HAYS MEDICAL CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HAYS MEDICAL CENTER INC (EIN 48-0559088)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201401359349302270
- Schema version
- 2012v2.1
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T08:56:59-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481026809 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480559088 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hays Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAYS | NameControl |
| Phone | 7856235000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Jeter MD | Name |
| Title | CEO | Title |
| Phone | 7856235000 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Derek H Hart | Name |
| PTIN | P01054116 | PTIN |
| Phone | 7852334226 | Phone |
| Date Prepared | 2014-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John Jeter MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 193585425 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.haysmed.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1684 | TotalNbrEmployees |
| Total Nbr Volunteers | 226 | TotalNbrVolunteers |
| Total Gross UBI | 4075 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 554519 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 130706 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 209765102 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 188373548 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3283281 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4636554 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 259211 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 213602902 | TotalRevenuePriorYear |
| Total Revenue Current Year | 193400019 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 97368988 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 97190789 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 104049045 | OtherExpensePriorYear |
| Other Expenses Current Year | 87289896 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 201418033 | TotalExpensesPriorYear |
| Total Expenses Current Year | 184480685 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 12184869 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8919334 | RevenuesLessExpensesCY |
| Total Assets BOY | 250657314 | TotalAssetsBOY |
| Total Assets EOY | 262721462 | TotalAssetsEOY |
| Total Liabilities BOY | 102200013 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 99540527 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 148457301 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 163180935 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 152446317 | Expense |
| Revenue | 188373548 | Revenue |
| Description | 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-5,499, Newborn ICU-40, Newborn-680, Senior Focused Care-206, Rehabilitation-132, Total admissions-6,557. Patient days: ICU/CPCU-6,804, Medical/Surgical-13,700, Oncology-1,672, Obstetrics-1,619, Pediatrics-277, Senior Focused Care-2,110, Rehabilitation-1,494, Newborn ICU-336, Newborn-1,234, Total patient days-29,246. Other statistical information: Surgical procedures-8,291, Cardiac caths-1,384, Emergency room visits-13,871, Outpatient procedures-134,363, Medical oncology service visits-7,046, Clinic visits-154,070. | Description |
| Total Program Service Expense | 152446317 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 148 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1684 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | John Jeter MD CEO | NamePerson |
| Telephone Number | 7856235000 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Nancy Curtis | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| Dennis Bieker | |||||||||
| Secretary | 0.50 | X | 0 | 0 | 0 | X | |||
| Kenneth Beran | |||||||||
| Treasurer | 0.50 | X | 0 | 0 | 0 | X | |||
| Darrell Werth MD | |||||||||
| Physician/Board Member | 40.00 | X | 680133 | 0 | 33348 | ||||
| Daniel Schippers | |||||||||
| Chair | 0.50 | X | 0 | 0 | 0 | X | |||
| Tom McDonald MD | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| Jim Black DO | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| Ross Buckles DO | |||||||||
| Physician/Board Member | 40.00 | X | 345325 | 0 | 38481 | ||||
| Jayne Clarke | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| Sharon Dreher | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| Alan Moore | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| DG Bickle | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| John Jeter MD | |||||||||
| President & CEO | 40.00 | X | 589737 | 0 | 142673 | X | |||
| Mary Martin | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| Lee Hodny MD | |||||||||
| Physician/Board Member | 40.00 | X | 654987 | 0 | 41713 | ||||
| Gary Shorman | |||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||||
| Kurt Rider | |||||||||
| Physician/Board Member | 40.00 | X | 249495 | 0 | 41028 | ||||
| William Overbey | |||||||||
| Chief Financial Officer | 40.00 | 304265 | 0 | 82350 | X | ||||
| Dale Montgomery | |||||||||
| VP Facilities | 40.00 | 185231 | 0 | 63609 | X | ||||
