HAYS MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HAYS MEDICAL CENTER INC (EIN 48-0559088)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201231369349305958
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T14:24:21-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 534 S Kansas Ave Suite 1500 | AddressLine1 |
| City | Topeka | City |
| State | KS | State |
| ZIP Code | 666033491 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480559088 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hays Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAYS | NameControl |
| Phone | 7856235000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1 |
| City | Hays | City |
| State | KS | State |
| ZIP Code | 67601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Jeter | Name |
| Title | CEO | Title |
| Phone | 7856235000 | Phone |
| Date Signed | 2012-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gary D Knoll | Name |
| Phone | 7852334226 | Phone |
| Date Prepared | 2012-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John Jeter | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1 |
| City | Hays | City |
| State | KS | State |
| ZIP Code | 67601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 194388104 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.haysmed.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | Hays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Corporation is striving to become the best tertiary care center in rural America. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1598 | TotalNbrEmployees |
| Total Nbr Volunteers | 230 | TotalNbrVolunteers |
| Total Gross UBI | 2538 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 697482 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 105703 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 181500860 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 189610055 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2251997 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3355351 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 517536 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1162575 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 184967875 | TotalRevenuePriorYear |
| Total Revenue Current Year | 194233684 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 87778078 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 88224901 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 87812824 | OtherExpensePriorYear |
| Other Expenses Current Year | 96973972 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 175590902 | TotalExpensesPriorYear |
| Total Expenses Current Year | 185198873 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9376973 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9034811 | RevenuesLessExpensesCY |
| Total Assets BOY | 192482750 | TotalAssetsBOY |
| Total Assets EOY | 242206552 | TotalAssetsEOY |
| Total Liabilities BOY | 71594488 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 101317411 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 120888262 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 140889141 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Hays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Corporation is striving to become the best tertiary care center in rural America. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 160771811 | Expense |
| Revenue | 178947941 | Revenue |
| Description | Patient Care Program services consist of routine and ancillary department healthcare services provided by a healthcare organization as defined in Section 501(c)(3) of the IRS code. Admissions: Acute-5,012, Newborn ICU-37, Newborn-683, Rehabilitation-153, Total admissions-5,885. Patient days: ICU/CPCU-6,509, Medical/Surgical-13,615, Oncology-1,759, Obstetrics-1,821, Pediatrics-292, Rehabilitation-1,634, Newborn ICU-332, Newborn-1,268, Total patient days-27,230. Other statistical information: Surgical procedures-7,757, Cardiac caths-930, Emergency room visits-13,439, Outpatient procedures-135.589, Medical oncology service visits-9,101, Clinic visits-139,039. | Description |
| Total Program Service Expense | 160771811 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 152 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1598 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | William Overbey CFO | NamePerson |
| Telephone Number | 7856235000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Canterbury Drive | AddressLine1 |
| City | Hays | City |
| State | KS | State |
| ZIP Code | 67601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Nancy Curtis | |||||||||
| Chair | 0.00 | X | X | 0 | 0 | 0 | |||
| Dennis Bieker | |||||||||
| Secretary | 0.00 | X | X | 0 | 0 | 0 | |||
| Kenneth Beran | |||||||||
| Treasurer | 0.00 | X | X | 0 | 0 | 0 | |||
| Darrell Werth | |||||||||
