiatric needs in Kansas expanded acute hospital beds to meet the state needs. In the capacity as the state hospital alternative hospitals both KVC Hospital serves as the hospital safety-net for the most acute and at-risk population of children and adolescents all children in Kansas. No child meeting admission criteria is turned away due to the complexity and depth of his/her needs or ability to pay. KVC Hospitals also supports clients and parents/guardians when resources have been exhausted with interventions such as gas and lodging vouchers, video-conferencing, and use through a contracted transportation service. 4. Specialists to treat children with behavioral health needs KVC Prairie Ridge and Wheatland Hospitals employs numerous specialists in child and adolescent psychiatry with particular expertise in acute care for young children, treatment of youth with aggressive behaviors, traumatized history and are sexual reactive. Since 2013 KVC Hospitals have increased the number of Certified Trauma Informed/Focus clinician and Certified Positive Behavioral Intervention Supports (PBIS) trainers on staff. In addition, KVC has added a full time pediatrician and contract certified/ licensed substance abuse counselors to enhance services. 5. Coordination of care dual diagnosis KVC Prairie Ridge and Wheatland Hospital's coordinates care of patient's with dual diagnosis with internal and external professions. An integrated patient-centered treatment plan will be has been implemented with input from all relevant professions. Since 2013 the Director of Integrated Services position has been added to focus on integrating behavioral and primary health care. In addition KVC Hospitals have connected to the health information exchange (HIE) and directly with external providers like Foster Care Contractors, Community Mental Health Center and Health Homes to coordinate integrated care for dual diagnose patients and enhance sharing of care plans community providers. NEEDS NOT ADDRESSED: 1. FOSTER CARE ISSUES The state of Kansas and Missouri has implemented programs to address foster care issues. The state of Kansas as of July of 2013 awarded contracts to two organizations who will oversee the foster care operations. 2. LACK OF KNOWLEDGE OF AVAILABLE RESOURCES The healthcare reform not only has promised mental health parity, but also affordable insurance through health exchanges. Health insurance reform information centers online that have been implemented to provide users available insurance and provider resource information for services. The KVC Team will work with community partners and health issue experts to identify community health needs and will update the Implementation Strategy Plan by June 30, 2016 after community health needs are determined. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | PRESUMPTIVE ELIGIBILITY - (E.G., FOOD STAMP PROGRAM, INFANTS, CHILDREN, ETC.). IF THE PATIENT IS ALREADY ENROLLED IN ONE OF THESE PROGRAMS, THEY WILL AUTOMATICALLY QUALIFY FOR SOME LEVEL OF FINANCIAL ASSISTANCE BASED ON THEIR INCOME LEVEL. |
