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SALINA REGIONAL HEALTH CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SALINA REGIONAL HEALTH CENTER INC (EIN 48-1169103)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-07-10
IRS object ID
201301919349300830
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-10T13:23:48-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN481026809EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1
CityTopekaCity
StateKSState
ZIP Code666033491ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN481169103EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Salina Regional Health Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSALINameControl
Phone7854527145Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 South Santa FeAddressLine1
CitySalinaCity
StateKSState
ZIP Code67401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoe TallonName
TitleVP Finance/CFOTitle
Phone7854527145Phone
Date Signed2013-06-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn R HelmsName
PTINP00203953PTIN
Phone7852334226Phone
Date Prepared2013-06-28DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoe TallonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1400 South Santa FeAddressLine1
CitySalinaCity
StateKSState
ZIP Code67401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts185697231GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.srhc.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTo provide high quality acute medical careActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1445TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income-112138NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year706945ContributionsGrantsPriorYear
Contributions Grants Current Year1026616ContributionsGrantsCurrentYear
Program Service Revenue Prior Year164838313ProgramServiceRevenuePriorYear
Program Service Revenue CY179755461ProgramServiceRevenueCY
Investment Income Prior Year5723378InvestmentIncomePriorYear
Investment Income Current Year2397122InvestmentIncomeCurrentYear
Other Revenue Prior Year1653465OtherRevenuePriorYear
Other Revenue Current Year2149921OtherRevenueCurrentYear
Total Revenue Prior Year172922101TotalRevenuePriorYear
Total Revenue Current Year185329120TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1113362GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1766083GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year68463804SalariesEtcPriorYear
Salaries Etc Current Year72754883SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year85969599OtherExpensePriorYear
Other Expenses Current Year91423281OtherExpensesCurrentYear
Total Expenses Prior Year155546765TotalExpensesPriorYear
Total Expenses Current Year165944247TotalExpensesCurrentYear
Revenues Less Expenses Prior Year17375336RevenuesLessExpensesPriorYear
Revenues Less Expenses CY19384873RevenuesLessExpensesCY
Total Assets BOY329865213TotalAssetsBOY
Total Assets EOY376263070TotalAssetsEOY
Total Liabilities BOY79153195TotalLiabilitiesBOY
Total Liabilities EOY81569017TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY250712018NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY294694053NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide quality health care services in a healing and spiritual environment.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense134089058Expense
Grants1766083Grants
Revenue179642598Revenue
DescriptionSalina Regional Health Center, Inc., is an IRS Section 501(c)(3) hospital which provides quality medical care regardless of race, creed, sex, national origin, handicap, or ability to pay. During the fiscal year, Salina Regional Health Center, Inc. discharged 8,379 inpatients resulting in 39,776 patient days, treated outpatients in 144,502 visits, and generated $176,101,195 in net patient service revenue. The amount of uncompensated care amounted to $27,217,687 of which $8,433,791 were charity care deductions and $18,783,896 were bad debt write offs.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Grants106295Grants
DescriptionSalina Regional Health Center, Inc., provides scholarships to students attending nursing school.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Grants1409788Grants
DescriptionSalina Regional Health Center, Inc., provides grants to further the activities of the Community Health Improvement Program (CHIP).Description
FieldValueIRS element (for citing)
Total Program Service Expense134089058TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096113NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1445NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Joe Tallon VP FinanceCFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7854527145TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 South Santa FeAddressLine1
CitySalinaCity
StateKSState
ZIP Code67401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Larry Britegam
Chairman2.00XX000
Kent Buer
Secretary2.00XX000
Marty Ekrem
Trustee2.00X000
Robert Freelove MD
Trustee2.00X000
David Hadley
Trustee2.00X000
Sean Herrington MD
Trustee40.00X349020023826
Rex Romeiser MD
Trustee2.00X000
Morrie Soderberg
Treasurer2.00XX000
Betsy Wearing
Trustee2.00X000
Lee Young
Vice Chairman2.00XX000
