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KADLEC REGIONAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KADLEC REGIONAL MEDICAL CENTER (EIN 91-0655392)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201303169349305565
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T17:01:36-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22650AddressLine1
CityYAKIMACity
StateWAState
ZIP Code989072650ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910655392EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KADLEC REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKADLNameControl
Phone5099464611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1888 SWIFT BLVDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code993523583ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJULIE MEEKName
TitleVICE PRESIDENTTitle
Phone5099464611Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCATHY STERBENZName
PTINP00737078PTIN
Phone5092487750Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJULIE MEEKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1888 SWIFT BLVDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code993523583ZIPCode
FieldValueIRS element (for citing)
Gross Receipts334425921GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteKADLEC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1947YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF KADLEC REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2147TotalNbrEmployees
Total Nbr Volunteers550TotalNbrVolunteers
Total Gross UBI146826TotalGrossUBI
Net Unrelated Business Txbl Income-48760NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2968199ContributionsGrantsPriorYear
Contributions Grants Current Year856638ContributionsGrantsCurrentYear
Program Service Revenue Prior Year289273955ProgramServiceRevenuePriorYear
Program Service Revenue CY329910443ProgramServiceRevenueCY
Investment Income Prior Year2022841InvestmentIncomePriorYear
Investment Income Current Year2381518InvestmentIncomeCurrentYear
Other Revenue Prior Year1972555OtherRevenuePriorYear
Other Revenue Current Year1044778OtherRevenueCurrentYear
Total Revenue Prior Year296237550TotalRevenuePriorYear
Total Revenue Current Year334193377TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year131295875SalariesEtcPriorYear
Salaries Etc Current Year138943721SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year682219TotalFundrsngExpCurrentYear
Other Expense Prior Year164576613OtherExpensePriorYear
Other Expenses Current Year181703397OtherExpensesCurrentYear
Total Expenses Prior Year295872488TotalExpensesPriorYear
Total Expenses Current Year320647118TotalExpensesCurrentYear
Revenues Less Expenses Prior Year365062RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13546259RevenuesLessExpensesCY
Total Assets BOY333568114TotalAssetsBOY
Total Assets EOY401270739TotalAssetsEOY
Total Liabilities BOY202094268TotalLiabilitiesBOY
Total Liabilities EOY253597752TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY131473846NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY147672987NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF KADLEC REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense267738364Expense
Revenue324936848Revenue
DescriptionTHE PURPOSES OF KADLEC REGIONAL MEDICAL CENTER ARE TO OPERATE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC OR EDUCATIONAL PURPOSES,WITHIN THE MEANING OF SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, INCLUDING WITHOUT LIMITATION, TO ENGAGE IN ACTIVITIES RELATING TO THE PROVISION OF HEALTHCARE SERVICES,TO ESTABLISH AND MAINTAIN A HOSPITAL OR HOSPITALS FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES WHICH REQUIRE THAT THOSE PERSONS RECEIVE HOSPITAL CARE, TO PROMOTE THE HEALTH OF THE COMMUNITY, TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATING TO THE CARE OF THE SICK AND INJURED, AND TO PROMOTE AND CARRY ON EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED OR THE PROMOTION OF HEALTH.Description
Total Program Service Expense267738364TotalProgramServiceExpense
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 Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
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 Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096283NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2147NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JULIE L MEEKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5099464611TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1888 SWIFT BLVDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code993523583ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SUSAN KREID
BOARD CHAIR2.002.00XX000
MICHELE DICKINSON
BOARD VICE CHAIR2.00XX000
DAVID MERKLEY MD
BOARD SECRETARY2.002.00XX000
SANDY GAMBLE
BOARD TREASURER2.002.00X000
TOM COWAN
BOARD MEMBER2.002.00X000
MARK GEHLEN
BOARD MEMBER2.00X000
LARRY JECHA MD
BOARD MEMBER2.00X000
STEVEN KING
BOARD MEMBER2.002.00X000
WAYNE MARTIN PHD
BOARD MEMBER2.002.00X000
JERRY ROACH
BOARD MEMBER2.00X000
JOHN T SAMSELL MD
BOARD MEMBER2.002.00X000
CHRIS RAVAGE MD
BOARD PRESIDENT -ELECT MEDICAL STAFF2.00X000
WILLIAM C BAKER
VICE PRESIDENT50.00X269938025855
LARRY J CHRISTENSEN
VICE PRESIDENT50.00X174953021907
JEFFREY A CLARK
VICE PRESIDENT50.002.00X234903025245
KIRK W HARPER
VICE PRESIDENT50.00X186393016940
JULIE L MEEK
VICE PRESIDENT50.002.00X319855025295
DAVID R ROACH
VICE PRESIDENT50.002.00X276779026326
LANE SAVITCH
PRESIDENT50.00X328762024767
WILLIAM T WINGO
VICE PRESIDENT50.002.00X284672026882
RAND WORTMAN
CEO4.0056.005638390315219X
MRYNA FORESTER
MANAGER, CLINICAL APPLICATIONS50.00165577014982X
DOUGLAS HIGGINS
SPECIALIST, MAJOR GIFTS50.0015860000X
DAVID PEARSON
DIRECTOR, PHARMACY50.00157456016622X
ALEXANDER SCORTZARU
DIRECTOR, INFORMATION TECHNOLOGY50.00155603025074X
DARLA SOUTHERN
PHARMACIST50.00173717020613X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3451047TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation585727TotalOtherCompensation