| SCHEDULE H, PART V, LINES 16A, 16B, & 16C | https://hospitals.kvc.org/charity-care/charity-care/ |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLGY USED IN DETERMINING THE AMOUNTS REPORTED IN THE TABLE WAS BASED ON WORKSHEET 3, USING GROSS PATIENT CHARGES LESS COST OF THE SERVICE PROVIDED. THE EXCESS COST WAS THEN DIVIDED BY THE TOTAL EXPENSE LESS BAD DEBT. |
| SCHEDULE H, PART I, LINE 7, COLUMN (F) | BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,088,777. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | THE BAD DEBT EXPENSE IS FROM THOSE CLIENTS THAT DO NOT QUALIFY FOR CHARITY CARE OR FOR FINANCIAL ASSISTANCE THAT ARE NOT EXPECTED TO PAY. THE COST OF THE VISITS ARE DETERMINED BY TAKING THE AMOUNT OF REVENUE RECORDED FROM THE BAD DEBT, DIVIDING BY TOTAL REVENUE, MULTIPLYING BY THE PROFIT FOR THE YEAR, THEN SUBTRACTING THAT FROM THE BAD DEBT REVENUE RECORDED. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE CAN BE FOUND ON PAGE 8 OF THE ATTACHED AUDITED FINANCIALS - NOTE 1 ACCOUNTS RECEIVABLE |
| SCHEDULE H, PART III, SECTION C, LINE 9B | KVC DOES NOT SEND CHARITY CARE OR FINANCIAL ASSISTANCE CLIENTS TO COLLECTION AGENCIES. KVC WORKS WITH THESE CLIENTS TO SET UP PAYMENT PLANS THAT THE CLIENT CAN MAINTAIN. |
| SCHEDULE H, PART VI, LINE 2 | THE WHEATLAND HOSPITAL WAS CREATED IN COOPERATION WITH THE STATE OF KANSAS. THE STATE OF KANSAS ASSESSED THE NEED FOR A PSYCHIATRIC HOSPITAL FOR THE CENTRAL AND WESTERN PART OF KANSAS. PRAIRIE RIDGE PROVIDES MENTAL HEALTH CARE TO THE COMMUNITIES IT SERVES. THIS NEED IS ASSESSED BY DISCUSSING INPATIENT MENTAL HEALTH NEEDS WITH STATE FOSTER CARE CONTRACTORS, OTHER HOSPITALS AND COMMUNITY MENTAL HEALTH CENTERS. THE STATE OF KANSAS HAS ALSO ASSESSED THE NEED FOR THESE SERVICES. |
| SCHEDULE H, PART VI, LINE 3 | KVC'S CHARITY CARE POLICY IS ON THE COMPANY'S WEBSITE (KVC.ORG) AND GIVEN OUT UPON ADMISSION. THE MAJORITY OF CLIENTS SERVED BY KVC ARE ALREADY ON A FEDERAL, STATE OR LOCAL PROGRAM. |
| SCHEDULE H, PART VI, LINE 4 | WHEATLAND SERVES CHILDREN FROM CENTRAL AND WESTERN KANSAS. THIS IS A LARGE GEOGRAPHICAL AREA WHICH COVERS APPROXIMATELY HALF OF THE STATE. THE CLIENTS OFTEN COME FROM LOW INCOME OR LOW MIDDLE INCOME HOUSEHOLDS. PRAIRIE RIDGE GENERALLY SERVES CHILDREN FROM THE GREATER METROPOLITAN KANSAS CITY AREA AND ALSO SERVES CHILDREN FROM OTHER STATES WHEN LOCAL PROVIDERS CANNOT EFFECTIVELY MEET THEIR NEEDS. |
| SCHEDULE H, PART VI, LINE 5 | KVC HOSPITALS ARE PSYCHIATRIC HOSPITALS. THEREFORE TRAINING PROVIDED IN THE COMMUNITY HELPS EXPAND THE UNDERSTANDING OF BEHAVIORAL HEALTHCARE ISSUES, PARTICULARLY IN PRE-ADOLESCENTS AND ADOLESCENTS. KVC IS A LEADER IN TRAUMA-INFORMED CARE AND TREATMENT. KVC PROFESSIONALS PROVIDE TRAINING TO COMMUNITY PROVIDERS AND KVC ALSO PROVIDES CONFERENCES LED BY NATIONAL PURVEYORS AND EXPERTS. THESE EVENTS PROMOTE CONTINUITY AND PROFESSIONAL GROWTH IN THE TREATMENT CULTURES OF OUR VARIOUS COMMUNITIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARILYN JACOBSON | ||||||||||||||
| DIRECTOR/TREASURER | $0 | $141,185 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $1,511 | $0 | $152,696 | $0 | $0 |