| Shae Veach | |||||||||
| VP Regional Dev | 40.00 | 171034 | 0 | 58831 | X | ||||
| D Bruce Whittington | |||||||||
| VP Human Resources | 40.00 | 189035 | 0 | 64781 | X | ||||
| Bryce Young | |||||||||
| Chief Operating Officer | 40.00 | 294000 | 0 | 85301 | X | ||||
| Terry Siek | |||||||||
| Chief Nursing Officer | 40.00 | 163242 | 0 | 43473 | X | ||||
| Christine Fisher | |||||||||
| Physician | 40.00 | 955185 | 0 | 38713 | X | ||||
| Richard Markiewicz | |||||||||
| Physician | 40.00 | 944351 | 0 | 26848 | X | ||||
| Alex De Carvalho | |||||||||
| Physician | 40.00 | 855774 | 0 | 29166 | X | ||||
| Kirk Potter | |||||||||
| Physician | 40.00 | 818432 | 0 | 37978 | X | ||||
| Elizabeth Ashworth | |||||||||
| Physician | 40.00 | 756760 | 0 | 26116 | X | ||||
| Jodi Schmidt | |||||||||
| Former key employee | 0.00 | 269175 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8426161 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 854409 | TotalOtherCompensation |
| Number Individuals GT100 K | 118 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Quest Diagnostics Inc | |||||
| PO Box 14730 | St Louis | MO | 631504730 | Lab Services | 4698033 |
| Huron Consulting Services LLC | |||||
| 3005 Momentum Place | Chicago | IL | 606895330 | Consulting | 2159647 |
| Sovereign Medical Corporation | |||||
| 1582 Charlton Road | San Marino | CA | 91108 | Pulmonology Services | 2118521 |
| Inpatient Management Inc | |||||
| 16000 N Dallas Parkway Ste 450 | Dallas | TX | 75248 | Hospitalist Program | 1581870 |
| Health Facilities Group | |||||
| 142 N Mosley St Ste 300 | Wichita | KS | 67202 | Architect Fees | 890020 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 32 | NumberOfContractorsGT100K |
| Government Grants | 130706 | GovernmentGrants |
| Total Contributions | 130706 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net patient service revenue | 621990 | 177081006 | 177081006 |
| Services to CAH network and afill | 900099 | 3390192 | 3390192 |
| Fitness center | 900099 | 1572293 | 1572293 |
| EHR incentive payments | 900099 | 1429610 | 1429610 |
| Retail pharmacy | 900099 | 1341087 | 1341087 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3559360 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3559360 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 188373548 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4800327 | TotalRevenueColumn |
| Exclusion | $4,800,327 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 21633 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 185406 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -163773 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -163773 | TotalRevenueColumn |
| Exclusion | -$163,773 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Rental income | 900099 | 255136 | $255,136 | |
| Nursing mother's resources | 446199 | 4075 | 4075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 259211 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 193400019 | TotalRevenueColumn |
| Related Or Exempt Function Income | 188373548 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4075 | UnrelatedBusinessRevenue |
| Exclusion | $4,891,690 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4813340 | Total |
| Program Services | 2031493 | ProgramServices |
| Management And General | 2781847 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74483705 | Total |
| Program Services | 64127765 | ProgramServices |
| Management And General | 10355940 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3093138 | Total |
| Program Services | 2952173 | ProgramServices |
| Management And General | 140965 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10046580 | Total |
| Program Services | 8580979 | ProgramServices |
| Management And General | 1465601 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4754026 | Total |
| Program Services | 3995723 | ProgramServices |
| Management And General | 758303 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2052483 | Total |
| Management And General | 2052483 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1197629 | Total |
| Management And General | 1197629 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231935 | Total |
| Management And General | 231935 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19436043 | Total |
| Program Services | 15719036 | ProgramServices |
| Management And General | 3717007 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 356152 | Total |
| Program Services | 8833 | ProgramServices |
| Management And General | 347319 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 525586 | Total |
| Program Services | 376484 | ProgramServices |
| Management And General | 149102 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1951600 | Total |
| Program Services | 1203523 | ProgramServices |
| Management And General | 748077 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2057939 | Total |
| Program Services | 1605783 | ProgramServices |
| Management And General | 452156 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 315189 | Total |
