2016-08-11T16:38:15-05:00 2015-09-30 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2014-10-01 481169103 Salina Regional Health Center Inc SALI 7854527145 400 South Santa Fe Salina KS 67401 Joe Tallon VP Finance/CFO 7854527145 2016-08-11 1 Heather R Eichem P01515553 7852334226 2016-08-11 2014 2016-09-27 15:27:22Z Joe Tallon 400 South Santa Fe Salina KS 67401 225383708 0 X www.srhc.com X 1995 KS To provide high quality acute medical care 15 13 2006 200 0 -15214 907399 1234601 202457634 214314751 7051433 6134436 2958313 3164741 213374779 224848529 1494546 823123 0 0 100025634 106269914 0 0 0 90651627 100363815 192171807 207456852 21202972 17391677 443880353 449665278 80624439 80822879 363255914 368842399 To provide quality health care services in a healing and spiritual environment. 0 0 173434796 214932453 Salina Regional Health Center, Inc., is an IRS Section 501(c)(3) hospital which provides quality medical care regardless of race, creed, sex, national origin, handicap, or ability to pay. During the fiscal year, Salina Regional Health Center, Inc., discharged 10,026 inpatients resulting in 43,048 patient days, treated outpatients in 170,346 visits, and generated $212,160,740 in net patient service revenue. The amount of uncompensated care amounted to $31,726,052 of which $8,566,795 were charity care deductions and $23,159,257 were bad debt write offs. 35000 35000 Salina Regional Health Center, Inc., provides scholarships to students attending nursing school. 788123 788123 Salina Regional Health Center, Inc., provides grants to further the activities of the Community Health Improvement Program (CHIP). 174257919 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 1 81 0 1 2006 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Joe Tallon VP FinanceCFO 7854527145 400 South Santa Fe Salina KS 67401 Larry Britegam Trustee 2.00 X 0 0 0 Kent Buer Chairman 2.00 X X 0 0 0 Robert Freelove MD Treasurer 2.00 X X 0 0 0 Robert Heath Trustee 2.00 X 0 0 0 Sean Herrington MD Trustee 40.00 X 402350 0 28519 Rex Romeiser MD Trustee 2.00 X 0 0 0 Morrie Soderberg Vice-Chair 2.00 X X 0 0 0 Sherry Hausman Trustee 2.00 X 0 0 0 Lee Young Trustee 2.00 X 0 0 0 Micheal Terry President/CEO 40.00 X X 558594 0 75432 Suzanne Dextras MA EdD Trustee 2.00 X 0 0 0 Ryan Payne MD Trustee/Chief of Staff 4.00 X 0 0 0 Jim Maes Secretary 2.00 X X 0 0 0 Katie Platten Trustee 2.00 X 0 0 0 Chris McClead Trustee 2.00 X 0 0 0 Chuck Oleen Trustee 2.00 X 0 0 0 Joe Tallon VP Finance/CFO 40.00 X 276404 0 27548 Larry Barnes VP Information Technology 40.00 X 288135 0 66064 Charles Grimwood VP Regional Development 40.00 X 253888 0 28186 John Hinnenkamp VP Facilities Management 40.00 X 217729 0 20243 David Moody VP Human Resources 40.00 X 224732 0 26162 Joel Phelps COO 40.00 X 327014 0 47791 Luanne Smith VP Patient Care/CNO 40.00 X 210078 0 25493 Justin Whitlow Physician 40.00 X 551730 0 29720 Scott Boswell Physician 40.00 X 497339 0 29441 Gary Williams Physician 40.00 X 487085 0 28168 Jeffrey Ehrlich Physician 40.00 X 455393 0 28180 Merle Hodges Physician 40.00 X 448289 0 29495 5198760 0 490442 123 0 1 0 Anesthesia Associates of Central KS PA 520 S Santa Fe Salina KS 674021607 Anesthesia Services 1524283 CPT Enterprises Inc 2337 Crawford St Salina KS 67401 Management Services 1420847 Great Plains Imaging LLC 320 N Terrace Dr Wichita KS 67208 Imaging Services 1019268 RehabCare PO Box 502096 St Louis MO 631502096 Therapy Services 947149 Busboom & Rauh 145 Santa Fe Ave Salina KS 67401 Construction Services 758367 25 349229 757529 127843 1234601 Patient service 621990 212160740 212160740 Other operating 621990 1470742 1470742 EHR incentive payments 621990 683269 683269 214314751 5381512 5381512 47827 183049 -135222 -135222 -135222 1095656 1 0 342733 1095656 -342732 752924 752924 19740 9397 10343 10343 Income from subsidiaries 900099 3226115 3226115 Other revenues 900099 63505 63505 3289620 224848529 214932453 0 8681475 788123 788123 35000 35000 3222063 466513 2755550 86951175 80140889 6810286 3247876 2990401 257475 7210920 6533936 676984 5637880 5049604 588276 431984 431984 948443 85462 862981 1425442 773969 651473 4684977 1853814 2831163 3960114 2454083 1506031 