KADLEC REGIONAL MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- KADLEC REGIONAL MEDICAL CENTER (EIN 91-0655392)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201243209349308104
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T16:01:16-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22650 | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 989072650 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910655392 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KADLEC REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KADL | NameControl |
| Phone | 5099464611 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 888 SWIFT BLVD | AddressLine1 |
| City | RICHLAND | City |
| State | WA | State |
| ZIP Code | 993523583 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIE MEEK | Name |
| Title | VICE PRESIDENT | Title |
| Phone | 5099464611 | Phone |
| Date Signed | 2012-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CATHY STERBENZ | Name |
| PTIN | P00737078 | PTIN |
| Phone | 5092487750 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JULIE MEEK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 888 SWIFT BLVD | AddressLine1 |
| City | RICHLAND | City |
| State | WA | State |
| ZIP Code | 993523583 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 297256444 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | KADLECMED.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1947 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF KADLEC REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2116 | TotalNbrEmployees |
| Total Nbr Volunteers | 520 | TotalNbrVolunteers |
| Total Gross UBI | 114286 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -47038 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 68422 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2968199 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 277410752 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 289273955 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2322153 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2022841 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2358175 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1972555 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 282159502 | TotalRevenuePriorYear |
| Total Revenue Current Year | 296237550 | 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 | 124648058 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 131295875 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 705219 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 140042854 | OtherExpensePriorYear |
| Other Expenses Current Year | 164576613 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 264690912 | TotalExpensesPriorYear |
| Total Expenses Current Year | 295872488 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 17468590 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 365062 | RevenuesLessExpensesCY |
| Total Assets BOY | 317985379 | TotalAssetsBOY |
| Total Assets EOY | 333568114 | TotalAssetsEOY |
| Total Liabilities BOY | 177408729 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 202094268 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 140576650 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 131473846 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF KADLEC REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 245285154 | Expense |
| Revenue | 288160315 | Revenue |
| Description | THE PURPOSES OF KADLEC REGIONAL MEDICAL CENTER ARE TO OPERATE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC OR EDUCATIONAL PURPOSES,WITHIN THE MEANING OF SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, INCLUDING WITHOUT LIMITATION, TO ENGAGE IN ACTIVITIES RELATING TO THE PROVISION OF HEALTHCARE SERVICES,TO ESTABLISH AND MAINTAIN A HOSPITAL OR HOSPITALS FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES WHICH REQUIRE THAT THOSE PERSONS RECEIVE HOSPITAL CARE, TO PROMOTE THE HEALTH OF THE COMMUNITY, TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATING TO THE CARE OF THE SICK AND INJURED, AND TO PROMOTE AND CARRY ON EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED OR THE PROMOTION OF HEALTH. | Description |
