2023-08-03T14:16:01-05:00 2022-09-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2021-10-01 481058737 PRATT REGIONAL MEDICAL CENTER CORPORATION % ALAN WAITES PRAT 6206727451 200 COMMODORE ST PRATT KS 67124 ALAN WAITES CFO 6204501437 2023-08-15 true Alan Waites 999009999 SHAWNELL LINOT P01663908 3162652811 2 2021 2023-04-26 12:10:37Z TAMMY SMITH 200 COMMODORE ST PRATT KS 67124 71323570 false X WWW.PRMC.ORG X 1988 KS TO OPERATE A MEDICAL SYSTEM TO DIAGNOSE, TREAT, AND CARE FOR INDIVIDUALS SUFFERING FROM PHYSICAL ILLNESS, DISEASE, INJURY, OR DEFORMITY IN PRATT CO AND ADJACENT AREA. 12 10 441 10 0 7438735 3688459 44054987 49762125 263342 290916 2937895 3285872 54694959 57027372 11667 17410 0 0 28078385 29253884 0 0 0 26777154 29168581 54867206 58439875 -172247 -1412503 65532803 55374258 32890173 26275970 32642630 29098288 X TO OPERATE A MEDICAL SYSTEM TO DIAGNOSE, TREAT, AND CARE FOR INDIVIDUALS SUFFERING FROM PHYSICAL ILLNESS, DISEASE, INJURY, OR DEFORMITY IN PRATT CO AND ADJACENT AREAS. 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AS A COMMUNITY NOT-FOR-PROFIT ORGANIZATION, WE TAKE SERIOUSLY OUR RESPONSIBILITY TO INVEST OUR RESOURCES AND ENERGIES INTO UNDERSTANDING AND MEETING THE DIVERSE HEALTH CARE NEEDS OF ALL, AND ENSURE THAT EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY, RECEIVES THE CARE THEY NEED. - SEE SCHEDULE O FOR CONTINUATION. 47432330 true true false true false false false false false true true false false true false false true false false false false false false false false false true true false true true true false false false false false false false false false false false false false false false true false false false true 31 0 true 441 true false false false false false false false false false false false false X 12 10 false false false false true true true true true false false true true true true true true true false false X ALAN WAITES 6204501432 200 COMMODORE ST PRATT KS 67124 X IAN KOVACH MD 40.0 0.0 X 1008493 0 15027 AARON ZOOK MD 40.0 0.0 X 934296 0 291 BRENDA WESTHOFF MD 40.0 0.0 X 623465 0 669 ROBERT HARRIS MD 40.0 0.0 X 609887 0 3693 ALEXANDER NEEL MD 40.0 0.0 X 558971 0 16029 LUIS ESPINOZA MD 40.0 0.0 X 421017 0 17470 SCOTT GORDON CHIEF OF STAFF 40.0 0.0 X 377034 0 14068 SUSAN PAGE PRESIDENT 39.5 0.5 X 176375 0 14919 KENNETH BROWN VICE PRESIDENT 39.5 0.5 X 162530 0 17470 ALAN WAITES VICE PRESIDENT/TREASURER 39.5 0.5 X 152345 0 17470 KELLY MCDERMEIT VICE PRESIDENT 40.0 0.0 X 138723 0 15696 TAMMY SMITH PRESIDENT, CEO 39.0 1.0 X 128282 0 14213 DARRELL LAVENDER CEO 40.0 0.0 X 105919 0 5740 NANCY BAILEY SECRETARY 38.5 1.5 X 52639 0 0 BECCA FLOWERS VICE CHAIRMAN 1.0 0.0 X X 0 0 0 BILL KELLER CHAIRMAN/BOARD MEMBER 