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SALINA REGIONAL HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SALINA REGIONAL HEALTH CENTER INC (EIN 48-1169103)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-07-10
IRS object ID
201221929349300907
Schema version
2010v3.4
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)
Timestamp2012-07-10T13:03:38-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-07-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGary D KnollName
Phone7852334226Phone
Date Prepared2012-07-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts173586593GrossReceipts
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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1486TotalNbrEmployees
Total Nbr Volunteers194TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income-82580NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year584794ContributionsGrantsPriorYear
Contributions Grants Current Year706945ContributionsGrantsCurrentYear
Program Service Revenue Prior Year155680030ProgramServiceRevenuePriorYear
Program Service Revenue CY164838313ProgramServiceRevenueCY
Investment Income Prior Year1298332InvestmentIncomePriorYear
Investment Income Current Year5723378InvestmentIncomeCurrentYear
Other Revenue Prior Year1842292OtherRevenuePriorYear
Other Revenue Current Year1653465OtherRevenueCurrentYear
Total Revenue Prior Year159405448TotalRevenuePriorYear
Total Revenue Current Year172922101TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year839292GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1113362GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year65277163SalariesEtcPriorYear
Salaries Etc Current Year68463804SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year82154464OtherExpensePriorYear
Other Expenses Current Year85969599OtherExpensesCurrentYear
Total Expenses Prior Year148270919TotalExpensesPriorYear
Total Expenses Current Year155546765TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11134529RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17375336RevenuesLessExpensesCY
Total Assets BOY321330106TotalAssetsBOY
Total Assets EOY329865213TotalAssetsEOY
Total Liabilities BOY79026766TotalLiabilitiesBOY
Total Liabilities EOY79153195TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY242303340NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY250712018NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide quality health care services in a healing and spiritual environment.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense123791007Expense
Revenue164424418Revenue
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 8,357 inpatients resulting in 38,205 patient days, treated outpatients in 136,710 visits, and generated $163,120,784 in net patient service revenue. The amount of uncompensated care amounted to $22,724,061 of which $6,298,392 were charity care deductions and $16,425,669 were bad debt write offs.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Grants140200Grants
DescriptionSalina Regional Health Center, Inc., provides scholarships to students attending nursing school.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Grants1113362Grants
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 Expense123791007TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Footnote0ReportFin48Footnote
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 Member0BsnssRltnshpThruFamilyMember
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 Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109697NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1486NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Tom Bell
Trustee2.00X000
Larry Britegam
Vice Chairman2.00X000X
Kent Buer
Secretary2.00X000X
Trent Davis MD
Trustee/Chief of Staff2.00X000
Marty Ekrem
Trustee2.00X000
Robert Freelove MD
Trustee2.00X000
David Hadley
Trustee2.00X000
Sean Herrington MD
Trustee2.00X000
Rex Romeiser MD
Trustee2.00X000
Morrie Soderberg
Treasurer2.00X000X
Betsy Wearing
Trustee2.00X000
Lee Young
Chairman2.00X000X
Micheal Terry
President/CEO40.00X386347025654X
Jim Maes
Trustee2.00X000
Larry Barnes
VP Information Technology/40.00203508016522X
James Barker
VP Patient Care Services/C40.00182264014374X
Charles Grimwood
VP Regional Development40.00196720021955X
Jack Hinnenkamp
VP Facilities40.00168399015192X
Joe Tallon
VP Finance/CFO40.00209023020630X
David Moody
VP Human Resources40.00175054020170X
Joel Phelps
COO40.00256023022559X
John Kelemen
Physician40.00610542026210X
George S Jerkovich
Psychiatrist40.00274276025986X
Venkata Katasani
Physician40.00256525016826X
Guy Grabau
Physician40.00243187010484X
Jon Richards
Hospitalist40.00220661011104X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3382529TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation247666TotalOtherCompensation
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 Services1205919
Anesthesia Associates of Central Kansas
520 South Santa FeSalinaKS674021607Anesthesia Services994696
Emergency Physicians of Salina LLC
10975 Benson Dr Ste 250LeawoodKS66210Emergency Room Services676855
J E Dunn Construction Co
1001 LocustKansas CityMO64106Construction670292
Fresenius Medical Care
PO Box 749959Los AngelesCA900749959Medical Care426869
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Government Grants706945GovernmentGrants
Total Contributions706945TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient service621990163120784163120784
Other operating62199017175291717529
FieldValueIRS element (for citing)
Total Program Service Revenue164838313TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5726210TotalRevenueColumn
Exclusion$5,726,210ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real177483Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real591378Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-413895Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-413895TotalRevenueColumn
Related Or Exempt Function Income-413895RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities56836Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities59668Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2832Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2832TotalRevenueColumn
Exclusion-$2,832ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events33052GrossIncomeFundraisingEvents
Fundraising Direct Expenses13446FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column19606TotalRevenueColumn
Exclusion$19,606ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionIncome from subsidiariDescription
Business Code900099BusinessCode
Total Revenue Column2047754TotalRevenueColumn
Exclusion$2,047,754ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2047754TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column172922101TotalRevenueColumn
