HAYS MEDICAL CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HAYS MEDICAL CENTER INC (EIN 48-0559088)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201701359349303490
- Schema version
- 2015v3.0
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T10:31:44-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481026809 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 534 S Kansas Ave Suite 1500 | AddressLine1Txt |
| City | Topeka | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 666033491 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480559088 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hays Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAYS | BusinessNameControlTxt |
| Phone | 7856235000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1Txt |
| City | Hays | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Jeter MD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7856235000 | PhoneNum |
| Signature | 2017-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Heather R Eichem | PreparerPersonNm |
| PTIN | P01515553 | PTIN |
| Phone | 7852334226 | PhoneNum |
| Preparation | 2017-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | John Jeter MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1Txt |
| City | Hays | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $189,076,096 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.haysmed.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | Hays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Organization is striving to become the best tertiary care center in rural America. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1701 | TotalEmployeeCnt |
| Total Volunteers | 198 | TotalVolunteersCnt |
| Total Gross UBI | -$2,213 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,130,293 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,720,746 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $187,242,012 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $184,376,692 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,887,936 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,582,996 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$245,346 | PYOtherRevenueAmt |
| CY Other Revenue | -$689,236 | CYOtherRevenueAmt |
| PY Total Revenue | $192,014,895 | PYTotalRevenueAmt |
| CY Total Revenue | $188,991,198 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $98,323,585 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $97,916,852 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $82,934,628 | PYOtherExpensesAmt |
| CY Other Expenses | $81,295,150 | CYOtherExpensesAmt |
| PY Total Expenses | $181,258,213 | PYTotalExpensesAmt |
| CY Total Expenses | $179,212,002 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,756,682 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,779,196 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $271,006,181 | TotalAssetsBOYAmt |
| Total Assets EOY | $270,493,933 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $81,736,809 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,118,264 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $189,269,372 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $193,375,669 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Hays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Organization is striving to become the best tertiary care center in rural America. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $149,639,192 | ExpenseAmt |
| Revenue | $185,736,716 | RevenueAmt |
| Desc | Patient Care Program services consist of routine and ancillary department healthcare services provided by a healthcare organization as defined in Section 501(c)(3) of the IRS code. Admissions: Acute-4,799, Newborn ICU-40, Newborn-678, Skilled-189, Total admissions-5,706. Patient days: ICU/CPCU-6,416, Medical/Surgical-10,831, Obstetrics-1,618, Skilled-2,116, Newborn ICU-301, Newborn-1,267, Total patient days-22,549. Other statistical information: Surgical procedures-8,195, Cardiac caths-1,387, Emergency room visits-11,818, Outpatient procedures-149,312, Medical oncology service visits-6,483, Clinic visits-134,887. | Desc |
| Total Program Service Expenses | $149,639,192 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 146 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1701 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | George Harms CFO | PersonNm |
| Phone | 7856235000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1Txt |
| City | Hays | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Alan Moore | ||||||||||
| Chair | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Kenneth Beran | ||||||||||
| Secretary | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Jayne Clarke | ||||||||||
| Treasurer | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Daniel Schippers | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| Dennis Bieker | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Darrell Werth | ||||||||||
| Physician/Board Member | 40.00 | Yes (X) | $523,593 | $0 | $35,514 | |||||
| Nancy Curtis | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| Deanna Doerfler | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Heather Harris | ||||||||||
| Board Member | 40.00 | Yes (X) | $177,760 | $0 | $21,455 | |||||
| Wayne Kieffer | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| Mary Martin | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| Brian Lang | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| Lee Hodny MD | ||||||||||
| Physician/Board Member | 40.00 | Yes (X) | $617,914 | $0 | $45,616 | |||||
| Sharon Dreher | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| DG Bickle | ||||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Steve Rankin | ||||||||||
| Physician/Board Member | 40.00 | Yes (X) | $318,447 | $0 | $33,789 | |||||
| John Jeter MD | ||||||||||
| President & CEO | 36.00 | Yes (X) | Yes (X) | $784,745 | $0 | $156,635 | 4.00 | |||
| George Harms | ||||||||||
| Chief Financial Officer | 36.00 | Yes (X) | $319,973 | $0 | $89,947 | 4.00 | ||||
| Bryce Young | ||||||||||
| Chief Operating Officer | 36.00 | $347,293 | $0 | $98,146 | 4.00 | Yes (X) | ||||
| Larry Watts | ||||||||||
| Chief Medical Officer | 36.00 | $303,068 | $0 | $57,360 | 4.00 | Yes (X) | ||||
| Terry Siek | ||||||||||
| Chief Nursing Officer | 40.00 | $231,800 | $0 | $58,489 | Yes (X) | |||||
| Shae Veach | ||||||||||
| VP Regional Dev | 36.00 | $230,678 | $0 | $72,677 | 4.00 | Yes (X) | ||||