Number Individuals GT100 K167NumberIndividualsGT100K
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
BOUTEN CONSTRUCTION
PO BOX 3507SPOKANEWA99220CONSTRUCTION SERVICES7751073
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI58322COMPUTER NETWORK SERVICES5608697
KADLEC MEDICAL ASSOCIATES LLC
888 SWIFT BOULEVARDRICHLANDWA99352HOSPITALISTS4735783
PREMIER ANESTHESIA OF RICHLAND
2655 NORTHWINDS PKWYALPHARETTAGA30009ANESTHESIOLOGISTS4105659
SANTA ROSA CONSULTING INC
PO BOX 347747PITTSBURGHPA15251COMPUTER NETWORK SERVICES3820089
FieldValueIRS element (for citing)
Number Of Contractors GT100 K65NumberOfContractorsGT100K
Related Organizations856638RelatedOrganizations
Total Contributions856638TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE621400322501723322501723
OTHER OPERATING REVENUES5614995501118$5,501,118
CAFETERIA REVENUE72232017607761760776
CLINICAL ENGINEERING REVENUE811000146826146826
FieldValueIRS element (for citing)
Total Program Service Revenue329910443TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2005186TotalRevenueColumn
Exclusion$2,005,186ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real602973Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real232544Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real370429Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column370429TotalRevenueColumn
Exclusion$370,429ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other376332Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other376332Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column376332TotalRevenueColumn
Exclusion$376,332ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TC HOME HEALTH900099593918593918
TC REGIONAL SURGERY CA900099351416351416
TC LABORATORY LLC900099346526346526

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-617511TotalRevenueColumn
Related Or Exempt Function Income-617511RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue674349TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column334193377TotalRevenueColumn
Related Or Exempt Function Income324936848RelatedOrExemptFunctionIncome
Unrelated Business Revenue146826UnrelatedBusinessRevenue
Exclusion$8,253,065ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3148531Total
Management And General2951671ManagementAndGeneral
Fundraising196860Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total107955465Total
Program Services87249492ProgramServices
Management And General20435604ManagementAndGeneral
Fundraising270369Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3798036Total
Program Services2984846ProgramServices
Management And General797218ManagementAndGeneral
Fundraising15972Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16170463Total
Program Services12708236ProgramServices
Management And General3394225ManagementAndGeneral
Fundraising68002Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7871226Total
Program Services6221600ProgramServices
Management And General1621942ManagementAndGeneral
Fundraising27684Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total684617Total
Management And General684617ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total87005Total
Management And General87005ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total12000Total
Program Services12000ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18794458Total
Program Services17429549ProgramServices
Management And General1364909ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total805346Total
Management And General805346ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total53052467Total
Program Services49061258ProgramServices
Management And General3942793ManagementAndGeneral
Fundraising48416Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4005850Total
Program Services3195793ProgramServices
Management And General769452ManagementAndGeneral
Fundraising40605Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1304006Total
Program Services563818ProgramServices
Management And General735018ManagementAndGeneral
Fundraising5170Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total407356Total
Management And General407356ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7812833Total
Program Services6225002ProgramServices
Management And General1587831ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16969163Total
Program Services13520457ProgramServices
Management And General3448706ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2736780Total
Program Services2654119ProgramServices
Management And General82661ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OUTSIDE PURCHASED SRVS.209855911678922041938492522
BAD DEBTS1755818717558187
KHS SUBSIDY1401315014013150
TAXES13429831107004372729394

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9044757Total
Program Services6851200ProgramServices
Management And General2186938ManagementAndGeneral
Fundraising6619Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total320647118Total
Program Services267738364ProgramServices
Management And General52226535ManagementAndGeneral
Fundraising682219Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16694443BOY
EOY19897375EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY546535BOY
EOY18048159EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY52291545BOY
EOY43637065EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1871227BOY
EOY1733409EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY979360BOY
EOY1126452EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis310524625LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec125155705LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY172506016BOY
EOY185368920EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY71208066BOY
EOY112887063EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17470922BOY
EOY18572296EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY333568114BOY
