STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HAYS MEDICAL CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HAYS MEDICAL CENTER INC (EIN 48-0559088)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-11
IRS object ID
201641329349303689
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-11T16:13:01-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP666033491ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480559088EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hays Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHAYSBusinessNameControlTxt
Phone7856235000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12220 Canterbury DriveAddressLine1Txt
CityHaysCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn Jeter MDPersonNm
Person TitleCEOPersonTitleTxt
Phone7856235000PhoneNum
Signature2016-05-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2016-05-04PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn Jeter MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12220 Canterbury DriveAddressLine1Txt
CityHaysCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$192,049,705GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.haysmed.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionHays 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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1625TotalEmployeeCnt
Total Volunteers196TotalVolunteersCnt
Total Gross UBI$17,847TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,766,093PYContributionsGrantsAmt
CY Contributions Grants$2,130,293CYContributionsGrantsAmt
PY Program Service Revenue$185,509,035PYProgramServiceRevenueAmt
CY Program Service Revenue$187,242,012CYProgramServiceRevenueAmt
PY Investment Income$5,348,353PYInvestmentIncomeAmt
CY Investment Income$2,887,936CYInvestmentIncomeAmt
PY Other Revenue$252,636PYOtherRevenueAmt
CY Other Revenue-$245,346CYOtherRevenueAmt
PY Total Revenue$192,876,117PYTotalRevenueAmt
CY Total Revenue$192,014,895CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$98,444,246PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$98,323,585CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$86,310,380PYOtherExpensesAmt
CY Other Expenses$82,934,628CYOtherExpensesAmt
PY Total Expenses$184,754,626PYTotalExpensesAmt
CY Total Expenses$181,258,213CYTotalExpensesAmt
PY Revenues Less Expenses$8,121,491PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,756,682CYRevenuesLessExpensesAmt
Total Assets BOY$262,539,752TotalAssetsBOYAmt
Total Assets EOY$271,006,181TotalAssetsEOYAmt
Total Liabilities BOY$81,603,570TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,736,809TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$180,936,182NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$189,269,372NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHays 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$149,429,067ExpenseAmt
Revenue$188,088,819RevenueAmt
DescPatient 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-5,098, Newborn ICU-41, Newborn-717, Skilled-177, Total admissions-6,033. Patient days: ICU/CPCU-6,736, Medical/Surgical-12,475, Obstetrics-1,504, Skilled-2,020, Newborn ICU-334, Newborn-1,318, Total patient days-24,387. Other statistical information: Surgical procedures-8,413, Cardiac caths-1,283, Emergency room visits-13,337, Outpatient procedures-151,264, Medical oncology service visits-6,937, Clinic visits-135,144.Desc
Total Program Service Expenses$149,429,067TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document157IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1625EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGeorge Harms CFOPersonNm
Phone7856235000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12220 Canterbury DriveAddressLine1Txt
CityHaysCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kenneth Beran
Chair0.50Yes (X)Yes (X)$0$0$0
Alan Moore
Secretary0.50Yes (X)Yes (X)$0$0$0
Jayne Clarke
Treasurer0.50Yes (X)Yes (X)$0$0$0
Daniel Schippers
Board Member0.50Yes (X)$0$0$0
Dennis Bieker
Board Member0.50Yes (X)$0$0$0
Darrell Werth MD
Physician/Board Member40.00Yes (X)$600,000$0$32,710
Nancy Curtis
Board Member0.50Yes (X)$0$0$0
Deanna Doerfler
Board Member0.50Yes (X)$0$0$0
Jim Black DO
Board Member0.50Yes (X)$0$0$0
Mary Martin
Board Member0.50Yes (X)$0$0$0
Brian Lang
Board Member0.50Yes (X)$0$0$0
Lee Hodny MD
Physician/Board Member40.00Yes (X)$677,764$0$41,650
Sharon Dreher
Board Member0.50Yes (X)$0$0$0
DG Bickle
Board Member0.50Yes (X)$0$0$0
Dr Kurt Rider
Physician/Board Member40.00Yes (X)$311,495$0$41,650
John Jeter MD
President & CEO36.00Yes (X)Yes (X)$521,550$0$134,5964.00
George Harms
CFO36.00Yes (X)$156,923$0$40,8634.00
Shae Veach
VP Regional Dev36.00$200,871$0$60,5374.00Yes (X)
D Bruce Whittington
VP Human Resources40.00$170,466$0$53,766Yes (X)
Bryce Young
Chief Operating Officer36.00$260,247$0$80,4804.00Yes (X)
Terry Siek
Chief Nursing Officer40.00$175,387$0$45,702Yes (X)
Larry Watts
Chief Medical Officer36.00$306,053$0$77,3544.00Yes (X)
Alex De Carvalho
Physician40.00$982,371$0$30,195Yes (X)
Vivek Sharma
Physician40.00$940,500$0$39,150Yes (X)
Gulraiz Cheema
Physician40.00$833,774$0$39,150Yes (X)
Sukchan Lee
Physician40.00$791,203$0$17,111Yes (X)
Elizabeth Ashworth
Physician40.00$708,998$0$30,195Yes (X)
William Overbey
Former Chief Financial Officer40.00$208,910$0$8,410Yes (X)
Dale Montgomery