| CHAD ANDERSON | ||||||||||||||
| DIRECTOR/ASST SECRETARY | $0 | $151,692 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $11,320 | $0 | $173,012 | $0 | $0 |
| ERIN STUCKY | ||||||||||||||
| DIRECTOR/VICE CHAIR | $0 | $162,848 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $14,992 | $0 | $187,840 | $0 | $0 |
| JASON R HOOPER | ||||||||||||||
| DIRECTOR/BOARD PRESIDENT/PRESI | $0 | $230,577 | $0 | $0 | $0 | $0 | $0 | $15,000 | $0 | $21,017 | $0 | $266,594 | $0 | $0 |
| RYAN SPEIER | ||||||||||||||
| PRESIDENT OF KVC HOSPITAL/DIRE | $122,769 | $0 | $7,955 | $0 | $0 | $0 | $6,000 | $0 | $20,522 | $0 | $157,246 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4B | VESTED ACCRUED ----------- ---------- JASON HOOPER - $ 15,000 CHAD ANDERSON - $ 10,000 ERIN STUCKEY - $ 10,000 MARILYN JACOBSON - $ 10,000 RYAN SPEIER - $ 6,000 |
| SCHEDULE J, PART II | THE COMPENSATION REPORTED ON SCHEDULE J, PART II WAS PAID BY KVC HEALTH SYSTEMS, INC. A RELATED TAX EXEMPT ORGANIZATION. KVC HEALTH SYSTEMS, INC. USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSTION OF B WAYNE SIMS, BOARD PRESIDENT OF KVC HOSPITALS, INC. AND PRESIDENT/CEO OF KVC HEALTH SYSTEMS, INC. |
| SCHEDULE J, PART II, COLUMN III | INCLUDES VESTING OF A THREE YEAR DEFERRED COMPENSATION PLAN RELATED TO RETIREMENT PLAN FUNDING. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VISHAL ADMA MD PA | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $2,220,354 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, LINE 1 | FormAndLineReferenceDesc |
| Explanation | (B) VISHAL ADMA, M.D. IS A DIRECTOR OF KVC HOSPITALS, INC. AND OWNER VISHAL ADMA, M.D., P.A. (D) VISHAL ADMA, M.D. P.A. IS COMPENSATED FOR THE SERVICES OF MEDICAL DIRECTOR AND PROVIDING THE DOCTORS FOR PSYCHIATRIC SERVICES FOR KVC HOSPITALS, INC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A & 4B | LINE 4A: KVC WORKS WITH EACH YOUTH AND THEIR FAMILIES TO PROVIDE COMPASSIONATE AND EFFECTIVE CARE THROUGH THE USE OF TIMELY, INDIVIDUALIZED TREATMENT PLANNING IN COLLABORATION WITH EVERY CHILD/YOUTH, THEIR FAMILY AND COMMUNITY. KVC IS WELL KNOWN FOR ITS PRACTICE OF TRAUMA SYSTEMS THERAPY IN ADDITION TO OTHER EVIDENCE-BASED TREATMENT AND BEST PRACTICE MODELS. KVC IS ALSO AN INDUSTRY LEADER IN PROVIDING TRAUMA-INFORMED CARE LOCALLY, WITHIN SURROUNDING COMMUNITIES AND NATIONALLY. KVC SERVES AS A TEACHING SITE FOR CHILD PSYCHIATRY FELLOWS FROM THE UNIVERSITY OF KANSAS MEDICAL CENTER AND FOR BACHELOR AND MASTER'S LEVEL SOCIAL WORKERS, MASTER'S LEVEL THERAPISTS, NURSES, MEDICAL STUDENTS AND MORE FROM MANY AREA UNIVERSITIES. LINE 4B: KVC PROVIDES COMPASSIONATE AND EFFECTIVE CARE TO EACH INDIVIDUAL THROUGH THE USE OF TIMELY, INDIVIDUALIZED TREATMENT PLANNING IN COLLABORATION WITH EACH YOUTH/ADULT, THEIR FAMILY AND COMMUNITY. KVC IS WELL KNOWN FOR ITS PRACTICE OF TRAUMA SYSTEMS THERAPY IN ADDITION TO OTHER EVIDENCE-BASED TREATMENT AND BEST PRACTICE MODELS. KVC IS ALSO AN INDUSTRY LEADER IN PROVIDING TRAUMA-INFORMED CARE LOCALLY, WITHIN SURROUNDING COMMUNITIES AND NATIONALLY. KVC SERVES AS A TEACHING SITE FOR CHILD PSYCHIATRY FELLOWS FROM THE UNIVERSITY OF KANSAS MEDICAL CENTER AND FOR BACHELOR AND MASTER'S LEVEL SOCIAL WORKERS, MASTER'S LEVEL THERAPISTS, NURSES, MEDICAL STUDENTS AND MORE FROM MANY AREA UNIVERSITIES. |