| Physician/Board Member | 40.00 | X | 708655 | 0 | 41717 | X | |||
| Daniel Schippers | |||||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | ||||
| Tom McDonald MD | |||||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | ||||
| Jim Black DO | |||||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | ||||
| Gary Shorman | |||||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | ||||
| John Lloyd MD | |||||||||
| Physician/Board Member | 40.00 | X | 486030 | 0 | 43017 | X | |||
| Ross Buckles DO | |||||||||
| Physician/Board Member | 40.00 | X | 334829 | 0 | 39785 | X | |||
| Jayne Clarke | |||||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | ||||
| Sharon Dreher | |||||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | ||||
| Alan Moore | |||||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | ||||
| DG Bickle | |||||||||
| Board Member | 0.00 | X | 0 | 0 | 0 | ||||
| Dr Kurt Rider | |||||||||
| Physician/Board Member | 40.00 | X | 237807 | 0 | 38012 | X | |||
| Joel Fort MD | |||||||||
| Physician/Board Member Term through 12/31/10 | 40.00 | X | 609966 | 0 | 40017 | X | |||
| John Jeter MD | |||||||||
| President & CEO | 40.00 | X | 593274 | 0 | 142269 | ||||
| William Overbey | |||||||||
| Chief Financial Officer | 40.00 | X | 277120 | 0 | 84847 | ||||
| Dale Montgomery | |||||||||
| VP Facilities | 40.00 | X | 181126 | 0 | 64998 | ||||
| Jodi Schmidt | |||||||||
| VP Regional Development | 40.00 | X | 164271 | 0 | 49582 | ||||
| Bryce Young | |||||||||
| Chief Operating Officer | 40.00 | X | 279750 | 0 | 85301 | ||||
| D Bruce Whittington | |||||||||
| VP Human Resources | 40.00 | X | 174246 | 0 | 63338 | ||||
| Kenneth Lindsey | |||||||||
| Chief Medical Officer | 40.00 | 370911 | 0 | 94260 | X | ||||
| Christine Fisher | |||||||||
| Physician | 40.00 | 1229245 | 0 | 40017 | X | ||||
| Alex De Carvalho | |||||||||
| Physician | 40.00 | 984664 | 0 | 40017 | X | ||||
| Jeffery Curtis | |||||||||
| Physician | 40.00 | 838831 | 0 | 40017 | X | ||||
| Robert Bassett | |||||||||
| Physician | 40.00 | 747278 | 0 | 40017 | X | ||||
| Babar Ali | |||||||||
| Physician | 40.00 | 707195 | 0 | 40017 | X | ||||
| January Fields-Meehan | |||||||||
| Physician/Former Board Member | 40.00 | 604794 | 0 | 45017 | X | ||||
| Richard Rajewski MD | |||||||||
| Physician/Former Board Member | 40.00 | 185669 | 0 | 39639 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9715661 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1071884 | TotalOtherCompensation |
| Number Individuals GT100 K | 98 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Quest Diagnostics Inc | |||||
| PO Box 14730 | St Louis | MO | 631504730 | Lab Services | 4650640 |
| Inpatient Management Inc | |||||
| 1 McBride and Son Center Dr Suite | Chesterfield | MO | 63005 | Hospitalists Program | 1442242 |
| Anesthesiologist Associates of Hays | |||||
| PO Box 821 | Hays | KS | 67601 | Anesthesia Services | 1221864 |
| Comphealth | |||||
| PO Box 972651 | Dallas | TX | 75397 | Physician Coverage | 990461 |
| Manmohan Biring MD | |||||
| 1582 Charlton Road | San Marino | CA | 91108 | Pulmonology Services | 865806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 27 | NumberOfContractorsGT100K |
| Related Organizations | 58478 | RelatedOrganizations |
| Government Grants | 47225 | GovernmentGrants |
| Total Contributions | 105703 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| Net patient service re | 621990 | 178947941 | 178947941 | ||
| Shared services | 900099 | 8492468 | $8,492,468 | ||
| Other operating revenu | 900099 | 2167108 | $2,167,108 | ||
| Nursing mother's resou | 446199 | 2538 | 2538 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 189610055 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3493571 | TotalRevenueColumn |
| Exclusion | $3,493,571 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 16200 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 154420 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -138220 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -138220 | TotalRevenueColumn |
| Exclusion | -$138,220 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Equity in gain of Hadl | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1162575 | TotalRevenueColumn |
| Exclusion | $1,162,575 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1162575 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 194233684 | TotalRevenueColumn |
| Related Or Exempt Function Income | 178947941 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2538 | UnrelatedBusinessRevenue |
| Exclusion | $15,177,502 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5089233 | Total |
| Program Services | 2541978 | ProgramServices |
| Management And General | 2547255 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67198088 | Total |
| Program Services | 58802913 | ProgramServices |