EOY401270739EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY46182102BOY
EOY40111295EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY130645000BOY
EOY188245000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1694438BOY
EOY1663006EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1845946BOY
EOY2021148EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY21726782BOY
EOY21557303EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY202094268BOY
EOY253597752EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY128589133BOY
EOY143931636EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2884713BOY
EOY3741351EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY131473846BOY
EOY147672987EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY333568114BOY
EOY401270739EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13546259ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2369918ReconciliationUnrealizedInvest
Reconcilation Other Changes282964ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Organizations1GrantsOtherOrganizations
Grants Other Organizations$12,000GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB12000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1147298InvestmentCostOrOtherBasis
Other Cost Or Other Basis5608513OtherCostOrOtherBasis
Book Value6755811BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6746156InvestmentCostOrOtherBasis
Other Cost Or Other Basis144689018OtherCostOrOtherBasis
Depreciation40415958Depreciation
Book Value111019216BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5354988OtherCostOrOtherBasis
Depreciation3586935Depreciation
Book Value1768053BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis133009521OtherCostOrOtherBasis
Depreciation79199568Depreciation
Book Value53809953BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13969131OtherCostOrOtherBasis
Depreciation1953244Depreciation
Book Value12015887BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings185368920TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
INTEREST RATE SWAP CONTRACT$15,944,975
2006A BOND PREMIUM$583,707
457B CONTRIBUTIONS$436,921
MALPRACTICE INSURANCE$4,591,700
FieldValueIRS element (for citing)
Total Of Amounts21557303TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt336219389TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2393427NetUnrealizedGainsInvestments
Revenue Not Rptd F9902393427RevenueNotRptdF990
Revenue Subtotal333825962RevenueSubtotal
Other Revenues Not Included367415OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt367415RevenueNotRptdOnFinStmt
Total Revenue Per Form990334193377TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt320647118TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal320647118ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990320647118TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:EFFECTIVE JANUARY 1, 2009, THE MEDICAL CENTER ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2012 AND 2011, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BOOK/TAX DIFFERENCE IN JOINT VENTURE INCOME 367,415.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
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 Served9869PersonsServed
Total Community Benefit Expense11285383TotalCommunityBenefitExpense
Net Community Benefit Expense11285383NetCommunityBenefitExpense
Percent Of Total Expense0.03720PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served25814PersonsServed
Total Community Benefit Expense55598441TotalCommunityBenefitExpense
Direct Offsetting Revenue42103996DirectOffsettingRevenue
Net Community Benefit Expense13494445NetCommunityBenefitExpense
Percent Of Total Expense0.04450PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served35683PersonsServed
Total Community Benefit Expense66883824TotalCommunityBenefitExpense
Direct Offsetting Revenue42103996DirectOffsettingRevenue
Net Community Benefit Expense24779828NetCommunityBenefitExpense
Percent Of Total Expense0.08170PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs206NumberOfActivitiesOrPrograms
Persons Served279800PersonsServed
Total Community Benefit Expense1499471TotalCommunityBenefitExpense
Direct Offsetting Revenue564848DirectOffsettingRevenue
Net Community Benefit Expense934623NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense323240TotalCommunityBenefitExpense
Net Community Benefit Expense323240NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs206NumberOfActivitiesOrPrograms
Persons Served279800PersonsServed
Total Community Benefit Expense1822711TotalCommunityBenefitExpense
Direct Offsetting Revenue564848DirectOffsettingRevenue
Net Community Benefit Expense1257863NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs206NumberOfActivitiesOrPrograms
Persons Served315483PersonsServed
Total Community Benefit Expense68706535TotalCommunityBenefitExpense
Direct Offsetting Revenue42668844DirectOffsettingRevenue
Net Community Benefit Expense26037691NetCommunityBenefitExpense
Percent Of Total Expense0.08590PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$17,558,187BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare70461880AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare79790408CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9328528MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
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 Line1KADLEC REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1888 SWIFT BLVDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code99352ZIPCode
FieldValueIRS element (for citing)
Website AddressKWEB.KADLEC.ORGWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherINPATIENT REHABOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KADLEC REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Collection Activities0CollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 3C: N/A
PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN A REPORT PREPARED BY A RELATED ORGANIZATION.
PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPUTE FIGURES REPORTED ON LINES 7A-7C. FOR LINES 7E-7I ACTUAL COSTS WERE USED.
PART I, LINE 7G: N/A
PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) AND SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 17,558,187.
PART II: N/A
PART III, LINE 2: ACTUAL BAD DEBT WRITE OFFS LESS RECOVERIES ARE POSTED DAILY. AT THE END OF EACH MONTH, AN ACCRUAL IS BOOKED ESTIMATING THE AMOUNT OF BAD DEBT EXPENSES PENDING ASSOCIATED WITH SELF PAY ACCOUNTS RECEIVABLE BALANCES AND SEVERAL THIRD PARTY PAYORS WHICH HAVE A RELATIVELY SMALL ACCOUNTS RECEIVABLE BALANCE AT ANY GIVEN TIME. RESERVE PERCENTAGES ARE APPLIED AGAINST THE ACCOUNTS RECEIVABLE BALANCES BASED ON AGING, WITH ACCOUNTS OLDER THAN 180 DAYS BEING RESERVED FOR AT 100%.DISCOUNTS ARE POSTED ON A DAILY BASIS AND ARE CAPTURED AS AN "OTHER CONTRACTUAL ADJUSTMENT" TO GROSS CHARGES. BOTH DISCOUNTS AND PAYMENTS WOULD REDUCE THE AMOUNT OF OUTSTANDING ACCOUNTS RECEIVABLE, THUS REDUCING THE AMOUNT OF BAD DEBT EXPENSE ACCRUAL POSTED AT THE END OF EACH MONTH.FINANCIAL ASSISTANCE (CHARITY) POSTINGS ARE NOT ACCRUED. THESE ADJUSTMENTS ARE POSTED ON A DAILY BASIS ONCE IT HAS BEEN DETERMINED WHAT AMOUNT FOR WHICH THE PATIENT HAS QUALIFIED.
PART III, LINE 3: N/A
PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, 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 MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS 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 DOUBTFUL ACCOUNTS. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 93% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 71% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. IN ADDITION, SELF-PAY WRITE-OFFS INCREASED $1,608,360 FROM $552,147 FOR FISCAL YEAR 2011 TO $2,160,507 FOR FISCAL YEAR 2012. THESE CHANGES WERE THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS IN FISCAL YEAR 2012. THE MEDICAL CENTER HAS NOT CHANGED ITS CHARITY CARE POLICY DURING FISCAL YEARS 2012 OR 2011. DURING 2012, THE MEDICAL CENTER ADDED A POLICY FOR DISCOUNTS FOR UNINSURED PATIENTS. THE MEDICAL CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS.
PART III, LINE 8: KADLEC REGIONAL MEDICAL CENTER IS NOT COVERING THE COST OF THE CARE PROVIDED. THE COSTING METHODOLOGY OF COST TO CHARGE RATIO IS DIRECTLY FROM THE MEDICARE COST REPORT.
PART III, LINE 9B: IF A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THE ACCOUNT IS NOT PLACED WITH A COLLECTION AGENCY. A PATIENT QUALIFYING FOR PARTIAL ADJUSTMENT IS RESPONSIBLE FOR THE REMAINING BALANCE AND THE ACCOUNT IS HANDLED ACCORDING TO OUR COLLECTION POLICY.