| Derwood Whittington | ||||||||||
| VP Human Resources | 40.00 | $218,301 | $0 | $44,883 | Yes (X) | |||||
| Vivek Sharma | ||||||||||
| Physician | 40.00 | $1,176,354 | $0 | $41,576 | Yes (X) | |||||
| Alex De Carvalho | ||||||||||
| Physician | 40.00 | $1,021,975 | $0 | $33,277 | Yes (X) | |||||
| Gulraiz Cheema | ||||||||||
| Physician | 40.00 | $838,342 | $0 | $43,386 | Yes (X) | |||||
| Sukchan Lee | ||||||||||
| Physician | 40.00 | $799,902 | $0 | $3,051 | Yes (X) | |||||
| Elizabeth Ashworth | ||||||||||
| Physician | 40.00 | $675,451 | $0 | $33,070 | Yes (X) | |||||
| Dale Montgomery | ||||||||||
| Former VP Facilities (key employee) | 40.00 | $108,319 | $0 | $61 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,693,915 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $868,932 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 135 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Quest Diagnostics Inc | |||||
| PO Box 14730 | St Louis | MO | 631504730 | Lab Services | $4,185,863 |
| Southwest Kansas Emergency PhysiciansLL | |||||
| PO Box 674579 | Detroit | MI | 482674579 | ER Physician Services | $1,514,973 |
| Anesthesiologist Assoc of Hays | |||||
| PO Box 821 | Hays | KS | 67601 | Anesthesia Services | $1,013,406 |
| Huron Consulting Services LLC | |||||
| 3005 Momentum Place | Chicago | IL | 606895330 | Consulting Services | $840,314 |
| Coresource Inc | |||||
| 62897 Collection Center | Chicago | IL | 606930628 | TPA fees | $774,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 55 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,255,000 | RelatedOrganizationsAmt |
| Government Grants | $465,746 | GovernmentGrantsAmt |
| Total Contributions | $1,720,746 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient service revenue | 621990 | $175,778,856 | $175,778,856 |
| Services to CAH network and afill | 900099 | $3,864,926 | $3,864,926 |
| Fitness center | 900099 | $1,542,413 | $1,542,413 |
| Retail pharmacy | 900099 | $1,226,269 | $1,226,269 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,964,228 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,964,228 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $184,376,692 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,543,433 | TotalRevenueColumnAmt |
| Exclusion | $3,543,433 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,810 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,810 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $284,810 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $284,810 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $124,461 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $84,898 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $39,563 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,563 | TotalRevenueColumnAmt |
| Exclusion | $39,563 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Cafeteria revenue | 722210 | $557,692 | $557,692 | |
| Physician practice billing | 900099 | $517,522 | $517,522 | |
| Nursing mother's resources | 900099 | $140 | $140 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,049,400 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$2,353 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$2,047,047 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$974,046 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,991,198 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $185,736,716 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$2,213 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,535,949 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,233,135 | TotalAmt |
| Program Services | $1,548,557 | ProgramServicesAmt |
| Management And General | $2,684,578 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,062,046 | TotalAmt |
| Program Services | $65,252,720 | ProgramServicesAmt |
| Management And General | $11,809,326 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,909,613 | TotalAmt |
| Program Services | $2,708,248 | ProgramServicesAmt |
| Management And General | $201,365 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,796,832 | TotalAmt |
| Program Services | $7,353,477 | ProgramServicesAmt |
| Management And General | $1,443,355 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,915,226 | TotalAmt |
| Program Services | $4,062,284 | ProgramServicesAmt |
| Management And General | $852,942 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,561 | TotalAmt |
| Management And General | $769,561 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,349 | TotalAmt |
| Management And General | $453,349 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,244 | TotalAmt |
| Management And General | $187,244 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,737,731 | TotalAmt |
| Program Services | $12,389,308 | ProgramServicesAmt |
| Management And General | $3,348,423 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,357 | TotalAmt |
| Program Services | $9,535 | ProgramServicesAmt |
| Management And General | $330,822 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465,766 | TotalAmt |
| Program Services | $313,868 | ProgramServicesAmt |
| Management And General | $151,898 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,305,066 | TotalAmt |
| Program Services | $1,370,519 | ProgramServicesAmt |
| Management And General | $934,547 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,017,450 | TotalAmt |
| Program Services | $1,644,280 | ProgramServicesAmt |
| Management And General | $373,170 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,826 | TotalAmt |
| Program Services | $341,061 | ProgramServicesAmt |
| Management And General | $36,765 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900,151 | TotalAmt |
| Program Services | $569,352 | ProgramServicesAmt |
| Management And General | $330,799 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,593,024 | TotalAmt |
| Program Services | $2,593,024 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,453,227 | TotalAmt |
| Program Services | $8,689,563 | ProgramServicesAmt |
| Management And General | $2,763,664 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,391,773 | TotalAmt |
| Program Services | $1,079,469 | ProgramServicesAmt |
| Management And General | $312,304 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $18,299,593 | $18,299,593 | |
| Pharmaceuticals | $13,394,564 | $13,394,564 | |
| Repairs and maintenance | $4,072,095 | $3,510,156 | $561,939 |
| Taxes and assessments | $1,472,639 | $1,449,786 | $22,853 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,063,734 | TotalAmt |