499184 162403 336781 146573 56788 89785 2577001 1596968 980033 12925994 8702230 4223764 2449014 659882 1789132 Medical supplies 22166304 22166304 Pharmaceuticals 20944329 20944329 Professional fees other 6308566 5141063 1167503 Outside services 5860996 3739523 2121473 15034894 9916635 5118259 207456852 174257919 33198933 0 7878 8025 23471356 42931098 30789094 32456177 1462964 1691994 4187023 3557268 254622067 150586909 109685775 104035158 242431965 236068487 7444213 6541827 9751388 9759488 14648697 12615756 443880353 449665278 22384804 24713028 54377466 52895153 3862169 3214698 80624439 80822879 X 352217400 357858050 3596681 3791016 7441833 7193333 363255914 368842399 443880353 449665278 X 17391677 -12161914 356722 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20010 20010 0 Part II-B, Line 1: A portion of annual dues paid by Salina Regional Health Center, Inc., to various health care organizations has been identified as association lobbying activities by those organizations. The amount reported as direct contact with legislators, their staff, government officials, or a legislative body represents the portion of dues identified as association lobbying activities by these organizations. Salina Regional Health Center, Inc., does not participate in activities supporting a political candidate. 0 1394029 11565 -34167 18882 1352545 1115634 167724 129862 19191 1394029 1068232 67038 19636 1115634 938600 145738 16106 1068232 959381 100 -20881 938600 0.66590 0.33410 1 1 1 6744121 6744121 144196407 76799097 67397310 97724993 71449127 26275866 5956546 2338685 3617861 104035158 Estimated reimbursements payable 3214698 3214698 X 211843775 -12161914 -832497 -12994411 224838186 10343 10343 224848529 206658386 0 206658386 798466 798466 207456852 Part V, Line 4: The endowment funds are to benefit the Cardiology, Rehabilitation, and Oncology departments of Salina Regional Health Center. Part X, Line 2: Management is not aware of any uncertainties in income tax positions. Part XI, Line 2d - Other Adjustments: Community Health Improvement Program (CHIP) donation -788,123. Change in beneficial interest in net assets of Foundation 215,691. Change in fair value of assets held in trust -260,065. Part XI, Line 4b - Other Adjustments: Net fundraising events revenue 10,343. Part XII, Line 4b - Other Adjustments: Community Health Improvement Program (CHIP) donation 788,123. Net fundraising events revenue 10,343. Rummage Sales 8438 8438 4291 Fashion show 11302 11302 5106 19740 19740 9397 9397 10343 1 1 1 X 1 X 1 1 0 1 1 4184 2720788 2720788 0.01310 14011 14117396 9138716 4978680 0.02400 18195 16838184 9138716 7699468 0.03710 11 401730 266493 135237 0.00070 10 2351078 714446 1636632 0.00790 23 84990 86578467 60207439 26371028 0.12710 1 4874 0 4874 0.00000 1 788123 0 788123 0.00380 46 84990 90124272 61188378 28935894 0.13950 46 103185 106962456 70327094 36635362 0.17660 1 15695 15695 0.00010 3 3513 3513 0.00000 2 2000 14212 14212 0.00010 2 1369 1369 0.00000 8 2000 34789 34789 0.00020 1 4249724 357633 67468856 63369072 4099784 X 1 1 2 1 Salina Regional Health Center Inc 400 South Santa Fe Salina KS 67401 X X X X 2 Salina Surgical Center LLC 401 South Santa Fe Salina KS 67401 X X Salina Regional Health Center Inc 1 0 0 1 X X X X X X X X X 14 1 1 1 1 X www.srhc.com/about/community_benefit_report.php X X 1 14 0 1 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X www.srhc.com/patients_visitors/billing_information.php X www.srhc.com/patients_visitors/billing_information.php X X X X 1 0 X X X X 1 X 0 0 Salina Surgical Center LLC 2 0 0 1 X X X X X X X X X 14 1 1 1 1 X www.srhc.com/about/community_benefit_reports.php X 1 14 0 1 0 1 X 100.000000000000 100.000000000000 X 1 1 X X 1 X 1 0 X 1 X 0 0 Salina Regional Health Center, Inc. Part V, Section B, Line 5: Salina Regional Health Center collaborated with Representatives of Salina Regional Health Center, the Saline County Health Department, United Way of Salina, Salina Surgical Hospital, USD 305, North Central Flint Hills Area Agency on Aging, and the Central Kansas Foundation partnered to conduct an assessment of the health status and needs of our community. Across the early months of 2015, data was