1.0 0.0 X X 0 0 0 GARY BARKER BOARD MEMBER 1.0 0.0 X 0 0 0 JEANETTE SIEMENS BOARD MEMBER 1.0 0.0 X 0 0 0 LORIN HAAS BOARD MEMBER 1.0 0.0 X 0 0 0 TRACEY BEVERLIN BOARD MEMBER 1.0 0.0 X 0 0 0 WAKON FOWLER MD BOARD MEMBER 1.0 0.0 X 0 0 0 DAKOTA HOLTGRIEVE BOARD MEMBER 1.0 0.0 X 0 0 0 SUZANNE MOORE BOARD MEMBER 1.0 0.0 X 0 0 0 JOSH NICOLAY BOARD MEMBER 1.0 0.0 X 0 0 0 TRACEY JOHNSON VICE PRESIDENT CNO 39.0 1.0 X 0 0 0 5449976 0 152755 42 true true false QUALIVIS DEPARTMENT 3847 DALLAS TX 753123847 CONTRACT STAFFING 2048977 SODEXO INC 1832 BURCHINAL RD SALINA KS 67401 EVS/LAUNDRY MGMT 1363898 PRATT MRI LLC 200 COMMODORE ST PRATT KS 67124 MRI STAFFING 881938 TRU BRIDGE LLC 54 ST EMANUAL ST MOBILE AL 36602 REV CYCLE MGMT 463658 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 67206 ACCOUNTING SERVICES 389926 24 230876 3457583 3688459 NET PATIENT SERVICE REVENUE 621300 49762125 49762125 49762125 387412 387412 0 0 281820 28893 252927 0 252927 252927 14170809 14267305 -96496 -96496 -96496 0 0 0 0 0 0 0 0 0 SALES TAX APPROPRIATIONS 900099 1914046 1914046 All Other Misc Revenue 900099 1118899 487414 631485 1118899 487414 631485 3032945 57027372 50249539 3089374 X 0 17410 17410 0 0 963695 963695 0 25062116 21610854 3451262 342654 282482 60172 1302781 892216 410565 1582638 1114307 468331 0 104372 104372 67645 67645 3495 3495 0 0 9506080 7045414 2460666 0 225372 160957 64415 4099348 3822742 276606 0 0 1687781 1388569 299212 142816 138190 4626 0 150425 85298 65127 472476 368270 104206 0 3684898 2594471 1090427 566105 112514 453591 REPAIRS/MAINTENANCE 362816 212037 150779 MEDICAL SUPPLIES 7145673 7145673 PROG-RELATED TAX ASSESSMENTS 129491 129491 DUES & SUBSCRIPTIONS 242662 37777 204885 577126 273658 303468 58439875 47432330 11007545 0 2383283 951595 96026 16603 0 0 5628214 8161328 0 0 0 0 0 0 1931868 2427317 861580 657655 83350342 52629173 32629344 30721169 15585786 5462943 0 0 132000 253633 0 0 6284702 6722015 65532803 55374258 6968012 7265372 0 0 5115943 0 10357131 10569354 0 0 0 0 10449087 8441244 0 0 0 0 32890173 26275970 X 32544332 28999990 98298 98298 32642630 29098288 65532803 55374258 X -1412503 -1704860 -426979 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 3495 false false false 3495 false SCHEDULE C, PART II-B, LINE 1F 7.5% OF KHA DUES AND 26.47% OF AHA DUES PAID WERE FOR LOBBYING ACTIVITIES. 88623 88623 88623 88623 88623 88623 88623 88623 88623 13831 13831 88623 1.00000 false true true 53270700 30477440 22793260 0 26960354 19601077 7359277 3119288 2550656 568632 30721169 FUNDS HELD BY FISCAL AGENT 4633804 INV IN PRATT HEALTH FOUNDATION 2088211 6722015 55351405 -1704860 28893 -1675967 57027372 57027372 58468768 28893 28893 58439875 58439875 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE HELD BY PRATT HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. INCOME FROM THE ENDOWMENT IS TO BE USED 40% FOR PRATT REGIONAL LIVING CENTER AND 60% FOR THE SUPPORT AND PROGRAMS OF PRATT REGIONAL MEDICAL CENTER, INC. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RENTAL EXPENSES 28,893 SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES 28,893 true true X true X false true true true false true true 137204 137204 0.00230 3146035 1695384 1450651 0.02480 3283239 1695384 1587855 0.02710 62 8598 8598 0.00010 62859 62859 0.00110 62 71457 71457 0.00120 62 3354696 1695384 1659312 0.02830 17 2620 2620 17 2620 2620 false 2674160 18901010 24689282 -5788272 X true true 1 1 PRATT REGIONAL MEDICAL CENTER 200 COMMODORE ST PRATT KS 67124 WWW.PRMC.ORG H076001 X X X PRATT REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 20 true false true true X SEE SECTION C X true 20 true SEE SECTION C false true X 200. 0. X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 Pratt's community has a wealth of expertise, therefore the method of a town hall gathering was felt to be the best method for gathering community insight and providing atmosphere to objectively consensus build and prioritize county health issues. The town hall included community partners such as: local hospital, public health community, mental health community, free clinics, community-based clinics, service providers, residents, community leaders, opinion leaders, school leaders, business leaders, local government, faith-based organizations, and person (or organizations serving them), people with chronic conditions, uninsured community members, low-income residents, and minority groups. Pratt County Town Hall was held on April 22nd 2021, onsite following COVID-19 safety requirements. Vince Vandehaar (MBA) and Cassandra Kahl (MHA) facilitated this 1.5 hour session with 41 RSVP's and 36 attendees. The following agenda was conducted: 1. Welcome & Introductions 2. Review Purpose for the CHNA Town Hall & Process Roles 3. Present/Review of Historical County Health Indicators (10 Tabs) and Primary Online survey results 4. Facilitate Town Hall participant discussion of data (probe health strengths/concerns). Reflect on size and seriousness of any health concerns cited and discuss current community health strategies. 5. Engage Town Hall participants to rank health needs (casting 3 votes on priority issues). Tally & Rank top community health concerns cited. 