| Program Services | $3,059,828 | ProgramServicesAmt |
| Management And General | $2,003,906 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,212,002 | TotalAmt |
| Program Services | $149,639,192 | ProgramServicesAmt |
| Management And General | $29,572,810 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,814 | BOYAmt |
| EOY | $114,480 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,240,943 | BOYAmt |
| EOY | $27,557,694 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,612,463 | BOYAmt |
| EOY | $23,560,672 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,473,358 | BOYAmt |
| EOY | $4,286,254 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,265,761 | BOYAmt |
| EOY | $4,080,242 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $224,312,503 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $144,711,442 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,605,934 | BOYAmt |
| EOY | $79,601,061 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,964,201 | BOYAmt |
| EOY | $74,966,439 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,122,242 | BOYAmt |
| EOY | $41,652,532 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $538,200 | BOYAmt |
| EOY | $538,200 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,854,265 | BOYAmt |
| EOY | $14,136,359 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,006,181 | BOYAmt |
| EOY | $270,493,933 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,095,733 | BOYAmt |
| EOY | $24,704,712 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,534 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,464,382 | BOYAmt |
| EOY | $51,229,153 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,101,160 | BOYAmt |
| EOY | $1,184,399 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,736,809 | BOYAmt |
| EOY | $77,118,264 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,326,923 | BOYAmt |
| EOY | $185,253,081 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,942,449 | BOYAmt |
| EOY | $8,122,588 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,269,372 | BOYAmt |
| EOY | $193,375,669 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,006,181 | BOYAmt |
| EOY | $270,493,933 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,779,196 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$5,853,039 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $180,140 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $19,346 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $19,346 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Hays Medical Center, Inc., is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,641,739 | BeginningYearBalanceAmt |
| Contributions | $477,816 | ContributionsAmt |
| Investment Earnings Or Losses | $304,590 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $42,502 | OtherExpendituresAmt |
| End Year Balance | $11,381,643 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,377,772 | BeginningYearBalanceAmt |
| Contributions | $11,158 | ContributionsAmt |
| Investment Earnings Or Losses | $324,882 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $72,073 | OtherExpendituresAmt |
| End Year Balance | $10,641,739 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,933,230 | BeginningYearBalanceAmt |
| Contributions | $154,338 | ContributionsAmt |
| Investment Earnings Or Losses | $335,088 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $44,884 | OtherExpendituresAmt |
| End Year Balance | $10,377,772 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,480,780 | BeginningYearBalanceAmt |
| Contributions | $106,926 | ContributionsAmt |
| Investment Earnings Or Losses | $388,512 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $42,988 | OtherExpendituresAmt |
| End Year Balance | $9,933,230 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,947,679 | BeginningYearBalanceAmt |
| Contributions | $167,515 | ContributionsAmt |
| Investment Earnings Or Losses | $427,208 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $61,622 | OtherExpendituresAmt |
| End Year Balance | $9,480,780 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.58010 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.32790 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.09200 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $356,356 | OtherCostOrOtherBasisAmt |
| Book Value | $356,356 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,807,334 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,244,242 | DepreciationAmt |
| Book Value | $37,563,092 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $130,502,493 | OtherCostOrOtherBasisAmt |
| Depreciation | $93,376,839 | DepreciationAmt |
| Book Value | $37,125,654 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,646,320 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,090,361 | DepreciationAmt |
| Book Value | $4,555,959 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $79,601,061 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $6,561,100 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Hedge funds | $17,878,381 | F |
| Private equity funds | $5,213,140 | F |
| Real estate limited partnership | $6,531,110 | F |
| Energy limited partnership | $5,468,801 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $41,652,532 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest receivable whose use is limited by Board or indenture agreement | $60,952 |
| Beneficial interest in net assets of foundations | $8,122,588 |
| Other receivables | $2,167,933 |
| Debt issue costs | $703,998 |
| Estimated third party payor settlements | $2,837,193 |
| Intercompany receivables | $243,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,136,359 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Estimated third-party payor settlements | Desc |
| Amt | $1,184,399 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,184,399 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $183,318,299 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$5,853,039 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $180,140 | OtherRevenueAmt |
| Revenue Not Reported | -$5,672,899 | RevenueNotReportedAmt |