| Total Program Service Expense | 245285154 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | 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 | 211 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2116 | 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 |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE L MEEK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5099464611 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 888 SWIFT BLVD | AddressLine1 |
| City | RICHLAND | City |
| State | WA | State |
| ZIP Code | 993523583 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| VICKY CARWEIN PHD | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| WAYNE MARTIN PHD | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| TOM COWAN | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| SUSAN KREID | ||||||||
| BOARD CHAIR | 3.00 | X | 0 | 0 | 0 | X | ||
| SANDY GAMBLE | ||||||||
| BOARD TREASURER | 3.00 | X | 0 | 0 | 0 | |||
| DAVID MERKLEY MD | ||||||||
| BOARD SECRETARY | 3.00 | X | 0 | 0 | 0 | X | ||
| MICHELE DICKINSON | ||||||||
| BOARD VICE CHAIR | 3.00 | X | 0 | 0 | 0 | X | ||
| CHRIS RAVAGE MD | ||||||||
| BOARD PRESIDENT -ELECT MEDICAL STAFF | 3.00 | X | 0 | 0 | 0 | |||
| STEVEN KING | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| JERRY ROACH | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| TED SAMSELL MD | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| MARK GEHLEN | ||||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |||
| WILLIAM C BAKER | ||||||||
| VICE PRESIDENT | 50.00 | 264965 | 0 | 20188 | X | |||
| LARRY J CHRISTENSEN | ||||||||
| VICE PRESIDENT | 50.00 | 176640 | 0 | 15097 | X | |||
| JEFFREY A CLARK | ||||||||
| VICE PRESIDENT | 50.00 | 241962 | 0 | 24372 | X | |||
| KIRK W HARPER | ||||||||
| VICE PRESIDENT | 50.00 | 202152 | 0 | 13976 | X | |||
| JULIE L MEEK | ||||||||
| VICE PRESIDENT | 50.00 | 319374 | 0 | 27823 | X | |||
| DAVID R ROACH | ||||||||
| VICE PRESIDENT | 50.00 | 247243 | 0 | 20097 | X | |||
| LANE SAVITCH | ||||||||
| PRESIDENT | 50.00 | 345930 | 0 | 24063 | X | |||
| WILLIAM T WINGO | ||||||||
| VICE PRESIDENT | 50.00 | 279491 | 0 | 21720 | X | |||
| RAND WORTMAN | ||||||||
| CEO | 50.00 | 445123 | 0 | 318311 | X | |||
| NATALIE K EUBANKS | ||||||||
| COORDINATOR, PHARMACIST | 50.00 | 157935 | 0 | 10160 | X | |||
| DARLA J HARLESS | ||||||||
| PHARMACIST | 50.00 | 215467 | 0 | 13878 | X | |||
| DAVID L PEARSON | ||||||||
| DIRECTOR, PHARMACY | 50.00 | 158109 | 0 | 16769 | X | |||
| GARY H RICHARDSON | ||||||||
| PHARMACIST | 50.00 | 159928 | 0 | 13285 | X | |||
| JANICE L ROACH | ||||||||
| EXECUTIVE DIRECTOR , KMA | 50.00 | 202837 | 0 | 10849 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3417156 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 550588 | TotalOtherCompensation |
| Number Individuals GT100 K | 165 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 |
|---|---|---|---|---|---|
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | WI | 53288 | COMPUTER NETWORK SERVICES | 7038227 |
| KADLEC MEDICAL ASSOCIATES LLC | |||||
| 888 SWIFT BOULEVARD | RICHLAND | WA | 99352 | HOSPITALISTS | 6902330 |
| APOLLO SOLUTIONS GROUP | |||||
| 1201 W COLUMBIA DRIVE | KENNEWICK | WA | 99336 | CONSTRUCTION SERVICES | 4352097 |
| PREMIER ANESTHESIA OF RICHLAND | |||||
| 3650 MANSELL ROAD | ALPHARETTA | GA | 30022 | ANESTHESIOLOGISTS | 4101676 |
| INNOVATIVE HEALTHCARE SOLUTIONS | |||||
| PO BOX 380697 | MURDOCK | FL | 33983 | COMPUTER NETWORK SERVICES | 3136508 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 63 | NumberOfContractorsGT100K |
| Related Organizations | 2968199 | RelatedOrganizations |
| Total Contributions | 2968199 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 621400 | 284775212 | 284775212 | ||
| OTHER OPERATING REVENU | 561499 | 2593054 | $2,593,054 | ||
| CAFETERIA REVENUE | 722320 | 1791403 | 1791403 | ||
| CLINICAL ENGINEERING R | 811000 | 114286 | 114286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 289273955 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2264982 | TotalRevenueColumn |