| Management And General | 8395175 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3154449 | Total |
| Program Services | 2676947 | ProgramServices |
| Management And General | 477502 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8285572 | Total |
| Program Services | 6610362 | ProgramServices |
| Management And General | 1675210 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4497559 | Total |
| Program Services | 3816745 | ProgramServices |
| Management And General | 680814 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150185 | Total |
| Management And General | 150185 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 517910 | Total |
| Management And General | 517910 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106587 | Total |
| Management And General | 106587 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157620 | Total |
| Management And General | 157620 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20403287 | Total |
| Program Services | 18123392 | ProgramServices |
| Management And General | 2279895 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481233 | Total |
| Program Services | 372194 | ProgramServices |
| Management And General | 109039 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1363671 | Total |
| Program Services | 818203 | ProgramServices |
| Management And General | 545468 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2099974 | Total |
| Program Services | 1650780 | ProgramServices |
| Management And General | 449194 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 272265 | Total |
| Program Services | 194790 | ProgramServices |
| Management And General | 77475 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 818092 | Total |
| Program Services | 543622 | ProgramServices |
| Management And General | 274470 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2899603 | Total |
| Program Services | 2899603 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10390872 | Total |
| Program Services | 8467945 | ProgramServices |
| Management And General | 1922927 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1286817 | Total |
| Program Services | 1040883 | ProgramServices |
| Management And General | 245934 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 34426535 | 34063242 | 363293 |
| Bad debts | 12249562 | 12249562 | |
| Repairs & maintenance | 3466042 | 3088858 | 377184 |
| Rent | 2248751 | 1814454 | 434297 |
| Taxes & assessments | 970287 | 970287 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2664679 | Total |
| Program Services | 995338 | ProgramServices |
| Management And General | 1669341 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185198873 | Total |
| Program Services | 160771811 | ProgramServices |
| Management And General | 24427062 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5885 | BOY |
| EOY | 6185 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9397817 | BOY |
| EOY | 5003500 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27864083 | BOY |
| EOY | 31647122 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3910829 | BOY |
| EOY | 4191623 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3392473 | BOY |
| EOY | 3918946 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 177553229 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 114345881 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63682783 | BOY |
| EOY | 63207348 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 104984451 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 598000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84228880 | BOY |
| EOY | 28649377 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192482750 | BOY |
| EOY | 242206552 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19744488 | BOY |
| EOY | 20244515 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51850000 | BOY |
| EOY | 80229741 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 843155 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71594488 | BOY |
| EOY | 101317411 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115118946 | BOY |
| EOY | 133957250 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5769316 | BOY |
| EOY | 6931891 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120888262 | BOY |
| EOY | 140889141 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192482750 | BOY |
| EOY | 242206552 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9034811 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 10966068 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9112302 | BeginningOfYearBalance |
| Contributions | 196718 | Contributions |
| Investment Earnings Or Losses | 290058 | InvestmentEarningsOrLosses |
| Other Expenditures | 82450 | OtherExpenditures |
| End Of Year Balance | 9516628 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8603284 | BeginningOfYearBalance |
