CTS HEALTH: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CTS HEALTH (EIN 91-1266346)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201113199349304311
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T11:19:59-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911266346 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KADLEC HEALTH SYSTEM | 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 | VP FINANCE/ CFO | Title |
| Phone | 5099464611 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CATHY STERBENZ | Name |
| Phone | 5092487750 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | 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 | 39485544 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.KADLECMED.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY HEALTHCARE FOR EVERY PATIENT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 344 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 6500 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 3550 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 30081677 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 39212414 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 142 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 193430 | OtherRevenuePriorYear |
| Other Revenue Current Year | 140309 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 30275107 | TotalRevenuePriorYear |
| Total Revenue Current Year | 39352865 | 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 | 23642192 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32610162 | 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 | 17601242 | OtherExpensePriorYear |
| Other Expenses Current Year | 18758869 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 41243434 | TotalExpensesPriorYear |
| Total Expenses Current Year | 51369031 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -10968327 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -12016166 | RevenuesLessExpensesCY |
| Total Assets BOY | 15793870 | TotalAssetsBOY |
| Total Assets EOY | 17209514 | TotalAssetsEOY |
| Total Liabilities BOY | 6388966 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5782915 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9404904 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11426599 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE QUALITY HEALTHCARE FOR EVERY PATIENT. THROUGH THE SUPPORT OF KADLEC REGIONAL MEDICAL CENTER (KRMC), KADLEC MEDICAL ASSOCIATES IS DEDICATED TO INPATIENT CARE, DEFINED BY QUALITY AND COMPASSION.THROUGH THE SUPPORT OF KADLEC HEALTH SYSTEM, KADLEC CLINIC SEEKS TO DELIVER EXCEPTIONAL, PATIENT-CENTERED CARE, TO PROVIDE A SUPERIOR PRACTICE ENVIRONMENT FOR ITS PHYSICIANS, AND TO ENSURE THE AVAILABILITY OF COMPREHENSIVE MEDICAL SERVICES FOR OUR COMMUNITIES. THROUGH THE SUPPORT OF KADLEC HEALTH SYSTEM, KADLEC NEUROSCIENCE CENTER PROVIDES EXCEPTIONAL PATIENT-CENTERED NEUROLOGICAL CARE FOR OUR COMMUNITIES AND A SUPERIOR PRACTICE ENVIRONMENT FOR OUR PHYSICIANS AND PROVIDERS.THROUGH THE SUPPORT OF KADLEC HEALTH SYSTEM, TRICITIES NEPHROLOGY PROVIDES EXCEPTIONAL PATIENT-CENTERED NEPHROLOGY CARE FOR OUR COMMUNITIES AND A SUPERIOR PRACTICE ENVIRONMENT FOR OUR PHYSICIANS AND PROVIDERS. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 9951522 | Expense |
| Revenue | 11884049 | Revenue |
| Description | KADLEC MEDICAL ASSOCIATES LLC (KMA) IS A DISREGARDED ENTITY WITHIN KHS WHICH PROVIDES HOSPITAL-BASED PHYSICIAN SERVICES TO KADLEC REGIONAL MEDICAL CENTER. THIS SERVICE ALLOWS PHYSICIANS IN THE COMMUNITY TO REMAIN IN THEIR OFFICE AND SERVICE MORE PATIENTS IN THE OUTPATIENT SETTING. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 24113584 | Expense |
| Revenue | 18784204 | Revenue |
| Description | KADLEC CLINIC LLC (KC) IS A DISREGARDED ENTITY PROVIDING PHYSICIAN SERVICES AT LOCATIONS THROUGHOUT THE COMMUNITY. BRING PRIMARY CARE PHYSICIANS AND SPECIALISTS TO UNDERSERVED AREAS IRREGARDLESS OF ABILITY TO PAY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8205713 | Expense |
| Revenue | 8321591 | Revenue |
| Description | KADLEC NEUROSCIENCE CENTER LLC (KNC) IS A DISREGARDED ENTITY AND WAS STARTED IN APRIL OF 2008 TO BRING A RANGE OF NEUROSCIENCE RELATED PHYSICIANS AND SERVICES TO THE AREA IN ORDER TO SERVE THIS PATIENT POPULATION. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1125563 | Expense |