| Revenue Subtotal | $188,991,198 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $188,991,198 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $179,212,002 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $179,212,002 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $179,212,002 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The endowed funds held by the Hays Medical Center Foundation are used to help meet both the immediate and long range health care needs of patients of Hays Medical Center, Inc. The Hays Medical Center Foundation provides grants and assistance to Hays Medical Center, Inc., for property and equipment acquisitions, education, and community health issues. |
| Part X, Line 2: | Management is not aware of any uncertainties in income tax positions. |
| Part XI, Line 2d - Other Adjustments: | Change in beneficial interest in net assets of foundations |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 130.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,216,708 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,216,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,194,322 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,351,769 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,842,553 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01590 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,411,030 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,351,769 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,059,261 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02270 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,865,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,570,445 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $295,027 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $940,610 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $85,349 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $855,261 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,549,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,828,364 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,720,813 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08210 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,620 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,360,879 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,484,158 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,876,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08850 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,771,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,835,927 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,935,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11120 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,611,836 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $182,829 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,270,303 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $56,428,043 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$157,740 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Inc | ||||||||
| 1 | 2220 Canterbury | Hays | KS | 67601 | Yes (X) | Yes (X) | Yes (X) | |
| Pawnee Valley Community Hospital Inc | ||||||||
| 2 | 923 Carroll Ave | Larned | KS | 67550 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
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 | Information GapsInformationGapsInd | 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 | Income Level CriteriaIncomeLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | 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 | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Inc | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 14 | Yes (1) | 0 | Yes (1) | Yes (1) | Yes (X) | http://www.haysmed.com/ | Yes (X) | Yes (1) | 14 | Yes (1) | http://www.haysmed.com | 0 | 0 | Yes (1) | Yes (X) | 130.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | http://www.haysmed.com | Yes (X) | http://www.haysmed.com | Yes (X) | http://www.haysmed.com | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | ||
| Pawnee Valley Community Hospital Inc | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 14 | Yes (1) | 0 | Yes (1) | Yes (1) | Yes (X) | htts://www.pawneevalleyhospital.com/ | Yes (X) | Yes (1) | 14 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 130.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | http://http://www.pawneevalleyhospital.com/ | Yes (X) | http://http://www.pawneevalleyhospital.com/ | Yes (X) | http://http://www.pawneevalleyhospital.com/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | http://www.pawneecountykansas.com/ | |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Hays Medical Center, Inc. | Part V, Section B, Line 5: The CHNA conducted in collaboration with the Ellis County Health Department identified significant health needs within the Ellis County and Hays Medical Center community. A town hall meeting was organized to provide an objective consensus building method of reviewing and prioritizing county health issues. During the Town Hall meetings, the group reflected on the size and seriousness of any health concerns cited and discussed current community health strengths. The group identified and ranked top community health concerns, and all Town Hall attendees and community members were encouraged to continue to contribute ideas by going online and taking a feedback survey that addresses any additional thoughts related to the CHNA. All Town Hall priority-setting and scoring processes involved the input of a diverse group with knowledge and/or expertise in public health as well as persons who represent the broad interest of the community served by the Hospital. Key stakeholders in attendance included representatives from: Ellis County Health Department, Ellis County EMS, United Way of Ellis County, First Care Clinic FQHC, Regional Prevention Center, Turning Point Behavioral Health, Early Childhood Connections, USD 489 School District, Ellis County Coalition for Economic Development, North Central Kansas Technical School, Via Christi Village Retirement Center, City of Hays, and Hays Medical Center. The CHNA was coordinated and produced by VVV Research and Development, Inc., from Olathe, Kansas. |