Related Or Exempt Function Income164424418RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,790,738ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1113362Total
Program Services1113362ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2069589Total
Management And General2069589ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54360799Total
Program Services49117403ProgramServices
Management And General5243396ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2189444Total
Program Services1984850ProgramServices
Management And General204594ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5942387Total
Program Services5264285ProgramServices
Management And General678102ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3901585Total
Program Services3449468ProgramServices
Management And General452117ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total396123Total
Management And General396123ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total433888Total
Program Services28916ProgramServices
Management And General404972ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total178894Total
Program Services124172ProgramServices
Management And General54722ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total866211Total
Program Services818679ProgramServices
Management And General47532ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total382617Total
Program Services106025ProgramServices
Management And General276592ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total98573Total
Program Services50425ProgramServices
Management And General48148ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2938532Total
Management And General2938532ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12432425Total
Program Services4875179ProgramServices
Management And General7557246ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1387431Total
Program Services288538ProgramServices
Management And General1098893ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense1642566916425669
Medical Supplies158093891572860080789
Pharmaceuticals83026568302656
Outside Services590703342241941682839
Other Professional Fees33951692593683801486

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total17014989Total
Program Services9294903ProgramServices
Management And General7720086ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total155546765Total
Program Services123791007ProgramServices
Management And General31755758ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21517487BOY
EOY27975718EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY63438701BOY
EOY66195550EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22691879BOY
EOY23902936EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1195616BOY
EOY1224835EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1944627BOY
EOY2195333EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis228465571LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec126658999LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY109776755BOY
EOY101806572EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY100765041BOY
EOY106564269EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY321330106BOY
EOY329865213EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15879743BOY
EOY17086850EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY62487690BOY
EOY61770004EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY82155BOY
EOY34068EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY577178BOY
EOY262273EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY79026766BOY
EOY79153195EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY234165071BOY
EOY242626718EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2175360BOY
EOY2219530EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5962909BOY
EOY5865770EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY242303340BOY
EOY250712018EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY321330106BOY
EOY329865213EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses17375336ReconcilationRevenueExpenses
Reconcilation Other Changes-8966658ReconcilationOtherChanges
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$22,096OtherActivitiesAmount
Total Lobbying Expenditures IIB22096TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i: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 Basis98015073OtherCostOrOtherBasis
Depreciation37586385Depreciation
Book Value60428688BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis124115807OtherCostOrOtherBasis
Depreciation89072614Depreciation
Book Value35043193BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings101806572TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
Current portion of assets whose use is limited3411498
Assets whose use is limited82790131
Deferred financing costs440308
Other assets5891230
Assets held in trust4951669
Investment in Salina Surgical Center, Inc.4771881
Beneficial interest in net assets of Foundation2748552
Other receivables1559000
FieldValueIRS element (for citing)
Total Book Value Other Assets106564269TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Other current liabilities$133,097
Other long term liabilities$129,176
FieldValueIRS element (for citing)
Total Of Amounts262273TotalOfAmounts
Total Revenue172922101TotalRevenue
Total Expenses155546765TotalExpenses
Excess Or Deficit For Year17375336ExcessOrDeficitForYear
Net Unrealized GL On Investments-9318105NetUnrealizedGLOnInvestments
Other$351,447OtherAmount
Total Adjustments-8966658TotalAdjustments
Excess Or Deficit Per FS8408678ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt171824352TotRevenueEtcAuditedFinclStmt
Other Revenues-1097749OtherRevenues
Revenue Not Rptd F990-1097749RevenueNotRptdF990
Revenue Subtotal172922101RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990172922101TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt154446849TotExpensesEtcAuditedFinclStmt
Other Expenses Included13446OtherExpensesIncluded
Expenses Not Rptd F99013446ExpensesNotRptdF990
Expenses Subtotal154433403ExpensesSubtotal
Other Expenses Not Included1113362OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1113362ExpensesNotRptdOnFinStmt
Total Expenses Per Form990155546765TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Net assets released from restrictions for capital 210,320. Intercompany transfers 191,929. Net assets released from restrictions for operations 2,167. Net assets released from restrictions for operations -2,167. Net assets released from restrictions for capital -210,320. Change in beneficial interest in net assets of Foundation 67,637. Change in fair value of assets held in trust -97,239. Change in beneficial interest in net assets of Foundation 100. Investment income 189,020.