| Contributions | 332063 | Contributions |
| Investment Earnings Or Losses | 234201 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 57246 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 9112302 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8152895 | BeginningOfYearBalance |
| Contributions | 249859 | Contributions |
| Investment Earnings Or Losses | 226379 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 25849 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 8603284 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.65600 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.31600 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.02800 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 350356 | OtherCostOrOtherBasis |
| Book Value | 350356 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 56596581 | OtherCostOrOtherBasis |
| Depreciation | 29232905 | Depreciation |
| Book Value | 27363676 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108910924 | OtherCostOrOtherBasis |
| Depreciation | 80964770 | Depreciation |
| Book Value | 27946154 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11695368 | OtherCostOrOtherBasis |
| Depreciation | 4148206 | Depreciation |
| Book Value | 7547162 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 63207348 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (6 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Hedge funds | 6758682 | F |
| U S Government and agency obligations | 5297023 | F |
| U S Government and agency obligations | 26696589 | F |
| Corporate bonds | 6595620 | F |
| Equity investments | 55225003 | F |
| Commodity mutual fund | 4411534 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 104984451 | TotalOfBookValueSecurities |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Cash whose use is limited by Board or indenture agreement | 13810163 |
| Interest receivable whose use is limited by Board or indenture agreement | 283003 |
| Interest in net assets of Hadley Foundation | 6931891 |
| Other receivables | 2197303 |
| Debt issue costs | 1015220 |
| Other long-term assets | 4411797 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 28649377 | TotalBookValueOtherAssets |
| Total Revenue | 194233684 | TotalRevenue |
| Total Expenses | 185198873 | TotalExpenses |
| Excess Or Deficit For Year | 9034811 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 10966068 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 10966068 | TotalAdjustments |
| Excess Or Deficit Per FS | 20000879 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | The endowed funds held by the Hays Medical Center Foundation are used to help meet both the immediate and long range health care needs of patients of Hays Medical Center, Inc.. The Hays Medical Center Foundation provides grants and assistance to Hays Medical Center, Inc. for property and equipment acquisitions, education, and community health issues. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2073813 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2073813 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01200 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9028140 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6458591 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2569549 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01490 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11101953 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6458591 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4643362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02690 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1873303 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1573891 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 299412 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 661706 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 661706 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47823989 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 39710010 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8113979 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04690 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12677 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12677 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50371675 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41283901 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9087774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05250 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61473628 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47742492 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13731136 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07940 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 82500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 82500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 82500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 82500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $3,565,847 | BadDebtExpenseAmount |