| Pawnee Valley Community Hospital, Inc. | Part V, Section B, Line 5: The CHNA was conducted in collaboration with the Pawnee County Health Department. A Town Hall meeting was organized to provide an objective consensus building method of reviewing and prioritizing county health issues. During the Town Hall meeting, the group reflected on the size and seriousness of any health concerns cited and discussed current community health strengths. The group identified and ranked top community health concerns, and all Town Hall attendees were encouraged to continue to contribute ideas by going online and taking a feedback survey that addresses any additional thoughts related to the CHNA. All Town Hall priority-setting and score processes involved the input of a diverse group with knowledge and/or expertise in public health as well as persons who represent the broad interests of the community served by the hospital. Key stakeholders in attendance included representatives from: United Way, Welcome Inn Senior Center, Center for Counseling, Angels Care Home Health, Golden Belt Foundation, Larned City Council, Burdett City Council and Garfield City Council and Rozel Community, Pawnee County Sherriff's office, Larned Police Department, Pawnee County Health Department, County Commissioners, members of the Chamber of Commerce, members of the USD 495 School Board, school nurses of USD 495, local members of the media, local religious organizations and representative of Pawnee Valley Community Hospital. The CHNA was coordinated and produced by VVV Research & Development, Inc. from Olathe, Kansas. |
| Hays Medical Center, Inc. | Part V, Section B, Line 6b: Ellis County, KS |
| Pawnee Valley Community Hospital, Inc. | Part V, Section B, Line 6b: Pawnee County, KS |
| Hays Medical Center, Inc. | Part V, Section B, Line 11: HaysMed is dedicated to continually learning, engaging, and fulfilling the health needs of the community we serve. As a result of this commitment the following is the description of the actions taken during the most recent fiscal year to address the significant health needs identified through the CHNA.Add Primary Care Services - New construction is underway to relocate the Convenient Care Clinic to a location more accessible to the community. Completion of this project is anticipated for September 2017. Recruitment efforts continue for Family Medicine and Internal Medicine providers. First Care Clinic recruited new FP to the area in April 2015. Information welcoming recruits to the community is offered during all visits and correspondence with the candidate(s). Continued efforts to improve the orientation process take place. With HaysMed's recent affiliation with the University of Kansas Health System, there is more accessibility to obtain future medical students for placement in Hays. HaysMed collaborates with the University of Kansas Medical School to provide rural rotation sites for medical students. Additionally, general surgery rotations are provided for fourth year residents at HaysMed. Completed addition/expansion of Hays Family Medicine clinic to increase availability of clinic space for future providers. First Care Clinic opened Victory Clinic in October 2015.Increase Awareness and Education about Alcohol Consumption in the Community - HaysMed continues to support local high schools with a financial donation to be used toward post-prom and post-graduation activities. Due to the loss of outside funding to Smoky Hill Foundation, no additional activity was able to take place. Increase Childcare Providers- Created a generational preschool in Hays. Efforts continue to provide adequate childcare.Improve Sources and Quality of Water - The City continues efforts to clean up storm water contamination and funds the effort via a storm water utility. The City is in the process of rebuilding its 1960 wastewater treatment facility in order to improve the quality of the effluent used to irrigate parks, ball fields, golf course, and sports complex. The improvement will also improve the quality of what is discharged into Big Creek. On the quantity side, Hays and Russell are in the process of developing the R9 Ranch in Edwards County as a long-term regional water source. The regulatory process is a lengthy one, and we are almost two years into it. Once developed, the R9 should be a 75 year source of water for Hays/Russell and the immediate region.Reduce Mental Health Isolation - First Care Clinic hired LSCSW in April 2016 to increase mental health service to the community. Evaluating telemedicine capabilities for mental health.Expand Hays Public Transportation - The City repealed all taxi regulations in 2016. This ruling resulted in a significant increase in the number of taxi companies serving the community. Uber also has a strong presence in the City. The City has not actively recruited any new firms. The City continues to assist Access transportation financially through allocations to the Care Council.Reduce Drug Abuse - Due to the loss of outside funding to Smoky Hill Foundation, no additional activity was able to take place.Increase Senior Care (Skilled Care) Options - After extensive review of the patient volumes and financial viability of the Skilled Care Unit at HaysMed, it was determined to close the unit effective March 2017.Decrease Tobacco Usage - Due to the loss of outside funding to Smoky Hill Foundation, no additional activity was able to take place.Medicaid/Uninsured - Signed practice rotation agreements with two dental schools (UMKC and A.T. Still) and have hosted two students to date. Encouraging other dental providers to accept KanCare has been challenging with the recent 4% provider cut to KanCare reimbursement. First Care Clinic is currently recruiting a second dentist. First Care Clinic has added a third dental hygienist to compensate for increased demand.Add Affordable Rent/Housing - We have not been a part of any housing development plan. The city recently updated its zoning and development regulations to make it easier and more attractive to remodel or rebuild in existing neighborhoods. This will hopefully keep those neighborhoods viable economically. |