gathered, analyzed and discussed by this collaborative group. Obtaining input from individuals in the community at large increases the likelihood that the health issues targeted for improvement truly reflect the concerns of the community. Public perception of an issue as important to the community as a whole, the need for community based action and willingness to personally support health improvement initiatives are important to successful health improvement programs. In June 2015 several community organizations were invited to review the community measures, discuss the issues and provide input as to the relative importance of each. Each of the 15 indicators had a station with an expert on the issue to discuss the data that was posted at the station. The Saline County community entities attending included 48 people from the following organizations:American Red CrossBig Brothers Big SistersCatholic CharitiesCentral KS FoundationCentral KS Mental healthChamber of CommerceChild Advocacy & Parenting ServicesCity of SalinaCommission on AgingCoronado Area Council- Boy ScoutsDomestic Violence Assoc.. of Central KSKansas WesleyanKSU SalinaSalina Police DepartmentNational Association for the Advancement of Colored PeopleParish nurse groupParks & RecreationSalina Area United WaySalina Community FoundationSalina Family HealthcareSalina Family YMCASalina Regional Health CenterSalina Saline County Health DepartmentSaline County Human RelationsSaline County Sherriff's OfficeSalina Technical CollegeUSD 305USD 307VeridianVolunteer ConnectionPhillips LightingSunflower BankFirst Bank KSYMCAThe outcome of the meeting was buy-in to a process of getting broad community input into health improvement priorities, commitment to partner in the process, understanding of community health status data and initial identification of priority issues to be addressed. They also helped us in the prioritization of the issues.Online and paper surveys were also given to the general public. In all 178 surveys were completed. The online survey was driven off of area agency websites, social media and email invitations. Written survey boxes were set up at various locations around Saline County at the public library, health department and several health organizations. These surveys along with the results of the Key Informed meeting were crucial in the prioritization process.The CHA core group met to discuss the results of the Key informed meeting and the electronic and written survey results. Evaluation of several prioritization methods were discussed. The group felt that the best indicator of Salina County community needs were displayed and voted on by the key informed meeting and general public surveys. The CHA core group voted and decided to use the prioritizations that came out of those two processes. Because all of the 15 indicators had a certain level of support we are not limiting our needs assessment to a top three or top five but ranking all of the top 15. This ranking also takes into the consideration that many of the indicators have issues that cross-over to at least one if not many other indicators. 1 Depression/Mental Health 2 Cancer 3 Aging Population 4 Overweight/Obesity - Adults 5 Child Obesity 6 Drug Overdose and Substance Abuse 7 Domestic Violence 8 Diabetes 9 Heart Disease Relater Indicators 10 Tobacco Use 11 Pregnancy Related Indicators 12 Immunizations 13 STD Rate 14 Trauma/Falls 15 Stroke Salina Surgical Center, LLC Part V, Section B, Line 5: Salina Surgical Center's CHNA was a joint CHNA with Salina Regional Health Center. See Salina Regional Health Center, Part V, Section, B, Line 5. Salina Regional Health Center, Inc. Part V, Section B, Line 6a: Salina Surgical Center Salina Surgical Center, LLC Part V, Section B, Line 6a: Salina Regional Health Center Salina Regional Health Center, Inc. Part V, Section B, Line 6b: Saline County Health Department, United Way of Salina, USD 305, North Central Flint Hills Area Agency on Aging, and the Central Kansas Foundation Salina Surgical Center, LLC Part V, Section B, Line 6b: Saline County Health Department, United Way of Salina, USD 305, North Central Flint Hills Area Agency on Aging, and the Central