Micheal Terry
President/CEO40.00XX424714060446
Brian Smith MD
Trustee/Chief of Staff4.00X1500000
Jim Maes
Trustee2.00X000
Katie Platten
Trustee2.00X000
Larry Barnes
VP Information Technology40.00X222607051594
James Barker
VP Patient Care Services40.00X194112021751
Charles Grimwood
VP Regional Development40.00X203093023533
Jack Hinnenkamp
VP Facilities Management40.00X173984016419
Joe Tallon
VP Finance/CFO40.00X241027021677
David Moody
VP Human Resources40.00X180311021407
Joel Phelps
COO40.00X265645040396
Luanne E Smith
Interim VP Patient Care Services40.00X102700016117
John Kelemen
Physician40.00685634028949X
George S Jerkovich
Psychiatrist40.00284270024551X
Jacob Breeding
Physician40.00382811025579X
Ali Manguoglu
Physician40.00371736026776X
Keir Swisher
Physician40.00342495023594X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4439159TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation426615TotalOtherCompensation
Number Individuals GT100 K66NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CPT Enterprises
2121 Crawford PlSalinaKS67401Management Services1353709
Anesthesia Associates of Central KS PA
520 S Santa Fe Suite 260SalinaKS67402Anesthesia Services989095
Emergency Physicians of Salina LLC
8717 W 110th StreetOverland ParkKS66210Emergency Room Services558210
Fresenius Medical Care
PO Box 749959Los AngelesCA900749959Medical Care465675
DMS Imaging
26273 Network PlChicagoIL606731262Imaging Services454323
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Government Grants962233GovernmentGrants
All Other Contributions64383AllOtherContributions
Total Contributions1026616TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient service621990176101195176101195
EHR incentive payments62199024194312419431
Other operating62199012348351234835
FieldValueIRS element (for citing)
Total Program Service Revenue179755461TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2420261TotalRevenueColumn
Exclusion$2,420,261ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real215535Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real328398Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-112863Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-112863TotalRevenueColumn
Related Or Exempt Function Income-112863RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other250Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other23389Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-23139Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-23139TotalRevenueColumn
Exclusion-$23,139ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events35821GrossIncomeFundraisingEvents
Fundraising Direct Expenses16324FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column19497TotalRevenueColumn
Exclusion$19,497ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Income from subsidiari9000992207074$2,207,074
Other revenues90009936213$36,213
FieldValueIRS element (for citing)
Total Other Revenue2243287TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column185329120TotalRevenueColumn
Related Or Exempt Function Income179642598RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,659,906ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1659788Total
Program Services1659788ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total106295Total
Program Services106295ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2751737Total
Program Services431304ProgramServices
Management And General2320433ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total56949768Total
Program Services51637008ProgramServices
Management And General5312760ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2206946Total
Program Services2007234ProgramServices
Management And General199712ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6871580Total
Program Services6094827ProgramServices
Management And General776753ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3974852Total
Program Services3477293ProgramServices
Management And General497559ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total749489Total
Management And General749489ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total627382Total
Program Services47326ProgramServices
Management And General580056ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total923023Total
Program Services389148ProgramServices
Management And General533875ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3546100Total
Program Services1158579ProgramServices
Management And General2387521ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2631595Total
Program Services2585848ProgramServices
Management And General45747ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total285841Total
Program Services90243ProgramServices
Management And General195598ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total103106Total
Program Services48851ProgramServices
Management And General54255ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2927278Total
Management And General2927278ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11129123Total
Program Services4363285ProgramServices
Management And General6765838ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1735328Total
Program Services347747ProgramServices