PART V, SECTION B, LINE 20D: MEDICARE COST-TO-CHARGE RATIO.KADLEC REGIONAL MEDICAL CENTER
PART VI, LINE 2: THROUGH A COALITION BETWEEN BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE, LOURDES HEALTH NETWORK, KADLEC REGIONAL MEDICAL CENTER, KENNEWICK GENERAL HOSPITAL, GROUP HEATLH COOPERATIVE, PROSSER MEMORIAL HOSPITAL AND BENTON FRANKLIN HEALTH DISTRICT. THE ASSESSMENT IS PRODUCED FROM DATA, STAKEHOLDER INTERVIEWS, SURVEYS AND FORUMS AND INTERESTED COMMUNITY REPRESENTATIVES.
PART VI, LINE 3: INFORMATION ABOUT THE AVALIABILITY OF FINANCIAL ASSISTANCE IS PROMINENTLY POSTED IN PATIENT AREAS. IN ADDITON, INFORMATION IS AVALIABLE ON KADLEC'S WEBSITE AND ALSO INCLUDED ON PATIENT STATEMENTS.
PART VI, LINE 4: KADLEC SERVES A DIVERSE POPULATION WITHIN ITS PRIMARY SERVICE AREA OF BENTON AND FRANKLIN COUNTIES. IN ADDITION, KADLEC SERVES A LARGE HISPANIC POPULATION.
PART VI, LINE 5: N/A
PART VI, LINE 6: N/A
PART VI, LINE 7: WASHINGTON

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
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)

TitleTitleBase 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
WILLIAM C BAKER
VICE PRESIDENT246733020265029400127230131320295793000
LARRY J CHRISTENSEN
VICE PRESIDENT1638900812302940091070128000196860000
JEFFREY A CLARK
VICE PRESIDENT218939012993029710121390131060260148000
KIRK W HARPER
VICE PRESIDENT18363302146061409349075910203333000
JULIE L MEEK
VICE PRESIDENT303389013526029400121630131320345150000
DAVID R ROACH
VICE PRESIDENT233990038649041400130000133260303105000
LANE SAVITCH
PRESIDENT307212015331062190116350131320353529000
WILLIAM T WINGO
VICE PRESIDENT260352021380029400137500131320311554000
RAND WORTMAN
CEO48969406688507260017328001419390879058000
MRYNA FORESTER
MANAGER, CLINICAL APPLICATIONS164348000122907927070550180559000
DOUGLAS HIGGINS
SPECIALIST, MAJOR GIFTS158600000000000158600000
DAVID PEARSON
DIRECTOR, PHARMACY156135000132108516081060174078000
ALEXANDER SCORTZARU
DIRECTOR, INFORMATION TECHNOLOGY14093001000004673072430178310180677000
DARLA SOUTHERN
PHARMACIST1737170000079850126280194330000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE BOARD IS ALLOWED TO TAKE THEIR COMPANION ON THE ANNUAL BOARD RETREAT. RAND WORTMAN KHS PRESIDENT & CEO, KRMC CEO; LANE SAVITCH, KRMC PRESIDENT; LARRY CHRISTENSEN, VP RESOURCE DEVELOPMENT FOR KHS AND KADLEC FOUNDATION EXECUTIVE DIRECTOR; WILLIAM WINGO, VP, CORPORATE COUNSEL FOR KRMC AND KHS WILLIAM BAKER, VP, REGIONAL BUSINESS DEVELOPMENT FOR KRMC AND KHS; THEIR MEADOW SPRINGS COUNTRY CLUB DUES ARE PAID BY THE MEDICAL CENTER.