Kansas Foundation Salina Regional Health Center, Inc. Part V, Section B, Line 7d: The initial data report was provided on websites and in paper form at the Salina Regional Health Center information desk, public library, county health department, and other locations. The final report is posted on the Salina Regional Health Center website. In the spring of 2014, a professional publication was distributed (newspaper, direct mail, personal distribution to agencies, and other public locations). Results were also presented by a SRHC representative at civic clubs and other settings. Salina Regional Health Center, Inc. Part V, Section B, Line 11: Childhood obesity, teen pregnancy, adult obesity, domestic violence, and sexually-transmitted infections were needs identified in the CHNA which are not being addressed by Salina Regional Health Center as they are outside the scope of our operations.Falls among elderly and medication misuse:In 2014 the North Central-Flint Hills Area Agency on Aging received a $100,000 grant from Salina Regional to start a fall-prevention program in the Salina area the program was rolled out in July 2014. The program is being called "Be Well, Stay Well, Right At Home and is aimed at helping prevent falls. It includes going into a person's home and identifying often small changes that can make the home safer. The first steps included placing articles about fall prevention in "Keynotes", the agency's newspaper, and providing information about fall prevention at venues such as the annual Sunflower Fair in Salina. There's also an eight-session class called "A Matter of Balance", that follows a curriculum written at Boston University and addresses fear of falling, recognizing that falls are preventable and increasing physical activity. The program also includes an assessment to identify situations that can cause falls and finding ways to fix them. During an in-home assessment they look at issues such as the person's vision, what medications they are taking and items around the home that represent fall dangers. The agency has contact with several other agencies that can help with specific issues that can help a person stay out of the hospital again. To date NCFHAA has served over 150 older adults from Saline County. They have been able to connect participants to Homemaker Services, Attendant Care Services, Meals on Wheels and Medication Management services enabling participants to remain in their home utilizing these supports.Stroke Awareness:The SRHC Stroke team has taken an active role in increasing stroke awareness by working with the local EMS provider in a Lights out for Stroke campaign. SRHC and Salina Fire/EMS attended at least one of all three local high schools football games to pass out F.A.S.T. stroke awareness cards (Face, Arms and educating the public along the way. Over 300 F.A.S.T. cards were distributed. The Stroke Team will be doing the same thing this next school year as well.Aging Population/StrokeSalina Regional Health Center's Salina Regional Health Foundation is the primary sponsor of the upcoming Sunflower Fair which is a region wide Senior Citizen health fair. The one-day event features nationally-known speakers, educational workshops, health screenings, drawings, lunch, tractor show, silent auction, great food and talk with more than 70 exhibitors.SRHC's Stroke team will take center stage with a panel discussion with SRHC presenting and answering questions. SRHC will have members of the stroke team which will include a physician, stroke nurse and program coordinator, a stroke rehab professional, diabetes educator, and a dietitian. His panel discussion will reach 500 participants with an additional 2,500 participants visiting the panel in the vendor booth area.Mental/ Health Substance abuseThe Salina Regional Health Foundation awarded Central KS Foundation (CKF)with a $50,00.00 grant to support Substance abuse programs in the region. Central Kansas Foundation offers services in Salina, Kansas & provides Addiction Rehab, Short-term Inpatient Rehab, Outpatient Rehab, Drug addiction treatment, Alcohol addiction treatment, Drug Detox, and Alcohol Detox. CKF also is the host of the tobacco