Management And General1387581ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad debt expense1878389618783896
Medical supplies1757813817578138
Pharmaceuticals89972788997278
Professional fees other563679539761441660651

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15768909Total
Program Services10308826ProgramServices
Management And General5460083ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total165944247Total
Program Services134089058ProgramServices
Management And General31855189ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY27975718BOY
EOY5331EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY66195550BOY
EOY34554099EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23902936BOY
EOY27232538EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1224835BOY
EOY1186762EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2195333BOY
EOY3951820EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis236754729LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec137781711LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY101806572BOY
EOY98973018EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY189179913EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY6377375EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY2681250EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY106564269BOY
EOY12120964EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY329865213BOY
EOY376263070EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17086850BOY
EOY20535427EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY61770004BOY
EOY61022385EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY34068BOY
EOY11205EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY262273BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY79153195BOY
EOY81569017EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY242626718BOY
EOY285539705EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2219530BOY
EOY2682844EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5865770BOY
EOY6471504EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY250712018BOY
EOY294694053EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY329865213BOY
EOY376263070EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses19384873ReconcilationRevenueExpenses
Reconcilation Other Changes24597162ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$22,328OtherActivitiesAmount
Total Lobbying Expenditures IIB22328TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationA portion of annual dues paid by Salina Regional Health Center, Inc. to various healthcare organizations has been identified as association lobbying activities by those organizations. The amount reported as direct contact with legislators, their staff, government officials, or a legislative body represents the portion of dues identified as association lobbying activities by these organizations. Salina Regional Health Center, Inc. does not participate in activities supporting a political candidate.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6334691OtherCostOrOtherBasis
Book Value6334691BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis146333569OtherCostOrOtherBasis
Depreciation73414945Depreciation
Book Value72918624BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis79729426OtherCostOrOtherBasis
Depreciation61683894Depreciation
Book Value18045532BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4357043OtherCostOrOtherBasis
Depreciation2682872Depreciation
Book Value1674171BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings98973018TotalOfBookValueLandBuildings
Total Revenue185329120TotalRevenue
Total Expenses165944247TotalExpenses
Excess Or Deficit For Year19384873ExcessOrDeficitForYear
Other$24,597,162OtherAmount
Total Adjustments24597162TotalAdjustments
Excess Or Deficit Per FS43982035ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt183650035TotRevenueEtcAuditedFinclStmt
Other Revenues-1659588OtherRevenues
Revenue Not Rptd F990-1659588RevenueNotRptdF990
Revenue Subtotal185309623RevenueSubtotal
Other Revenues Not Included19497OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt19497RevenueNotRptdOnFinStmt
Total Revenue Per Form990185329120TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt164264962TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal164264962ExpensesSubtotal
Other Expenses Not Included1679285OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1679285ExpensesNotRptdOnFinStmt
Total Expenses Per Form990165944247TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X:Management is not aware of any uncertainties in income tax positions.
Part XI, Line 8 - Other Adjustments:Intercompany transfers 190,280. Change in fair value of assets held in trust 605,734. Temporarily restricted investment income 233,338. Change in beneficial interest in net assets of Foundation 418,489. Net unrealized gains on investments 23,149,321. Total to Schedule D, Part XI, Line 8: 24,597,162.
Part XII, Line 2d - Other Adjustments:Community Health Improvement Program (CHIP) donation -1,409,788. KU Endowment donation -250,000. Net assets released from restrictions for operations 200.
Part XII, Line 4b - Other Adjustments:Net fundraising events revenue 19,497.