6. Close meeting by reflecting on the health needs/community voting results. Inform participants of 'next steps.' SCHEDULE H, PART V, SECTION B, LINE 7A HTTP://WWW.PRMC.ORG/RESOURCES/COMMUNITY-RESOURCES.HTML SCHEDULE H, PART V, SECTION B, LINE 10A HTTP://WWW.PRMC.ORG/RESOURCES/COMMUNITY-RESOURCES.HTML SCHEDULE H, PART V, SECTION B, LINE 11 The CHNA identified seventeen health needs, which were discussed at the community town hall meeting. The process identified three priority issues for the community to address over the next 3 years, including: 1. Mental Health (Diagnosis, Placement, Aftercare) 2. Child Care Options 3. Drug/Substance Abuse Implementation Teams addressing the top 3 priorities were developed and will be responsible for creating action plans to address their assigned community need. The implementation strategy will be carried out for the next three years. SCHEDULE H, PART V, SECTION B, LINE 16A, B & C HTTP://WWW.PRMC.ORG/RESOURCES/FINANCIAL-ASSISTANCE.HTML 6 PRATT REHABILITATION & RESIDENCE CENTER 227 S HOWARD PRATT KS 67124 REHABILITATION/LONG TERM CARE PRATT INTERNAL MEDICINE GROUP 420 COUNTRY CLUB ROAD PRATT KS 67124 RURAL HEALTH CLINIC FARMER CLINIC 609 E FIRST ST JOHN KS 67576 RURAL HEALTH CLINIC FARMER CLINIC 802 W BROADWAY STAFFORD KS 67578 RURAL HEALTH CLINIC KINSLEY RURAL HEALTH CLINIC 807 E FOURTH KINSLEY KS 67547 RURAL HEALTH CLINIC SYLVIA HEALTH CARE CLINIC 200 S MAIN SYLVIA KS 67581 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 3C THE CRITERIA USED BY THE MEDICAL CENTER FOR DETERMINING ELIGIBILITY FOR FREE CARE, OTHER THAN FPG, WERE ASSET LEVELS, MEDICAL INDIGENCY, AND INSURANCE STATUS. SCHEDULE H, 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 $2,674,160. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLES OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO. SCHEDULE H, PART I, LINE 7G THE SUBSIDIZED HEALTH SERVICES EXPENSE IN PART I, LINE 7, OF SCHEDULE H DOES NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS. SCHEDULE H, PART II THE CIRCLES PROGRAM OFFERS KNOWLEDGE AND SUPPORT TO THOSE TRYING TO OVERCOME POVERTY. THIS PROGRAM OFFERS SUPPORT AND GUIDANCE TO THOSE WHO WANT TO MAKE A POSITIVE CHANGE IN THEIR LIVES, WHICH CAN LEAD TO HEALTHIER INDIVIDUALS, FAMILIES, AND COMMUNITIES. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE (AT COST) INDENTIFIED BY THE PROVISION FOR UNCOLLECTIBLES FROM 9/30/22 AUDITED STATEMENT OF OPERATIONS. MULTIPLIED THAT AMOUNT BY THE COST-TO-CHARGE RATIO. SCHEDULE H, PART III, LINE 3 THERE IS NO REASONABLE BASIS FOR THE HOSPITAL TO ESTIMATE THIS FIGURE. IF FINANCIAL ASSISTANCE ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT. SCHEDULE H, PART III, LINE 4 SEE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 GOVERNMENT PROGRAMS SUCH AS MEDICAID OFFER FIXED REIMBURSEMENTS BASED ON A PATIENT'S DIAGNOSIS. THIS OFTEN DOES NOT ACCOUNT FOR THE COST OF THE LATEST TECHNOLOGY