prevention partnership of Salina. Salina Surgical Center, LLC Part V, Section B, Line 11: Staff from Salina Surgical Center, LLC participated in the creation of the joint Community Health Needs Assessment and prioritizing the needs. Earnings from the Salina Surgical Center that are distributed to Salina Regional Health Center help fund the activities of the CHNA. Salina Regional Health Center, Inc. Part V, Section B, Line 22d: Deduction of 30%. Salina Surgical Center, LLC Part V, Section B, Line 22d: Usual and customary net charges for services rendered. Part V, Section B, Line 16 Financial Assistance Policy Website Availability Salina Regional Health Center, Inc. Part V, Section B, line 16b website: www.srhc.com/patients_visitors/billing_information.php Salina Regional Health Center, Inc. Part V, Section B, line 16c website: www.srhc.com/patients_visitors/billing_information.php 20 Salina Regional Outpatient Imaging 520 S Santa Fe Lower Level Salina KS 67401 Outpatient imaging clinic Salina Regional Oncology 511 S Santa Fe Salina KS 67401 Physician clinic Comcare - Santa Fe Clinic 520 S Santa Fe Suite 300 Salina KS 67401 Physician clinic, lab & x-ray services Comcare - Elm Clinic 617 E Elm Street Salina KS 67401 Physician clinic, imaging center,& lab services Salina Regional Neurosurgery 501 S Santa Fe Suite 300 Salina KS 67401 Physician clinic Salina Pediatric Care 501 S Santa Fe Suite 100 Salina KS 67401 Physician clinic Comcare - Statcare Clinic 1001 S Ohio St Salina KS 67401 Minor emergency and illness clinic, lab & x-ray services Salina Regional Surgical Associates 501 S Santa Fe Suite 200 Salina KS 67401 Physician clinic Salina Women's Clinic 501 S Santa Fe Suite 140 Salina KS 67401 Physician clinic Salina Regional Cardo Thoracic 501 S Santa Fe Suite 200 Salina KS 67401 Physician clinic Comcare - Minneapolis Clinic 311 N Mill St Minneapolis KS 67456 Physician clinic, lab & x-ray services Comcare - Occupational Health Partners 1101 E Republic St Salina KS 67401 Therapy, lab and x-ray services Salina Regional Veridian 730 Holly Lane Salina KS 67401 Outpatient psych clinic Hospice of Salina 730 Holly Lane Salina KS 67401 Hospice care Salina Regional Pulmonary 520 S Santa Fe Lower Level Salina KS 67401 Physician clinic Salina Regional Outpatient PT 520 S Santa Fe Salina KS 67401 Outpatient physical therapy Salina Regional Neurosciences 501 S Santa Fe Suite 210 Salina KS 67401 Physician clinic Salina Regional Infant Child Development 155 N Oakdale Salina KS 67401 Outpatient child development services Salina Regional Podiatry 501 S Santa Fe Suite 200 Salina KS 67401 Physician clinic Salina Regional New Options 1375 W Ash St Junction City KS 66441 Outpatient psych clinic Part I, Line 7: Costing methodology used to determine ratio of patient care cost to charges is total operating expenses less bad debt, Medicaid provider taxes, total community benefit, and building expenses divided by total charges less community benefit charges. Part II, Community Building Activities: Salina Regional Health Center provided the following community building activities:Disaster Readiness Program drillsLeadership Development trainingBike Helmet ProgramBaldridge Examiner Workforce Development Part III, Line 4: See note A5 (page 9) of the audited financial statements regarding the allowance for uncollectible accounts. Part III, Line 3: A review of bad debt accounts was conducted to find accounts that were eligible for charity care. Eligibility was determined by whether the patient had received financial assistance for a portion of their responsibility toward the account. Any remaining charges written off after the financial assistance was granted was included as bad debt expense attributable to patients eligible for financial assistance. Part III, Line 8: Amounts were obtained from the cost report filed with Medicare for the period ending September 30, 2015, less subsidized health services revenue and expenses included in Schedule H, Part I, Item 7(g). The total amount of the shortfall is considered a community benefit. Part III, Line 9b: If a patient qualifies for financial assistance, the account is adjusted according to our policy. Any