Part XIII, Line 4b - Other Adjustments:KU Endowment donation 250,000. Community Health Improvement Program (CHIP) donation 1,409,788. Net fundraising events revenue 19,497.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Rummage SalesNameOfEvent1
Gross Receipts Event115219GrossReceiptsEvent1
Gross Revenue Event115219GrossRevenueEvent1
Other Direct Expenses Event14105OtherDirectExpensesEvent1
Name Of Event2Holly DaysNameOfEvent2
Gross Receipts Event211295GrossReceiptsEvent2
Gross Revenue Event211295GrossRevenueEvent2
Other Direct Expenses Event25288OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events9307GrossReceiptsOtherEvents
Gross Revenue Other Events9307GrossRevenueOtherEvents
Other Direct Expenses Other Events6931OtherDirectExpensesOtherEvents
Gross Receipts Total35821GrossReceiptsTotal
Gross Revenue Total Events35821GrossRevenueTotalEvents
Other Direct Expenses Total Events16324OtherDirectExpensesTotalEvents
Direct Expense Summary Events16324DirectExpenseSummaryEvents
Net Income Summary19497NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served3866PersonsServed
Total Community Benefit Expense2874741TotalCommunityBenefitExpense
Net Community Benefit Expense2874741NetCommunityBenefitExpense
Percent Of Total Expense0.01950PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served11051PersonsServed
Total Community Benefit Expense15123249TotalCommunityBenefitExpense
Direct Offsetting Revenue10508784DirectOffsettingRevenue
Net Community Benefit Expense4614465NetCommunityBenefitExpense
Percent Of Total Expense0.03140PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served14917PersonsServed
Total Community Benefit Expense17997990TotalCommunityBenefitExpense
Direct Offsetting Revenue10508784DirectOffsettingRevenue
Net Community Benefit Expense7489206NetCommunityBenefitExpense
Percent Of Total Expense0.05090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs30NumberOfActivitiesOrPrograms
Persons Served190PersonsServed
Total Community Benefit Expense151120TotalCommunityBenefitExpense
Net Community Benefit Expense151120NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served230PersonsServed
Total Community Benefit Expense2312653TotalCommunityBenefitExpense
Net Community Benefit Expense2312653NetCommunityBenefitExpense
Percent Of Total Expense0.01570PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served8422PersonsServed
Total Community Benefit Expense19492019TotalCommunityBenefitExpense
Direct Offsetting Revenue9254682DirectOffsettingRevenue
Net Community Benefit Expense10237337NetCommunityBenefitExpense
Percent Of Total Expense0.06960PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense2334TotalCommunityBenefitExpense
Net Community Benefit Expense2334NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Total Community Benefit Expense1432409TotalCommunityBenefitExpense
Net Community Benefit Expense1432409NetCommunityBenefitExpense
Percent Of Total Expense0.00970PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs79NumberOfActivitiesOrPrograms
Persons Served8842PersonsServed
Total Community Benefit Expense23390535TotalCommunityBenefitExpense
Direct Offsetting Revenue9254682DirectOffsettingRevenue
Net Community Benefit Expense14135853NetCommunityBenefitExpense
Percent Of Total Expense0.09600PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs79NumberOfActivitiesOrPrograms
Persons Served23759PersonsServed
Total Community Benefit Expense41388525TotalCommunityBenefitExpense
Direct Offsetting Revenue19763466DirectOffsettingRevenue
Net Community Benefit Expense21625059NetCommunityBenefitExpense
Percent Of Total Expense0.14690PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense5558TotalCommunityBuildingExpense
Net Community Building Expense5558NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense73191TotalCommunityBuildingExpense
Net Community Building Expense73191NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Total Community Building Expense417TotalCommunityBuildingExpense
Net Community Building Expense417NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense5305TotalCommunityBuildingExpense
Net Community Building Expense5305NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense292927TotalCommunityBuildingExpense
Net Community Building Expense292927NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense612TotalCommunityBuildingExpense
Net Community Building Expense612NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Total Community Building Expense378010TotalCommunityBuildingExpense
Net Community Building Expense378010NetCommunityBuildingExpense
Percent Of Total Expense0.00250PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,035,963BadDebtExpenseAmount
Amount Attributable To810050AmountAttributableTo
Amount Reimbursed By Medicare52084483AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare54820696CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2736213MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Salina Regional Health Center IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1400 South Santa FeAddressLine1
CitySalinaCity
StateKSState
ZIP Code67401ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Salina Regional Health Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Permit Other ActionsXPermitOtherActions
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 7: Costing methodology used to determine ratio of patient care cost to charges is total operating expenses less bad debt, Medicaid provider taxes and total community benefit expense divided by total charges less community benefit charges.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 18783896.