AND TREATMENT OPTIONS THAT ARE AVAILABLE TO GIVE PATIENTS THE BEST CHANCES FOR RECOVERY FROM AN ILLNESS. PRMC OFFERS PATIENTS THE BEST INTERVENTIONS AVAILABLE - NO MATTER WHAT REIMBURSEMENT FOR THE SERVICE MIGHT BE. SCHEDULE H, PART III, LINE 9B WHEN A RESPONSIBLE PARTY IS UNABLE TO MEET THE FINANICAL OBLIGATION GUIDELINES AS DESCRIBED IN THE HOSPITAL'S FINANCIAL POLICY, THE PARTY IS ADVISED OF THE AVAILABILITY OF CHARITY CARE OR FINANCIAL ASSISTANCE. CLARIFICATION IS MADE AS TO WHETHER THE PATIENT HAS PRIMARY INSURANCE. THE RESPONSIBLE PARTY IS REQUIRED TO COMPLETE A CHARITY CARE APPLICATION AND SUBMIT ALL DOCUMENTATION INDICATED (AS OUTLINED ON APPLICATION) IN ORDER FOR THE HOSPITAL TO DETERMINE CHARITY CARE ELIGIBILITY. THE HOSPITAL WILL PURSUE COLLECTION UNTIL THE RESPONSIBLE PARTY CONTACTS A PATIENT FINANCIAL COUNSELOR OR RETURNS THE APPLICATION WITH REQUIRED DOCUMENTATION. ONCE A CHARITY CARE APPLICATION IS RECEIVED, IF NOT ALL OF THE REQUIRED FINANCIAL INFORMATION (AS OUTLINED ON THE APPLICATION) IS SUBMITTED, A COURTESY LETTER IS SENT TO THE RESPONSIBLE PARTY REQUESTING THE INFORMATION BE RETURNED IN ORDER TO BE CONSIDERED. IF THE REQUIRED DOCUMENTATION IS SUBSEQUENTLY NOT RECEIVED AND NO CONTACT WITH THE PATIENT FINANCIAL COUSELOR IS MADE, THE CHARITY CARE APPLICATION IS DENIED AND FURTHER COLLECTION ACTION IS TAKEN. SCHEDULE H, PART VI, LINE 2 MEETING THE HEALTH CARE NEEDS OF OUR REGION CANNOT BE ACHIEVED THROUGH ANY ONE EMPLOYEE, DEPARTMENT, OR FACILITY. PRMC PHYSICIANS, NURSES, STAFF AND VOLUNTEERS WORK TOGETHER SO THAT WE CAN BETTER MEET SPECIFIC COMMUNITY NEEDS AND ACHIEVE OUR MISSION OF PROVIDING EXCELLENT AND COMPASSIONATE HEALTHCARE SERVICES. AS A RURAL HOSPITAL IN SOUTH CENTRAL KANSAS, PRATT REGIONAL MEDICAL CENTER CONSIDERS ITSELF A REGIONAL HOSPITAL, SERVING THE RESIDENTS OF PRATT, STAFFORD, BARBER, EDWARDS, KIOWA, KINGMAN, CLARK, AND COMANCHE COUNTIES. OUR EXPANDED FACILITIES ALLOW US TO PROVIDE A BROAD RANGE OF HEALTHCARE SERVICES TO ALL MEMBERS OF OUR COMMUNITY WITHOUT REGARD TO AGE, RACE, SEX OR FINANCIAL CONSTRAINTS. OUR REHABILITATION SERVICES DEPARTMENT PROVIDES A FULL-COMPLIMENT OF OCCUPATIONAL, PHYSICAL AND SPEECH THERAPIES. OUR SURGICAL DEPARTMENT PROVIDES 24/7 SURGICAL SERVICES. WE HAVE A LARGE VARIETY OF SPECIALTY PHYSICIANS WHO SEE AND TREAT PATIENTS IN OUR FACILITY AS WELL AS PERFORM MANY SURGICAL PROCEDURES. OUR RADIOLOGY DEPARTMENT PROVIDES NUCLEAR MEDICINE AND MRI TESTING ON SITE. WE ALSO HAVE A 32-SLICE CT SCANNER WHICH PROVIDES HIGH RESOLUTION IMAGES. OUR HOSPITAL OFFERS A FULL-SERVICE, 24/7 EMERGENCY DEPARTMENT. OUR IN-PATIENT PROVIDES CARE TO MEDICAL-SURGICAL PATIENTS, SUB-ACUTE PATIENTS, PEDIATRICS AND GERIATRICS. WE