remaining balance after adjustment is collected under the billing and collection policies. Our billing and collection policies are the same for all patients. Patients who have qualified for financial assistance are considered approved for a period of six months from the date of approval. After six months, patients need to reapply for financial assistance. Part III, Line 2: Ratio of patient care cost to charges (see calculation for Part I, Line 7) multiplied by provision for bad debts. Part VI, Line 2: In addition to the community health needs assessment, SRHC analyzes hospital discharge data for all counties in the region. The Kansas Hospital Association inpatient discharge database includes data for all reporting hospitals. From this we determine usage trends that help us plan needed services. For example, a significant number of residents of north central Kansas have had to travel far out of the region to access neurosurgical services because SRHC only had one neurosurgeon. This assessment and other information led to SRHC's employment of two additional neurosurgeons. One began practice in 2012 and the other in 2013. Part VI, Line 3: At registration, the patient is informed of their rights for financial assistance if unable to produce valid insurance coverage. The patient is referred to a third-party vendor to determine eligibility for governmental programs and if it is determined they do not qualify, they are screened under our financial assistance guidelines. We post our guidelines on our website as well. Part VI, Line 4: Salina Regional Health Center, Inc. is a rural sole community hospital serving a primary service area of Saline County, three immediately adjacent counties are it's secondary service area, and has a 14-county referral area although certain specialties draw statewide. For purposes of community health needs assessment, the principal community of SRHC is Saline County because the other three counties each have a local Critical Access Hospital within the county.The primary service area (Saline County) has a population of 55,740. When compared to the national population, this area is represented by an older population with a lower educational level and lower median income. The area population grew 0.2% between 2010 and 2013. The primary service area population is expected to increase by 1.3% by 2018, which is lower than the rate of growth expected for Kansas (2.2%) and the U.S. (3.3%) for the same time period.The Challenge of the Aging PopulationAs members of the baby boom generation get older and reach retirement age, they present an increasing challenge and opportunity for health care. The growth in the number of elderly patients from the boomer generation coupled with a loss of boomer-age providers will pressure an already-stressed health care system. A big unknown is how well Medicare will digest the 75 million baby boomers amid the federal government's attempt to transform how care is provided and paid for in the program.Saline County is expected to see the 65+ age-group increase from 13.69% to 21.55% in the year 2035 before it starts to decline.Cancer, high cholesterol, COPD, arthritis, Alzheimer's and depression for Medicare aged residents all currently have higher rates than the rest of the state. These indicators coupled with an increase in residents in this age group will be an issue for years to come.The service area is less ethnically diverse compared to the U.S. overall. The majority of residents are Caucasian (81.4%) followed by Hispanic (10.3%) and Black (3.5%). Spanish patient education materials are available at SRHC and the hospital has developed a team of Spanish translators. Recognizing the relatively lower educational level in the community, the hospital writes patient information at a 6th to 8th grade reading level.Median household income in the primary service area is 2013 was $47,339 compared to a Kansas median of $51,273, and national media of $53,046. A lack of available resources to the indigent is a challenge in this environment, so in addition to providing charity care, the hospital has and continues to support the Salina Family Healthcare Center, which provides care to