Former VP Facilities40.00$149,774$0$20,960Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,996,286TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$794,479TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K117IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Quest Diagnostics Inc
PO Box 14730St LouisMO631504730Lab Services$3,622,765
Weatherby Locums Inc
PO Box 972633DallasTX753972633Physician Coverage$1,679,438
Anesthesiologist Assoc of Hays
PO Box 821HaysKS67601Anesthesia Services$1,379,065
Sovereign Medical Corporation
1582 Charlton RoadSan MarinoCA91108Pulmonology Services$1,188,300
Medassets
PO Box 405652AtlantaGA303845652Purchased Services$1,086,630
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Related Organizations$2,079,719RelatedOrganizationsAmt
Government Grants$6,627GovernmentGrantsAmt
All Other Contributions$43,947AllOtherContributionsAmt
Total Contributions$2,130,293TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient service revenue621990$177,659,905$177,659,905
Services to CAH network and afill900099$4,038,476$4,038,476
Fitness center900099$1,659,446$1,659,446
Retail pharmacy900099$1,278,136$1,278,136
EHR incentive payments900099$469,153$469,153

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,136,896TotalRevenueColumnAmt
Related Or Exempt Func Income$2,136,896RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$187,242,012TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,921,490TotalRevenueColumnAmt
Exclusion$2,921,490ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$288,343RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$288,343RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$288,343TotalRevenueColumnAmt
Related Or Exempt Func Income$288,343RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,256OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$34,810OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$33,554OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$33,554TotalRevenueColumnAmt
Exclusion-$33,554ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria revenue722210$558,464$558,464
Income from purchase group partne900099$15,815$15,815
Nursing mother's resources900099$2,032$2,032

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,110,000TotalRevenueColumnAmt
Exclusion-$1,110,000ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$533,689OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$192,014,895TotalRevenueColumnAmt
Related Or Exempt Func Income$188,088,819RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$17,847UnrelatedBusinessRevenueAmt
Exclusion$1,777,936ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,116,595TotalAmt
Program Services$1,673,300ProgramServicesAmt
Management And General$2,443,295ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,353,651TotalAmt
Program Services$64,806,859ProgramServicesAmt
Management And General$12,546,792ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,778,301TotalAmt
Program Services$2,584,226ProgramServicesAmt
Management And General$194,075ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,178,685TotalAmt
Program Services$7,644,514ProgramServicesAmt
Management And General$1,534,171ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,896,353TotalAmt
Program Services$4,020,175ProgramServicesAmt
Management And General$876,178ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,028,496TotalAmt
Management And General$2,028,496ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$536,945TotalAmt
Management And General$536,945ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$197,319TotalAmt
Management And General$197,319ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,779,987TotalAmt
Program Services$13,513,542ProgramServicesAmt
Management And General$3,266,445ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$341,223TotalAmt
Program Services$8,204ProgramServicesAmt
Management And General$333,019ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$505,253TotalAmt
Program Services$354,808ProgramServicesAmt
Management And General$150,445ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,229,542TotalAmt
Program Services$1,350,817ProgramServicesAmt
Management And General$878,725ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,081,905TotalAmt
Program Services$1,691,609ProgramServicesAmt
Management And General$390,296ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$405,019TotalAmt
Program Services$345,917ProgramServicesAmt
Management And General$59,102ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$907,175TotalAmt
Program Services$612,704ProgramServicesAmt
Management And General$294,471ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,713,795TotalAmt
Program Services$2,713,795ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,708,255TotalAmt
Program Services$8,627,813ProgramServicesAmt
Management And General$3,080,442ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,168,160TotalAmt
Program Services$928,807ProgramServicesAmt
Management And General$239,353ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$17,806,063$17,806,063
Pharmaceuticals$13,083,704$13,083,704
Repairs and maintenance$3,744,543$3,215,931$528,612
Taxes and assessments$1,570,386$1,449,787$120,599

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,126,858TotalAmt
Program Services$2,996,492ProgramServicesAmt
Management And General$2,130,366ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$181,258,213TotalAmt