| Revenue | 332673 | Revenue |
| Description | TRICITIES NEPHROLOGY LLC (TCN) IS A DISREGARDED ENTITY AND WAS ACQUIRED IN FEBRUARY OF 2009 TO BRING A NEPHROLOGY PHYSICIAN AND SERVICES TO THE AREA IN ORDER TO SERVE THIS PATIENT POPULATION. KHS IS A HEALTHCARE SYSTEM PROVIDING HOSPITAL AND PHYSICIANS SERVICES TO THE SURROUNDING COMMUNITY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1125563 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 332673 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 43396382 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | 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 | 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 | 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 | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 41 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 344 | 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 | 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 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JULIE L MEEK | NamePerson |
| 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 | 99352 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 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 |
|---|---|---|---|---|---|---|---|---|
| RAND WORTMAN | ||||||||
| KHS - PRES./CEO KNC - VICE CHAIR, TCN SEC/TREAS | 50.00 | X | X | 0 | 0 | 0 | ||
| WILLIAM WINGO | ||||||||
| KNC - TREASURER | 2.00 | X | 0 | 0 | 0 | |||
| MICHELE DICKINSON | ||||||||
| KHS - PLANNING CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID LIPPES | ||||||||
| KHS - MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SUSAN KREID | ||||||||
| KHS - VICE CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID MERKLEY MD | ||||||||
| KHS - SECRETARY | 2.00 | X | 0 | 0 | 0 | |||
| THOMAS RADO MD | ||||||||
| KHS - MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| NEIL RAWLINS MD | ||||||||
| KHS - MEMBER | 2.00 | X | 150189 | 0 | 12407 | |||
| RON SCHWARTZ MD | ||||||||
| KHS - MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SAM VOLPENTEST | ||||||||
| KHS - MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| DAVIDSON WOOD | ||||||||
| KHS - CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN T SAMSELL MD | ||||||||
| KC - CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| GREG BROWN MD | ||||||||
| KMA - MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JAMES JOHNSON MD | ||||||||
| KC - VICE CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| WAYNE MARTIN | ||||||||
| KHS - MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| ERICK ISAACSON MD | ||||||||
| KC - SEC.TREAS, INTERIM | 2.00 | X | 0 | 0 | 0 | |||
| BRIAN STALEY MD | ||||||||
| KMA - CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| JAMES MORASH | ||||||||
| KHS - FINANCE CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| MICHAEL G HUPPE | ||||||||
| KC - EXECUTIVE DIRECTOR | 50.00 | 211330 | 0 | 9663 | X | |||
| W HUGH MALONEY | ||||||||
| KC- PRESIDENT, KNC - SECRE | 50.00 | 339181 | 0 | 17063 | X | |||
| AL WICHTENDAHL | ||||||||
| KNC - EXECUTIVE DIRECTOR, TCN VICE CHAIR | 50.00 | 173293 | 0 | 2906 | X | |||
| JEREMY BLANCHARD MD | ||||||||
| KMA - SEC/TREAS | 2.00 | 391602 | 0 | 25498 | X | |||
| MATTHEW FEWEL MD | ||||||||
| KNC - CHAIR | 2.00 | 741427 | 83000 | 5467 | X | X | ||
| GARY PODHAISKY MD | ||||||||
| KC - MEMBER | 2.00 | 158957 | 0 | 11944 | X | |||
| JOSH WELDIN MD | ||||||||
| KMA - VICE CHAIR | 2.00 | 211530 | 0 | 8560 | X | |||
| FRANK FLEMING | ||||||||
| KC - MEMBER | 2.00 | 477172 | 0 | 8035 | X | |||
| KEVIN TURNER MD | ||||||||
| KC - MEMBER | 2.00 | 370691 | 23000 | 16176 | X | |||
| WASSIM KHAWANDI MD | ||||||||
| TCN - CHAIR | 2.00 | 398009 | 31750 | 4830 | X | |||
| MARK MULHOLLAND | ||||||||
| OB/GYN PHYSICIAN | 60.00 | 585509 | 33000 | 17801 | X | |||
| BRIAN O'GRADY MD | ||||||||
| NEUROSURGEON | 60.00 | 794712 | 0 | 5270 | X | |||
| MELVIN WAHL MD | ||||||||
| ORTHOPAEDIC SPINE SURGEON | 60.00 | 1313815 | 0 | 4934 | X | |||
| ZIGA TRETJAK MD | ||||||||
| GASTROENTEROLOGY PHYSICAN | 60.00 | 539702 | 21000 | 3807 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6857119 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 191750 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 154361 | TotalOtherCompensation |
| Number Individuals GT100 K | 68 | 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 |