Part II: Advancing Communities Together (ACT) analyzed data and discussed with multiple agencies in July 2012 resulting in the following high-level list of community health improvement priorities (descending order of priority): teen sexual behavior, obesity (children, adult) and the outcomes of obesity (heart disease, stroke), domestic violence, serious injuries requiring hospital care, chronic lower respiratory disease, adult flu vaccination, and cancer. These priorities have since been further researched. A report is being made available to the general public in early 2013 and through community forums, on-line surveys and paper surveys; input from the broader community is being obtained. Salina Regional Health Center is collaborating with Salina-Saline County Health Department and Central Kansas Foundation to conduct a community health assessment and develop a community health improvement plan. Across the early months of 2012, data was gathered, analyzed, and discussed by this collaborative group. Poster board presentations of the groups findings were prepared for presentation to a July 9, 2012 forum of representatives from a broader group of agencies that are involved in community development and health improvement. Participants included representatives of Salina Area United Way, Salina Family Healthcare, ComCare PA, Occupational Center of Central Kansas, Greater Salina Community Foundation, Salina Public Schools, Veridian Behavioral Health, Central Kansas Mental Health Center, Saline County Commission on Aging, Kansas State University Extension, City of Salina Parks and Recreation, Heartland Programs, North Central Kansas Regional Trauma Council, Salina Regional Health Center, The Volunteer Connection, Salina-Saline County Health Department, Central Kansas Foundation, and faith-based programs. The outcome of the meeting was buy-in to a process of getting broad community input into health improvement priorities, commitment to partner in the process, understanding of community health status data, and initial identification of priority issues to be addressed.
Part III, Line 4: Provisions are made for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. The Health Center estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each type of payor.
Part III, Line 8: Shortfall is total Medicare losses excluding those reported in subsidized services. The allowable Medicare costs were determined from our filed cost report Worksheet A less subsidized expenses included in Schedule H, Part I, Item 7(g), Subsidized health services.
Part III, Line 9b: If patients are determined to be indigent or living on limited income through our financial assistance application process, the patient is referred to customer service who will help guide them through the necessary steps to complete the financial assistance program.
Part V, Section B, Line 15e: File against estates.Salina Regional Health Center, Inc.
Part V, Section B, Line 19d: Deduction of 30%.Salina Regional Health Center, Inc.
Part VI, Line 2: In addition to the community health assessment, SRHC analyzes hospital discharge data for all counties in the region. The Kansas Hospital Association inpatient discharge database includes data for all reporting hospitals. From this we determine usage trends that help us plan needed services. For example, a significant number of residents of north central Kansas have had to travel far out of the region to access neurosurgical services because SRHC only had one neurosurgeon. This assessment and other information led to SRHC's employment of a second neurosurgeon in 2012 and a third who will begin practice in 2013.
Part VI, Line 3: At registration, the patient is informed of their rights for financial assistance if unable to produce valid insurance coverage. The patient is referred to a third party vendor to determine eligibility for governmental programs and if it is determined they do not qualify, they are screened under our financial assistance guidelines. We post our guidelines on our website as well.
Part VI, Line 4: Salina Regional Health Center, Inc. is a rural sole community hospital serving a primary service area of Saline County and three immediately adjacent counties. For purposes of community health needs assessment, the principal community of SRHC is Saline County because the other three counties each have a local Critical Access Hospital within the county.The primary service area has a population of 71,901. When compared to the national population, this area is represented by an older population with a lower educational level and lower median income. Although the areas population grew 0.7% between 2010 and 2013, the growth was all in Saline County (4.7%) as the other counties experienced a decline. The primary service area population is expected to increase by 1.3% by 2018, which is lower than the rate of growth expected for Kansas (2.2%) and the U.S. (3.3%) for the same time period. The service area is less ethnically diverse compared to the U.S. overall. The majority of residents are Caucasian (83.5%) followed by Hispanic (9%) and Black (3%). Spanish patient education materials are available at SRHC and the hospital has developed a team of Spanish translators. Recognizing the relatively lower educational level in the community, the hospital writes patient information at a 6th to 8th grade reading level. Median household income in the primary service area in 2013 is projected to be $45,392, compared to a Kansas median of $48,219 and national median of $49,297. A lack of available resources to the indigent is a challenge in this environment, so in addition to providing charity care the hospital has been and continues to support the Salina Family Healthcare Center, which provides care to the indigent. Our patient population is composed of 50% Medicare, 11% Medicaid, 31% Commercial, 3% Tricare/Workers Compensation, and 5% uninsured.