| Amount Attributable To | 249609 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 61774944 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 62806234 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1031290 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Inc | ||||||||
| 1 | 2220 Canterbuty | Hays | KS | 67601 | X | X | X | |
| Pawnee Valley Community Hospital Inc | ||||||||
| 2 | 923 Carroll Ave | Larned | KS | 67550 | X | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Admission OfficePostedInAdmissionOffice | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Permit Report To Credit AgencyPermitReportToCreditAgency | Permit LawsuitPermitLawsuit | Collection ActivitiesCollectionActivities | Report To Credit AgencyReportToCreditAgency | LawsuitLawsuit | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Lowest Negotiated RatesLowestNegotiatedRates | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Inc | ||||||||||||||||||||||||||||||
| 1 | 1 | 1 | 125.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 0 |
| Pawnee Valley Community Hospital Inc | ||||||||||||||||||||||||||||||
| 2 | 1 | 1 | 125.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 0 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Hays Family Medicine | ||||
| 2509 Canterbury | Hays | KS | 67601 | Family Medicine |
| Pawnee Valley Medical Associates | ||||
| 713 W 11th St | Larned | KS | 67550 | Family Medicine |
| Central Kansas Urology | ||||
| 353 W 10th St | Hoisington | KS | 67544 | Urology Services |
| HaysMed Psychiatric Associates | ||||
| 205 E 7th St | Hays | KS | 67601 | Psychiatric Services |
| Breast Care Center | ||||
| 2501 E 13th St | Hays | KS | 67601 | Breast Care Services |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 7: Hays Medical Center, Inc.'s cost accounting system was used to calculate subsidized health services, health professions education, and community health improvement services. A cost-to-charge ratio was computed and used to calculate charity care and unreimbursed Medicaid reported on line 7. | |
| Part I, Line 7g: Physician clinic net costs included in subsidized health services totaled $6,005,704. | |
| Part I, L7 Col(f): Bad debt expense of $12,249,564 is included in Part IX line 25. This amount was subtracted from total expenses when computing the denominator for the percentage calculated for line 7(f). | |
| Part II: Hays Medical Center, Inc. helps to support the First Care Clinic in Hays, Kansas. This clinic was established to help lower income individuals receive health care at a reduced cost. This support helps to increase the number of individuals in Hays, Kansas who receive quality health care. | |
| Part III, Line 4: Footnote text: Patient service revenue is recorded at HMC's established rates with contractual adjustments from third-party payors, charity allowances and other discounts deducted to arrive at net patient service revenue. Patient accounts receivable represent an estimate of net realizable amounts due from patients, third-party payors, and others for unpaid patient services, which is determined on historical payment experience.Costing methodology: Bad debt expense at cost was estimated using an overall cost-to-charge ratio multiplied by the provision for bad debts.Methodology for bad debt cost for financial assistance eligible: This amount was estimated based on historical information from our collection agency on the percentage of accounts referred to collection whose guarantor was indigent. | |
| Part III, Line 8: The Medicare cost report was the costing methodology used to determine the above costs. Allowable costs of care reported on line 6 were determined using amounts from Worksheet D, Part V and Worksheet D-1 in the Hays Medical Center, Inc. Medicare cost report for fiscal year ended June 30, 2011. | |
| Part III, Line 9b: Whenever possible, the customer service representatives (CSR's) of Hays Medical Center, Inc. try to determine the estimated self-pay balance prior to the patient receiving services. Charity care eligibility is first considered at this point in time. In addition, if full payment is not received or payment is not made within 30 days, the CSR contacts the patient. If it is determined that at least a 2 year payment plan cannot be established with the patient, the CSR will screen for charity care and request that the charity care application be completed by the patient. | |
