HAYS MEDICAL CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HAYS MEDICAL CENTER INC (EIN 48-0559088)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201541339349302839
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T13:34:13-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481026809 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 534 S Kansas Ave Suite 1500 | AddressLine1 |
| City | Topeka | City |
| State | KS | State |
| ZIP Code | 666033491 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480559088 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hays Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAYS | BusinessNameControlTxt |
| Phone | 7856235000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1 |
| City | Hays | City |
| State | KS | State |
| ZIP Code | 67601 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Jeter MD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7856235000 | PhoneNum |
| Signature | 2015-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Heather R Eichem | PreparerPersonNm |
| PTIN | P01515553 | PTIN |
| Phone | 7852334226 | PhoneNum |
| Preparation | 2015-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John Jeter MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1 |
| City | Hays | City |
| State | KS | State |
| ZIP Code | 67601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $192,987,694 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.haysmed.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | Hays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Organization is striving to become the best tertiary care center in rural America. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1718 | TotalEmployeeCnt |
| Total Volunteers | 193 | TotalVolunteersCnt |
| Total Gross UBI | $2,786 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $130,706 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,766,093 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $188,373,548 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $185,509,035 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,636,554 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,348,353 | CYInvestmentIncomeAmt |
| PY Other Revenue | $259,211 | PYOtherRevenueAmt |
| CY Other Revenue | $252,636 | CYOtherRevenueAmt |
| PY Total Revenue | $193,400,019 | PYTotalRevenueAmt |
| CY Total Revenue | $192,876,117 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $97,190,789 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $98,444,246 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $87,289,896 | PYOtherExpensesAmt |
| CY Other Expenses | $86,310,380 | CYOtherExpensesAmt |
| PY Total Expenses | $184,480,685 | PYTotalExpensesAmt |
| CY Total Expenses | $184,754,626 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,919,334 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,121,491 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $262,721,462 | TotalAssetsBOYAmt |
| Total Assets EOY | $262,539,752 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $99,540,527 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $81,603,570 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $163,180,935 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $180,936,182 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Hays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Organization is striving to become the best tertiary care center in rural America. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $155,126,482 | ExpenseAmt |
| Revenue | $185,509,035 | RevenueAmt |
| Desc | Patient Care Program services consist of routine and ancillary department healthcare services provided by a healthcare organization as defined in Section 501(c)(3) of the IRS code. Admissions: Acute-5,151, Newborn ICU-61, Newborn-638, Skilled-98, Senior Focused Care-59, Rehabilitation-40, Total admissions-6,047. Patient days: ICU/CPCU-7,047, Medical/Surgical-12,025, Oncology-1,749, Obstetrics-1,570, Pediatrics-216, Senior Focused Care-560, Rehabilitation-420, Skilled-960, Newborn ICU-355, Newborn-1,161, Total patient days-26,063. Other statistical information: Surgical procedures-8,483, Cardiac caths-1,369, Emergency room visits-13,680, Outpatient procedures-155,577, Medical oncology service visits-6,679, Clinic visits-145,219. | Desc |
| Total Program Service Expenses | $155,126,482 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 161 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1718 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | George Harms CFO | PersonNm |
| Phone | 7856235000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1 |
| City | Hays | City |
| State | KS | State |
| ZIP Code | 67601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Nancy Curtis | ||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Dennis Bieker | ||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Kenneth Beran | ||||||||
| Treasurer | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Darrell Werth MD | ||||||||
| Physician/Board Member | 40.00 | Yes (X) | $598,551 | $0 | $33,411 | |||
| Daniel Schippers | ||||||||
| Chair | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Tom McDonald MD | ||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Jim Black DO | ||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Jayne Clarke | ||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Sharon Dreher | ||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Alan Moore | ||||||||
| Secretary | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DG Bickle | ||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Dr Kurt Rider | ||||||||