Program Services$149,429,067ProgramServicesAmt
Management And General$31,829,146ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$193,815BOYAmt
EOY$328,814EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,840,012BOYAmt
EOY$24,240,943EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,762,873BOYAmt
EOY$25,612,463EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,265,572BOYAmt
EOY$4,473,358EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,701,097BOYAmt
EOY$4,265,761EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$213,352,744LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$133,746,810LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$84,615,908BOYAmt
EOY$79,605,934EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$75,855,620BOYAmt
EOY$77,964,201EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$27,268,674BOYAmt
EOY$40,122,242EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$538,200BOYAmt
EOY$538,200EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,497,981BOYAmt
EOY$13,854,265EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$262,539,752BOYAmt
EOY$271,006,181EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,682,731BOYAmt
EOY$25,095,733EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$63,545BOYAmt
EOY$75,534EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,750,650BOYAmt
EOY$55,464,382EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,106,644BOYAmt
EOY$1,101,160EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,603,570BOYAmt
EOY$81,736,809EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$172,165,751BOYAmt
EOY$181,326,923EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,770,431BOYAmt
EOY$7,942,449EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$180,936,182BOYAmt
EOY$189,269,372EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$262,539,752BOYAmt
EOY$271,006,181EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,756,682ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,595,510NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$827,982OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$18,524GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$18,524TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationHays 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

FieldValueIRS element (for citing)
Beginning Year Balance$10,377,772BeginningYearBalanceAmt
Contributions$11,158ContributionsAmt
Investment Earnings Or Losses$324,882InvestmentEarningsOrLossesAmt
Other Expenditures$72,073OtherExpendituresAmt
End Year Balance$10,641,739EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,933,230BeginningYearBalanceAmt
Contributions$154,338ContributionsAmt
Investment Earnings Or Losses$335,088InvestmentEarningsOrLossesAmt
Other Expenditures$44,884OtherExpendituresAmt
End Year Balance$10,377,772EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,480,780BeginningYearBalanceAmt
Contributions$106,926ContributionsAmt
Investment Earnings Or Losses$388,512InvestmentEarningsOrLossesAmt
Other Expenditures$42,988OtherExpendituresAmt
End Year Balance$9,933,230EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,947,679BeginningYearBalanceAmt
Contributions$167,515ContributionsAmt
Investment Earnings Or Losses$427,208InvestmentEarningsOrLossesAmt
Other Expenditures$61,622OtherExpendituresAmt
End Year Balance$9,480,780EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,608,848BeginningYearBalanceAmt
Contributions$119,796ContributionsAmt
Investment Earnings Or Losses$287,574InvestmentEarningsOrLossesAmt
Other Expenditures$68,539OtherExpendituresAmt
End Year Balance$8,947,679EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.58790BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.32480PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.08730TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$350,356OtherCostOrOtherBasisAmt
Book Value$350,356BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,225,903OtherCostOrOtherBasisAmt
Depreciation$40,348,547DepreciationAmt
Book Value$35,877,356BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,280,781OtherCostOrOtherBasisAmt
Depreciation$86,154,253DepreciationAmt
Book Value$39,126,528BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,495,704OtherCostOrOtherBasisAmt
Depreciation$7,244,010DepreciationAmt
Book Value$4,251,694BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$79,605,934TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$6,154,941BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Hedge funds$18,293,933F
Private equity funds$5,078,232F
Real estate limited partnership$5,722,851F
Energy limited partnership$4,872,285F
FieldValueIRS element (for citing)
Total Book Value Securities$40,122,242TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Interest receivable whose use is limited by Board or indenture agreement$71,538
Beneficial interest in net assets of foundations$7,942,449
Other receivables$2,157,922
Debt issue costs$568,041
Estimated third party payor settlements$2,570,510
Intercompany receivables$543,805
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,854,265TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated third-party payor settlementsDesc
Amt$1,101,160Amt
FieldValueIRS element (for citing)
Total Liability$1,101,160TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$189,624,957TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,595,510NetUnrealizedGainsInvstAmt