| Part V, Section B, Line 11h: Pawnee Valley Community, Inc. (PVCH) will proactively seek out applicants who may be in need of financial assistance. PVCH will post notice of this policy to all patients/guarantors through its registration, pre-registration, and financial counseling process. This policy will also be posted in prominent areas of the hospital. | Pawnee Valley Community Hospital, Inc. |
| Part V, Section B, Line 13g: Hays Medical Center will proactively seek out applicants who may be in need of financial assistance. Hays Medical Center will post notice of this policy to all patients/guarantors through its registration, pre-registration, and financial counseling process. This policy will also be posted in prominent areas of the hospital. | Hays Medical Center, Inc. |
| Part VI, Line 3: Information regarding the Hays Medical Center, Inc. charity care program is located on the Hays Medical Center, Inc. website for patients and community members to view, and the financial assistance application is also on the website to print off and complete. In addition, if a customer service representative of Hays Medical Center, Inc. contacts a patient about a bill and in visiting with them they determine that patient could possibly qualify the Hospitals charity care policy, they will send the application to the patient as well. | |
| Part VI, Line 4: Hays Medical Center, Inc. is located in Hays, Kansas, which has a population of approximately 20,000 people, as of the 2010 census. One of the State of Kansas Regents universities is also located in Hays, Kansas, so the population includes many college-aged students. The median household income of Hays, Kansas is $44,227. Approximately 5.7% of families and 15.6% of the population were below the poverty line. Just over 5% of the hospitals revenue is from services provided to patients eligible for Medicaid. Hays Medical Center, Inc. is the only hospital in the city of Hays. In addition, since this is a rural area and because it is the only hospital providing tertiary level care in the region, Hays Medical Center, Inc. provides certain services to the whole western half of the State of Kansas. | |
| Part VI, Line 6: Hays Medical Center, Inc. promotes the health of the community by extending medical privileges to most qualified, local physicians. In addition, the majority of the Board of Directors live and work in the city of Hays, but they are not employed by Hays Medical Center. Inc. | |
| Part VI, Line 7: Hays Medical Center, Inc. is not a part of an affiliated health care system. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Darrell Werth | |||||||||||||
| 598300 | 0 | 90063 | 0 | 20292 | 0 | 13475 | 0 | 28242 | 0 | 750372 | 0 | 359537 | 0 |
| John Lloyd MD | |||||||||||||
| 322000 | 0 | 150251 | 0 | 13779 | 0 | 13475 | 0 | 29542 | 0 | 529047 | 0 | 260298 | 0 |
| Ross Buckles DO | |||||||||||||
| 200000 | 0 | 131618 | 0 | 3211 | 0 | 13475 | 0 | 26310 | 0 | 374614 | 0 | 169289 | 0 |
| Dr Kurt Rider | |||||||||||||
| 227000 | 0 | 0 | 0 | 10807 | 0 | 8470 | 0 | 29542 | 0 | 275819 | 0 | 121000 | 0 |
| Joel Fort MD | |||||||||||||
| 350000 | 0 | 259193 | 0 | 773 | 0 | 13475 | 0 | 26542 | 0 | 649983 | 0 | 333223 | 0 |
| John Jeter MD | |||||||||||||
| 400726 | 0 | 166740 | 0 | 25808 | 0 | 115727 | 0 | 26542 | 0 | 735543 | 0 | 209673 | 0 |
| William Overbey | |||||||||||||
| 210672 | 0 | 63150 | 0 | 3298 | 0 | 55537 | 0 | 29310 | 0 | 361967 | 0 | 105250 | 0 |
| Dale Montgomery | |||||||||||||
| 136914 | 0 | 31801 | 0 | 12411 | 0 | 36209 | 0 | 28789 | 0 | 246124 | 0 | 79104 | 0 |
| Jodi Schmidt | |||||||||||||
| 109054 | 0 | 35190 | 0 | 20027 | 0 | 32390 | 0 | 17192 | 0 | 213853 | 0 | 77053 | 0 |
| Bryce Young | |||||||||||||
| 212055 | 0 | 63120 | 0 | 4575 | 0 | 55991 | 0 | 29310 | 0 | 365051 | 0 | 105200 | 0 |
| D Bruce Whittington | |||||||||||||
| 130594 | 0 | 28214 | 0 | 15438 | 0 | 35549 | 0 | 27789 | 0 | 237584 | 0 | 67675 | 0 |
| Kenneth Lindsey | |||||||||||||
| 275139 | 0 | 81120 | 0 | 14652 | 0 | 67718 | 0 | 26542 | 0 | 465171 | 0 | 0 | 0 |
| Christine Fisher | |||||||||||||
| 600000 | 0 | 595822 | 0 | 33423 | 0 | 13475 | 0 | 26542 | 0 | 1269262 | 0 | 605564 | 0 |
| Alex De Carvalho | |||||||||||||
| 500000 | 0 | 470564 | 0 | 14100 | 0 | 13475 | 0 | 26542 | 0 | 1024681 | 0 | 424687 | 0 |
| Jeffery Curtis | |||||||||||||
| 409385 | 0 | 411283 | 0 | 18163 | 0 | 13475 | 0 | 26542 | 0 | 878848 | 0 | 361438 | 0 |
| Robert Bassett | |||||||||||||
| 500000 | 0 | 240778 | 0 | 6500 | 0 | 13475 | 0 | 26542 | 0 | 787295 | 0 | 368134 | 0 |
| Babar Ali | |||||||||||||
| 533209 | 0 | 130392 | 0 | 43594 | 0 | 13475 | 0 | 26542 | 0 | 747212 | 0 | 331628 | 0 |
| January Fields-Meehan | |||||||||||||
| 523462 | 0 | 0 | 0 | 81332 | 0 | 13475 | 0 | 31542 | 0 | 649811 | 0 | 334662 | 0 |
| Richard Rajewski MD | |||||||||||||
| 172000 | 0 | 11724 | 0 | 1945 | 0 | 10329 | 0 | 29310 | 0 | 225308 | 0 | 97244 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Benefits identified include tax indemnification on health claims and health club dues. Both benefits are available to the CEO and are included in taxable income. |