| Physician/Board Member | 40.00 | Yes (X) | $281,739 | $0 | $41,185 | |||
| John Jeter MD | ||||||||
| President & CEO | 40.00 | Yes (X) | $495,981 | $0 | $129,311 | Yes (X) | ||
| Lee Hodny | ||||||||
| Physician/Board Member | 40.00 | Yes (X) | $742,838 | $0 | $41,185 | |||
| Mary Martin | ||||||||
| Board Member | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| William Overbey | ||||||||
| Chief Financial Officer (through 1/27/2014) | 40.00 | $256,963 | $0 | $79,858 | Yes (X) | |||
| George Harms | ||||||||
| Chief Financial Officer (beginning 4/21/2014) | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Dale Montgomery | ||||||||
| VP Facilities (through 6/28/2014) | 40.00 | $595,027 | $0 | $56,365 | Yes (X) | |||
| Bryce Young | ||||||||
| Chief Operating Officer | 40.00 | $255,193 | $0 | $79,252 | Yes (X) | |||
| D Bruce Whittington | ||||||||
| VP Human Resources | 40.00 | $163,681 | $0 | $59,062 | Yes (X) | |||
| Shae Veach | ||||||||
| VP Regional Dev | 40.00 | $153,744 | $0 | $56,341 | Yes (X) | |||
| Terry Siek | ||||||||
| Chief Nursing Officer | 40.00 | $161,975 | $0 | $42,582 | Yes (X) | |||
| Larry Watts | ||||||||
| Chief Medical Officer | 40.00 | $289,255 | $0 | $67,094 | Yes (X) | |||
| Christine Fisher | ||||||||
| Physician | 40.00 | $910,279 | $0 | $29,265 | Yes (X) | |||
| Alex De Carvalho | ||||||||
| Physician | 40.00 | $1,058,951 | $0 | $29,265 | Yes (X) | |||
| Vivek Sharma | ||||||||
| Physician | 40.00 | $1,071,473 | $0 | $31,911 | Yes (X) | |||
| Joel Fort | ||||||||
| Physician | 40.00 | $732,954 | $0 | $38,685 | Yes (X) | |||
| Richard Markiewicz | ||||||||
| Physician | 40.00 | $883,208 | $0 | $20,849 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,651,812 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $835,621 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 120 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Quest Diagnostics Inc | |||||
| PO Box 14730 | St Louis | MO | 631504730 | Lab Services | $4,203,834 |
| Sovereign Medical Corporation | |||||
| 1582 Charlton Road | San Marino | CA | 91108 | Pulmonology Services | $1,597,400 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 753972633 | Physician Coverage | $1,397,308 |
| Anesthesiologist Assoc of Hays | |||||
| PO Box 821 | Hays | KS | 67601 | Anesthesia Services | $791,591 |
| Executive Health Resources | |||||
| PO Box 822688 | Philadelphia | PA | 191822688 | EHR Compliance | $622,395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,601,785 | RelatedOrganizationsAmt |
| Government Grants | $164,308 | GovernmentGrantsAmt |
| Total Contributions | $1,766,093 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient service revenue | 621990 | $175,721,959 | $175,721,959 |
| Services to CAH network and afill | 900099 | $3,674,151 | $3,674,151 |
| Fitness center | 900099 | $1,657,756 | $1,657,756 |
| Retail pharmacy | 900099 | $1,240,734 | $1,240,734 |
| EHR incentive payments | 900099 | $923,422 | $923,422 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,291,013 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,291,013 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $185,509,035 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,370,424 | TotalRevenueColumnAmt |
| Exclusion | $5,370,424 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $89,506 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $111,577 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$22,071 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$22,071 | TotalRevenueColumnAmt |
| Exclusion | -$22,071 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Rental income | 900099 | $249,850 | $249,850 | |
| Nursing mother's resources | 446199 | $2,786 | $2,786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $252,636 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $192,876,117 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $185,509,035 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,786 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,598,203 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,822,879 | TotalAmt |
| Program Services | $1,783,050 | ProgramServicesAmt |
| Management And General | $3,039,829 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,666,880 | TotalAmt |
| Program Services | $64,509,373 | ProgramServicesAmt |
| Management And General | $11,157,507 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,763,421 | TotalAmt |
| Program Services | $2,588,948 | ProgramServicesAmt |
| Management And General | $174,473 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,264,386 | TotalAmt |
| Program Services | $8,632,327 | ProgramServicesAmt |
| Management And General | $1,632,059 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,926,680 | TotalAmt |
| Program Services | $4,083,566 | ProgramServicesAmt |
| Management And General | $843,114 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,818 | TotalAmt |
| Management And General | $229,818 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,938 | TotalAmt |
| Management And General | $436,938 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,239 | TotalAmt |
| Management And General | $228,239 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,300,759 | TotalAmt |
| Program Services | $16,614,752 | ProgramServicesAmt |
| Management And General | $3,686,007 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,297 | TotalAmt |
| Program Services | $14,905 | ProgramServicesAmt |
| Management And General | $403,392 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,341 | TotalAmt |