the indigent. Our patient population is composed of 50% Medicare, 11% Medicaid, 31% Commercial, 3% Tricare Workers Compensation and 5% uninsured. Part VI, Line 5: The governing board of Salina Regional Health Center, Inc., is comprised of volunteers intentionally selected to promote the betterment of the region we serve. Demonstrating its commitment to community benefit, this board has for nearly 20 years donated an average of 10% of the hospital's end-of-year operating margin to the Community Health Invest Program (CHIP) of the Salina Regional Health Foundation. Salina Regional Health Center, Inc., administrators and governing board members assist the Foundation by participating in the CHIP Committee.Salina Regional Health Center, Inc. is a member of the Sunflower Health Network (SHN) along with 15 Critical Access Hospitals (CAHs) distributed across 14 counties. A Kansas Hospital Association administrator led SHN strategic planning that resulted in regional health priorities, including providing access to specialist physician care, optimizing timeliness and safety of patient transfers, and sustaining the number of quality nurses in the region. As a result of this process, Salina Regional Health Center, Inc. was verified by the American College of Surgeons as a Level III Trauma Center, the only designated Level III Trauma center in the north central Kansas region. Salina Regional also provides access to computerized patient simulators and other nursing education modalities to strengthen the quality of nurses in regional communities.Salina Regional Health Center began a partnership with The University Of Kansas School Of Medicine in 2010 to open a medical school campus in Salina. The intent is to develop students who will live and practice medicine in smaller-town Kansas to help alleviate the rural physician shortage. The eight students in the inaugural class completed their first year of medical school in 2012. Salina Regional Health Center is investing $1 million over a four-year period to help defray faculty and operating costs. The hospital also invested several hundred-thousand dollars to renovate a building on the hospital campus. The building on SRHC campus is provided to KU rent and maintained-free for as long as the medical school campus exists.Some of the notable gifts to area agencies are the following:$25,000.00 to OCCK to support Regional Medical Transportation needs.$250,000.00 to support Kansas Wesleyan University School of Nursing Building.$63,074.00 to Salina Regional Health Foundation to support local CHIP (Community Health Investment Programs) in accordance with the foundations grant guidelines. 1 Salina Regional Health Foundation Inc 400 South Santa Fe Salina KS 67401 480949407 501(c)(3) 788123 To further the activities of the Community Health Improvement Program (CHIP) Scholarships to students attending nursing school. 14 35000 Part I, Line 2: All donee information is kept as part of the organization's books and records. All nursing scholarships recipients are selected based on set criteria. X X X X X 0 0 0 0 0 1 0 0 0 Sean Herrington MD Trustee 307319 0 95031 0 0 0 13250 0 15269 0 430869 0 0 0 Micheal Terry President/CEO 434802 0 123792 0 0 0 57938 0 17494 0 634026 0 0 0 Joe Tallon VP Finance/CFO 232642 0 43762 0 0 0 12595 0 14953 0 303952 0 0 0 Larry Barnes VP Information Technology 243593 0 44542 0 0 0 55565 0 10499 0 354199 0 0 0 Charles Grimwood VP Regional Development 213803 0 40085 0 0 0 13913 0 14273 0 282074 0 0 0 John Hinnenkamp VP Facilities Management 184287 0 33442 0 0 0 11488 0 8755 0 237972 0 0 0 David Moody VP Human Resources 189125 0 35607 0 0 0 12231 0 13931 0 250894 0 0 0 Joel Phelps COO 267881 0 59133 0 0 0 32871 0 14920 0 374805 0 0 0 Luanne Smith VP Patient Care/CNO 176940 0 33138 0 0 0 11736 0 13757 0 235571 0 0 0 Justin Whitlow Physician 542730 0 9000 0 0 0 13250 0 16470 0 581450 0 0 0 Scott Boswell Physician 486839 0 10500 0 0 0 13250 0 16191 0 526780 0 0 0 Gary Williams Physician 271096 0 215989 0 0 0 13250 0 14918 0 515253 0 0 0 Jeffrey Ehrlich Physician 290292 0 165101 0 0 0 13250 0 14930 0 483573 0 0 0 Merle Hodges Physician 390221 0 58068 0 0 0 13250 0 16245 0 477784 