| Exclusion | $2,264,982 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 592148 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 213293 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 378855 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 378855 | TotalRevenueColumn |
| Exclusion | $378,855 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 563460 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 805601 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -242141 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -242141 | TotalRevenueColumn |
| Exclusion | -$242,141 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| TC HOME HEALTH | 900099 | 740409 | 740409 |
| TC REGIONAL SURGERY CA | 900099 | 338136 | 338136 |
| TC CANCER CENTER | 900099 | 300759 | 300759 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 214396 | TotalRevenueColumn |
| Related Or Exempt Function Income | 214396 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1593700 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 296237550 | TotalRevenueColumn |
| Related Or Exempt Function Income | 288160315 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 114286 | UnrelatedBusinessRevenue |
| Exclusion | $4,994,750 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3008525 | Total |
| Management And General | 2816796 | ManagementAndGeneral |
| Fundraising | 191729 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102701664 | Total |
| Program Services | 82576203 | ProgramServices |
| Management And General | 19871471 | ManagementAndGeneral |
| Fundraising | 253990 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4949341 | Total |
| Program Services | 3889603 | ProgramServices |
| Management And General | 1038869 | ManagementAndGeneral |
| Fundraising | 20869 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12944680 | Total |
| Program Services | 10173006 | ProgramServices |
| Management And General | 2717094 | ManagementAndGeneral |
| Fundraising | 54580 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7691665 | Total |
| Program Services | 6078651 | ProgramServices |
| Management And General | 1584676 | ManagementAndGeneral |
| Fundraising | 28338 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 516933 | Total |
| Management And General | 516933 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72041 | Total |
| Management And General | 72041 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12000 | Total |
| Program Services | 12000 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18653039 | Total |
| Program Services | 17298400 | ProgramServices |
| Management And General | 1354639 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 754738 | Total |
| Management And General | 754738 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54410829 | Total |
| Program Services | 50320134 | ProgramServices |
| Management And General | 4057334 | ManagementAndGeneral |
| Fundraising | 33361 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2691154 | Total |
| Program Services | 2150743 | ProgramServices |
| Management And General | 500710 | ManagementAndGeneral |
| Fundraising | 39701 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1304580 | Total |
| Program Services | 559072 | ProgramServices |
| Management And General | 728830 | ManagementAndGeneral |
| Fundraising | 16678 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 314831 | Total |
| Management And General | 314831 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6841544 | Total |
| Program Services | 5451112 | ProgramServices |
| Management And General | 1390432 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14251587 | Total |
| Program Services | 11355184 | ProgramServices |
| Management And General | 2896403 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3603646 | Total |
| Program Services | 3500602 | ProgramServices |
| Management And General | 103044 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| OUTSIDE PURCHASED SERVI | 21379240 | 17057043 | 4260686 | 61511 |