Other Revenue-$827,982OtherRevenueAmt
Revenue Not Reported-$2,423,492RevenueNotReportedAmt
Revenue Subtotal$192,048,449RevenueSubtotalAmt
Other Revenues Not Included-$33,554OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$33,554RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$192,014,895TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$181,291,767TotExpnsEtcAuditedFinclStmtAmt
Losses Reported$33,554LossesReportedAmt
Expenses Not Reported$33,554ExpensesNotReportedAmt
Expenses Subtotal$181,258,213ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$181,258,213TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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
Part XI, Line 4b - Other Adjustments:Loss on disposal of equipment

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other130.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$984,495TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$984,495NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,982,077TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,387,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,594,825NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,966,572TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,387,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,579,320NetCommunityBenefitExpnsAmt
Total Expense0.01970TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,779,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,676,898DirectOffsettingRevenueAmt
Net Community Benefit Expns$102,269NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$872,530TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$96,652DirectOffsettingRevenueAmt
Net Community Benefit Expns$775,878NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,001,654TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,768,877DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,232,777NetCommunityBenefitExpnsAmt
Total Expense0.08400TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$992TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$992NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,654,343TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,542,427DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,111,916NetCommunityBenefitExpnsAmt
Total Expense0.08890TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,620,915TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,929,679DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,691,236NetCommunityBenefitExpnsAmt
Total Expense0.10860TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$82,500NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$82,500NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,208,635BadDebtExpenseAmt
Bad Debt Expense Attributable$224,604BadDebtExpenseAttributableAmt
Reimbursed By Medicare$57,696,045ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$58,760,760CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,064,715MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
Hays Medical Center Inc
12220 CanterburyHaysKS67601Yes (X)Yes (X)Yes (X)
Pawnee Valley Community Hospital Inc
2923 Carroll AveLarnedKS67550Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxt
Hays Medical Center Inc
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (1)0Yes (1)Yes (1)Yes (X)http://www.haysmed.com/Yes (X)Yes (1)140Yes (1)0Yes (1)Yes (X)130.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)http://www.haysmed.comYes (X)http://www.haysmed.comYes (X)http://www.haysmed.comYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
Pawnee Valley Community Hospital Inc
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (1)0Yes (1)Yes (1)Yes (X)htts://www.pawneevalleyhospital.com/Yes (X)Yes (1)140Yes (1)0Yes (1)Yes (X)130.000000000000400.000000000000Yes (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)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00Yes (X)http://www.pawneecountykansas.com/

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 - HaysMed continues to recruit physicians and advanced primary providers to the community. We have been able to hire an additional physician at HaysMed Family Practice and also added another physician to HaysMed Specialists clinic. The Convenient Care Clinic continues to be utilized with great enthusiasm by the community and maintains robust hours including weekends. Substance Abuse - HaysMed in collaboration with other community partners goal is to reduce substance abuse among target populations through early detection and intervention. We have been able to develop a system of care to address substance abuse and support collaborating agencies that address substance use issues through primary care and other medical services for jointly served patients. Tobacco cessation is a focus organization wide by implementing standardized questions for primary care practices for follow up. A community wide ad campaign was developed in collaboration with other partners to provide education and awareness of the problem. Increase Senior Care (Skilled Care) Options- HaysMed recently opened a skilled care unit consisting of 12 private licensed beds to help alleviate the need in the community. We also work closely with surrounding Critical Access Hospitals in the region and their Skilled Swing Bed units to ensure the community continues to have the skilled care options available when they need it.