PART I, LINE 6THE KHS BOARD ESTABLISHED AN INCENTIVE COMPENSATION PROGRAM FOR SENIOR KHS AND KRMC EXECUTIVES TO ENSURE LEADERSHIP WAS FOCUSED ON KHS AND KRMC PRIORITIES; PATIENT SATISFACTION, EMPLOYEE SATISFACTION, QUALITY CARE, STRATEGIC GOALS, AND OPERATING INCOME. PERFORMANCE EXPECTATIONS ARE SET EACH YEAR WITH THE OPERATING BUDGET, CAPITAL BUDGET, AND BUSINESS PLAN. THE INCENTIVE GOALS ARE WEIGHTED ACCORDING TO THE PARTICIPANTS CONTRIBUTION. THE GOALS ARE ALL OR NOTHING AND THE PAYOUT OCCURS AFTER A FINAL REPORT IS PRESENTED TO THE BOARD EXECUTIVE COMMITTEE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WASHINGTON HEALTHCARE FACILITIES AUTHORITY
A91110892993978ED252006-09-0733165247REFUNDING SERIES 1996 AND 2001 BONDS000
WASHINGTON HEALTHCARE FACILITIES AUTHORITY
B91110892993978ED332006-09-0750000000FINANCING MAJOR ADDITION000
WASHINGTON HEALTHCARE FACILITIES AUTHORITY
C91110892993978HAV72010-11-0456114049FINANCING MAJOR ADDITION000
WASHINGTON HEALTHCARE FACILITIES AUTHORITY
D91110892993978HGZ22012-08-3060297918FINANCING MAJOR ADDITION000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
A75550003316524723118901077687933645182806720021111
B2950000500000003635295195910017120334445325020080111
C1070000561140495306544815575430165852012000034
D60297918559453587870012162403000041639468

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsEngage Bond Counsel ResearchEngageBondCounselResearch
A0000000
B0000000
C0000000
D01010001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDue
(no name)
A100000
PIPER JAFFRAY
B11100028.50000000000000
(no name)
C000000000
(no name)
D000000000

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0
C0
D0

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART IV, LINE 2C:Identifier
Explanation(C) THE ORGANIZATION HAS NOT DONE A COMPUTATION AT THIS POINT IN TIME. (D) THE ORGANIZATION HAS NOT DONE A COMPUTATION AT THIS POINT IN TIME.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE BOARD OF DIRECTORS HIRED QUORUM HEALTH RESOURCES AS A MANAGEMENT COMPANY TO OVERSEE DAY TO DAY OPERATIONS OF THE MEDICAL CENTER. THE CEO IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES.
FORM 990, PART VI, SECTION A, LINE 6KADLEC HEALTH SYSTEM (KHS) IS THE SOLE VOTING MEMBER OF KADLEC REGIONAL MEDICAL CENTER(KRMC). KHS SHALL HAVE SUCH RIGHTS AND POWERS AS ARE SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT, THE ARTICLES OF INCORPORATION OF KRMC AND THE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7ATHE ANNUAL MEETING OF THE SOLE VOTING MEMBER OF KADLEC REGIONAL MEDICAL CENTER(KRMC) TO RATIFY ELECTION AND RE-ELECTION OF DIRECTORS OF KRMC AND FOR THE TRANSACTION OF SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE SOLE VOTING MEMBER, SHALL BE HELD EACH YEAR AS SPECIFIED IN THE BYLAWS OF THE SOLE VOTING MEMBER. THE SOLE VOTING MEMBER MAY DELEGATE OR APPOINT AN OFFICER OF KADLEC HEALTH SYSTEM TO EXERCISE ANY OF THE RIGHTS AND POWERS OF THE SOLE VOTING MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE VOTING MEMBER HAS THE RIGHT: (1)TO RATIFY THE ELECTION OR APPOINTMENT OF EACH MEMBER OF THE BOARD OF DIRECTORS AND THE ELECTION OF OFFICERS (2) TO REMOVE ANY DIRECTOR (3) TO AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF KADLEC REGIONAL MEDICAL CENTER, AND TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF BYLAWS OF KRMC RECOMMENDED BY THE BOARD OF DIRECTORS (4) TO APPROVE ANY MERGERS OR CONSOLIDATION (5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND DEVELOPMENT AND REVISION (6) TO APPROVE THE ENTRY INTO JOINT VENTURES OR PARTNERSHIPS (7) TO APPROVE THE ENCUMBRANCE, LEASE, SALE OR OTHER TRANSFER OF ASSETS WITH A VALUE OF $1,000,000 OR GREATER (8) TO APPROVE THE SELECTION OR REMOVAL KRMC'S INDEPENDENT AUDITOR OR LEGAL COUNSEL (9) TO APPROVE THE INITIATION OF LITIGATION OR SETTLEMENT OF MATERIAL LITIGATION IN WHICH KRMC IS THE PLAINTIFF OR DEFENDANT (10) TO APPROVE THE EXECUTION OF ANY MANAGEMENT AGREEMENT, OR ANY OTHER CONTRACT
FORM 990, PART VI, SECTION B, LINE 11ONCE THE 990 IS PREPARED BY A THIRD PARTY, ACCOUNTING STAFF REVIEWS THE DOCUMENTS TO VERIFY INFORMATION HAS BEEN PROVIDED AND INPUT ACCURATELY. ONCE THIS PROCESS HAS BEEN COMPLETED, THE 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE 990 IS ALSO UPLOADED TO THE BOARD WEBSITE AND IS AVAILABLE FOR ALL BOARD MEMBERS TO REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CTHE COMPLIANCE PROGRAM IS DIRECTED BY THE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE COMMITTEE, WHO ARE CHARGED WITH ENSURING THAT THE HOSPITAL MAINTAINS AN EFFECTIVE COMPLIANCE PROGRAM.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT THIRD PARTY IS USED TO DETERMINE APPROPRIATE COMPENSATION AND REVIEWED AND APPROVED BY THE COMPENSATION COMMITTE.