Part XII, Line 2d - Other Adjustments:Community Health Improvement Program (CHIP) donation -1,113,362. Net assets released from restrictions for operations 2,167. Fundraising events direct expenses 13,446.
Part XIII, Line 2d - Other Adjustments:Fundraising events direct expenses 13,446.
Part XIII, Line 4b - Other Adjustments:Community Health Improvement Program (CHIP) donation 1,113,362.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Rummage SalesNameOfEvent1
Gross Receipts Event114544GrossReceiptsEvent1
Gross Revenue Event114544GrossRevenueEvent1
Other Direct Expenses Event15929OtherDirectExpensesEvent1
Name Of Event2Holly DaysNameOfEvent2
Gross Receipts Event212788GrossReceiptsEvent2
Gross Revenue Event212788GrossRevenueEvent2
Other Direct Expenses Event25876OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events5720GrossReceiptsOtherEvents
Gross Revenue Other Events5720GrossRevenueOtherEvents
Other Direct Expenses Other Events1641OtherDirectExpensesOtherEvents
Gross Receipts Total33052GrossReceiptsTotal
Gross Revenue Total Events33052GrossRevenueTotalEvents
Other Direct Expenses Total Events13446OtherDirectExpensesTotalEvents
Direct Expense Summary Events13446DirectExpenseSummaryEvents
Net Income Summary19606NetIncomeSummary

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 Served3431PersonsServed
Total Community Benefit Expense2280924TotalCommunityBenefitExpense
Net Community Benefit Expense2280924NetCommunityBenefitExpense
Percent Of Total Expense0.01640PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served10568PersonsServed
Total Community Benefit Expense14729134TotalCommunityBenefitExpense
Direct Offsetting Revenue10004319DirectOffsettingRevenue
Net Community Benefit Expense4724815NetCommunityBenefitExpense
Percent Of Total Expense0.03400PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served13999PersonsServed
Total Community Benefit Expense17010058TotalCommunityBenefitExpense
Direct Offsetting Revenue10004319DirectOffsettingRevenue
Net Community Benefit Expense7005739NetCommunityBenefitExpense
Percent Of Total Expense0.05040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Persons Served3327PersonsServed
Total Community Benefit Expense195324TotalCommunityBenefitExpense
Net Community Benefit Expense195324NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served103PersonsServed
Total Community Benefit Expense2533315TotalCommunityBenefitExpense
Net Community Benefit Expense2533315NetCommunityBenefitExpense
Percent Of Total Expense0.01820PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served7798PersonsServed
Total Community Benefit Expense15256314TotalCommunityBenefitExpense
Direct Offsetting Revenue7210545DirectOffsettingRevenue
Net Community Benefit Expense8045769NetCommunityBenefitExpense
Percent Of Total Expense0.05780PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense4537TotalCommunityBenefitExpense
Net Community Benefit Expense4537NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Total Community Benefit Expense1148248TotalCommunityBenefitExpense
Net Community Benefit Expense1148248NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs73NumberOfActivitiesOrPrograms
Persons Served11228PersonsServed
Total Community Benefit Expense19137738TotalCommunityBenefitExpense
Direct Offsetting Revenue7210545DirectOffsettingRevenue
Net Community Benefit Expense11927193NetCommunityBenefitExpense
Percent Of Total Expense0.08570PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs73NumberOfActivitiesOrPrograms
Persons Served25227PersonsServed
Total Community Benefit Expense36147796TotalCommunityBenefitExpense
Direct Offsetting Revenue17214864DirectOffsettingRevenue
Net Community Benefit Expense18932932NetCommunityBenefitExpense
Percent Of Total Expense0.13610PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense4919TotalCommunityBuildingExpense
Net Community Building Expense4919NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense57288TotalCommunityBuildingExpense
Net Community Building Expense57288NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense37TotalCommunityBuildingExpense
Net Community Building Expense37NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense1381TotalCommunityBuildingExpense