| KADLEC HEALTH SYSTEM SU | 15101073 | 15101073 | ||
| TAXES | 8889161 | 7082584 | 1806577 | |
| DUES,SUBSCRIPTIONS, LIC | 5202950 | 4149877 | 1048611 | 4462 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10577267 | Total |
| Program Services | 8529867 | ProgramServices |
| Management And General | 2047400 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 295872488 | Total |
| Program Services | 245285154 | ProgramServices |
| Management And General | 49882115 | ManagementAndGeneral |
| Fundraising | 705219 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9338587 | BOY |
| EOY | 16694443 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147219 | BOY |
| EOY | 546535 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40536794 | BOY |
| EOY | 52291545 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1686311 | BOY |
| EOY | 1871227 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1220591 | BOY |
| EOY | 979360 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 284212488 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 111706472 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144574133 | BOY |
| EOY | 172506016 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103343140 | BOY |
| EOY | 71208066 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17138604 | BOY |
| EOY | 17470922 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317985379 | BOY |
| EOY | 333568114 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29269498 | BOY |
| EOY | 46182102 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132740000 | BOY |
| EOY | 130645000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1724000 | BOY |
| EOY | 1694438 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 683087 | BOY |
| EOY | 1845946 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12992144 | BOY |
| EOY | 21726782 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177408729 | BOY |
| EOY | 202094268 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140576650 | BOY |
| EOY | 128589133 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2884713 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140576650 | BOY |
| EOY | 131473846 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317985379 | BOY |
| EOY | 333568114 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 365062 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -9467866 | 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 Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $12,000 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 12000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 797298 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 3096807 | OtherCostOrOtherBasis |
| Book Value | 3894105 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 5830108 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 137091023 | OtherCostOrOtherBasis |
| Depreciation | 36081068 | Depreciation |
| Book Value | 106840063 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5177872 | OtherCostOrOtherBasis |
| Depreciation | 3279612 | Depreciation |
| Book Value | 1898260 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 126429175 | OtherCostOrOtherBasis |
| Depreciation | 70499092 | Depreciation |
| Book Value | 55930083 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5790205 | OtherCostOrOtherBasis |
| Depreciation | 1846700 | Depreciation |
| Book Value | 3943505 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 172506016 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENTS IN JOINT VENTURES | 7002071 |
| DEFERRED FINANCING COSTS-NET | 4023174 |
| PROFESSIONAL LIABILITY INSURANCE TRUST-NET | 4568762 |
| 457B CONTRIBUTIONS | 366003 |
| DEPOSITS | 601326 |
| ORIGINAL ISSUE DISCOUNT | 909586 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17470922 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTEREST RATE SWAP CONTRACT | $16,595,355 |
| 2006A BOND PREMIUM | $312,224 |
| 457B CONTRIBUTIONS | $366,003 |
| MALPRACTICE INSURANCE | $4,453,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 21726782 | TotalOfAmounts |