| Program Services | 216212 | ProgramServices |
| Management And General | 98977 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 883759 | Total |
| Program Services | 608414 | ProgramServices |
| Management And General | 275345 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2913301 | Total |
| Program Services | 2913301 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10566217 | Total |
| Program Services | 7906700 | ProgramServices |
| Management And General | 2659517 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1156280 | Total |
| Program Services | 938283 | ProgramServices |
| Management And General | 217997 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 19119875 | 19119875 | |
| Pharmaceuticals | 12661172 | 12661172 | |
| Repairs and maintenance | 4167185 | 3629982 | 537203 |
| Taxes and assessments | 1552376 | 394 | 1551982 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6145175 | Total |
| Program Services | 3850192 | ProgramServices |
| Management And General | 2294983 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184480685 | Total |
| Program Services | 152446317 | ProgramServices |
| Management And General | 32034368 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6285 | BOY |
| EOY | 5765 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7283364 | BOY |
| EOY | 4262222 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30875563 | BOY |
| EOY | 30002457 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4450389 | BOY |
| EOY | 4345938 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3757425 | BOY |
| EOY | 3700959 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 197421181 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 115238274 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70308415 | BOY |
| EOY | 82182907 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87193639 | BOY |
| EOY | 80389289 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16322244 | BOY |
| EOY | 25696304 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 538200 | BOY |
| EOY | 538200 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29921790 | BOY |
| EOY | 31597421 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250657314 | BOY |
| EOY | 262721462 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23112767 | BOY |
| EOY | 22682371 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97346 | BOY |
| EOY | 115499 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78169536 | BOY |
| EOY | 76045689 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 820364 | BOY |
| EOY | 696968 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102200013 | BOY |
| EOY | 99540527 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142082350 | BOY |
| EOY | 155618659 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6374951 | BOY |
| EOY | 7562276 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148457301 | BOY |
| EOY | 163180935 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250657314 | BOY |
| EOY | 262721462 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 8919334 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5804300 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $14,792 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 14792 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| 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. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9480780 | BeginningOfYearBalance |
| Contributions | 106926 | Contributions |
| Investment Earnings Or Losses | 388512 | InvestmentEarningsOrLosses |
| Other Expenditures | 42988 | OtherExpenditures |
| End Of Year Balance | 9933230 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8947679 | BeginningOfYearBalance |
| Contributions | 167515 | Contributions |
| Investment Earnings Or Losses | 427208 | InvestmentEarningsOrLosses |
| Other Expenditures | 61622 | OtherExpenditures |
| End Of Year Balance | 9480780 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8608848 | BeginningOfYearBalance |
| Contributions | 119796 | Contributions |
| Investment Earnings Or Losses | 287574 | InvestmentEarningsOrLosses |
| Other Expenditures | 68539 | OtherExpenditures |
| End Of Year Balance | 8947679 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8099830 | BeginningOfYearBalance |
| Contributions | 332063 | Contributions |
| Investment Earnings Or Losses | 234201 | InvestmentEarningsOrLosses |
| Other Expenditures | 57246 | OtherExpenditures |
| End Of Year Balance | 8608848 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7649441 | BeginningOfYearBalance |
| Contributions | 249859 | Contributions |
| Investment Earnings Or Losses | 226379 | InvestmentEarningsOrLosses |
| Other Expenditures | 25849 | OtherExpenditures |
| End Of Year Balance | 8099830 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.60000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.33000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.07000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 350356 | OtherCostOrOtherBasis |
| Book Value | 350356 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70412923 | OtherCostOrOtherBasis |