| Pawnee Valley Community Hospital, Inc. | Part V, Section B, Line 11: Annual description of the actions taken by the Hospital during the fiscal year to address the significant health needs identified throught the most recently conducted CHNA:Build and/or develop Exercise Facilities was #1 on the health needs Priorities- with 37 votes, 22.8%. Pawnee Valley Community Hospital supported USD #495 in 2015 to pass a bond for a new elementary school and renovations to the high school. Because of the CHNA and the school districts involvement and listening to the needs of Pawnee County, they have incorporated an exercise facility, in the renovations to the high school, which will be open to the public. The wellness center is expected to be open to the public August 2017.PVCH once again had their annual fun run in June 2016. The money raised was used to help purchase equipment for high school athletes. The 2017 fun run will be geared towards younger children. The plan is to have an obstacle course along with a walk and run. The proceeds from the event will go towards purchasing gym/PE equipment for the new elementary school. LA Psycle, opened its doors in 2015 for the community to sign up for spin classes. This program continues to grow. Pride Committee added a second walking trail to the community in 2015. This walking trail goes around Camp Pawnee. PVCH staff has done community presentations for heart disease awareness. In February 2016 at half time of a local basketball game, hospital staff with the help of Larned high school students did a "Flash Mob" to promote CPR. Expand Oncology Treatment was #2 on the health needs priorities - with 25 votes, 15.4%. In order to implement an effective oncology service line, many factors must come together. We have explored the feasibility of offering oncology services and providers in Pawnee County and it was determined not to be feasible at this time. We have had the great fortune of being able to partner with the Dreiling/Schmidt Cancer Institute at HaysMed. It is vitally important to maintain the relationship with both primary care medical staff as well as specialists. This will ensure consistent continuity for our patients as they move through the continuum of their cancer treatment course. The services that PVCH provides to Oncology patients through our special nursing services department are Central Line Maintenance, Transfusions, Injections, non-chemo infusions, and removal of chemotherapy pumps.Improve Quality Air Flow was #3 on health needs priorities - with 20 votes, 12.3%. We plan to continue to look into improving air quality in Pawnee County. More research needs to be done to determine if it is feasible for PVCH to implement a plan to address air quality issues.Reducing Drug/Alcohol Abuse was #4 on health needs priorities - with 20 votes, 12.3%. The Pawnee County Health Department and Pawnee Valley Community Hospital continue to partner with The Center for Counseling through an "Improving Health in Rural Counties" grant. The grant project focuses on public mental health awareness and utilization campaign focusing on (1) recognition and understanding of the importance of mental health and substance abuse issues; (2) public recognition of local behavior health resources/services (including substance use); and (3) increased utilization of those services.Print and radio advertisements are ongoing to increase behavioral health awareness and assist with increasing understanding of available community resources. A community behavioral health resource has been created to assist linking people to appropriate treatment.Crisis mental health Screenings are being performed by telemedicine to help make the screenings more accessible and get people to assistance more rapidly.Mental health kiosks "Get a Checkup from the Neck Up" are available at the health department for people to take an anonymous screening (eight different categories) and results are given to the person and they are directed by information on the screen to access assistance.Information is provided at community health fairs on mental health and substance use issues.The Pawnee County Commissioners signed a resolution on April 3rd, 2017 for the "Stepping Up Initiative". This initiative is to help reduce the number of people with mental illnesses in jails, including those with substance abuse as three quarters of those with mental health illness in jails also have substance abuse issues. The first community partner meeting for this initiative will be April 19th and includes the following:1. Larned State Hospital2. Law Enforcement3. EMS4. Pawnee Valley Community Hospital5. The Center for Counseling6. Pawnee County Ministerial Alliance7. Community Corrections8. Family Crisis Center9. County Attorney10. Public Health11. Medical ProviderThe health department, as part of our comprehensive data collection, screens individuals accessing the health department for alcohol and substance abuse and then refers if help is needed. Provide Healthy Food Options was #5 on health needs priorities - with 14 votes, 8.6%. Pawnee Valley Community Hospital is promoting healthy eating lifestyles focusing on food labels, healthy meal options, nutrition, and portion control. In 2016 PVCH signed the healthy Kansas hospital initiative. In 2016 a healthy snack and drink vending machine was added to the ER waiting room. Candy bars and sweet snacks have been eliminated from the grab and go section of the cafeteria. We continue to offer diabetic education classes and have increased the class to a two day session. Participants eat at the facility and go through the cafeteria line and are encouraged to make healthier food choices. PVCH continues to educate children at their annual sixth grade health fair and includes education on portion control, label reading, and exercise.The health department provides educational booths on healthy food at the Pawnee County fair each summer. We provide clients with appropriate educational materials on healthy eating and refer to food and nutrition education programs such as WIC. We also refer to the local food bank and participate in the Bob Box program through the Kansas Food Bank and refer children and families to the summer lunch program and the backpack buddies program. Schools are doing a good job with providing healthy food options at concession stands as well as local convenience stores readily have healthy foods in accessible locations in the stores to encourage fresh fruits and healthy foods.The health department promotes the diabetes support group and sends out their meeting reminders each month. The diabetes support group discusses nutrition with people in attendance. Increase Access to Home Health/Hospice was #6 on health needs priorities with 11 votes, 6.8%. Continuing to look at the feasibility and what we can do to increase access to home health/hospice. We will continue to promote existing agencies and educate patients of services available. PVCH has partnered with the Kansas Heart and Stroke Collaborative and have a part time staff member that goes into the home and checks on the patient and makes sure they are following the guidelines provided by their physician, pertaining to heart and stroke. In August 2016 a contract from Gentiva Hospice was reviewed by the Utilization Review Committee. It was determined that it is not financially feasible at this time but will be re-evaluated in the future.Offer Nursing Home - Dementia Services was #7 on health needs priorities with 11 votes, 6.8%. Country Living Assisted Living facility in Pawnee County recently opened an addition to their memory care unit adding 4 additional beds for a total of 12 beds dedicated to dementia patients. We will continue to work on identifying nursing home dementia services in Pawnee County and educate entities and individuals who may be in need of these services. |