| FORM 990, PART VI, SECTION A, LINE 2 | JASON HOOPER, ERIN STUCKY, MARILYN JACOBSON, CHAD ANDERSON, AND ANNE ROBERTS HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | KVC HEALTH SYSTEMS, INC., A KANSAS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF KVC HOSPITALS, INC. KVC HEALTH SYSTEMS, INC. IS DESIGNATED AS THE SOLE MEMBER; KVC HEALTH SYSTEMS, INC. CONTINUES TO QUALIFY AS A QUALIFIED ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) AND SECTIONS 509(A)(3) OF THE IRC. KVC HEALTH SYSTEMS, INC. HAS THE RIGHT TO CHANGE THE NUMBER OF DIRECTORS, TO APPOINT AND ELECT AND REMOVE THE MEMBERS OF KVC HOSPITALS, INC.'S BOARD OF DIRECTORS. KVC HEALTH SYSTEMS, INC. HAS THE POWER TO APPROVE SIGNIFICANT DECISIONS OF KVC HOSPITALS, INC. KVC HEALTH SYSTEMS, INC. IS NOT ENTITLED TO RECEIVE A SHARE OF KVC HOSPITALS, INC.'S PROFITS. KVC HEALTH SYSTEMS, INC. IS ENTITLED TO KVC HOSPITALS, INC.'S NET ASSETS UPON DISSOLUTION. |
| FORM 990, PART VI, SECTION A, LINE 7A | KVC HEALTH SYSTEMS, INC. BEING THE SOLE MEMBER OF KVC HOSPITALS, INC. HAS THE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE CORPORATE BYLAWS OF KVC HOSPITALS, INC. IDENTIFY CERTAIN RIGHTS AND POWERS WHICH ARE RESERVED TO KVC HEALTH SYSTEMS, INC. THE SOLE MEMBER. IN EACH INSTANCE, THE RIGHTS AND POWERS RESERVED TO THE SOLE MEMBER MAY BE SUMMARIZED AS FOLLOWS: 1. BOARD OF DIRECTORS - THE SOLE MEMBER HAS THE POWER TO ELECT THE BOARD OF DIRECTORS, REMOVE DIRECTORS, AND CHANGE THE NUMBER OF DIRECTORS. 2. ARTICLES OF INCORPORATION AND BYLAWS - KVC HOSPITALS, INC. ARTICLES OF INCORPORATION AND BYLAWS MAY BE AMENDED BY THE SOLE MEMBER. 3. ANNUAL BUDGETS - THE SOLE MEMBER HAS THE POWER TO APPROVE OR DISAPPROVE ANNUAL BUDGETS ADOPTED BY THE BOARD OF DIRECTORS AND TO ESTABLISH LEVELS OF APPROVAL AUTHORITY FOR KVC HOSPITALS, INC. 4. DISSOLUTION OR LIQUIDATION - THE SOLE MEMBER HAS THE POWER TO APPROVE IN ADVANCE ANY PROPOSED DISSOLUTION AND/OR LIQUIDATION OF KVC HOSPITALS, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR BOARD MEMBERS AND OFFICERS FILL OUT A PACKET THAT DETAILS ANY CONFLICTS OF INTEREST. IF ANY CONFLICTS EXIST, THE BOARD MEMBER WITH THE CONFLICT DOES NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON THE ISSUE INVOLVING THE CONFLICT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST TO THE ACCOUNTING MANAGERS. FINANCIAL STATEMENT INFORMATION THAT WAS USED TO PREPARE THE 990 IS AVAILABLE AT WWW.GUIDESTAR.ORG. |
| FORM 990, PART VII, COLUMN E | COMPENSATION AMOUNTS FOR B WAYNE SIMS, ANNE ROBERTS, PAUL KLAYDER, AND SHERRY LOVE INCLUDES VESTING OF A THREE YEAR DEFERRED COMPENSATION PLAN RELATED TO RETIREMENT PLAN FUNDING. |
| FORM 990, PART XI, LINE 9 | INTERCOMPANY TRANSFER $ (2,930,823) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT PHYSICIANS TOTAL FEES:2402775 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:570848 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:1124467 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KCV HEALTH SYSTEMS INC | ||||||||||
