SCOTT COUNTY HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: SCOTT COUNTY HOSPITAL INC (EIN 48-1185204)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201101369349306330
Schema version: 2009v1.3
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 C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T16:05:50-07:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEORGE BOWERMAN & NOEL PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	301 N MAIN SUITE 1350	AddressLine1
City	WICHITA	City
State	KS	State
ZIP Code	67202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	481185204	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT COUNTY HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SCOT	NameControl
Phone	6208725811	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	310 E 3RD STREET	AddressLine1
City	SCOTT CITY	City
State	KS	State
ZIP Code	67871	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOE MEYER	Name
Title	CFO	Title
Phone	6208725811	Phone
Date Signed	2011-05-16	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ERIC MEYER	Name
Phone	3162626277	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOE MEYER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	310 E THIRD	AddressLine1
City	SCOTT CITY	City
State	KS	State
ZIP Code	67871	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	12926803	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	KS	StateLegalDomicile
Activity Or Mission Description	Hospital/clinic services to patients	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	213	TotalNbrEmployees
Total Nbr Volunteers	62	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	757418	ContributionsGrantsPriorYear
Contributions Grants Current Year	1576715	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10608318	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11170533	ProgramServiceRevenueCY
Investment Income Prior Year	18037	InvestmentIncomePriorYear
Investment Income Current Year	30563	InvestmentIncomeCurrentYear
Other Revenue Prior Year	110470	OtherRevenuePriorYear
Other Revenue Current Year	148992	OtherRevenueCurrentYear
Total Revenue Prior Year	11494243	TotalRevenuePriorYear
Total Revenue Current Year	12926803	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	6746576	SalariesEtcPriorYear
Salaries Etc Current Year	7541283	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3854427	OtherExpensePriorYear
Other Expenses Current Year	3958658	OtherExpensesCurrentYear
Total Expenses Prior Year	10601003	TotalExpensesPriorYear
Total Expenses Current Year	11499941	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	893240	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1426862	RevenuesLessExpensesCY
Total Assets BOY	7839221	TotalAssetsBOY
Total Assets EOY	8757302	TotalAssetsEOY
Total Liabilities BOY	2062787	TotalLiabilitiesBOY
Total Liabilities EOY	1554006	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5776434	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	7203296	NetAssetsOrFundBalancesEOY
Mission Description	Hospital/clinic services to patients	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	8229176	Expense
Revenue	11319525	Revenue
Description	PROVIDE HOSPITAL/CLINIC INPATIENT AND OUTPATIENT SERVICES TO THE COMMUNITY. TOTAL INPATIENT DAYS FOR THE YEAR WERE 2877.	Description
Total Program Service Expense	8229176	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	20	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	213	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Other Website	X	OtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MARK BURNETT CEO	NamePerson
Telephone Number	6208725811	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	310 E 3RD SCOTT	AddressLine1
City	CITY	City
State	KS	State
ZIP Code	67871	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
SUE PAMMENTER
CHAIR	2.00	X	0	0	0
CHRIS HOLOVACH
CHAIR	2.00	X	0	0	0
LANCE HUCK
SEC/TREASURER	2.00	X	0	0	0
MARLO WIECHMAN
BOARD MEMBER	2.00	X	0	0	0
DON EIKENBERRY
BOARD MEMBER	2.00	X	0	0	0
MARK BURNETT
CEO	40.00		114164	0	8337	X
CHRISTIAN CUPP
PHYSICIAN	40.00		277265	0	23198		X
DANIEL DUNN
PHYSICIAN	40.00		232674	0	20043		X
ELIZABETH HINEMAN
PHYSICIAN	40.00		229696	0	21410		X
RONALD BOYSON
CRNA	40.00		205001	0	17314		X
JOE MEYER
CFO	40.00		83477	0	10067	X
TERRY BONVILLE
CRNA	40.00		190004	0	8572		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1332281	TotalReportableCompFromOrg
Total Other Compensation	108941	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	QUEST DIAGNOSTICS	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 14730	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63150	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	LAB SERVICES	DescriptionOfServices
Compensation	105216	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	1557415	GovernmentGrants
All Other Contributions	19300	AllOtherContributions
Total Contributions	1576715	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	622110	BusinessCode
Total Revenue Column	11170533	TotalRevenueColumn
Related Or Exempt Function Income	11170533	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	11170533	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	30563	TotalRevenueColumn
Exclusion	$30,563	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CRNA Outsourcing	900099	49853	49853
Miscellaneous	900099	99139	99139