| Hays Medical Center, Inc. | Part V, Section B, Line 13b: Financial assistance may be given for catastrophic medical expenses, even if patient's income exceeds the Federal poverty guidelines. |
| Pawnee Valley Community Hospital, Inc. | Part V, Section B, Line 13b: Financial assistance may be given for catastrophic medical expenses, even if patient's income exceeds the Federal povery guidelines. |
| Hays Medical Center, Inc. | Part V, Section B, Line 22d: The Hospital used the look-back method based on actual paid claims by Medicare and all other private health insurers paying claims to the Hospital. |
| Pawnee Valley Community Hospital, Inc. | Part V, Section B, Line 22d: The Hospital used the look-back method based on actual paid claims by Medicare and all other private health insurers paying claims to the Hospital. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - St Rose Health Center Inc | ||||
| 3515 Broadway | Great Bend | KS | 67530 | Primary care services |
| 2 - Hays Family Medicine | ||||
| 2509 Canterbury | Hays | KS | 67601 | Family medicine |
| 3 - HaysMed Convenient Care Walk-in Clinic | ||||
| 2501 E 13th St | Hays | KS | 67601 | Convenient care services |
| 4 - HaysMed Psychiatric Associates | ||||
| 205 E 7th St | Hays | KS | 67601 | Psychiatric services |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Hays Medical Center, Inc.'s, cost accounting system was used to calculate community health improvement services, health professions education, and subsidized health services costs. A cost-to-charge ratio derived from Worksheet 2 was used to calculate financial assistance at cost and the community benefit expense attributable to serving Medicaid beneficiaries. |
| Part I, Line 7g: | Subsidized health services community benefit expenses include $54,428,723 of expenses attributable to physician clinics that have net operating losses. |
| Part II, Community Building Activities: | Hays Medical Center, Inc., helps to support the First Care Clinic in Hays, Kansas. This clinic was established to help lower income individuals receive health care at a reduced cost. Our support helps to increase the number of individuals in Hays, Kansas, who receive quality primary health care. |
| Part III, Line 4: | Text of the footnote that describes bad debt expense:Accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of accounts receivable, the HaysMed Group analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for uncollectible accounts. For receivables associated with services provided to patients who have third-party coverage, the HaysMed Group analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the HaysMed Group records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for uncollectible accounts.Part III, Line 2:Costing methodology: A cost-to-charge ratio derived from Worksheet 2 was used to calculate bad debt expense at cost.Part III, Line 3:Methodology for bad debt cost for financial assistance eligible: This amount was estimated based on historical information from our collection agency on the percentage of accounts referred to collection whose guarantor was indigent. |
| Part III, Line 8: | The Medicare cost report was the costing methodology used to determine Medicare allowable costs. Allowable costs of care reported on line 6 were determined using amounts from Worksheet D, Part V and Worksheet D-1 in the Hays Medical Center, Inc., Medicare cost report for the fiscal year ended June 30, 2016. |
| Part III, Line 9b: | Whenever possible, the customer service representatives (CSR's) of Hays Medical Center, Inc., try to determine the estimated self-pay balance prior to the patient receiving services. FAP eligibility is first considered at this point in time. In addition, if full payment is not received or if payment is not made within 30 days, the CSR contacts the patient. If it is determined that at least a 2-year payment plan cannot be established with the patient, the CSR will screen for charity care and request that the charity care application be completed by the patient. |
| Part VI, Line 3: | Information regarding the Hays Medical Center, Inc., charity care program is located on the Hays Medical Center, Inc., website for patients and community members to view, and the financial assistance application is also on the website to print off and complete. A financial assistance policy summary is included with every statement that is sent to an uninsured patient. In addition, if a customer service representative of Hays Medical Center, Inc., contacts a patient about a bill and in visiting with them they determine that the patient could possibly qualify for the Hospital's charity care policy, they will send the application to the patient as well. |
| Part VI, Line 4: | Hays Medical Center, Inc., is located in Hays, Kansas, which has a population of approximately 21,000 people as of the 2015 population estimates per the U.S. Census Bureau. One of the State of Kansas Regents universities is also located in Hays, Kansas, so the population includes many college-aged students. The median household income of Hays, Kansas, is approximately $43,000. Approximately 17.7% of the population was below the poverty line. Almost 6% of the Hospital's revenue is from services provided to patients eligible for Medicaid. Hays Medical Center, Inc., is the only hospital in the city of Hays. In addition, since this is a rural area and because it is the only hospital providing tertiary level care in the region, Hays Medical Center, Inc., provides certain services to the whole western half of the State of Kansas. |
| Part VI, Line 5: | Hays Medical Center, Inc., promotes the health of the community by extending medical privileges to most qualified, local physicians. In addition, the majority of the Board of Directors live and work in the city of Hays, but they are not employed by Hays Medical Center, Inc. |
| Part VI, Line 6: | Hays Medical Center, Inc., is not a part of an affiliated health care system. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Darrell Werth | ||||||||||||||
| Physician/Board Member | $523,019 | $0 | $574 | $0 | $0 | $0 | $15,900 | $0 | $19,614 | $0 | $559,107 | $0 | $0 | $0 |