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. PVCH once again had their annual fun run in June 2015. LA Psycle, opened its doors in 2015 for the community to sign up for spin classes. Pride Committee also added a second walking trail to the community. This walking trail goes around Camp Pawnee. PVCH staff have done community presentations for heart disease awareness. 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. In lieu of this partnership, we hope to continue to be an outreach clinic for Dreiling/Schmidt Cancer Institute. 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. 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 in coordination with the Center For Counseling & Consultation has received a grant for improving health in rural communities from the Centene Foundation. As part of this grant opportunity, we are working with Wichita State University's Community Engagement Institute to administer a behavioral health survey to identified community partners/stakeholders in Pawnee, Barton, Rice and Stafford Counties. The survey is designed to bring a better understanding of current awareness and support for community based mental health and substance abuse services. While the survey's primary purpose is to identify demand for specific behavioral health services, areas for improvement, and past utilization/referrals, the survey will also serve a primary role in starting conversations for change and greater community involvement in each of these counties. We hope to increase the recognition and understanding of the importance of mental health and substance abuse issues in our county. 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. There are no vending machines in our hospital and 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. PVCH and Pawnee County Health Department have both had educational booths at the county fair and twice a year at the community health fair. The health department has increased their educational items pertaining to healthy food options for the public to obtain. 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. 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 a building specifically for 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 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.
Part V, Section B, Line 16Financial Assistance Policy Website Availability
Hays Medical Center, Inc. Part V, Section B, line 16a website:http://www.haysmed.com
Hays Medical Center, Inc. Part V, Section B, line 16b website:http://www.haysmed.com
Hays Medical Center, Inc. Part V, Section B, line 16c website:http://www.haysmed.com
Pawnee Valley Community Hospital, Inc. Part V, Section B, line 16a website:http://http://www.pawneevalleyhospital.com/
Pawnee Valley Community Hospital, Inc. Part V, Section B, line 16b website:http://http://www.pawneevalleyhospital.com/
Pawnee Valley Community Hospital, Inc. Part V, Section B, line 16c website:http://http://www.pawneevalleyhospital.com/
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
St Rose Health Center LLC
3515 BroadwayGreat BendKS67530Primary care services
Hays Family Medicine
2509 CanterburyHaysKS67601Family medicine
HaysMed Convenient Care Walk-in Clinic
2501 E 13th StHaysKS67601Convenient care services
HaysMed Psychiatric Associates
205 E 7th StHaysKS67601Psychiatric services

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $53,263,694 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, 2015.