| Part I, Line 4b | Officers and key employees are eligible to participate in a non-qualified retirement plan. Contributions from employer are contributed to the plan on an annual basis. Contributions to the plan for listed persons are included on Schedule J as a component of deferred compensation. Contribution amounts for listed persons for FYE 6-30-11 were: officers - $331,403, key employees - $130,088. |
| Part I, Line 6 | A portion of incentive compensation for officers and key employees is determined by net earnings exceeding budget for the fiscal year. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Kansas Development Finance Authority | |||||||
| 481066589 | 48543BGR3 | 2003-11-12 | 16000878 | Construction | 0 | 0 | 0 |
| Kansas Development Finance Authority | |||||||
| 481066589 | 48543BJD1 | 2005-11-22 | 23635944 | Construction | 0 | 0 | 0 |
| Kansas Development Finance Authority | |||||||
| 481066589 | 48543BLY2 | 2010-11-02 | 46930167 | Refinancing of previous bond and equipment | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired |
|---|---|---|---|---|---|---|---|---|---|
| 16665728 | 1200024 | 726489 | 15939215 | 2005 | 0 | 0 | 1 | 1 | |
| 23635944 | 2023250 | 316000 | 23319944 | 2006 | 0 | 1 | 1 | 1 | |
| 29952593 | 667574 | 29962593 | 2012 | 0 | 1 | 1 | 1 | 16300000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Blue Cross Blue Shield | |||
| Gary Shorman is a director on both HMC's and Blue Cross Blue Shield's Board | 56600000 | The insurance reimbursements received by Hays Medical Center, Inc. from Blue Cross Blue Shield of Kansas only represents approximately 2.75% of Blue Cross Blue Sheild's annual disbursements. | 0 |
| Eagle Communications | |||
| Gary Shorman is CEO of Eagle Communications and on the Board of HMC | 121177 | Payments for cable/internet | 0 |
| Jeter Law Firm | |||
| Family member of John Jeter, CEO of HMC | 6112 | Payments for legal services | 0 |
| John Jeter Board President and CEO | |||
| Board President, Pawnee Valley Community Hospital, Inc. | 0 | N/A | 0 |
| Bryce Young COO Hays Medical Cent | |||
| Board Vice-President Pawnee Valley Community Hospital, Inc. | 0 | N/A | 0 |
| William Overbey CFO Hays Medical | |||
| Board Sec/Treas Pawnee Valley Community Hospital, Inc. | 0 | N/A | 0 |
| Shea Veach Director of Regional Op | |||
| Board Member, Pawnee Valley Community Hospital, Inc. | 0 | N/A | 0 |
| D G Bickle Board Member Hays Me | |||
| D. G. Bickle, Brother of Lynette Pfannenstiel, employee of HMC | 0 | N/A | 0 |
| Lynette Pfannenstiel employee Resp | |||
| Lynette Pfannenstiel, Sister of D. G. Bickle, Board Member of HMC | 72238 | Employee wages | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | Form 990 was reviewed with the officers and Board Finance committee. | |
| Officers, directors, and key employees, along with all associates, are required to complete a conflict of interest statement annually. The statements are used to monitor and enforce compliance with the policy. | Form 990, Part VI, Section B, line 12c | |
| The CEO, officers and key employees salaries are reviewed annually by an independent consulting group and the Compensation Committee, which is made up of members of the Board. | Form 990, Part VI, Section B, line 15 | |
| These documents are not made available to the public. Financial statements are released to bond holders on a quarterly basis. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 10,966,068. | Form 990, Part XI, line 5: |
| Financial Statements and Reporting | Hays Medical Center, Inc. has an audit committee that is responsible for the oversight of the financial statement audit and the selection process of an independent accountant | Form 990. Part XII, line 2c |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Hays Medical Center Foundation | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 481179684 | Provide grants and allocations to Hays Medical Center, Inc. | KS | 501(c)(3) | Line 11a, I | 0 | |
| HaysMed Partners Inc | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 270877152 | Owns management contract for Pawnee Valley Community Hospital | KS | 501(c)(3) | Line 3 | 0 | Hays Medical Center Inc |
| Pawnee Valley Community Hospital Inc | ||||||||||
| 2220 Canterbury | Hays | KS | 67601 | 481253246 | Hospital operated by Hays Medical Center | KS | 501(c)(3) | Line 3 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Hays Medical Center Foundation | |
| C | 58478 |
| Hays Medical Center Foundation | |
| P | 198925 |
| Pawnee Valley Community Hospital Inc | |
| D | 57169 |
| Pawnee Valley Community Hospital Inc | |
| K | 485309 |
| Pawnee Valley Community Hospital Inc | |
| N | 92600 |
| Pawnee Valley Community Hospital Inc | |
| F | 1000 |
| Pawnee Valley Community Hospital Inc | |
| J | 77803 |