Part VI, Line 5: The governing board of Salina Regional Health Center, Inc. is comprised of volunteers intentionally selected to promote the betterment of the region we serve. Demonstrating its commitment to community benefit, this board has for nearly 20 years donated an average of 10% of the hospitals end-of-year operating margin to the Community Health Invest Program (CHIP) of the Salina Regional Health Foundation. Salina Regional Health Center, Inc. administrators and governing board members assist the Foundation by participating in the CHIP Committee.In 2012, CHIP funded such projects as the Donna L. Vanier Childrens Center ($333,000), Salina Area United Way (to match Salina Regional Health Center employee contributions), and Kansas Wesleyan University for nursing student scholarships ($50,000). CHIP grants in 2012 totaled $552,197.18. Since the programs inception in 1994, the hospital has tithed $9,904,282 to the Community Health Investment Program.Salina Regional Health Center, Inc. is a member of the Sunflower Health Network (SHN), an organization of SRHC and 14 Critical Access Hospitals (CAHs) distributed across 14 counties. A Salina Regional administrator led SHN strategic planning that resulted in regional health priorities, including improving access to specialist physician care, optimizing timeliness and safety of patient transfers, and sustaining the number of quality nurses in the region. As a result of this process, Salina Regional Health Center, Inc. invested in hiring physician recruiters for both the Salina community and the larger region. In 2012 Salina Regional Health Center, Inc. was verified by the American College of Surgeons as a Level III trauma center, the only designated Level III trauma center in the north central Kansas region. Salina Regional also provides access to computerized patient simulators and other nursing education modalities to strengthen the quality of nurses in regional communities. Salina Regional Health Center began a partnership with The University of Kansas School of Medicine in 2010 to open a medical school campus in Salina. The intent is to develop students who will live and practice medicine in smaller-town Kansas to help alleviate the rural physician shortage. The eight students in the inaugural class completed their first year of medical school in 2012. Salina Regional Health Center is investing $1 million over a four-year period to help defray faculty and operating costs. The hospital also invested several hundred thousand dollars to renovate a building on the hospital campus. The building is provided to KU rent-free for as long as the medical school campus exists.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Salina Regional Health Foundation Inc
400 South Santa FeSalinaKS67401480949407501(c)(3)1409788To further the activities of the Community Health Improvement Program (CHIP)
KU Endowment
3901 Rainbow BlvdKansas CityKS661607804480547734501(c)(3)250000Support KU School of Medicine - Salina campus

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSalina Regional Health Center, Inc., provides scholarships to students attending nursing school.TypeOfGrant
Number Of Recipients48NumberOfRecipients
Amount Of Cash Grant106295AmountOfCashGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Sean Herrington MD
288025059077019180122500115760372846000
Micheal Terry
334714090000000462270142190485160000
Larry Barnes
20311301949400043645079490274201000
James Barker
17796501614700099230118280215863000
Charles Grimwood
18520301754403460109980125350226626000
Jack Hinnenkamp
1593470146370009176072430190403000
Joe Tallon
197056018971025000099790116980262704000
David Moody
1643820155830346097690116380201718000
Joel Phelps
232799032846000281890122070306041000
John Kelemen
643096040923016150122500166990714583000
George S Jerkovich
283425050003450122500123010308821000
Jacob Breeding
344265037450010960122500133290408390000
Ali Manguoglu
36773604000000122500145260398512000
Keir Swisher
28403905815403020122500113440366089000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 6ReturnReference
ExplanationThe compensation committee of the board determines bonus and incentive payments based on a balanced scorecard which includes financial, patient satisfication, and quality data. In addition, a compensation review is performed by an independent outside consultant.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of Salina KansasBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN486017228IssuerEIN
CUSIP Number794770DP9CUSIPNumber
Date Issued2006-04-07DateIssued
Issue Price65053116IssuePrice
Description Of PurposeExtinguish Series 1999 Revenue Bonds and to construct a new patient towerDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds65053116TotalProceeds
Amount In Reserve Fund4325188AmountInReserveFund
Refunding Escrow23036195RefundingEscrow
Issuance Costs From Proceeds570534IssuanceCostsFromProceeds
Capital Expenditures37121199CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Stacie Maes
Family member of Jim Maes, Trustee40115Employment0
Salina Surgical Center
4 Board of directors are employees and/or trustees of SRHC100890Provide employees and supplies0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section B, line 11The Form 990 is provided to the Board of Trustees for review prior to filing.