Field	Value	IRS element (for citing)
Total Other Revenue	148992	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12926803	TotalRevenueColumn
Related Or Exempt Function Income	11319525	RelatedOrExemptFunctionIncome
Exclusion	$30,563	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	197641	Total
Program Services	0	ProgramServices
Management And General	197641	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6052310	Total
Program Services	4690738	ProgramServices
Management And General	1361572	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	313477	Total
Program Services	236946	ProgramServices
Management And General	76531	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	554836	Total
Program Services	342194	ProgramServices
Management And General	212642	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	423019	Total
Program Services	315779	ProgramServices
Management And General	107240	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	42832	Total
Program Services	3225	ProgramServices
Management And General	39607	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	731957	Total
Program Services	394848	ProgramServices
Management And General	337109	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	33526	Total
Program Services	0	ProgramServices
Management And General	33526	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	171160	Total
Program Services	12232	ProgramServices
Management And General	158928	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	8972	Total
Program Services	8373	ProgramServices
Management And General	599	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	56465	Total
Program Services	40018	ProgramServices
Management And General	16447	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	30636	Total
Program Services	27410	ProgramServices
Management And General	3226	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	628407	Total
Program Services	400065	ProgramServices
Management And General	228342	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	102145	Total
Program Services	55206	ProgramServices
Management And General	46939	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
EQUIPMENT MAINTENANCE & REPAIR	351640	250300	101340
PRINTING AND PUBLICATION	90680	20681	69999
POSTAGE AND SHIPPING	30643	20380	10263
SUPPLIES	1649796	1408536	241260
MISCELLANEOUS	29799	2245	27554

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11499941	Total
Program Services	8229176	ProgramServices
Management And General	3270765	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1394898	BOY
EOY	1773663	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	933953	BOY
EOY	970580	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1738046	BOY
EOY	1713553	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	400737	BOY
EOY	367763	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	143941	BOY
EOY	120646	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	11723614	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8727460	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2579650	BOY
EOY	2996154	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	647996	BOY
EOY	814943	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7839221	BOY
EOY	8757302	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	373283	BOY
EOY	450770	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	974374	BOY
EOY	364219	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	715130	BOY
EOY	739017	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2062787	BOY
EOY	1554006	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5760017	BOY
EOY	7142718	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16417	BOY
EOY	60578	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5776434	BOY
EOY	7203296	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7839221	BOY
EOY	8757302	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Public Support Total170	0	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Pertcentage170	0	PublicSupportPertcentage170
Public Support Total509	0	PublicSupportTotal509
Public Support Percentage509	0	PublicSupportPercentage509
Investment Income Percentage	0	InvestmentIncomePercentage

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$1,952	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	1952	TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Pt II-B Line 1i	Identifier
Explanation	LOBBYING PORTION OF KANSAS HOSPITAL ASSOCIATION DUES	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	56273	OtherCostOrOtherBasis
Book Value	56273	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5055054	OtherCostOrOtherBasis
Depreciation	3843146	Depreciation
Book Value	1211908	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5759448	OtherCostOrOtherBasis
Depreciation	4884314	Depreciation
Book Value	875134	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	852839	OtherCostOrOtherBasis
Book Value	852839	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2996154	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
Goodwill	412230
Due from third-party insurance programs	402713

Field	Value	IRS element (for citing)
Total Book Value Other Assets	814943	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Salaries payable	$355,483
Compensated absences payable	$235,952
Payroll taxes payable	$147,582
Interest payable
Due to third-party insurance programs

Field	Value	IRS element (for citing)
Total Of Amounts	739017	TotalOfAmounts
Total Revenue	12926803	TotalRevenue
Total Expenses	11499941	TotalExpenses
Excess Or Deficit For Year	1426862	ExcessOrDeficitForYear
Excess Or Deficit Per FS	1426862	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	12926803	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	12926803	RevenueSubtotal
Total Revenue Per Form990	12926803	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	11499941	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	11499941	ExpensesSubtotal
Total Expenses Per Form990	11499941	TotalExpensesPerForm990