| Program Services | $346,308 | ProgramServicesAmt |
| Management And General | $151,033 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,110,749 | TotalAmt |
| Program Services | $1,307,103 | ProgramServicesAmt |
| Management And General | $803,646 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,090,832 | TotalAmt |
| Program Services | $1,674,571 | ProgramServicesAmt |
| Management And General | $416,261 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,664 | TotalAmt |
| Program Services | $280,557 | ProgramServicesAmt |
| Management And General | $84,107 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $984,675 | TotalAmt |
| Program Services | $706,979 | ProgramServicesAmt |
| Management And General | $277,696 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,998,912 | TotalAmt |
| Program Services | $2,998,912 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,313,985 | TotalAmt |
| Program Services | $8,494,540 | ProgramServicesAmt |
| Management And General | $2,819,445 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,154,576 | TotalAmt |
| Program Services | $932,355 | ProgramServicesAmt |
| Management And General | $222,221 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $18,004,501 | $18,004,501 | |
| Pharmaceuticals | $12,882,757 | $12,882,757 | |
| Repairs and maintenance | $4,062,204 | $3,572,528 | $489,676 |
| Taxes and assessments | $1,573,494 | $1,449,760 | $123,734 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,657,639 | TotalAmt |
| Program Services | $4,248,690 | ProgramServicesAmt |
| Management And General | $2,408,949 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,754,626 | TotalAmt |
| Program Services | $155,126,482 | ProgramServicesAmt |
| Management And General | $29,628,144 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,765 | BOYAmt |
| EOY | $193,815 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,262,222 | BOYAmt |
| EOY | $6,840,012 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,002,457 | BOYAmt |
| EOY | $28,762,873 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,345,938 | BOYAmt |
| EOY | $4,265,572 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,700,959 | BOYAmt |
| EOY | $3,701,097 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $209,666,104 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $125,050,196 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,182,907 | BOYAmt |
| EOY | $84,615,908 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,389,289 | BOYAmt |
| EOY | $75,855,620 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,696,304 | BOYAmt |
| EOY | $27,268,674 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $538,200 | BOYAmt |
| EOY | $538,200 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,597,421 | BOYAmt |
| EOY | $30,497,981 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,721,462 | BOYAmt |
| EOY | $262,539,752 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,682,371 | BOYAmt |
| EOY | $22,682,731 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,499 | BOYAmt |
| EOY | $63,545 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,045,689 | BOYAmt |
| EOY | $57,750,650 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $696,968 | BOYAmt |
| EOY | $1,106,644 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,540,527 | BOYAmt |
| EOY | $81,603,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,618,659 | BOYAmt |
| EOY | $172,165,751 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,562,276 | BOYAmt |
| EOY | $8,770,431 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,180,935 | BOYAmt |
| EOY | $180,936,182 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,721,462 | BOYAmt |
| EOY | $262,539,752 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,121,491 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,425,601 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,208,155 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $18,069 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $18,069 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Hays Medical Center, Inc., is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,933,230 | BeginningYearBalanceAmt |
| Contributions | $154,338 | ContributionsAmt |
| Investment Earnings Or Losses | $335,088 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $44,884 | OtherExpendituresAmt |
| End Year Balance | $10,377,772 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,480,780 | BeginningYearBalanceAmt |
| Contributions | $106,926 | ContributionsAmt |
| Investment Earnings Or Losses | $388,512 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $42,988 | OtherExpendituresAmt |
| End Year Balance | $9,933,230 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,947,679 | BeginningYearBalanceAmt |
| Contributions | $167,515 | ContributionsAmt |
| Investment Earnings Or Losses | $427,208 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $61,622 | OtherExpendituresAmt |
| End Year Balance | $9,480,780 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,608,848 | BeginningYearBalanceAmt |
| Contributions | $119,796 | ContributionsAmt |
| Investment Earnings Or Losses | $287,574 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $68,539 | OtherExpendituresAmt |
| End Year Balance | $8,947,679 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,099,830 | BeginningYearBalanceAmt |
| Contributions | $332,063 | ContributionsAmt |
| Investment Earnings Or Losses | $234,201 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $57,246 | OtherExpendituresAmt |