FORM 990, PART VI, SECTION C, LINE 19HARD COPIES OF THE AUDITED FINANCIAL STATEMENTS ARE KEPT IN THE ACCOUNTING DEPARTMENT AND ARE AVAILABLE UPON REQUEST. THE HOSPITAL'S "MISSION, VISION, VALUES" STATEMENT IS DISPLAYED IN NUMEROUS PUBLIC LOCATIONS THROUGHOUT THE FACILITY. CONFLICT OF INTEREST POLICY IS AVAILABLE TO PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:INTEREST RATE SWAP CONTRACT 650,379. BOOK/TAX DIFFERENCE IN JOINT VENTURE INCOME -367,415.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:NO CHANGE FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KADLEC CLINIC LLC
945 GOETHALS SUITE 220RICHLANDWA99352204265899PRIMARY CARE PHYSICIAN SERVICESWAKADLEC HEALTH SYSTEM
KADLEC MEDICAL ASSOCIATES LLC
888 SWIFT BLVDRICHLANDWA993523583203980865INPATIENT HOSPITALISTS SERVICESWAKADLEC HEALTH SYSTEM
KADLEC NEUROSCIENCE CENTER LLC
800 SWIFT BLVD SUITE 300RICHLANDWA993523583201613946NEUROLOGICAL RELATED PHYSICIAN SERVICESWAKADLEC HEALTH SYSTEM
TRICITIES NEPHROLOGY LLC
309 BRADLEY SUITE 109RICHLANDWA99352271041915NEPHROLOGY PHYSICIAN SERVICESWAKADLEC HEALTH SYSTEM

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
THE NEUROLOGICAL RESOURCE CENTER
712 SWIFT BLVD SUITE 1RICHLANDWA993523583911266345EDUCATION ON NEUROLOGICAL DISORDERSWA501(C)(3)LINE 7KADLEC HEALTH SYSTEM0
KADLEC HEALTH SYSTEM
888 SWIFT BLVDRICHLANDWA993523583911266346HOSPITAL & PHYSICIAN SERVICESWA501(C)(3)LINE 30N/A
KADLEC FOUNDATION
800 SWIFT BLVDRICHLANDWA993523583237005501FUNDRAISINGWA501(C)(3)LINE 11A, IKADLEC HEALTH SYSTEM0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1KADLEC ENTERPRISES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1888 SWIFT BOULEVARDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code99352ZIPCode
FieldValueIRS element (for citing)
EIN911323736EIN
Primary ActivityENGAGE IN BUSINESS RELATED TO HEALTHCARE AND TO SUPPORT KHSPrimaryActivity
Legal Domicile StateWALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
KADLEC FOUNDATION
C856638
KADLEC FOUNDATION
D1400000
KADLEC HEALTH SYSTEM
J513618
KADLEC HEALTH SYSTEM
K16498
KADLEC HEALTH SYSTEM
M7133055
KADLEC HEALTH SYSTEM
O1287734
KADLEC HEALTH SYSTEM
R14013150
THE NEUROLOGICAL RESOURCE CENTER
J74677
THE NEUROLOGICAL RESOURCE CENTER
O204647