| Depreciation | 33824353 | Depreciation |
| Book Value | 36588570 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 111665445 | OtherCostOrOtherBasis |
| Depreciation | 75910373 | Depreciation |
| Book Value | 35755072 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14992457 | OtherCostOrOtherBasis |
| Depreciation | 5503548 | Depreciation |
| Book Value | 9488909 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 82182907 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Hedge funds | 16350749 | F |
| Private equity funds | 4493930 | F |
| Real estate limited partnership | 4851625 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 25696304 | TotalOfBookValueSecurities |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Cash whose use is limited by Board or indenture agreement | 11924868 |
| Interest receivable whose use is limited by Board or indenture agreement | 75189 |
| Interest in net assets of Hadley Foundation | 7562276 |
| Other receivables | 2449969 |
| Debt issue costs | 893903 |
| Other long-term assets | 5843009 |
| Third party payor settlements | 948819 |
| Intercompany receivables | 1899388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 31597421 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Estimated third-party payor settlements | Description |
| Amount | $696,968 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 696968 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 199368092 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 5804300 | NetUnrealizedGainsInvestments |
| Other Revenues | 163773 | OtherRevenues |
| Revenue Not Rptd F990 | 5968073 | RevenueNotRptdF990 |
| Revenue Subtotal | 193400019 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 193400019 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 184644458 | TotExpensesEtcAuditedFinclStmt |
| Losses Reported | 163773 | LossesReported |
| Expenses Not Rptd F990 | 163773 | ExpensesNotRptdF990 |
| Expenses Subtotal | 184480685 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 184480685 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | 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. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | Management is not aware of any uncertainties in income tax positions. |
| Part XI, Line 2d - Other Adjustments: | Loss on disposal of equipment included as a revenue deduction in Part VIII |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1879620 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1879620 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01020 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9503816 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6128364 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3375452 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01830 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11383436 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6128364 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5255072 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02850 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1934108 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1580987 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 353121 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 732282 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 100841 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 631441 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 53124837 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47604894 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5519943 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02990 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42267 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 42267 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 55833494 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 49286722 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6546772 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03540 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 67216930 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55415086 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11801844 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06390 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 82500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 82500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 82500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 82500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,207,951 | BadDebtExpenseAmount |
| Amount Attributable To | 294557 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 58833423 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 68050750 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -9217327 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Inc | ||||||||
| 1 | 2220 Canterbury | Hays | KS | 67601 | X | X | X | |
| Pawnee Valley Community Hospital Inc | ||||||||