|---|---|---|---|---|---|
| DELTA LOCUM TENENS | |||||
| PO BOX 202940 | DALLAS | TX | 753202056 | PHYSICAN LOCUM SERVICES | 3342385 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | PHYSICAN LOCUM SERVICES | 451005 |
| HEALTHCARE PARTNERS | |||||
| PO BOX 720477 | ATLANTA | GA | 30358 | PHYSICIAN LOCUM SERVICES | 321903 |
| PRAXIS MEDICAL MANAGEMENT | |||||
| 5825 CALLAGHAN RD STE 203 | SAN ANTONIO | TX | 78228 | BILLING SERVICES FOR KMA | 308784 |
| LOCUM LEADERS | |||||
| 923 NORTH POINT PARKWAY SUITE 160 | ALPHARETTA | GA | 30005 | PHYSICAN LOCUM SERVICES | 219061 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621400 | 32178701 | 32178701 |
| PROFESSIONAL FEES FOR | 621400 | 7033713 | 7033713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 39212414 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 142 | TotalRevenueColumn |
| Exclusion | $142 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 150142 | Real |
| Personal | 6243 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 130277 | Real |
| Personal | 2402 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 19865 | Real |
| Personal | 3841 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23706 | TotalRevenueColumn |
| Exclusion | $23,706 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEDICAL DIRECTOR FEES | 900099 | 43888 | 43888 | |
| MISC. INCOME | 900099 | 38861 | 32361 | 6500 |
| RECOVERY EPIC EXPENSES | 900099 | 33854 | 33854 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 116603 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39352865 | TotalRevenueColumn |
| Related Or Exempt Function Income | 39322517 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 6500 | UnrelatedBusinessRevenue |
| Exclusion | $23,848 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2999038 | Total |
| Program Services | 2999038 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26563148 | Total |
| Program Services | 23956651 | ProgramServices |
| Management And General | 2606497 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206718 | Total |
| Program Services | 177522 | ProgramServices |
| Management And General | 29196 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1389458 | Total |
| Program Services | 1229102 | ProgramServices |
| Management And General | 160356 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1451800 | Total |
| Program Services | 1257657 | ProgramServices |
| Management And General | 194143 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13527 | Total |
| Program Services | 13527 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60945 | Total |
| Management And General | 60945 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228783 | Total |
| Management And General | 228783 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5514067 | Total |
| Program Services | 5337344 | ProgramServices |
| Management And General | 176723 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210796 | Total |
| Program Services | 63843 | ProgramServices |
| Management And General | 146953 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3135434 | Total |
| Program Services | 2849436 | ProgramServices |
| Management And General | 285998 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1515774 | Total |
| Management And General | 1515774 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3357093 | Total |
| Program Services | 1881919 | ProgramServices |
| Management And General | 1475174 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45275 | Total |
| Program Services | 25460 | ProgramServices |
| Management And General | 19815 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303973 | Total |
| Program Services | 261364 | ProgramServices |
| Management And General | 42609 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 312037 | Total |
| Management And General | 312037 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 713156 | Total |
| Program Services | 254021 | ProgramServices |
| Management And General | 459135 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 910656 | Total |
| Program Services | 900572 | ProgramServices |
| Management And General | 10084 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 1178522 | 1174860 | 3662 |
| TAXES | 724718 | 607126 | 117592 |
| DUES, SUBSCRIPTIONS, LI | 205207 | 174839 | 30368 |
| UTILITIES | 168294 | 111920 | 56374 |