Net Community Building Expense1381NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Building Expense31550TotalCommunityBuildingExpense
Net Community Building Expense31550NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense289154TotalCommunityBuildingExpense
Net Community Building Expense289154NetCommunityBuildingExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Total Community Building Expense384329TotalCommunityBuildingExpense
Net Community Building Expense384329NetCommunityBuildingExpense
Percent Of Total Expense0.00270PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,367,909BadDebtExpenseAmount
Amount Attributable To591454AmountAttributableTo
Amount Reimbursed By Medicare49523341AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare50986400CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1463059MedicareSurplusOrShortfall

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 Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 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, other operating revenue, 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 $ 16425669.
Part II: The Advancing Communities Together (ACT) priority-setting process identified Health, Education, and Financial Stability as key focus areas for community building initiatives in the Salina area over the next few years. Community building activities reported in Part II address all these focus areas. Salina Regional Health Center, Inc. paid employees to build a Habitat for Humanity house. Representatives worked in economic development to address local downturns in employment during the recession. Salina Regional Health Center, Inc. played a leadership role in strategic planning for the local school district and one of our employees volunteers as President of the Board of Education. As the ACT prioritizing process continues in 2012, it is anticipated that an even greater emphasis will be placed on a specific aspect of community health.
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 16e: 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: A community health assessment was completed by several agencies located in Saline County and our community benefit committee reviewed these assessments. The community benefit committee meets at minimum, annually, to discuss issues. Representatives of Salina Regional Health Center, Inc. actively participated in the Advancing Communities Together (ACT) community priority-setting process in 2010, 2011 and 2012.
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 13 counties in north central Kansas. The total approximate population of the service area as of 2010 was 160,578 people, of which approximately 115,630 live in the primary service area. The primary service area experienced a 7.4% population growth between 1990 and 2000, although over the next few years the population is projected to have flat growth. The largest age group is 45-64 years of age and is currently 26.5% of the population. This segment is expected to grow 1.3% in the primary service area by 2013. The median age of the service area is 39.2 years, which is older than the national average of 36.7, and is projected to be 39.7 in 2013. Older patients require more physician visits than do younger patients, so Salina Regional Regional Center, Inc. is investing in physician recruitment for the entire service area.Hispanics comprise 5.5% of the primary service area population, so the hospital has developed a team of Spanish language translators. Spanish patient education materials are available. Residents in this service area have a level of education that is lower than the US and Kansas as a whole, so the hospital writes patient information at a 6th to 8th grade reading level. Median household income in the primary service area in 2008 was $44,916, which is lower than the US ($50,152) and Kansas ($47,911) medians. Only seven zip codes in the primary service area report a median income above the national median. 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 48% Medicare, 11% Medicaid, 33% Commercial, and 3% Tricare/Workers Compensation and 5% Uninsured.