| 2 | 923 Carroll Ave | Larned | KS | 67550 | X | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Consulting ProcessConsultingProcess | Information GapsInformationGaps | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Participate Community PlanParticipateCommunityPlan | Include Operational PlansIncludeOperationalPlans | Adopt BudgetAdoptBudget | Prioritize Health NeedsPrioritizeHealthNeeds | Prioritize ServicesPrioritizeServices | All Needs AddressedAllNeedsAddressed | Organization Incur Excise TaxOrganizationIncurExciseTax | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges | Notify Before DischargeNotifyBeforeDischarge |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Inc | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | X | X | X | X | X | 1 | 0 | 1 | 1 | 125.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | 0 | X | X | X | 1 | X | 0 | 0 | |
| Pawnee Valley Community Hospital Inc | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | 1 | 0 | 1 | 1 | 125.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | X | X | 1 | X | 0 | 0 | X | |||||||
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Hays Family Medicine | ||||
| 2509 Canterbury | Hays | KS | 67601 | Family Medicine |
| Pawnee Valley Medical Associates | ||||
| 713 W 11th St | Larned | KS | 67550 | Family Medicine |
| Central Kansas Urology | ||||
| 3520 Lakin | Great Bend | KS | 67530 | Urology Services |
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 $48,226,931 of expenses attributable to physician clinics that have net operating losses. | |
| Part II: 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.Costing methodology: A cost-to-charge ratio derived from Worksheet 2 was used to calculate bad debt expense at cost.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, 2013. | |
| 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 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. | Hays Medical Center, 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 Sherriff's Office, Larned Police Department, Pawnee County Health Department, County Commissioners, members of the Chamber of Commerce, members of the USD 495 School Board, school nurses of USD 495, local members of the media, local religious organizations, 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 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 and on the Hospital's website. | Hays Medical Center, 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 and on the Hospital's website. | 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. | 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 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 Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Darrell Werth MD | ||||||||||||||
| Physician/Board Member | 598500 | 0 | 81633 | 0 | 0 | 0 | 13750 | 0 | 19598 | 0 | 713481 | 0 | 0 | 0 |
| Ross Buckles DO | ||||||||||||||
| Physician/Board Member | 211539 | 0 | 127786 | 0 | 6000 | 0 | 13750 | 0 | 24731 | 0 | 383806 | 0 | 0 | 0 |
| John Jeter MD | ||||||||||||||
| President & CEO | 437483 | 0 | 142252 | 0 | 10002 | 0 | 117710 | 0 | 24963 | 0 | 732410 | 0 | 0 | 0 |
| Lee Hodny MD | ||||||||||||||
| Physician/Board Member | 347000 | 0 | 301987 | 0 | 6000 | 0 | 13750 | 0 | 27963 | 0 | 696700 | 0 | 0 | 0 |
| Kurt Rider | ||||||||||||||
| Physician/Board Member | 227000 | 0 | 0 | 0 | 22495 | 0 | 13065 | 0 | 27963 | 0 | 290523 | 0 | 0 | 0 |
| William Overbey | ||||||||||||||
| Chief Financial Officer | 237941 | 0 | 54516 | 0 | 11808 | 0 | 57619 | 0 | 24731 | 0 | 386615 | 0 | 0 | 0 |
| Dale Montgomery | ||||||||||||||
| VP Facilities | 142961 | 0 | 27274 | 0 | 14996 | 0 | 36400 | 0 | 27209 | 0 | 248840 | 0 | 0 | 0 |
| Shae Veach | ||||||||||||||
| VP Regional Dev | 142127 | 0 | 25970 | 0 | 2937 | 0 | 34622 | 0 | 24209 | 0 | 229865 | 0 | 0 | 0 |
| D Bruce Whittington | ||||||||||||||
| VP Human Resources | 161110 | 0 | 27668 | 0 | 257 | 0 | 39072 | 0 | 25709 | 0 | 253816 | 0 | 0 | 0 |
| Bryce Young | ||||||||||||||
| Chief Operating Officer | 233847 | 0 | 55284 | 0 | 4869 | 0 | 57570 | 0 | 27731 | 0 | 379301 | 0 | 0 | 0 |
| Terry Siek | ||||||||||||||
| Chief Nursing Officer | 144367 | 0 | 18854 | 0 | 21 | 0 | 33460 | 0 | 10013 | 0 | 206715 | 0 | 0 | 0 |
| Christine Fisher | ||||||||||||||
| Physician | 600000 | 0 | 302110 | 0 | 53075 | 0 | 13750 | 0 | 24963 | 0 | 993898 | 0 | 0 | 0 |
| Richard Markiewicz | ||||||||||||||
| Physician | 600000 | 0 | 277276 | 0 | 67075 | 0 | 8750 | 0 | 18098 | 0 | 971199 | 0 | 0 | 0 |
| Alex De Carvalho | ||||||||||||||
| Physician | 500000 | 0 | 355774 | 0 | 0 | 0 | 13750 | 0 | 15416 | 0 | 884940 | 0 | 0 | 0 |
| Kirk Potter | ||||||||||||||
| Physician | 450000 | 0 | 340555 | 0 | 27877 | 0 | 13015 | 0 | 24963 | 0 | 856410 | 0 | 0 | 0 |
| Elizabeth Ashworth | ||||||||||||||
| Physician | 538050 | 0 | 90022 | 0 | 128688 | 0 | 8750 | 0 | 17366 | 0 | 782876 | 0 | 0 | 0 |
| Jodi Schmidt | ||||||||||||||
| Former key employee | 0 | 0 | 0 | 0 | 269175 | 0 | 0 | 0 | 0 | 0 | 269175 | 0 | 269175 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Benefits identified include tax indemnification on health claims and health club dues. Both benefits are available to the CEO and are included in taxable income. |