| Dr Heather Harris | ||||||||||||||
| Board Member | $176,185 | $0 | $0 | $0 | $1,575 | $0 | $10,687 | $0 | $10,768 | $0 | $199,215 | $0 | $0 | $0 |
| Lee Hodny MD | ||||||||||||||
| Physician/Board Member | $410,630 | $0 | $201,284 | $0 | $6,000 | $0 | $15,595 | $0 | $30,021 | $0 | $663,530 | $0 | $0 | $0 |
| Dr Steve Rankin | ||||||||||||||
| Physician/Board Member | $240,084 | $0 | $16,263 | $0 | $62,100 | $0 | $4,001 | $0 | $29,788 | $0 | $352,236 | $0 | $0 | $0 |
| John Jeter MD | ||||||||||||||
| President & CEO | $554,238 | $0 | $208,446 | $0 | $22,061 | $0 | $130,202 | $0 | $26,433 | $0 | $941,380 | $0 | $0 | $0 |
| George Harms | ||||||||||||||
| Chief Financial Officer | $252,293 | $0 | $67,680 | $0 | $0 | $0 | $63,797 | $0 | $26,150 | $0 | $409,920 | $0 | $0 | $0 |
| Bryce Young | ||||||||||||||
| Chief Operating Officer | $273,065 | $0 | $74,228 | $0 | $0 | $0 | $68,431 | $0 | $29,715 | $0 | $445,439 | $0 | $0 | $0 |
| Larry Watts | ||||||||||||||
| Chief Medical Officer | $215,637 | $0 | $87,431 | $0 | $0 | $0 | $42,730 | $0 | $14,630 | $0 | $360,428 | $0 | $0 | $0 |
| Terry Siek | ||||||||||||||
| Chief Nursing Officer | $192,884 | $0 | $38,916 | $0 | $0 | $0 | $48,752 | $0 | $9,737 | $0 | $290,289 | $0 | $0 | $0 |
| Shae Veach | ||||||||||||||
| VP Regional Dev | $189,274 | $0 | $37,943 | $0 | $3,461 | $0 | $45,732 | $0 | $26,945 | $0 | $303,355 | $0 | $0 | $0 |
| Derwood Whittington | ||||||||||||||
| VP Human Resources | $161,834 | $0 | $34,865 | $0 | $21,602 | $0 | $26,182 | $0 | $18,701 | $0 | $263,184 | $0 | $0 | $0 |
| Vivek Sharma | ||||||||||||||
| Physician | $517,910 | $0 | $658,332 | $0 | $112 | $0 | $15,900 | $0 | $25,676 | $0 | $1,217,930 | $0 | $0 | $0 |
| Alex De Carvalho | ||||||||||||||
| Physician | $571,005 | $0 | $450,970 | $0 | $0 | $0 | $15,900 | $0 | $17,377 | $0 | $1,055,252 | $0 | $0 | $0 |
| Gulraiz Cheema | ||||||||||||||
| Physician | $569,240 | $0 | $269,102 | $0 | $0 | $0 | $15,900 | $0 | $27,486 | $0 | $881,728 | $0 | $0 | $0 |
| Sukchan Lee | ||||||||||||||
| Physician | $520,539 | $0 | $277,263 | $0 | $2,100 | $0 | $0 | $0 | $3,051 | $0 | $802,953 | $0 | $0 | $0 |
| Elizabeth Ashworth | ||||||||||||||
| Physician | $561,682 | $0 | $0 | $0 | $113,769 | $0 | $15,900 | $0 | $17,170 | $0 | $708,521 | $0 | $0 | $0 |
| Dale Montgomery | ||||||||||||||
| Former VP Facilities (key employee) | $0 | $0 | $0 | $0 | $108,319 | $0 | $0 | $0 | $61 | $0 | $108,380 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Benefits identified include tax indemnification on health claims. This benefit is available to the CEO and is included in taxable income. |
| Part I, Lines 4a-b | Severance payments: Dale Montgomery - $108,319 Contributions to plan: John Jeter, M.D. - $114,302 George Harms - $47,897 Bryce Young - $52,531 Larry Watts - $26,830 Terry Siek - $34,823 Shae Veach - $33,292 Derwood Whittington - $22,799 |
| Part I, Line 6 | A portion of incentive compensation for officers and key employees is determined by net earnings exceeding budget for the fiscal year. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Kansas Development Finance Authority | ||||||||
| A | 481066589 | 48543BLY2 | 2010-11-02 | $46,930,167 | Refinancing of previous bond and equipment | 0 | 0 | 0 |
| Kansas Development Finance Authority | ||||||||
| B | 481066589 | 2016-06-14 | $9,970,000 | Refinancing of previous bond | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $5,415,000 | $46,930,167 | $667,574 | $29,962,593 | $16,300,000 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $9,970,000 | $157,820 | $9,812,180 | 2006 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Ann Jeter | |||
| Family member of John Jeter, CEO | $12,880 | Payments for consulting services | 0 |
| Jeter Law Firm | |||
| Partnership more than 5% owned by family member of John Jeter, CEO | $1,199 | Payments for legal services | 0 |
| Lynette Pfannenstiel | |||
| Family member of D.G. Bickle, board member | $104,262 | Employment | 0 |
| Arlene Werth | |||
| Family member of Darrell Werth, MD, board member | $71,198 | Employment | 0 |
| Donita Wolf | |||
| Family member of Ken Beran, board member | $75,421 | Employment | 0 |
| Carol Young | |||
| Family member of Bryce Young, COO | $21,339 | Employment | 0 |
| Dr Ross Buckles | |||
| Family member of Dr. Heather Harris, board member | $334,407 | Employment | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | Form 990 was reviewed with the officers and Board Finance committee. |
| Form 990, Part VI, Section B, line 12c | Officers, directors, and key employees, along with all associates, are required to complete a conflict of interest statement annually. The statements are used to monitor and enforce compliance with the policy. |
| Form 990, Part VI, Section B, line 15 | The CEO's, officers', and key employees' salaries are reviewed annually by an independent consulting group and the Compensation Committee, which is made up of members of the Board. |
| Form 990, Part VI, Section C, line 19 | These documents are not made available to the public. Financial statements are released to bond holders on a quarterly basis. |
| Form 990, Part XI, line 9: | Change in beneficial interest in net assets of foundations 180,140. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Foundation | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 481179684 | Provide grants and allocations to Hays Medical Center, Inc. | KS | 501(c)(3) | Line 11a, I | Hays Medical Center Inc | Yes (1) |
| HaysMed Partners Inc | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 270877152 | Owns management contract for Pawnee Valley Community Hospital | KS | 501(c)(3) | Line 3 | Hays Medical Center Inc | Yes (1) |
| Pawnee Valley Community Hospital Inc | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 481253246 | Hospital operated by Hays Medical Center | KS | 501(c)(3) | Line 3 | HaysMed Partners Inc | Yes (1) |
| Hadley Foundation Inc | ||||||||||
| 1200 Main | Hays | KS | 67601 | 481107034 | Support for Hays Medical Center | KS | 501(c)(3) | Line 11c, III-FI | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hays Medical Center Foundation | ||
| C | $1,255,000 | Actual cash |
| Hays Medical Center Foundation | ||
| Q | $274,024 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| L | $536,307 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| O | $376,061 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| Q | $2,277,000 | Contractual formula |
| Pawnee Valley Community Hospital Inc | ||
| D | $63,621 | Actual cost |