| BANK FEES | 91648 | 91648 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68964 | Total |
| Program Services | 28533 | ProgramServices |
| Management And General | 40431 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51369031 | Total |
| Program Services | 43396382 | ProgramServices |
| Management And General | 7972649 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1207502 | BOY |
| EOY | 659657 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3986152 | BOY |
| EOY | 4999775 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10938 | BOY |
| EOY | 17301 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84950 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11466273 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1884462 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10208019 | BOY |
| EOY | 9581811 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 296309 | BOY |
| EOY | 1950970 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15793870 | BOY |
| EOY | 17209514 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1937980 | BOY |
| EOY | 1446181 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4448554 | BOY |
| EOY | 4334302 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2432 | BOY |
| EOY | 2432 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6388966 | BOY |
| EOY | 5782915 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9404904 | BOY |
| EOY | 11426599 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9404904 | BOY |
| EOY | 11426599 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15793870 | BOY |
| EOY | 17209514 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -12016166 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 14037861 | 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 885486 | OtherCostOrOtherBasis |
| Book Value | 885486 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6478555 | OtherCostOrOtherBasis |
| Depreciation | 360751 | Depreciation |
| Book Value | 6117804 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1759203 | OtherCostOrOtherBasis |
| Depreciation | 290905 | Depreciation |
| Book Value | 1468298 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2343029 | OtherCostOrOtherBasis |
| Depreciation | 1232806 | Depreciation |
| Book Value | 1110223 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9581811 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SECURITY DEPOSITS | 23120 |
| CONSTRUCTION IN PROGRESS | 1927850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1950970 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SECURITY DEPOSIT | Description |
| Amount | $2,432 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2432 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | KHS IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. EFFECTIVE JANUARY 1, 2009, THESE ENTITIES ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2010 AND 2009, THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | Explanation |
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 |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 | 0 | 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEIL RAWLINS MD | |||||||||||||
| 150189 | 0 | 0 | 0 | 0 | 0 | 5250 | 0 | 7157 | 0 | 162596 | 0 | 0 | 0 |
| MICHAEL G HUPPE | |||||||||||||
| 211330 | 0 | 0 | 0 | 0 | 0 | 6433 | 0 | 3230 | 0 | 220993 | 0 | 0 | 0 |
| W HUGH MALONEY | |||||||||||||
| 301920 | 0 | 37261 | 0 | 0 | 0 | 10515 | 0 | 6548 | 0 | 356244 | 0 | 0 | 0 |
| AL WICHTENDAHL | |||||||||||||
| 173293 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2906 | 0 | 176199 | 0 | 0 | 0 |
| JEREMY BLANCHARD MD | |||||||||||||
| 356598 | 0 | 0 | 0 | 35004 | 0 | 17016 | 0 | 8482 | 0 | 417100 | 0 | 0 | 0 |
| MATTHEW FEWEL MD | |||||||||||||
| 741427 | 0 | 0 | 0 | 0 | 83000 | 0 | 0 | 5467 | 0 | 746894 | 83000 | 0 | 0 |
| GARY PODHAISKY MD | |||||||||||||
| 158957 | 0 | 0 | 0 | 0 | 0 | 4735 | 0 | 7209 | 0 | 170901 | 0 | 0 | 0 |
| JOSH WELDIN MD | |||||||||||||
| 186530 | 0 | 0 | 0 | 25000 | 0 | 1714 | 0 | 6846 | 0 | 220090 | 0 | 0 | 0 |
| FRANK FLEMING | |||||||||||||
| 366639 | 0 | 110533 | 0 | 0 | 0 | 4543 | 0 | 3492 | 0 | 485207 | 0 | 0 | 0 |
| KEVIN TURNER MD | |||||||||||||
| 255788 | 0 | 114903 | 0 | 0 | 23000 | 8934 | 0 | 7242 | 0 | 386867 | 23000 | 0 | 0 |
| WASSIM KHAWANDI MD | |||||||||||||