| Part I, Line 4b | John Jeter, M.D. - $86,960 William Overbey - $43,869 Bryce Young - $43,820 Dale Montgomery - $25,985 D. Bruce Whittington - $28,542 Shae Veach - $25,215 Terry Siek - $24,483 |
| 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
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Kansas Development Finance Authority | ||||||||
| A | 481066589 | 48543BGR3 | 2003-11-12 | 16008878 | Construction | 0 | 0 | 0 |
| Kansas Development Finance Authority | ||||||||
| B | 481066589 | 48543BJD1 | 2005-11-22 | 23635944 | Construction | 0 | 0 | 0 |
| Kansas Development Finance Authority | ||||||||
| C | 481066589 | 48543BLY2 | 2010-11-02 | 46930167 | Refinancing of previous bond and equipment | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Amount In Reserve FundAmountInReserveFund | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 16008878 | 320017 | 15680861 | 2005 | 0 | 0 | 1 | 1 | ||||
| B | 23635944 | 316000 | 23319944 | 2006 | 0 | 1 | 1 | 1 | 7260000 | 2037125 | ||
| C | 46930167 | 667574 | 26993022 | 2012 | 1 | 0 | 1 | 1 | 2675000 | 16300000 | 2969571 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule K Part IV, Arbitrage, Line 2c | Identifier |
| Return Reference | Date Rebate Computation Performed | ReturnReference |
| Explanation | Issuer Name: Kansas Development Finance Authority Date the Rebate Computation was Performed: 11/12/2008 Issuer Name: Kansas Development Finance Authority Date the Rebate Computation was Performed: 11/01/2010 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Blue Cross and Blue Shield of Kansas | |||
| Entity of which Gary Shorman, current director, is a director | 58760000 | Payment for health care services provided to benenficiaries of Blue Cross and Blue Shield's insurance plans. These payments represent less than 3% of Blue Cross and Blue Shield of Kansas' annual disbursements. | 0 |
| Eagle Communications | |||
| Entity of which Gary Shorman, current director, is an officer | 128281 | Payments for advertising, cable, and internet services | 0 |
| Jeter Law Firm | |||
| Partnership more than 5% owned by family member of John Jeter, MD, CEO | 5345 | Payments for legal services | 0 |
| Lynette Pfannenstiel | |||
| Family member of D.G. Bickle, current director | 66871 | Employment arrangement | 0 |
| John T Jeter | |||
| Family member of John Jeter, MD, CEO | 21824 | Employment arrangement | 0 |
| Arlene Werth | |||
| Family member of Darrell Werth, MD, current director | 44405 | Employment arrangement | 0 |
| Heather Harris | |||
| Family member of Ross Buckles, D.O., current director | 170196 | Employment arrangement | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 733,961. Management and general expenses 27,418. Fundraising expenses 0. Total expenses 761,379. Medical professional fees: Program service expenses 7,763,867. Management and general expenses 233,525. Fundraising expenses 0. Total expenses 7,997,392. Laboratory services: Program service expenses 4,983,039. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,983,039. Consulting services: Program service expenses 77,504. Management and general expenses 82,816. Fundraising expenses 0. Total expenses 160,320. Recruiting fees: Program service expenses 0. Management and general expenses 55,938. Fundraising expenses 0. Total expenses 55,938. Non-medical professional fees: Program service expenses 864,872. Management and general expenses 1,184,288. Fundraising expenses 0. Total expenses 2,049,160. Collection and billing fees: Program service expenses 26,696. Management and general expenses 408,887. Fundraising expenses 0. Total expenses 435,583. Other purchased services: Program service expenses 1,269,097. Management and general expenses 1,724,135. Fundraising expenses 0. Total expenses 2,993,232. | Other Fees |
| Form 990, Part XII, Line 2C | Hays Medical Center, Inc., has an audit committee that is responsible for the oversight of the financial statement audit and the selection process of an independent accountant. | Financial Statements and Reporting |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 1 |
| HaysMed Partners Inc | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 270877152 | Owns management contract for Pawnee Valley Community Hospital, Inc. | KS | 501(c)(3) | Line 3 | Hays Medical Center Inc | 1 |
| Pawnee Valley Community Hospital Inc | ||||||||||
| 923 Carroll Ave | Larned | KS | 67550 | 481253246 | Hospital operated by Hays Medical Center, Inc. | KS | 501(c)(3) | Line 3 | HaysMed Partners Inc | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Hays Medical Center Foundation | ||
| Q | 222833 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| D | 123318 | Cash advanced |
| Pawnee Valley Community Hospital Inc | ||
| L | 504817 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| O | 349606 | Actual cost |
| Pawnee Valley Community Hospital Inc | ||
| J | 8234 | Rent agreement |
| Pawnee Valley Community Hospital Inc | ||
| K | 68655 | Rent agreement |
| Pawnee Valley Community Hospital Inc | ||
| Q | 1719983 | Contractual formula |