PROVIDE OBSTETRICAL AND NEWBORN CARE, PATIENT SERVICES THAT ARE BECOMING INCREASINGLY RARE AMONG RURAL HOSPITALS. PRMC OFFERS A FULL-SERVICE HOME HEALTH PROGRAM. WE ARE COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL MEMBERS OF OUR COMMUNITY. BECAUSE WE ARE A SMALL TOWN HOSPITAL, A MAJORITY OF OUR PATIENTS HAVE A STRONG BOND WITH OUR STAFF. THIS ALLOWS US TO PROVIDE CARE THAT EXTENDS BEYOND JUST MEDICAL NEEDS. THE COST AND DIFFICULTY IN SEEKING CARE IN OTHER AREAS FOR OUR ELDERLY AND POOR POPULATION REINFORCES THE NEED FOR A STRONG COMMUNITY HOSPITAL. WE STRIVE TO MEET THIS NEED BY PROVIDING ALL SERVICES POSSIBLE. SCHEDULE H, PART VI, LINE 3 PRMC POSTS SIGNS AT ITS REGISTRATION LOCATIONS AND OFFERS BROCHURES REGARDING THE AVAILABILITY OF CHARITY CARE. THE AVAILABILITY OF CHARITY CARE PROGRAM IS ALSO IDENTIFIED ON ALL HOSPITAL PATIENT SERVICE RELATED LETTERS AND GUARANTOR STATEMENTS. ONCE A PATIENT CALLS TO INQUIRE ABOUT THE CHARITY CARE PROGRAM THE PATIENT FINANCIAL COUSELOR OUTLINES THE REQUIREMENTS, DOCUMENTS NEEDED AND EXPLAINS THE CHARITY CARE POLICY IN DETAIL. IN ADDITION, THE HOSPITAL CONTRACTS WITH AN OUTSIDE COMPANY TO CONTACT AND REVIEW WITH EACH PRIVATE PAY PATIENT OUR CHARITY CARE POLICY AS WELL AS OTHER ASSISTANCE THAT MIGHT BE AVAILABLE. SCHEDULE H, PART VI, LINE 4 OUR CURRENT 35 BED HOSPITAL IS LOCATED IN SOUTH CENTRAL KANSAS. AS A RURAL HOSPITAL, PRATT REGIONAL MEDICAL CENTER CONSIDERS ITSELF A REGIONAL HOSPITAL, SERVING THE RESIDENTS OF PRATT, STAFFORD, BARBER, EDWARDS, KIOWA, KINGMAN, CLARK, AND COMANCHE COUNTIES. PRATT REGIONAL MEDICAL CENTER ALSO PROVIDES SUPPORT FOR FIVE CRITICAL ACCESS HOSPITALS IN THE SOUTHERN PLAINS HEALTH NETWORK, WHICH INCLUDE HOSPITALS IN COMANCHE COUNTY, KIOWA, MEDICINE LODGE, ASHLAND AND STAFFORD. ACCORDING TO THE UNITED STATES CENSUS BUREAU, PRATT COUNTY HAS A POPULATION OF 9,067. 13 PERCENT OF THE POPULATION REPORTED HAVING NO HEALTH INSURANCE. THE PER CAPITA INCOME IS $30K, WITH AN 11.7 PERCENT POVERTY LEVEL. EACH YEAR, THOUSANDS OF PEOPLE SEEK MEDICAL HELP AT PRATT REGIONAL MEDICAL CENTER. THE PROGRAMS AND SERVICES WE PROVIDE GO BEYOND STATISTICS AND NUMBERS, AS WE OFTEN SERVE THOSE WHO DO NOT HAVE THE MEANS TO PAY FOR NEEDED HEALTH CARE SERVICES. PRMC'S COMMUNITY IS BECOMING INCREASINGLY DIVERSE. THE HEALTH RISKS ASSOCIATED WITH CHRONIC DISEASES LIKE DIABETES AND OBESITY ARE PARTICULARLY HIGH AMONG OUR GROWING MEDICALLY UNDERSERVED. THE HOSPITAL HAS TAKEN STEPS TO REACH OUT TO THE UNDERSERVED BY WORKING TOGETHER WITH LOCAL PHYSICIANS, CHURCHES, ORGANIZATIONS, AND COMMUNITY MEMBERS TO ASSIST THE AGAPE HEALTH CLINIC, WHICH IS A FREE HEALTH CLINIC FOR THE UNINSURED. PLANNING FOR THE AGAPE CLINIC TOOK PLACE