| End Year Balance | $8,608,848 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.59000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.33000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.08000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $350,356 | OtherCostOrOtherBasisAmt |
| Book Value | $350,356 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,025,820 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,152,752 | DepreciationAmt |
| Book Value | $38,873,068 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $122,299,316 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,521,726 | DepreciationAmt |
| Book Value | $40,777,590 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,990,612 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,375,718 | DepreciationAmt |
| Book Value | $4,614,894 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $84,615,908 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Hedge funds | $17,550,900 | F |
| Private equity funds | $4,384,526 | F |
| Real estate limited partnership | $5,333,248 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $27,268,674 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Cash whose use is limited by Board or indenture agreement | $6,998,943 |
| Interest receivable whose use is limited by Board or indenture agreement | $75,911 |
| Interest in net assets of Hadley Foundation | $8,770,431 |
| Other receivables | $1,805,553 |
| Debt issue costs | $608,266 |
| Other long-term assets | $7,046,928 |
| Third party payor settlements | $2,827,143 |
| Intercompany receivables | $2,364,806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $30,497,981 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Estimated third-party payor settlements | Desc |
| Amt | $1,106,644 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,106,644 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $202,531,945 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $8,425,601 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,208,155 | OtherRevenueAmt |
| Revenue Not Reported | $9,633,756 | RevenueNotReportedAmt |
| Revenue Subtotal | $192,898,189 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$22,072 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$22,072 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $192,876,117 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $184,776,698 | TotExpnsEtcAuditedFinclStmtAmt |
| Losses Reported | $22,072 | LossesReportedAmt |
| Expenses Not Reported | $22,072 | ExpensesNotReportedAmt |
| Expenses Subtotal | $184,754,626 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $184,754,626 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The endowed funds held by the Hays Medical Center Foundation are used to help meet both the immediate and long range health care needs of patients of Hays Medical Center, Inc. The Hays Medical Center Foundation provides grants and assistance to Hays Medical Center, Inc., for property and equipment acquisitions, education, and community health issues. |
| Part X, Line 2: | Management is not aware of any uncertainties in income tax positions. |
| Part XI, Line 2d - Other Adjustments: | Change in beneficial interest in net foundations |
| Part XI, Line 4b - Other Adjustments: | Loss on disposal of equipment included as a revenue deduction in Part VIII |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 130.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,400,813 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,400,813 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00760 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,685,004 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,167,368 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,517,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,085,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,167,368 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,918,449 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,850,878 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,669,612 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $181,266 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,059,742 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $79,134 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $980,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,201,806 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,778,407 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,423,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06720 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,170 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,120,596 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,527,153 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,593,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07350 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,206,413 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,694,521 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,511,892 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09470 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,477,655 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $243,436 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $57,523,096 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $63,952,320 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,429,224 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Inc | ||||||||
| 1 | 2220 Canterbury | Hays | KS | 67601 | Yes (X) | Yes (X) | Yes (X) | |
| Pawnee Valley Community Hospital Inc | ||||||||