Part VI, Line 6: The governing board of Salina Regional Health Center, Inc. is comprised of volunteers intentionally selected to promote the betterment of the regional community. Demonstrating its' commitment to community benefit, this board has for over 15 years donated up to 10% of the hospital's end-of-year operating margin to the Community Health Investment 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 2011, CHIP funded such projects as a children's center ($333,000), regional public health initiative ($100,000), nursing scholarships ($50,000), and healthy initiative program for children ($100,000). CHIP grants in 2011 totaled $659,138. Since the program's inception in 1994, the hospital has tithed $11,545,885 to the Community Health Investment Program.Salina Regional Health Center Inc. is a member of the Sunflower Health Network (SHN), an organization of 15-community and critical access hospitals scattered across the 13-county service area. 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. has since invested in physician recruitment both to the Salina community and the greater service area through partnering with the SHN. We have added a trauma program to improve access to specialist care and optimize transfers. And we are providing access to computerized patient simulators to strengthen the quality of nurses in regional communities.The University of Kansas (KU) School of Medicine and Salina Regional Health Center, have forged a unique partnership to address the critical shortage of physicians in rural communities throughout Kansas. Salina Regional will be home to the first satellite location of the KU Medical School in a town the size of Salina, training 32 new physicians over the next four years. In addition to the high-quality medical school education, this partnership will help prepare students for the practice of medicine in rural communities and help address the shortage of physicians in rural Kansas. During the year Salina Regional Health Center donated $250,000 and spent $252,120 improving facilities and providing operational expenses to this partnership.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 South Santa FeAddressLine1
CitySalinaCity
StateKSState
ZIP Code67401ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient480949407EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant1113362AmountOfCashGrant
Purpose Of GrantTo further the activities of the Community Health Improvement Program (CHIP)PurposeOfGrant

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 Recipients51NumberOfRecipients
Amount Of Cash Grant140200AmountOfCashGrant

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 (13 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
Micheal Terry
309617067024097060133170123370412001000
Larry Barnes
1869080166000009744067780220030000
James Barker
16714001512400035350108390196638000
Charles Grimwood
174452015922063460110710108840218675000
Jack Hinnenkamp
1546880137110009089061030183591000
Joe Tallon
185649017259061150101310104990229653000
David Moody
1601110145970346094690107010195224000
Joel Phelps
220027029996060000117030108560278582000
John Kelemen
60554205000000132390129710636752000
George S Jerkovich
2739300003460148420111440300262000
Venkata Katasani
256525000007912089140273351000
Guy Grabau
20820703498000000104840253671000
Jon Richards
213276071260259000111040231765000

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 (19 entries)

RelationshipRelationshipSharing Of RevenuesSharingOfRevenues
Lee Young Chairman Board of Truste
President of Salina Regional Health Enterprises, Inc., a related org.0
Charlie Grimwood OfficerVP Region
Vice President of Salina Regional Health Enterprises, Inc., a related org.0
Larry Britegam Vice Chairman Board
Secretary of Salina Regional Health Enterprises, Inc., a related org.0
Joel Phelps OfficerCOO of SRHC I
Treasurer of Salina Regional Health Enterprises, Inc., a related org.0
Kent Buer Secretary Board of Trust
Director of Salina Regional Health Enterprises, Inc., a related org.0
(no name)
0
Lee Young Chairman Board of Truste
President of Salina Regional Health Properties, Inc., a related org.0
Charlie Grimwood OfficerVP Region
Vice President of Salina Regional Health Properties. Inc., a related org.0
Larry Britegam Vice Chairman Board
Secretary of Salina Regional Health Properties, Inc., a realted org.0
Joel Phelps OfficerCOO of SRHC I
Treasurer of Salina Regional Health Properties, Inc., a related org.0
Kent Buer Secretary Board of Trust
Director of Salina Regional Health Properties, Inc., a related org.0
Joel Phelps OfficerCOO of SRHC I
Director of Hospice of Salina, Inc., a related org.0
Micheal Terry OfficerPresidentCE
Director of Hospice of Salina Inc., a related org.0
(no name)
0
Micheal Terry OfficerPresidentCE
Member of Salina Regional Health Foundation Board of Trustees a related org0
(no name)
0
Jack Hinnenkamp OfficerVP Facilit
Director of Salina Regional Health Properties, Inc., a related org.0
Lee Young Chairman Board of Truste
Member of Salina Regional Health Foundation Board of Trustees a related org0
Bennie Salkil Employee of SRHC In
CEO of Hospice of Salina, Inc., a related org.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11The Form 990 is provided to the Board of Trustees for review prior to filing.