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	127923	TotalCommunityBenefitExpense
Net Community Benefit Expense	127923	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	417405	TotalCommunityBenefitExpense
Direct Offsetting Revenue	410114	DirectOffsettingRevenue
Net Community Benefit Expense	7291	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	545328	TotalCommunityBenefitExpense
Direct Offsetting Revenue	410114	DirectOffsettingRevenue
Net Community Benefit Expense	135214	NetCommunityBenefitExpense
Percent Of Total Expense	0.01170	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5806758	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5085383	DirectOffsettingRevenue
Net Community Benefit Expense	721375	NetCommunityBenefitExpense
Percent Of Total Expense	0.06270	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5806758	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5085383	DirectOffsettingRevenue
Net Community Benefit Expense	721375	NetCommunityBenefitExpense
Percent Of Total Expense	0.06270	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6352086	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5495497	DirectOffsettingRevenue
Net Community Benefit Expense	856589	NetCommunityBenefitExpense
Percent Of Total Expense	0.07440	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense	$247,060	BadDebtExpenseAmount
Amount Attributable To	185295	AmountAttributableTo
Amount Reimbursed By Medicare	2986827	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	2995356	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8529	MedicareSurplusOrShortfall
Written Debt Collection Policy	false	WrittenDebtCollectionPolicy

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Critical Access HospitalCriticalAccessHospital	OtherOther
SCOTT COUNTY HOSPITAL
310 EAST THIRD STREET	SCOTT CITY	KS	67871	X
SCOTT CITY CLINIC
310 EAST THIRD STREET	SCOTT CITY	KS	67871		RURAL HEALTH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	THE TOTAL COST TO CHARGE RATIO DERIVED FROM THE MEDICARE	CostingMethodUsed
Subsidized Health Services Expln	SUBSIDIZED HEALTH SERVICES INCLUDE THE COSTS ATTRIBUTABLE	SubsidizedHealthServicesExpln
Bad Debt Footnote	THE TOTAL COST TO CHARGE RATIO DERIVED FORM THE MEDICARE COST REPORT	BadDebtFootnote
Shortfall As Community Benefit	MEDICARE ALLOWABLE COSTS PER THE MEDICARE COST REPORT.	ShortfallAsCommunityBenefit
Debt Collection Policy	IF COLLECTION EFFORTS DETERMINE THAT A PATIENT MAY	DebtCollectionPolicy
Needs Assessment	INFORMAL NEEDS ASSESSMENT PERFOMED ON AN ONGOING BASIS	NeedsAssessment
Patient Education Assistance	THE FINANCIAL ASSISTANCE IS COMMUNICATED VERBALLY TO PATIENTS UPON ADMISSION	PatientEducationAssistance
Community Information	CRITICAL ACCESS HOSPITAL SERVING PRIMARILY AS SOLE PROVIDER	CommunityInformation
Other Information	THE HOSPITAL PROVIDES IDENTIFIED SERVICES TO THE RURAL COMMUNITY	OtherInformation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
CHRISTIAN CUPP
228000	49265	23198	300463
DANIEL DUNN
190000	42674	20043	252717
ELIZABETH HINEMAN
160000	69696	21410	251106
RONALD BOYSON
205001		17314	222315
TERRY BONVILLE
190004			190004

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Pt I Line 5a	Identifier
Explanation	PHYSICIANS RECEIVE BASE COMPENSATION AND ADDITIONAL BASED ON VARIOUS	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI-B, Line 11A	REVIEWED BY CFO PRIOR TO FILING
Pt VI-C, Line 19	FINANCIAL STATEMENTS AVAILABE AT PUBLIC MEETING; OTHERS UPON REQUEST
Pt VI-B, Line 15	CEO COMPENSATION SUBJECT TO ANNUAL REVIEW AND APPROVAL BY BOARD; OFFICERS AND KEY EMPLOYEE COMPENSATION SUBJECT TO APPROVAL BY CEO

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT COUNTY KANSAS	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	303 COURT STREET	AddressLine1
City	SCOTT CIYT	City
State	KS	State
ZIP Code	67871	ZIPCode

Field	Value	IRS element (for citing)
EIN	481020227	EIN
Primary Activities	COUNTY	PrimaryActivities
Legal Domicile State	KS	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT COUNTY HOSPITAL RECEIVES TAXES LEVIED ON BEHALF OF THE HOSPITAL AND C	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	r	TransactionType
Amount Involved	1485947	AmountInvolved