| 2 | 923 Carroll Ave | Larned | KS | 67550 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | ResidencyResidencyInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Attached To InvoiceAttachedToInvoiceInd | Posted In Emergency RoomPostedInEmergencyRoomInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Provided On AdmissionProvidedOnAdmissionInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Inc | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | 0 | Yes (1) | Yes (X) | http://www.haysmed.com/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 130.000000000000 | Yes (1) | 400.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | ||
| Pawnee Valley Community Hospital Inc | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | 0 | Yes (1) | Yes (X) | htts://www.pawneevalleyhospital.com/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 130.000000000000 | Yes (1) | 400.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | http://www.pawneecountykansas.com/ | ||
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Hays Medical Center, Inc. | Part V, Section B, Line 3: The CHNA was conducted in collaboration with the Ellis County Health Department. Two Town Hall meetings were 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 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 interests of the community served by the Hospital. Key stakeholders in attendance included representatives from: Ellis County, Turning Point Professional Counseling, First Care Clinic, KaMMCO/KMC, Heartland Community Foundation, Regional Prevention Center, Community Assistance Center, Ellis County Health Department, representatives of USD 489 and representatives of Hays Medical Center. The CHNA was coordinated and produced by VVV Research & Development, Inc., from Olathe, Kansas.Annual description of the actions taken by the Medical Center during the fiscal year to address the significant health needs identified throught the most recently conducted CHNA: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 annual description of the actions taken during the most recent fiscal year to address the significant health needs identified through the CHNA.Aging Services - HaysMed continues to work collaboratively on palliative and post-acute care services with local Nursing Homes and other Aging Service Organizations. Regular meetings take place with local Nursing Homes and Post-Acute facilities to talk about the coordination of care and how we can take better care of patients.Low Cost Health Services and Access to Primary Care Services - HaysMed launched the opening of the Convenient Care Walk-In clinic in Hays. This clinic is open Monday-Friday 8 am - 7:30 pm, Saturday 9 am - 4:30 pm, and Sunday 12 noon - 5 pm. This clinic has provided a cost effective solution every day of the week for the community to utilize. Mental Health Services - The HaysMed Psychiatric Associates continues to expand and take new patients in the Ellis Community. An outreach of this clinic was established in Pawnee County and services have been expanded to allow additional services in this community. We continue to work closely with Area Mental Health on ways to deliver Psychiatric services to include TelePsych consultations. |
| Pawnee Valley Community Hospital, Inc. | Part V, Section B, Line 3: 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 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 interests of the community served by the Hospital. Key stakeholders in attendance included representatives from: United Way, Welcome Inn Senior Center, Center for Counseling, Elder Care, Inc., Smith Dental Clinic, Pawnee County Sheriff'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, city council members, and representatives of Pawnee Valley Community Hospital. The CHNA was coordinated and produced by VVV Research & Development, Inc., from Olathe, Kansas. |
| Pawnee Valley Community Hospital, Inc. | Part V, Section B, Line 7: 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:Community Wellness - Community Wellness was #1 on the health needs - areas of future focus survey with 50 votes, 22.7%. Comments from the town hall meeting included, "Community is desperately in need of a wellness facility." and "Community needs nutritional education." Being overweight/obese, smoking, drinking in excess, not exercising etc. can lead to poor health. Pawnee County's ranking in adult obesity is at 34% compared to Kansas' county average of 30%. Physical inactivity ranked 30% compared to Kansas' average of 28%. Heart disease and diabetes rank high in Pawnee County. According to the Town Hall meeting, developing a community wellness program and facility was the highest ranked request. In lieu of this, PVCH leadership and county officials believe that this is not something that the hospital and county should be solely involved in orchestrating. Rather, the development and on-going maintenance of a wellness program and facility should be collaborative with other agencies and entities. We identified a key list of organizations that were considered to be part of the wellness coalition to identify and develop a plan. The following is a list of candidates for the coalition: PRIDE, PVCH, PVCH Foundation, USD 495, USD 495 Foundation, Recreation Commission, Pawnee County Health Department, City of Larned, Chamber of Commerce, CHO, Pawnee County Extension Office and Pawnee County Economic Development Commission. The Wellness Coalition has reached out to several different entities (i.e. YMCA) to come to Larned/Pawnee County to develop a wellness center in the community. Although several entities looked at Larned as a potential site for a wellness facility, no serious proposals from these inquiries. Medical Oncology