| 21350 W 153RD STREET | OLATHE | KS | 66061 | 262516589 | MANAGEMENT | KS | 501(C)(3) | 12B | NA | false |
| KVC BEHAVIORAL HEALTHCARE WEST VIRGINIA | ||||||||||
| 300 KENTON DRIVE | CHARLESTON | WV | 25311 | 311770280 | FOSTER CARE | KS | 501(C)(3) | 10 | KVC HSI | Yes (true) |
| KVC FOUNDATION INC | ||||||||||
| 21350 W 153RD STREET | OLATHE | KS | 66061 | 262516476 | FUNDRAISING | KS | 501(C)(3) | 12B | KVC HSI | Yes (true) |
| KVC BEHAVIORAL HEALTHCARE KENTUCKY INC | ||||||||||
| 2250 THUNDERSTICK DRIVE STE 1104 | LEXINGTON | KY | 40505 | 270795565 | IN HOME SVCS | KY | 501(C)(3) | 10 | KVC HSI | Yes (true) |
| KVC BEHAVIORAL HEALTHCARE NEBRASKA INC | ||||||||||
| 825 M STREET | LINCOLN | NE | 68508 | 270408957 | FOSTER CARE | NE | 501(C)(3) | 10 | KVC HSI | Yes (true) |
| KVC BEHAVIORAL HEALTHCARE INC | ||||||||||
| 21350 W 153RD STREET | OLATHE | KS | 66061 | 480770308 | FOSTER CARE | KS | 501(C)(3) | 10 | KVC HSI | Yes (true) |
| NILES HOME FOR CHILDREN | ||||||||||
| 1911 EAST 23RD STREET | KANSAS CITY | MO | 64127 | 440565392 | DAY SERVICES | MO | 501(C)(3) | 10 | KVC HSI | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| KVC FOUNDATION INC | ||
| K | $521,400 | BOOK VALUE |
| KVC BEHAVIORAL HEALTHCARE INC | ||
| L | $1,946,095 | FMV |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Electing OrganizationElectingOrganizationInd | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KVC BEHAVIORAL HEALTHCARE I | |||||||||||||||
| 21350 W 153RD STREET | OLATHE | KS | 66061 | 480770308 | Yes (X) | $0 | $0 | $0 | $92,914,853 | $92,914,853 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| KVC HEALTH SYSTEMS INC | |||||||||||||||
| 21350 W 153RD STREET | OLATHE | KS | 66061 | 262516589 | Yes (X) | $0 | $108,788 | $108,788 | $11,724,172 | $11,832,960 | $741,648 | $185,412 | $0 | $0 | $0 |
| KVC BEHAVIORAL HEALTHCARE WE | |||||||||||||||
| 300 KENTON DRIVE | CHARLESTON | WV | 25311 | 311770280 | Yes (X) | $0 | $0 | $0 | $8,532,428 | $8,532,428 | $576,621 | $144,155 | $0 | $0 | $0 |
| KVC BEHAVIORAL HEALTHCARE KE | |||||||||||||||
| 2250 THUNDERSTICK DRIVE STE 1104 | LEXINGTON | KY | 40505 | 270795565 | Yes (X) | $0 | $0 | $0 | $11,485,587 | $11,485,587 | $724,279 | $181,070 | $0 | $0 | $0 |
| KVC BEHAVIORAL HEALTHCARE NE | |||||||||||||||
| 825 M STREET | LINCOLN | NE | 68508 | 270408957 | Yes (X) | $0 | $0 | $0 | $8,190,371 | $8,190,371 | $559,519 | $139,880 | $0 | $0 | $0 |
| KVC HOSPITALS INC | |||||||||||||||
| 21350 W 153RD STREET | OLATHE | KS | 66061 | 271672159 | Yes (X) | $0 | $0 | $0 | $21,508,223 | $21,508,223 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| KVC FOUNDATION INC | |||||||||||||||
| 21350 W 153RD STREET | OLATHE | KS | 66061 | 262516476 | Yes (X) | $0 | $0 | $0 | $1,124,835 | $1,124,835 | $187,484 | $46,871 | $0 | $0 | $0 |
| NILES HOME FOR CHILDREN | |||||||||||||||
| 1911 EAST 23RD STREET | KANSAS CITY | MO | 64127 | 440565392 | Yes (X) | $0 | $0 | $0 | $1,295,001 | $1,295,001 | $204,500 | $51,125 | $0 | $0 | $0 |