0 0 0 Part I, Line 6 The compensation committee of the board determines bonus and incentive payments based on a balanced scorecard which includes financial, patient satisfaction, and quality data. In addition, a compensation review is performed by an independent outside consultant. A City of Salina Kansas 486017228 794770DP9 2006-04-07 65053116 Extinguish Series 1999 Revenue Bonds and to construct a new patient tower 0 0 0 A 12253116 65053116 4645826 570534 37121199 23036195 2010 0 1 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 Stacie Maes Family member of Jim Maes, Trustee 72613 Employment 0 Salina Surgical Center 4 Board of directors are employees and/or trustees of SRHC 209655 Provide employees and supplies 0 Patricia Grimwood Spouse of Charles Grimwood, Key Employee of SRHC 11219 Employment 0 Linda Hinnenkamp Spouse of John Hinnenkamp, Key Employee of SRHC 73291 Employment 0 Form 990, Part VI, Section A, line 6 Salina Regional Health Center has two corporate members: Salina Regional Health Foundation, Inc., and Via Christi Health, Inc. Form 990, Part VI, Section A, line 7a The corporate members have the power to approve appointment of members to and removal of members from the Board of Trustees. Form 990, Part VI, Section B, line 11 The Form 990 is provided to the Board of Trustees for review prior to filing. Due to current year timing, the approval by the audit committee will not occur until after the filing date. Form 990, Part VI, Section B, line 12c A conflict of interest questionnaire is required to be completed upon election and annually. The questionnaire is reviewed by legal counsel. Form 990, Part VI, Section B, line 15 An independent compensation firm is obtained to complete an annual review and analysis of all the administrative staff members. The compiled report is forwarded to the Compensation Committee of the Board that reviews the analysis and approves the report. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request. Form 990, Part XI, line 9: Intercompany transfers 401,096. Change in fair value of assets held in trust -260,065. Change in beneficial interest in net assets of Foundation 215,691. Form 990, Part XII, Line 2C: The audit committee assumes the responsibility for the oversight of the audited financial statements, review of the Form 990 and Form 990-T, and selection of the independent accounting firm. Salina Regional Health Foundation Inc 400 South Santa Fe Salina KS 67401 480949407 Advancement of healthcare, health & medical education, research, & welfare KS 501(c)(3) Line 7 0 Salina Regional Health Properties Inc 400 South Santa Fe Salina KS 67401 481154675 Own and operate medical office buildings for section 501(c)(3) organizations KS 501(c)(2) Salina Regional Health Center Inc 1 Hospice of Salina Inc 730 Holly Lane Salina KS 67402 481131570 Provide hospice care and support services to the terminally ill and their KS 501(c)(3) Line 9 Salina Regional Health Center Inc 1 Via Christi Health Inc 8200 E Thorn Drive Suite 300 Wichita KS 67226 481172107 Hospital support KS 501(c)(3) Line 11c 0 Salina Surgery Properties LLC 401 South Santa Fe Salina KS 67401 481200039 Construct & own surgical facility KS Related -214449 1576363 0 0 0.50000 Salina Surgical Center LLC 401 South Santa Fe Salina KS 67401 481199515 Medical services, ambulatory surgery KS Related 3742963 5057679 0 0 0.50000 Salina Regional Home Medical Services LLC 520 South Santa Fe Suite 140 Salina KS 67401 481221623 Home medical services KS Salina Regional Health Center Inc Related 256072 695996 0 0 0.51000 Salina Regional Health Enterprises Inc 400 South Santa Fe Salina KS 67402 481056225 Provide mgmt services to hospitals in N. Central KS area KS Salina Regional Health Center Inc C 1.00000 1 0 1 1 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 Salina Regional Health Properties Inc I 213474 Cash received Salina Regional Health Properties Inc K 1203320 Cash paid Salina Regional Health Properties Inc O 130123 Actual cost Salina Regional Health Properties Inc Q 93727 Actual cost Hospice of Salina Inc O 53551 Actual cost Hospice of Salina Inc Q 102899 Actual cost Salina Surgical Center LLC Q 315175 Markup of cost