Services - Medical Oncology Services was #5 on the health needs - areas of future focus survey with 25 votes, 11.4%. Comments included: "We have a lot of people in Pawnee County with cancer. A cancer treatment center would be really helpful." ; "There is a need for more specialized service appropriate for the size of town that Larned is." ; and "Specialty services are lacking including OB, Cancer, and Mental Health." The age adjusted cancer mortality rate per 100,000 population is significantly higher than the NW KS 10 counties and Kansas: Pawnee County 195.9, NW KS 10 169.8 and Kansas 188.In order to implement an effective oncology service line, many factors must come together. The following information outlined the plans for implementation of the PVCH oncology service line. We have had the great fortune of being able to partner with the Dreiling/Schmidt Cancer Institute at HMC. In lieu of this partnership, we were able to establish an outreach clinic with Dr. Abuerreish heading up the program. 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.There are many additional components that need to be implemented at PVCH prior to providing cancer treatment services. PVCH leadership had originally established that the program would start once we were in the new facility - spring of 2013. A task force committee was established with members from both PVCH and Dreiling/Schmidt Cancer Institute. The committee functioned as the backbone for developing all operational plans for the cancer therapy service line. This included, but was not limited to, a financial feasibility analysis, budget preparation, hiring experienced human resources, purchasing equipment, developing policies and procedures, advertising, and patient follow-up. It is important to note that if the financial proforma didn't show favorable profitability than we would not proceed with the program. The overall success of the program will be measured by community and patient feedback as well as volume growth. Additionally, the success is highly dependent on community and physician support. It will be important to advertise the oncology service line to regional primary care and medical oncologists. After further analysis by the committee and the Hospital, it was shown that offering oncology services at PVCH was outside of the scope of services PVCH could offer to the community.Mental Health & Counseling - Mental Health & Counseling was #3 on the health needs - areas of future focus survey with 29 votes, 12.7%. Comments included, "Specialty services are lacking including mental health." ; "Local psycho-social/emotional counseling services - A lot of families that move into Larned seem to struggle with functioning at a productive level. The poor functioning of the adults is trickling down to produce children with low functioning mental capabilities, poor coping skills and increased emotional/behavioral issues. These children are then set up to repeat the cycle." ; "Yes, mental health needs are not met for those in the community. We as community members must travel for services." ; and "Difficult to acquire care for mental health." Research data showed:Alzheimer's disease - Pawnee county 33.6%; Kansas 28%. Inadequate social support - Pawnee county - 20%; Kansas 16%. Uninsured - Pawnee county - 17%; Kansas 15%. Number of mental health persons served increasing over a three year period: 149 to 176 - an 18% increase. Pawnee County has at least 10 Foster Care Homes providing out of home care for children removed from homes. A multitude of organizations provide some type of mental health and counseling services. These services can be divided between primarily role such as the Center for Counseling and Consultation, secondary role such as school counselors, social workers employed in medical setting, and tertiary where clients are assisted with and referred to mental health services. At this time, most entities that provide any type of mental and behavioral services find themselves in a situation where any added services must also come with the funding to support them. Keeping this in mind, a work plan was developed that addressed goals to lay the ground work for improving and enhancing the capacity for mental health services using the current agencies' capabilities and resources. Based on this information, Pawnee County had several opportunities to work towards better mental health care. These included: 1) Enhancing mental health for Pawnee County infants and children birth through school age by increasing the number of infants and children screened using the Ages and Stages Social/Emotional Tool; 2) Enhancing the mental health of Pawnee County women who are pregnant or post-partum by increasing the number of pregnant and post-partum women screened using the Edenburg screening tool; and 3) Improving primary mental service access for Pawnee County residents by decreasing the barriers to mental health services in Pawnee County.The following are several areas to be addressed and why the Hospital was not able to address those needs: OB Services - offering OB Services is outside of the scope of services that we can provide as a critical access hospital. We do, however, how have Dr. Goodwin offering pre-natal care for expecting mothers in the community. Nutrition Education - we were planning on addressing this area with the Wellness Facility. When we were unable to move forward with the Wellness Facility, we were not able to move this initiative forward. Home Health & Hospice - after further analysis it was determined that this initiative was outside of the Hospital's scope and available manpower. Dental Services for the Uninsured - with a limited amount of dentists in the county, we were unable to provide this service to the community in the scope that the community was wanting it to happen. Increase Selection of Healthy Eating Options - we were planning on addressing this area with the Wellness Facility. When we were unable to move forward with the Wellness Facility, we were not able to move this initiative forward. |
