2016-08-12T08:57:51-05:00 2015-09-30 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2014-10-01 480608913 SALEM HOSPITAL INC % HEATHER CROCKER SALE 6209472272 704 SOUTH ASH HILLSBORO KS 67063 HEATHER CROCKER DIRECTOR OF FINANCE 6209471450 2016-05-15 true STEVEN L WEBB P00235405 3162652811 2014 2016-12-15 16:53:06Z SALEM HOME MELISSA DINSMORE 704 SOUTH ASH HILLSBORO KS 67063 2789009 false X WWW.SALEMHOMEKS.ORG X 1953 KS SALEM HOME WILL MASTER PERSON-CENTERED CARE TO BENEFIT RESIDENTS, FAMILIES, STAFF, AND THE COMMUNITY. 7 7 101 25 28838 4391 795 2703172 2669797 319 293 105427 115576 2813309 2786461 0 0 0 0 1906753 1948531 0 0 860 983297 888874 2890050 2837405 -76741 -50944 1154240 1119019 188085 203808 966155 915211 SALEM HOME WILL MASTER PERSON-CENTERED CARE TO BENEFIT RESIDENTS, FAMILIES, STAFF, AND THE COMMUNITY. false false 2542765 0 2698635 PROVIDED LONG-TERM CARE VIA A SKILLED NURSING FACILITY AND INDEPENDENT LIVING APARTMENTS. CARE WAS PROVIDED FOR A TOTAL OF 66 NURSING FACILITY RESIDENTS AND 12 APARTMENT RESIDENTS. THERE WERE A TOTAL OF 14,892 CENSUS DAYS FOR NURSING FACILITY RESIDENTS. 2542765 true false false true false false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 2 0 true 101 true true true false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true false false true false false X HEATHER CROCKER 6209471450 704 S ASH ST HILLSBORO KS 67063 JARED JOST CHAIRMAN/DIRECTOR 1.0 0.0 X X 0 0 0 JOANN KNAK SECRETARY/DIRECTOR 1.0 0.0 X X 0 0 0 WENDELL DIRKS VICE CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 JAMES THOMAS DIRECTOR 1.0 0.0 X 0 0 0 MARTIN RHODES DIRECTOR 1.0 0.0 X 0 0 0 CARRIE KOONS DIRECTOR 1.0 0.0 X 0 0 0 EILEEN UNRUH DIRECTOR 1.0 0.0 X 0 0 0 LAURA LACHMAN CEO/ADMINISTRATOR 40.0 0.0 X 10096 0 0 ALLEN EDIGER CHIEF FINANCIAL OFFICER 40.0 0.0 X 53756 0 3933 MARLIN JOHNSON INTERIM CEO/ADMINISTRATOR 40.0 0.0 X 0 0 0 63852 0 3933 0 false false false 0 795 795 NET RESIDENT SERVICE REVENUE 623000 2669797 2669797 2669797 293 293 0 0 60586 2548 58038 0 58038 58038 0 0 0 0 NONPATIENT MEALS 900099 49616 23184 26432 LAUNDRY SERVICE 812300 5654 5654 VENDOR REBATES 900099 1644 1644 624 624 57538 2786461 2669797 28838 87031 0 0 0 0 151591 151591 0 1389148 1368478 20670 5639 5555 84 282659 278453 4206 119494 106134 13360 0 750 750 38780 38780 0 0 0 134333 113492 20841 0 4313 3453 860 278485 263687 14798 0 0 116954 109809 7145 287 267 20 0 7560 5742 1818 31 29 2 0 38656 36294 2362 27941 26234 1707 EQUIPMENT RENTAL & MAINT. 111594 105033 6561 MEDICAL SUPPLIES 60197 60197 BED ASSESSMENT 14625 14625 DUES & SUBSCRIPTIONS 6258 3990 2268 48110 44746 3364 2837405 2542765 293780 860 70804 85201 300741 330750 0 0 296905 267971 0 0 0 0 0 0 22530 19921 48282 31127 1119977 735928 414978 384049 0 0 0 0 0 0 0 0 0 0 1154240 1119019 188085 203808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 188085 203808 X 966155 915211 0 0 0 0 966155 915211 1154240 1119019 -50944 X false true X true false X false false false false false true 336 false false false 336 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE LEADINGAGE KANSAS ANNUAL DUES WERE FOR LOBBYING ACTIVITIES. 106042 64792 41250 1013935 671136 342799 384049 2757384 2548 2548 2754836 31625 31625 2786461 2808328 2548 2548 2805780 31625 31625 2837405 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RENTAL EXPENSE 2,548 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE 31,625 SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSE 2,548 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE 31,625 FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE RETURN IS THEN REVIEWED BY THE CHIEF EXECUTIVE OFFICER. ANY QUESTIONS OR CONCERNS THE CHIEF EXECUTIVE OFFICER HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, AND ALL EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF SALEM HOME. THESE INDIVIDUALS ARE REQUIRED TO ANNUALLY SIGN A STATEMENT CONFIRMING THAT THEY RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAVE READ AND UNDERSTAND THE POLICY, AND HAVE AGREED TO COMPLY WITH THE POLICY. ANY POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE CHIEF EXECUTIVE OFFICER (OR TO THE BOARD CHAIR IF IT IS THE CEO WHO HAS THE POTENTIAL CONFLICT). THE POTENTIAL CONFLICT WILL THEN BE BROUGHT TO THE BOARD OF DIRECTORS WHO SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS. IF AN ACTUAL CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE THEMSELF FROM THE BOARD MEETING UNTIL THE DISCUSSION AND APPROVAL OF THE TRANSACTION IS COMPLETED. FORM 990, PART VI, SECTION B, LINE 15A THE HR DIRECTOR USED PAYSCALE, AN ONLINE COMPENSATION DATABASE, TO PERFORM A SEARCH OF COMPARABLE POSITIONS IN THE AREA AND PROVIDED THE INFORMATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS AGREED UPON A WAGE RANGE WHICH WAS DOCUMENTED IN THE BOARD MINUTES. THE ACTUAL COMPENSATION WAS INCLUDED ON AN INTERNAL FORM AS PART OF THE HIRING PACKET. THIS FORM WAS SIGNED OFF ON BY THE CHAIRMAN OF THE BOARD. THIS PROCESS WAS COMPLETED IN 2014 WITH THE HIRING OF A NEW CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.