2014-04-22T11:58:45-05:00 2013-09-30 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2012-10-01 480608913 SALEM HOSPITAL INC % ALLEN EDIGER SALE 6209472272 704 SOUTH ASH Suite HILLSBORO KS 67063 ALLEN EDIGER 6209471498 2014-05-15 true ELIZABETH S HOGAN 3162652811 2012 2015-11-30 17:44:51Z SALEM HOME ALLEN EDIGER 704 SOUTH ASH HILLSBORO KS 67063 2857575 false X WWW.SALEMHOMEKS.ORG X 1953 KS SALEM HOME WILL MASTER PERSON-CENTERED CARE TO BENEFIT RESIDENTS, FAMILIES, STAFF, AND THE COMMUNITY. 7 7 93 25 42243 -10443 2204 2732 2607154 2732733 -3138 332 206346 119181 2812566 2854978 0 0 0 0 1773543 1834440 0 0 4632 1112600 1051670 2886143 2886110 -73577 -31132 1172754 1188761 293420 210763 879334 977998 SALEM HOME WILL MASTER PERSON-CENTERED CARE TO BENEFIT RESIDENTS, FAMILIES, STAFF, AND THE COMMUNITY. false false 2605863 2732733 PROVIDED LONG-TERM CARE VIA A SKILLED NURSING FACILITY AND INDEPENDENT LIVING APARTMENTS. CARE WAS PROVIDED FOR A TOTAL OF 62 NURSING FACILITY RESIDENTS AND 11 APARTMENT RESIDENTS. THERE WERE A TOTAL OF 15,040 CENSUS DAYS FOR NURSING FACILITY RESIDENTS. 2605863 true false false true false false false false false false true false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 4 0 true 93 true true true false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true false false true false false X ALLEN EDIGER 6209471498 704 SOUTH ASH HILLSBORO KS 67063 JARED JOST 1.0 X X 0 0 0 JON WIEBE 1.0 X X 0 0 0 JOANN KNAK 1.0 X X 0 0 0 CARRIE KOONS 1.0 X 0 0 0 JAMES THOMAS 1.0 X 0 0 0 JIM BRENNAN 1.0 X 0 0 0 MARTIN RHODES 1.0 X 0 0 0 ALAN GOLDSBY 1.0 X 0 0 0 KRIS ERICKSON 40.0 X 59166 0 2000 ALLEN EDIGER 40.0 X 49505 991 108671 0 2991 0 false false false AEGIS THERAPIES INC PHYSICAL THERAPY 114157 1 2732 2732 NET RESIDENT SERVICE REVENUE 623000 2732733 2732733 2732733 332 332 0 0 56755 2597 54158 0 54158 -1397 55555 0 0 0 0 NONPATIENT MEALS 722513 52280 33516 18764 LAUNDRY SERVICE 812300 9737 9737 VENDOR REBATES 900099 1427 1427 1579 387 1192 65023 2854978 2732733 42243 77270 0 0 0 0 119390 119390 0 1278849 1240933 37916 5699 5530 169 312003 302753 9250 118499 105168 13331 0 0 40124 40124 0 0 0 174341 160585 13756 9020 4388 4632 352373 341963 10410 0 0 82145 77126 5019 1089 491 598 0 0 1071 1006 65 0 34915 32782 2133 32450 30467 1983 EQUIPMENT RENTAL & MAINT. 173066 166905 6161 MEDICAL SUPPLIES 69923 69923 BAD DEBT EXPENSE 36674 36674 BED ASSESSMENT 11252 11252 33227 22305 10922 2886110 2605863 275615 4632 32156 29707 429640 315708 0 0 300451 360613 0 0 0 0 0 0 23592 21530 42640 53298 1869628 1461723 344275 407905 0 0 0 0 0 0 0 0 0 0 1172754 1188761 227502 203006 0 0 0 0 0 0 0 0 0 0 65918 7757 0 0 0 0 293420 210763 X 879334 977998 0 0 0 0 879334 977998 1172754 1188761 -31132 129796 X false true X true false X false false false false false true 351 false false false 351 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE LEADINGAGE KANSAS ANNUAL DUES WERE FOR LOBBYING ACTIVITIES. 217455 73387 144068 1652173 1388336 263837 407905 0 0 X 2950697 129796 -36674 93122 2857575 -2597 -2597 2854978 2852033 2597 2597 2849436 36674 36674 2886110 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. RECONCILIATION OF REVENUE SCHEDULE D, PART XI, LINE 2D BAD DEBT EXPENSE (36,674) RECONCILIATION OF REVENUE SCHEDULE D, PART XI, LINE 4B RENTAL EXPENSE (2,597) RECONCILIATION OF EXPENSE SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSE 2,597 RECONCILIATION OF EXPENSE SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE 36,674 FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER. ANY QUESTIONS OR CONCERNS THE CHIEF FINANCIAL OFFICER HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, AND ALL EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF SALEM HOME. THESE INDIVIDUALS ARE REQUIRED TO ANNUALLY SIGN A STATEMENT CONFIRMING THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAVE READ AND UNDERSTAND THE POLICY, AND HAVE AGREED TO COMPLY WITH THE POLICY. ANY POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE CHIEF EXECUTIVE OFFICER (OR TO THE BOARD CHAIR IF IT IS THE CEO WHO HAS THE POTENTIAL CONFLICT). THE POTENTIAL CONFLICT WILL THEN BE BROUGHT TO THE BOARD OF DIRECTORS WHO SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS. IF AN ACTUAL CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE THEMSELF FROM THE BOARD MEETING UNTIL THE DISCUSSION AND APPROVAL OF THE TRANSACTION IS COMPLETED. EXECUTIVE COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A THE HR DIRECTOR USED PAYSCALE, AN ONLINE COMPENSATION DATABASE, TO PERFORM A SEARCH OF COMPARABLE POSITIONS IN THE AREA AND PROVIDED THE INFORMATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS AGREED UPON A WAGE RANGE WHICH WAS DOCUMENTED IN THE BOARD MINUTES. THE ACTUAL COMPENSATION WAS INCLUDED ON AN INTERNAL FORM AS PART OF THE HIRING PACKET. THIS FORM WAS SIGNED OFF ON BY THE CHAIRMAN OF THE BOARD. THIS PROCESS WAS COMPLETED IN 2010 WITH THE HIRING OF A NEW CEO. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.