| Hays Medical Center, Inc. | Part V, Section B, Line 14g: Hays Medical Center will proactively seek out applicants who may be in need of financial assistance. Hays Medical Center will post notice of this policy to all patients/guarantors through its registration, pre-registration, and financial counseling process. This policy will also be posted in prominent areas of the Hospital. |
| Pawnee Valley Community Hospital, Inc. | Part V, Section B, Line 14g: Pawnee Valley Community Hospital, Inc. (PVCH) will proactively seek out applicants who may be in need of financial assistance. PVCH will post notice of this policy to all patients/guarantors through its registration, pre-registration, and financial counseling process. This policy will also be posted in prominent areas of the Hospital. |
| Hays Medical Center, Inc. | Part V, Section B, Line 20d: 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 20d: The Hospital used the look-back method based on actual paid claims by Medicare and all other private health insurers paying claims to the Hospital. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Hays Family Medicine | ||||
| 2509 Canterbury | Hays | KS | 67601 | Family Medicine |
| Pawnee Valley Medical Associates | ||||
| 713 W 11th St | Larned | KS | 67550 | Family Medicine |
| HaysMed Psychiatric Associates | ||||
| 205 E 7th St | Hays | KS | 67601 | Psychiatric Services |
| Breast Care Center | ||||
| 2501 E 13th St | Hays | KS | 67601 | Breast Care Services |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Hays Medical Center, Inc.'s, cost accounting system was used to calculate community health improvement services, health professions education, and subsidized health services costs. A cost-to-charge ratio derived from Worksheet 2 was used to calculate financial assistance at cost and the community benefit expense attributable to serving Medicaid beneficiaries. |
| Part I, Line 7g: | Subsidized health services community benefit expenses include $51,086,039 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, 2014. |
| 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 20,000 people, as of the 2010 census. 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 $44,227. Approximately 5.7% of families and 15.6% of the population were below the poverty line. Almost 6% of the Hospital's revenue is from services provided to patients eligible for Medicaid. Hays Medical Center, Inc., is the only hospital in the city of Hays. In addition, since this is a rural area and because it is the only hospital providing tertiary level care in the region, Hays Medical Center, Inc., provides certain services to the whole western half of the State of Kansas. |
| Part VI, Line 5: | Hays Medical Center, Inc., promotes the health of the community by extending medical privileges to most qualified, local physicians. In addition, the majority of the Board of Directors live and work in the city of Hays, but they are not employed by Hays Medical Center, Inc. |
| Part VI, Line 6: | Hays Medical Center, Inc., is not a part of an affiliated health care system. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Darrell Werth MD | ||||||||||||||
| Physician/Board Member | $598,500 | $0 | $0 | $0 | $51 | $0 | $14,025 | $0 | $19,386 | $0 | $631,962 | $0 | $0 | $0 |
| Dr Kurt Rider | ||||||||||||||
| Physician/Board Member | $265,193 | $0 | $0 | $0 | $16,546 | $0 | $14,025 | $0 | $27,160 | $0 | $322,924 | $0 | $0 | $0 |
| John Jeter MD | ||||||||||||||
| President & CEO | $487,508 | $0 | $0 | $0 | $8,473 | $0 | $104,651 | $0 | $24,660 | $0 | $625,292 | $0 | $0 | $0 |
| Lee Hodny | ||||||||||||||
| Physician/Board Member | $347,500 | $0 | $382,903 | $0 | $12,435 | $0 | $14,025 | $0 | $27,160 | $0 | $784,023 | $0 | $0 | $0 |
| William Overbey | ||||||||||||||
| Chief Financial Officer (through 1/2 | $256,872 | $0 | $0 | $0 | $91 | $0 | $52,931 | $0 | $26,927 | $0 | $336,821 | $0 | $0 | $0 |
| Dale Montgomery | ||||||||||||||
| VP Facilities (through 6/28/2014) | $148,885 | $0 | $0 | $0 | $446,142 | $0 | $36,733 | $0 | $19,632 | $0 | $651,392 | $0 | $100,115 | $0 |
| Bryce Young | ||||||||||||||
| Chief Operating Officer | $252,835 | $0 | $0 | $0 | $2,358 | $0 | $52,325 | $0 | $26,927 | $0 | $334,445 | $0 | $0 | $0 |
| D Bruce Whittington | ||||||||||||||
| VP Human Resources | $153,931 | $0 | $0 | $0 | $9,750 | $0 | $32,656 | $0 | $26,406 | $0 | $222,743 | $0 | $0 | $0 |
| Shae Veach | ||||||||||||||
| VP Regional Dev | $150,223 | $0 | $0 | $0 | $3,521 | $0 | $31,235 | $0 | $25,106 | $0 | $210,085 | $0 | $0 | $0 |
| Terry Siek | ||||||||||||||
| Chief Nursing Officer | $161,923 | $0 | $0 | $0 | $52 | $0 | $33,198 | $0 | $9,384 | $0 | $204,557 | $0 | $0 | $0 |
| Larry Watts | ||||||||||||||
| Chief Medical Officer | $284,616 | $0 | $0 | $0 | $4,639 | $0 | $49,440 | $0 | $17,654 | $0 | $356,349 | $0 | $0 | $0 |
| Christine Fisher | ||||||||||||||
| Physician | $579,231 | $0 | $294,553 | $0 | $36,495 | $0 | $14,025 | $0 | $15,240 | $0 | $939,544 | $0 | $0 | $0 |
| Alex De Carvalho | ||||||||||||||
| Physician | $532,885 | $0 | $525,912 | $0 | $154 | $0 | $14,025 | $0 | $15,240 | $0 | $1,088,216 | $0 | $0 | $0 |
| Vivek Sharma | ||||||||||||||