A conflict of interest questionnaire is required to be completed annually, and upon election, and is reviewed by legal counsel.Form 990, Part VI, Section B, line 12c
An 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 B, line 15
The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request.Form 990, Part VI, Section C, line 19
All Other Functional ExpensesComputer Expenses: Program service expenses 913,198. Management and general expenses 2,202,399. Fundraising expenses 0. Total expenses 3,115,597. Phyisican Professional Fees: Program service expenses 2,724,549. Management and general expenses 46,500. Fundraising expenses 0. Total expenses 2,771,049. Utilities: Program service expenses 1,890,574. Management and general expenses 2,649. Fundraising expenses 0. Total expenses 1,893,223. Other Supplies & Expenses: Program service expenses 568,967. Management and general expenses 719,997. Fundraising expenses 0. Total expenses 1,288,964. Recruitment Expenses: Program service expenses 14,402. Management and general expenses 1,209,176. Fundraising expenses 0. Total expenses 1,223,578. Medicaid Assessment: Program service expenses 0. Management and general expenses 1,203,106. Fundraising expenses 0. Total expenses 1,203,106. Educational Expenses: Program service expenses 91,209. Management and general expenses 1,070,879. Fundraising expenses 0. Total expenses 1,162,088. Food Services & related Supplies: Program service expenses 988,886. Management and general expenses 97,548. Fundraising expenses 0. Total expenses 1,086,434. Supplies: Program service expenses 614,684. Management and general expenses 45,383. Fundraising expenses 0. Total expenses 660,067. Equipment Rentals & related maintenance costs: Program service expenses 560,055. Management and general expenses 12,383. Fundraising expenses 0. Total expenses 572,438. Repairs: Program service expenses 390,572. Management and general expenses 103,554. Fundraising expenses 0. Total expenses 494,126. Printing: Program service expenses 124,765. Management and general expenses 204,121. Fundraising expenses 0. Total expenses 328,886. Dues & Subscriptions: Program service expenses 114,681. Management and general expenses 210,770. Fundraising expenses 0. Total expenses 325,451. Telephone: Program service expenses 88,146. Management and general expenses 188,919. Fundraising expenses 0. Total expenses 277,065. Postage & Shipping: Program service expenses 39. Management and general expenses 251,009. Fundraising expenses 0. Total expenses 251,048. Non-Medical Minor Equipment Expense: Program service expenses 176,194. Management and general expenses 7,662. Fundraising expenses 0. Total expenses 183,856. Licenses & Taxes: Program service expenses 33,982. Management and general expenses 120,518. Fundraising expenses 0. Total expenses 154,500. Bond Administration Fees: Program service expenses 0. Management and general expenses 23,513. Fundraising expenses 0. Total expenses 23,513.Form 990, Part X, line 24f
Changes in Net Assets or Fund Balances:Net unrealized losses on investments: -9,318,105. Net assets released from restrictions for capital 210,320. Intercompany transfers 191,929. Net assets released from restrictions for operations 2,167. Net assets released from restrictions for operations -2,167. Net assets released from restrictions for capital -210,320. Change in beneficial interest in net assets of Foundation 67,637. Change in fair value of assets held in trust -97,239. Change in beneficial interest in net assets of Foundation 100. Investment income 189,020. Total to Form 990, Part XI, Line 5: -8,966,658.Form 990, Part XI, line 5:
Audit CommitteeThe 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.Form 990, Part XII, Line 2C:

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 FoundationInc
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 facilityKSRelated399096197212000
Salina Surgical Center LLC
401 South Santa FeSalinaKS67401481199515Medical Services, Ambulatory SurgeryKSRelated9725730446392800
Salina Regional Home Medical Services LLC
520 South Santa Fe Suite 140SalinaKS67401481221623Home Medical ServicesKSRelated5339131581700Salina 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 NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
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 Assets0ExchangeOfAssets
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 (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Hospice of Salina Inc
B545000
Salina Regional Health Properties Inc
J766393
Salina Regional Health Foundation Inc
B1113362
Salina Regional Health Properties Inc
P6328
Hospice of Salina Inc
P563767
Salina Surgical Center LLC
P200336
Salina Regional Health Foundation Inc
C111443
Salina Regional Health Properties Inc
P1794
Salina Regional Health Properties Inc
P9736
Salina Regional Health Properties Inc
N129710
Hospice of Salina Inc
Nincluded in P above