| Total Revenue | 296237550 | TotalRevenue |
| Total Expenses | 295872488 | TotalExpenses |
| Excess Or Deficit For Year | 365062 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -27646 | NetUnrealizedGLOnInvestments |
| Other | -$9,440,220 | OtherAmount |
| Total Adjustments | -9467866 | TotalAdjustments |
| Excess Or Deficit Per FS | -9102804 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 294168063 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 222766 | OtherRevenues |
| Revenue Not Rptd F990 | 222766 | RevenueNotRptdF990 |
| Revenue Subtotal | 293945297 | RevenueSubtotal |
| Other Revenues Not Included | 2292253 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2292253 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 296237550 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 295872488 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 295872488 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 295872488 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | EFFECTIVE JANUARY 1, 2009, THE MEDICAL CENTER ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2011 AND 2010, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | MARKET VALUATION ACCOUNT FOR INVESTMENTS -2,292,253. INTEREST RATE SWAP CONTRACT -7,370,733. BOOK/TAX DIFFERENCE IN JOINT VENTURE INCOME 222,766. TOTAL TO SCHEDULE D, PART XI, LINE 8: -9,440,220. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | BOOK/TAX DIFFERENCE IN JOINT VENTURE INCOME 222,766. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | MARKET VALUATION ACCOUNT FOR INVESTMENTS 2,292,253. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10651 | PersonsServed |
| Total Community Benefit Expense | 11023843 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11023843 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03760 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 38418 | PersonsServed |
| Total Community Benefit Expense | 40106546 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14599672 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25506874 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08700 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 49069 | PersonsServed |
| Total Community Benefit Expense | 51130389 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14599672 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36530717 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12460 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 206 | NumberOfActivitiesOrPrograms |
| Persons Served | 297259 | PersonsServed |
| Total Community Benefit Expense | 1410415 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 609978 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 800437 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 294977 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 294977 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 206 | NumberOfActivitiesOrPrograms |
| Persons Served | 297259 | PersonsServed |
| Total Community Benefit Expense | 1705392 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 609978 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1095414 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 206 | NumberOfActivitiesOrPrograms |
| Persons Served | 346328 | PersonsServed |
| Total Community Benefit Expense | 52835781 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15209650 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 37626131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12830 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,741,777 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 64600577 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 83152643 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -18552066 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KADLEC REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 888 SWIFT BLVD | AddressLine1 |
| City | RICHLAND | City |
| State | WA | State |