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. 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 2014 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 $42,000. Approximately 18.8% 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

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Darrell Werth MD
Physician/Board Member$600,000$0$0$0$0$0$15,600$0$17,110$0$632,710$0$0$0
Lee Hodny MD
Physician/Board Member$347,500$0$320,764$0$9,500$0$15,600$0$26,050$0$719,414$0$0$0
Dr Kurt Rider
Physician/Board Member$297,500$0$0$0$13,995$0$15,600$0$26,050$0$353,145$0$0$0
John Jeter MD
President & CEO$519,639$0$0$0$1,911$0$111,046$0$23,550$0$656,146$0$0$0
George Harms
CFO$156,923$0$0$0$0$0$23,538$0$17,325$0$197,786$0$0$0
Shae Veach
VP Regional Dev$163,194$0$0$0$37,677$0$36,741$0$23,796$0$261,408$0$0$0
D Bruce Whittington
VP Human Resources$157,547$0$0$0$12,919$0$28,970$0$24,796$0$224,232$0$0$0
Bryce Young
Chief Operating Officer$257,922$0$0$0$2,325$0$54,663$0$25,817$0$340,727$0$0$0
Terry Siek
Chief Nursing Officer$174,577$0$0$0$810$0$36,710$0$8,992$0$221,089$0$0$0
Larry Watts
Chief Medical Officer$299,172$0$0$0$6,881$0$60,476$0$16,878$0$383,407$0$0$0
Alex De Carvalho
Physician$550,000$0$432,371$0$0$0$15,600$0$14,595$0$1,012,566$0$0$0
Vivek Sharma
Physician$500,000$0$440,500$0$0$0$15,600$0$23,550$0$979,650$0$0$0
Gulraiz Cheema
Physician$505,769$0$328,005$0$0$0$15,600$0$23,550$0$872,924$0$0$0
Sukchan Lee
Physician$500,000$0$290,340$0$863$0$0$0$17,111$0$808,314$0$0$0
Elizabeth Ashworth
Physician$540,000$0$0$0$168,998$0$15,600$0$14,595$0$739,193$0$0$0
William Overbey
Former Chief Financial Officer$17,868$0$0$0$191,042$0$5,167$0$3,243$0$217,320$0$0$0
Dale Montgomery
Former VP Facilities$80,365$0$0$0$69,409$0$18,224$0$2,736$0$170,734$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aBenefits identified include tax indemnification on health claims. This benefit is available to the CEO and is included in taxable income.
Part I, Lines 4a-bSeverance payments: Dale Montgomery - $69,409 William Overbey - $191,042 Contributions to plan: John Jeter, M.D. - $77,246 George Harms - $23,538 Bryce Young - $39,063 D. Bruce Whittington - $23,932 Shae Veach - $24,629 Terry Siek - $26,187 Larry Watts - $44,876
Part I, Line 6A 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Kansas Development Finance Authority
A48106658948543BJD12005-11-22$23,635,944Construction000
Kansas Development Finance Authority
B48106658948543BLY22010-11-02$46,930,167Refinancing of previous bond and equipment000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$9,820,000$23,635,944$2,037,125$316,000$23,319,94420060Yes (1)Yes (1)Yes (1)
B$4,470,000$46,930,167$667,574$29,962,5932012Yes (1)0Yes (1)Yes (1)$16,300,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: Kansas Development Finance Authority Date the Rebate Computation was Performed: 11/01/2014ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Ann Jeter
Family member of John Jeter, CEO$10,290Payments for consulting services0
Jeter Law Firm
Partnership more than 5% owned by family member of John Jeter, CEO$4,386Payments for legal services0
Lynette Pfannenstiel
Family member of D.G. Bickle, current director$98,414Employment0
Arlene Werth
Family member of Darrell Werth, MD, current director$67,254Employment0
Chase Young
Family member of Bryce Young, COO$12,364Employment0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11Form 990 was reviewed with the officers and Board Finance committee.
Form 990, Part VI, Section B, line 12cOfficers, 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 15The 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 19These 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 -827,982.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Hays Medical Center Foundation
2220 CanterburyHaysKS67601481179684Provide grants and allocations to Hays Medical Center, Inc.KS501(c)(3)Line 11a, IHays Medical Center IncYes (1)
HaysMed Partners Inc
2220 CanterburyHaysKS67601270877152Owns management contract for Pawnee Valley Community HospitalKS501(c)(3)Line 3Hays Medical Center IncYes (1)
Pawnee Valley Community Hospital Inc
2220 CanterburyHaysKS67601481253246Hospital operated by Hays Medical CenterKS501(c)(3)Line 3HaysMed Partners IncYes (1)
Hadley Foundation Inc
1200 MainHaysKS67601481107034Support for Hays Medical CenterKS501(c)(3)Line 11c, III-FI0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Hays Medical Center Foundation
C$2,079,719Actual cash
Hays Medical Center Foundation
Q$238,576Actual cost
Pawnee Valley Community Hospital Inc
L$520,038Actual cost
Pawnee Valley Community Hospital Inc
O$414,833Actual cost
Pawnee Valley Community Hospital Inc
Q$2,340,000Contractual formula
Pawnee Valley Community Hospital Inc
D$369,470Actual cost