| Physician | $500,000 | $0 | $571,422 | $0 | $51 | $0 | $14,025 | $0 | $17,886 | $0 | $1,103,384 | $0 | $0 | $0 |
| Joel Fort | ||||||||||||||
| Physician | $350,000 | $0 | $382,903 | $0 | $51 | $0 | $14,025 | $0 | $24,660 | $0 | $771,639 | $0 | $0 | $0 |
| Richard Markiewicz | ||||||||||||||
| Physician | $392,308 | $0 | $307,086 | $0 | $183,814 | $0 | $8,925 | $0 | $11,924 | $0 | $904,057 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Benefits identified include tax indemnification on health claims. This benefit is available to the CEO and is included in taxable income. |
| Part I, Line 4b | Contributions to plan: John Jeter, M.D. - $73,126 William Overbey - $38,906 Bryce Young - $38,300 Dale Montgomery - $22,708 D. Bruce Whittington $23,465 Shae Veach $22,713 Terry Siek $24,289 Larry Watts $42,692 Distributions from plan: Dale Montgomery $447,917 |
| Part I, Line 6 | A portion of incentive compensation for officers and key employees is determined by net earnings exceeding budget for the fiscal year. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Kansas Development Finance Authority | ||||||||
| A | 481066589 | 48543BJD1 | 2005-11-22 | $23,635,944 | Construction | 0 | 0 | 0 |
| Kansas Development Finance Authority | ||||||||
| B | 481066589 | 48543BLY2 | 2010-11-02 | $46,930,167 | Refinancing of previous bond and equipment | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $8,505,000 | $23,635,944 | $2,037,125 | $316,000 | $23,319,944 | 2006 | 0 | Yes (1) | Yes (1) | Yes (1) | |
| B | $3,560,000 | $46,930,167 | $667,574 | $29,962,593 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | $16,300,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: Kansas Development Finance Authority Date the Rebate Computation was Performed: 11/01/2010 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Ann Jeter | |||
| Family member of John Jeter, CEO | $18,820 | Payments for consulting services | 0 |
| Jeter Law Firm | |||
| Partnership more than 5% owned by family member of John Jeter, CEO | $5,799 | Payments for legal services | 0 |
| Lynette Pfannenstiel | |||
| Family member of D.G. Bickle, current director | $97,496 | Employment arrangement | 0 |
| Arlene Werth | |||
| Family member of Darrell Werth, MD, current director | $66,849 | Employment arrangement | 0 |
| John T Jeter | |||
| Son to John Jeter, CEO | $22,446 | Employment arrangement | 0 |
| Kelsey Overbey | |||
| Daughter of William Overbey, CFO through January 2014 | $15,653 | Employment arrangement | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | Form 990 was reviewed with the officers and Board Finance committee. |
| Form 990, Part VI, Section B, line 12c | Officers, directors, and key employees, along with all associates, are required to complete a conflict of interest statement annually. The statements are used to monitor and enforce compliance with the policy. |
| Form 990, Part VI, Section B, line 15 | The CEO's, officers', and key employees' salaries are reviewed annually by an independent consulting group and the Compensation Committee, which is made up of members of the Board. |
| Form 990, Part VI, Section C, line 19 | These documents are not made available to the public. Financial statements are released to bond holders on a quarterly basis. |
| Form 990, Part IX, line 11g | Contract labor: Program service expenses 330,478. Management and general expenses 32,545. Fundraising expenses 0. Total expenses 363,023. Medical professional fees: Program service expenses 9,415,435. Management and general expenses 263,779. Fundraising expenses 0. Total expenses 9,679,214. Laboratory services: Program service expenses 4,526,047. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,526,047. Consulting services: Program service expenses 93,439. Management and general expenses 122,741. Fundraising expenses 0. Total expenses 216,180. Recruiting fees: Program service expenses 0. Management and general expenses 146,000. Fundraising expenses 0. Total expenses 146,000. Non-medical professional fees: Program service expenses 708,493. Management and general expenses 1,247,051. Fundraising expenses 0. Total expenses 1,955,544. Collection and billing fees: Program service expenses 9,270. Management and general expenses 463,285. Fundraising expenses 0. Total expenses 472,555. Other purchased services: Program service expenses 1,531,590. Management and general expenses 1,410,606. Fundraising expenses 0. Total expenses 2,942,196. |
| Form 990, Part XI, line 9: | Change in net assets of foundations 1,208,155. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Foundation | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 481179684 | Provide grants and allocations to Hays Medical Center, Inc. | KS | 501(c)(3) | Line 11a, I | Hays Medical Center Inc | Yes (1) |
| HaysMed Partners Inc | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 270877152 | Owns management contract for Pawnee Valley Community Hospital | KS | 501(c)(3) | Line 3 | Hays Medical Center Inc | Yes (1) |
| Pawnee Valley Community Hospital Inc | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 481253246 | Hospital operated by Hays Medical Center | KS | 501(c)(3) | Line 3 | HaysMed Partners Inc | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hays Medical Center Foundation | ||
| C | $1,601,785 | Actual cash |
| Hays Medical Center Foundation | ||
| Q | $231,677 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| L | $427,087 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| O | $333,255 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| K | $86,130 | Rent agreement |
| Pawnee Valley Community Hospital Inc | ||
| Q | $2,090,000 | Contractual formula |