| ZIP Code | 99352 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KADLEC REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 0 | IncludesPublicityMeasures |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 0 | CollectionActivities |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| 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 $ 2741777. | ||
| THE COMMUNITY BENEFIT REPORT IS PUBLISHED AND DISTRIBUTED TO THE PUBLIC BY MAIL OR ITS AVAILABLE AT THE HOSPITAL. | FORM 990, PART I, LINE 6B: | |
| PART III, LINE 8: KADLEC REGIONAL MEDICAL CENTER IS NOT COVERING THE COST OF THE CARE PROVIDED. THE COSTING METHODOLOGY OF COST TO CHARGE RATIO IS DIRECTLY FROM THE MEDICARE COST REPORT. | ||
| PART III, LINE 9B: IF A PATIENT QUALIFIES FOR 100% FINANCIAL ASSISTANCE, THE ACCOUNT IS NOT PLACED WITH A COLLECTION AGENCY. A PATIENT QUALIFYING FOR PARTIAL ADJUSTMENT IS RESPONSIBLE FOR THE REMAINING BALANCE AND THE ACCOUNT IS HANDLED ACCORDING TO OUR COLLECTION POLICY. | ||
| PART V, SECTION B, LINE 19D: MEDICARE COST-TO-CHARGE RATIO | KADLEC REGIONAL MEDICAL CENTER | |
| PART VI, LINE 2: THROUGH A COALITION BETWEEN BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE, LOURDES HEALTH NETWORK, KADLEC REGIONAL MEDICAL CENTER, KENNEWICK GENERAL HOSPITAL, GROUP HEATLH COOPERATIVE, PROSSER MEMORIAL HOSPITAL AND BENTON FRANKLIN HEALTH DISTRICT. THE ASSESSMENT IS PRODUCED FROM DATA, STAKEHOLDER INTERVIEWS, SURVEYS AND FORUMS AND INTERESTED COMMUNITY REPRESENTATIVES. | ||
| PART VI, LINE 3: KADLEC PROVIDES INFORMATION REGARDING FINANCIAL ASSISTANCE AT TIME OF REGISTRATION TO ALL SELF-PAY (UNINSURED) PATIENTS. FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE AND AGAIN ON OUR PATIENT STATEMENTS. ON-SITE FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS WITH APPLICATION PROCESS FOR FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS AS WELL AS FOR OUR ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. ACCOUNTS RECEIVABLE REPRESENTATIVES ALSO INFORM PATIENTS OF THE PROGRAM AS THEY SPEAK WITH PATIENTS REGARDING THEIR SELF-PAY BALANCES. | ||
| PART VI, LINE 4: KADLEC SERVES A DIVERSE POPULATION WITHIN ITS PRIMARY SERVICE AREA OF BENTON AND FRANKLIN COUNTIES. THE COMBINED POPULATION OF THESE COUNTIES IS APPROXIMATELY 225,000 PEOPLE. WE TAKE CARE OF PATIENTS OF ALL AGES, WITH A GROWING POPULATION OF YOUNGER FAMILIES. IN ADDITION, OUR ATTRACTIVENESS AS A RETIREMENT COMMUNITY IS ALSO BRINGING A GROWING RETIREMENT-AGE POPULATION. WE ARE UNIQUELY QUALIFIED TO SERVE THIS GROUP THROUGH OUR FREE HEALTHY AGES AFTER 50 PROGRAM. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| 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 |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM C BAKER | |||||||||||||
| 244496 | 0 | 20469 | 0 | 0 | 0 | 17435 | 0 | 2753 | 0 | 285153 | 0 | 0 | 0 |
| LARRY J CHRISTENSEN | |||||||||||||
| 168130 | 0 | 8510 | 0 | 0 | 0 | 12344 | 0 | 2753 | 0 | 191737 | 0 | 0 | 0 |
| JEFFREY A CLARK | |||||||||||||
| 223401 | 0 | 18561 | 0 | 0 | 0 | 19454 | 0 | 4918 | 0 | 266334 | 0 | 0 | 0 |
| KIRK W HARPER | |||||||||||||
| 194408 | 0 | 7744 | 0 | 0 | 0 | 13397 | 0 | 579 | 0 | 216128 | 0 | 0 | 0 |
| JULIE L MEEK | |||||||||||||
| 300581 | 0 | 17176 | 0 | 1617 | 0 | 22050 | 0 | 5773 | 0 | 347197 | 0 | 0 | 0 |
| DAVID R ROACH | |||||||||||||
| 232887 | 0 | 14356 | 0 | 0 | 0 | 19156 | 0 | 941 | 0 | 267340 | 0 | 0 | 0 |
| LANE SAVITCH | |||||||||||||
| 306613 | 0 | 18046 | 0 | 21271 | 0 | 0 | 0 | 24063 | 0 | 369993 | 0 | 0 | 0 |
| WILLIAM T WINGO | |||||||||||||
| 257894 | 0 | 21597 | 0 | 0 | 0 | 18967 | 0 | 2753 | 0 | 301211 | 0 | 0 | 0 |
| RAND WORTMAN | |||||||||||||
| 335487 | 0 | 102376 | 0 | 7260 | 0 | 179839 | 0 | 138472 | 0 | 763434 | 0 | 0 | 0 |
| NATALIE K EUBANKS | |||||||||||||
| 157935 | 0 | 0 | 0 | 0 | 0 | 10160 | 0 | 0 | 0 | 168095 | 0 | 0 | 0 |
| DARLA J HARLESS | |||||||||||||
| 215467 | 0 | 0 | 0 | 0 | 0 | 12670 | 0 | 1208 | 0 | 229345 | 0 | 0 | 0 |
| DAVID L PEARSON | |||||||||||||
| 158109 | 0 | 0 | 0 | 0 | 0 | 14016 | 0 | 2753 | 0 | 174878 | 0 | 0 | 0 |
| GARY H RICHARDSON | |||||||||||||
| 159928 | 0 | 0 | 0 | 0 | 0 | 12430 | 0 | 855 | 0 | 173213 | 0 | 0 | 0 |
| JANICE L ROACH | |||||||||||||