Form 990, Part VI, Section B, line 12cA conflict of interest questionnaire is required to be completed upon election and annually. The questionnaire is reviewed by legal counsel.
Form 990, Part VI, Section B, line 15An independent compensation firm is obtained to complete an annual review and analysis of all the administrative staff members. The compiled report is forwarded to the Compensation Committee of the Board that reviews the analysis and approves the report.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request.
Form 990, Part XI, line 5:Intercompany transfers 190,280. Change in fair value of assets held in trust 605,734. Temporarily restricted investment income 233,338. Change in beneficial interest in net assets of Foundation 418,489. Net unrealized gains on investments 23,149,321. Total to Form 990, Part XI, Line 5: 24,597,162.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2C:The audit committee assumes the responsibility for the oversight of the audited financial statements, review of the Form 990 and Form 990-T, and selection of the independent accounting firm.Audit Committee

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
Salina Regional Health Foundation Inc
400 South Santa FeSalinaKS67401480949407Advancement of healthcare, health & medical education, research, & welfareKS501(c)(3)170(b)(1)(A)(vi)0
Salina Regional Health Properties Inc
400 South Santa FeSalinaKS67401481154675Own and Operate medical office buildings for section 501(c)(3) organizationsKS501(c)(2)0
Hospice of Salina Inc
730 Holly LaneSalinaKS67402481131570Provide hospice care and support services to the terminally ill and theirKS501(c)(3)509(a)0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Salina Surgery Properties LLC
401 South Santa FeSalinaKS67401481200039Construct & own surgical facilityKSRelated220478186604400
Salina Surgical Center LLC
401 South Santa FeSalinaKS67401481199515Medical Services, Ambulatory SurgeryKSRelated2526207425113100
Salina Regional Home Medical Services LLC
520 South Santa Fe Suite 140SalinaKS67401481221623Home Medical ServicesKSRelated18407449989100Salina Regional Health Center Inc

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Salina Regional Health Enterprises IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 South Santa FeAddressLine1
CitySalinaCity
StateKSState
ZIP Code67402ZIPCode
FieldValueIRS element (for citing)
EIN481056225EIN
Primary ActivityProvide mgmt services to hospitals in N. Central KS areaPrimaryActivity
Legal Domicile StateKSLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Salina Regional Health Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income-25911ShareOfTotalIncome
Share Of EOY Assets64243ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Salina Regional Health Properties Inc
H191929Cash received
Salina Regional Health Properties Inc
J738851Cash paid
Salina Regional Health Properties Inc
N136414Actual cost
Salina Regional Health Properties Inc
P38116Actual cost
Hospice of Salina Inc
H641000Cash paid
Hospice of Salina Inc
P165905Actual cost
Hospice of Salina Inc
N266707Actual cost
Salina Surgical Center LLC
P227526Markup of cost