| 316346 | 0 | 0 | 0 | 81663 | 31750 | 0 | 0 | 4830 | 0 | 402839 | 31750 | 0 | 0 |
| MARK MULHOLLAND | |||||||||||||
| 301522 | 0 | 283987 | 0 | 0 | 33000 | 10666 | 0 | 7135 | 0 | 603310 | 33000 | 0 | 0 |
| BRIAN O'GRADY MD | |||||||||||||
| 794712 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5270 | 0 | 799982 | 0 | 0 | 0 |
| MELVIN WAHL MD | |||||||||||||
| 775908 | 0 | 537907 | 0 | 0 | 0 | 0 | 0 | 4934 | 0 | 1318749 | 0 | 0 | 0 |
| ZIGA TRETJAK MD | |||||||||||||
| 539702 | 0 | 0 | 0 | 0 | 21000 | 0 | 0 | 3807 | 0 | 543509 | 21000 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | THE BOARD IS ALLOWED TO TAKE THEIR COMPANION ON THE ANNUAL BOARD RETREAT. THE KC PRESIDENT MEADOW SPRINGS COUNTRY CLUB DUES ARE PAID BY THE CLINIC. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | TRICITIES NEPHROLOGY BECAME PART OF THE ORGANIZATION PROVIDING NEPHROLOGY SERVICES. |
| 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 HEALTH SYSTEM. THE PRESIDENT AND CEO IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | IT IS PRESENTED TO THE GOVERNING BODY BY THE OUTSIDE GROUP USED TO PREPARE THE FORM. | |
| FORM 990, PART VI, SECTION B, LINE 12C | IF SOMEONE IS SUSPECTED OF VIOLATING THE POLICY, THE COMPLIANCE OFFICER IS NOTIFIED AND RESEARCHES THE ISSUE. APPROPRIATE ACTIONS ARE TAKEN IF A VIOLATION OCCURS. EMPLOYEES MUST ANNUALLY ANSWER A NUMBER OF QUESTIONS REGARDING CONFLICT OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | 15A - SALARY SURVEYS WERE USED AND FINAL COMP AMOUNTS ARE APPROVED BY THE EXECUTIVE TEAM. 15B - SALARY SURVEYS WERE USED AND MGMA PHYSICIAN COMP GUIDELINES WERE ALSO USED. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FORMS 990, FORMS 1023,GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT IN THE ACCOUNTING OFFICE AT KADLEC REGIONAL MEDICAL CENTER AND ARE AVAILABLE TO ANYONE UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE ALSO SENT OUT TO WHOEVER REQUESTS THEM. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | DISTRIBUTION TO RELATED ENTITY NOT REPORTED ON 990 14,037,861. TOTAL TO FORM 990, PART XI, LINE 5: 14,037,861. |
| NO CHANGES HAVE BEEN MADE IN THE PAST 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 | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| KADLEC CLINIC LLC | |||||||||
| 945 GOETHALS SUITE 220 | RICHLAND | WA | 99352 | 204265899 | PRIMARY CARE PHYSICIAN SERVICES | WA | 18784204 | 5224399 | KADLEC HEALTH SYSTEM |
| KADLEC MEDICAL ASSOCIATES LLC | |||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 993523583 | 203980865 | INPATIENT HOSPITALISTS SERVICES | WA | 11884049 | 1384083 | KADLEC HEALTH SYSTEM |
| KADLEC NEUROSCIENCE CENTER LLC | |||||||||
| 800 SWIFT BLVD SUITE 300 | RICHLAND | WA | 993523583 | 201613946 | NEUROLOGICAL RELATED PHYSICIAN SERVICES | WA | 8321591 | 1612893 | KADLEC HEALTH SYSTEM |
| TRICITIES NEPHROLOGY LLC | |||||||||
| 309 BRADLEY SUITE 109 | RICHLAND | WA | 99352 | 271041915 | NEPHROLOGY PHYSICIAN SERVICES | WA | 341401 | 29787 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| KADLEC REGIONAL MEDICAL CENTER | ||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 910655392 | ACUTE CARE HOSPITAL | WA | 501(C)(3) | LINE 3 | KADLEC HEALTH SYSTEM | 0 |
| KADLEC FOUNDATION | ||||||||||
| 800 SWIFT BLVD | RICHLAND | WA | 99352 | 237005501 | FUNDRAISING | WA | 501(C)(3) | LINE 11A, I | KADLEC HEALTH SYSTEM | 0 |
| KADLEC NEUROLOGICAL RESOURCE CENTER | ||||||||||
| 712 SWIFT BLVD SUITE 1 | RICHLAND | WA | 99352 | 911266345 | EDUCATION ON NEUROLOGICAL DISORDERS | WA | 501(C)(3) | LINE 7 | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MID COLUMBIA MEDICAL ASSOCIATES | |||||||||||
| 510 N COLORADO SUITE A | KENNEWICK | WA | 99336 | 911987844 | INFECTIOUS DISEASE AND NEPHROLOGY PHYSICIANS | WA | KADLEC HEALTH SYSTEM | C | 16689 | 22537 | 1.00000 |
| KADLEC ENTERPRISES INC | |||||||||||
| 888 SWIFT BOULEVARD | RICHLAND | WA | 99352 | 911323736 | ENGAGE IN BUSINESS RELATED TO HEALTHCARE AND TO SUPPORT KHS & AFFILIATES | WA | KADLEC HEALTH SYSTEM | C | 363 | 1.00000 | |
| 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 | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | 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 | 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 | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| KRMC | |
| I | 16498 |
| KHS KRMC | |
| J | 1046317 |
| KRMC | |
| N | 618675 |
| KRMC | |
| R | 14037861 |