| 162240 | 0 | 0 | 0 | 40597 | 0 | 10367 | 0 | 482 | 0 | 213686 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE BOARD IS ALLOWED TO TAKE THEIR COMPANION ON THE ANNUAL BOARD RETREAT. RAND WORTMAN KHS PRESIDENT & CEO, KRMC CEO; LANE SAVITCH, KRMC PRESIDENT; LARRY CHRISTENSEN, VP RESOURCE DEVELOPMENT FOR KHS AND KADLEC FOUNDATION EXECUTIVE DIRECTOR; WILLIAM WINGO, VP, CORPORATE COUNSEL FOR KRMC AND KHS WILLIAM BAKER, VP, REGIONAL BUSINESS DEVELOPMENT FOR KRMC AND KHS; THEIR MEADOW SPRINGS COUNTRY CLUB DUES ARE PAID BY THE MEDICAL CENTER. |
| PART I, LINE 6 | THE KHS BOARD ESTABLISHED AN INCENTIVE COMPENSATION PROGRAM FOR SENIOR KHS AND KRMC EXECUTIVES TO ENSURE LEADERSHIP WAS FOCUSED ON KHS AND KRMC PRIORITIES; PATIENT SATISFACTION, EMPLOYEE SATISFACTION, QUALITY CARE, STRATEGIC GOALS, AND OPERATING INCOME. PERFORMANCE EXPECTATIONS ARE SET EACH YEAR WITH THE OPERATING BUDGET, CAPITAL BUDGET, AND BUSINESS PLAN. THE INCENTIVE GOALS ARE WEIGHTED ACCORDING TO THE PARTICIPANTS CONTRIBUTION. THE GOALS ARE ALL OR NOTHING AND THE PAYOUT OCCURS AFTER A FINAL REPORT IS PRESENTED TO THE BOARD EXECUTIVE COMMITTEE. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| WASHINGTON HEALTHCARE FACILITIES AUTHORITY | |||||||
| 911108929 | 93978ED25 | 2006-09-07 | 33165247 | REFUNDING SERIES 1996 AND 2001 BONDS | 0 | 0 | 0 |
| WASHINGTON HEALTHCARE FACILITIES AUTHORITY | |||||||
| 911108929 | 93978ED33 | 2006-09-07 | 50000000 | FINANCING MAJOR ADDITION | 0 | 0 | 0 |
| WASHINGTON HEALTHCARE FACILITIES AUTHORITY | |||||||
| 911108929 | 93978HAV7 | 2010-11-04 | 56114049 | FINANCING MAJOR ADDITION | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Other Spent ProceedsOtherSpentProceeds |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6675000 | 33165247 | 2262824 | 1135420 | 933645 | 1828067 | 2002 | 1 | 1 | 1 | 1 | |
| 2075000 | 50000000 | 3800585 | 2041879 | 1712033 | 44452624 | 2008 | 0 | 1 | 1 | 1 | |
| 425000 | 56114049 | 5294085 | 845875 | 33352135 | 2012 | 0 | 0 | 0 | 0 | 9707345 |
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 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||
| 1 | 0 | 0 | 0 | 0 | 0 | |||
| PIPER JAFFRAY | ||||||||
| 1 | 1 | 1 | 0 | 0 | 0 | 28.500000000000 | 0 | 0 |
| (no name) | ||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | |||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE BOARD OF DIRECTORS HIRED QUORUM HEALTH RESOURCES AS A MANAGEMENT COMPANY TO OVERSEE DAY TO DAY OPERATIONS OF THE MEDICAL CENTER. THE CEO IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES. | |
| FORM 990, PART VI, SECTION A, LINE 6 | KADLEC HEALTH SYSTEM (KHS) IS THE SOLE VOTING MEMBER OF KADLEC REGIONAL MEDICAL CENTER(KRMC). KHS SHALL HAVE SUCH RIGHTS AND POWERS AS ARE SPECIFIED IN THE WASHINGTON NONPROFIT CORPORATION ACT, THE ARTICLES OF INCORPORATION OF KRMC AND THE BYLAWS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ANNUAL MEETING OF THE SOLE VOTING MEMBER OF KADLEC REGIONAL MEDICAL CENTER(KRMC) TO RATIFY ELECTION AND RE-ELECTION OF DIRECTORS OF KRMC AND FOR THE TRANSACTION OF SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE SOLE VOTING MEMBER, SHALL BE HELD EACH YEAR AS SPECIFIED IN THE BYLAWS OF THE SOLE VOTING MEMBER. THE SOLE VOTING MEMBER MAY DELEGATE OR APPOINT AN OFFICER OF KADLEC HEALTH SYSTEM TO EXERCISE ANY OF THE RIGHTS AND POWERS OF THE SOLE VOTING MEMBER. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE VOTING MEMBER HAS THE RIGHT: (1)TO RATIFY THE ELECTION OR APPOINTMENT OF EACH MEMBER OF THE BOARD OF DIRECTORS AND THE ELECTION OF OFFICERS (2) TO REMOVE ANY DIRECTOR (3) TO AMEND THE ARTICLES OF INCORPORATION OR BYLAWS OF KADLEC REGIONAL MEDICAL CENTER, AND TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF BYLAWS OF KRMC RECOMMENDED BY THE BOARD OF DIRECTORS (4) TO APPROVE ANY MERGERS OR CONSOLIDATION (5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND DEVELOPMENT AND REVISION (6) TO APPROVE THE ENTRY INTO JOINT VENTURES OR PARTNERSHIPS (7) TO APPROVE THE ENCUMBRANCE, LEASE, SALE OR OTHER TRANSFER OF ASSETS WITH A VALUE OF $1,000,000 OR GREATER (8) TO APPROVE THE SELECTION OR REMOVAL KRMC'S INDEPENDENT AUDITOR OR LEGAL COUNSEL (9) TO APPROVE THE INITIATION OF LITIGATION OR SETTLEMENT OF MATERIAL LITIGATION IN WHICH KRMC IS THE PLAINTIFF OR DEFENDANT (10) TO APPROVE THE EXECUTION OF ANY MANAGEMENT AGREEMENT, OR ANY OTHER CONTRACT | |
| FORM 990, PART VI, SECTION B, LINE 11 | ONCE THE 990 IS PREPARED BY A THIRD PARTY, ACCOUNTING STAFF REVIEWS THE DOCUMENTS TO VERIFY INFORMATION HAS BEEN PROVIDED AND INPUT ACCURATELY. ONCE THIS PROCESS HAS BEEN COMPLETED, THE 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE 990 IS ALSO UPLOADED TO THE BOARD WEBSITE AND IS AVAILABLE FOR ALL BOARD MEMBERS TO REVIEW. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE COMPLIANCE PROGRAM IS DIRECTED BY THE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE COMMITTEE, WHO ARE CHARGED WITH ENSURING THAT THE HOSPITAL MAINTAINS AN EFFECTIVE COMPLIANCE PROGRAM. | |
| FORM 990, PART VI, SECTION B, LINE 15 | AN INDEPENDENT THIRD PARTY IS USED TO DETERMINE APPROPRIATE COMPENSATION AND REVIEWED AND APPROVED BY THE COMPENSATION COMMITTE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | HARD COPIES OF THE AUDITED FINANCIAL STATEMENTS ARE KEPT IN THE ACCOUNTING DEPARTMENT AND ARE AVAILABLE UPON REQUEST. THE HOSPITAL'S "MISSION, VISION, VALUES" STATEMENT IS DISPLAYED IN NUMEROUS PUBLIC LOCATIONS THROUGHOUT THE FACILITY. CONFLICT OF INTEREST POLICY IS AVAILABLE TO PUBLIC UPON REQUEST. | |
| FORM 990, PART VII, RELATED ORGANIZATION | RAND WORTMAN; KHS-PRES/CEO; KNC-V. CHAIR; KC-MEMBER; TCN-SEC/TREAS; 56.00 (2) WAYNE MARTIN, PHD; KHS - MEMBER; 2.00 (3) TOM COWAN; KHS - MEMBER; 2.00 (5) SANDY GAMBLE; KHS - TREASURER; 2.00 (6) DAVID MERKLEY, MD; KHS - SECRETARY; 2.00 (8) WASSIM KHAWANDI, MD; TCN - CHAIR; 2.00 (9) JEREMY BLANCHARD, MD; KMA - PHYSICIAN; 50.00 (10) STEVEN KING; KHS - MEMBER; 2.00 (16) JULIE L MEEK; KC - TREASURER; 2.00 (18) LANE SAVITCH; KC - MEMBER; 2.00 (19) WILLIAM T WINGO; KNC - SECRETARY; 2.00 (24) JANICE L ROACH; KMA - EXECUTIVE DIRECTOR; 50.00 | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -27,646. MARKET VALUATION ACCOUNT FOR INVESTMENTS -2,292,253. INTEREST RATE SWAP CONTRACT -7,370,733. BOOK/TAX DIFFERENCE IN JOINT VENTURE INCOME 222,766. TOTAL TO FORM 990, PART XI, LINE 5: -9,467,866. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| KADLEC CLINIC LLC | |||||||
| 945 GOETHALS SUITE 220 | RICHLAND | WA | 99352 | 204265899 | PRIMARY CARE PHYSICIAN SERVICES | WA | KADLEC HEALTH SYSTEM |
| KADLEC MEDICAL ASSOCIATES LLC | |||||||
| 888 SWIFT BLVD | RICHLAND | WA | 993523583 | 203980865 | INPATIENT HOSPITALISTS SERVICES | WA | KADLEC HEALTH SYSTEM |
| KADLEC NEUROSCIENCE CENTER LLC | |||||||
| 800 SWIFT BLVD SUITE 300 | RICHLAND | WA | 993523583 | 201613946 | NEUROLOGICAL RELATED PHYSICIAN SERVICES | WA | KADLEC HEALTH SYSTEM |
| TRICITIES NEPHROLOGY LLC | |||||||
| 309 BRADLEY SUITE 109 | RICHLAND | WA | 99352 | 271041915 | NEPHROLOGY PHYSICIAN SERVICES | WA | KADLEC HEALTH SYSTEM |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE NEUROLOGICAL RESOURCE CENTER | |||||||||||
| 712 SWIFT BLVD SUITE 1 | RICHLAND | WA | 993523583 | 911266345 | EDUCATION ON NEUROLOGICAL DISORDERS | WA | 501(C)(3) | LINE 7 | KADLEC HEALTH SYSTEM | 0 | |
| KADLEC HEALTH SYSTEM | |||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 993523583 | 911266346 | HOSPITAL & PHYSICIAN SERVICES | WA | 501(C)(3) | LINE 3 | 0 | N/A | |
| KADLEC FOUNDATION | |||||||||||
| 800 SWIFT BLVD | RICHLAND | WA | 993523583 | 237005501 | FUNDRAISING | WA | 501(C)(3) | LINE 11A, I | KADLEC HEALTH SYSTEM | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| MID COLUMBIA MEDICAL ASSOCIATES | ||||||||
| 510 N COLORADO SUITE A | KENNEWICK | WA | 99336 | 911987844 | INFECTIOUS DISEASE AND NEPHROLOGY PHYSICIANS | WA | N/A | C |
| KADLEC ENTERPRISES INC | ||||||||
| 888 SWIFT BOULEVARD | RICHLAND | WA | 99352 | 911323736 | ENGAGE IN BUSINESS RELATED TO HEALTHCARE AND TO SUPPORT KHS | WA | N/A | C |
| 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 | 0 | 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| KADLEC HEALTH SYSTEM | |
| Q | 15101073 |
| THE NEUROLOGICAL RESOURCE CENTER | |
| Q | 249984 |
| KADLEC FOUNDATION | |
| C | 2968199 |
| KADLEC FOUNDATION | |
| D | 2100000 |