IN FY11. THE FREE CLINIC IS OPEN ON THE CAMPUS OF PRATT COMMUNITY COLLEGE ON THE FIRST SATURDAY OF EVERY MONTH. THE GOAL IS TO HELP ALL RESIDENTS ACCESS THE HEALTH CARE THEY NEED AND TO HELP PATIENTS LEARN TO MANAGE THEIR HEALTH CONDITIONS AND LIVE HEALTHIER LIVES. DURING THIS TAX PERIOD, PRMC CONTRIBUTED OVER $5600 TO HELP SUPPORT THE AGAPE HEALTH CLINIC OPERATIONS WITH DIAGNOSTIC TESTING. SCHEDULE H, PART VI, LINE 5 PROVIDING ADVOCACY FOR OUR PATIENTS: PRATT REGIONAL MEDICAL CENTER PARTNERS WITH THE MEDICAL ASSISTANCE PROGRAM. IF PATIENTS ARE UNINSURED, THE MEDICAL ASSISTANCE PROGRAM IS AVAILABLE TO HELP THEM OBTAIN BENEFITS TO PAY FOR ALL OR PART OF THEIR SERVICES. THIS SERVICE IS PROVIDED FREE OF CHARGE TO PRATT REGIONAL MEDICAL CENTER PATIENTS. PATIENTS MAY CONTACT THE MEDICAL ASSISTANCE PROGRAM TOLL-FREE AT (888) 843-5817. MEETING THE NEEDS OF OUR COMMUNITY, IN THE COMMUNITY: PRMC'S MISSION IS TO PROVIDE EXCELLENT AND COMPASSIONATE HEALTH CARE SERVICES CANNOT BE ACHIEVED SOLELY THROUGH THE CARE WE PROVIDE WITHIN OUR FACILITIES; THEREFORE, WE FIND IT NECESSARY TO DEDICATE OUR SUPPORT TO VARIOUS COMMUNITY OUTREACH PROGRAMS. DENTAL SCREENINGS FOR ELEMENTARY STUDENTS PROGRAM: THE PRATT HEALTH FOUNDATION (PHF) COLLABORATES WITH PRATT DENTISTS AND SCHOOLS TO PROVIDE A DENTAL SCREENING PROGRAM TO THE PRATT ELEMENTARY KIDS. KANSAS STATUTES REQUIRE AN ANNUAL DENTAL SCREENING PROGRAM FOR ELEMENTARY STUDENTS. THE PROGRAM WAS STARTED WITH A UNITED METHODIST HEALTH MINISTRY GRANT FIVE YEARS AGO, AND THE GRANT MONEY HAS BEEN DEPLETED. THE PHF NOW COVERS MOST OF THE COSTS ASSOCIATED WITH THE SCREENING ACTIVITIES. THE PRATT HEALTH FOUNDATION HELPS COORDINATE THE EFFORT AND SUPPLIES THE DENTAL SCREENING EQUIPMENT. PRATT REGIONAL MEDICAL CENTER EMPLOYEES VOLUNTEER TO STERILIZE THE SCREENING UTENSILS FOR THE PROGRAM. IT IS A GREAT DEMONSTRATION OF WHAT A COMMUNITY CAN DO WHEN EVERYONE WORKS TOGETHER. HERE IS A GLIMPSE AT OTHER PRMC COMMUNITY BENEFIT PROGRAMS AND PROJECTS: - PRMC'S FAMILY BIRTH SUITES NURSING STAFF PROVIDES NEWBORN BABIES AND MOTHERS WITH A WELL-MOTHER WELL-BABY CHECK. DURING THE VISIT, MOTHERS ARE ABLE TO ASK QUESTIONS, AND NURSES ARE ABLE TO PROVIDE EDUCATION TO NEW MOMS AS WELL AS EVALUATE THE NEWBORN AND MAKE SURE THEY ARE DOING WELL PHYSICALLY. IN FY22, PRMC DELIVERED 236 BABIES. BECAUSE PRMC IS THE ONLY HOSPITAL WHERE BABIES ARE DELIVERED IN OUR AREA, PATIENTS TRAVEL FROM SURROUNDING COUNTIES TO DELIVER THEIR BABIES AT PRMC. - PRMC VOLUNTEERS PURCHASE BOOKS AND PRESENT NEW PARENTS WITH INFORMATION ABOUT THE IMPORTANCE OF READING TO CHILDREN (BOOKS FOR BABES). - A GROUP OF VOLUNTEERS EVERY YEAR HELP PROVIDE ADVISORY SERVICES TO SENIORS TO HELP THEM BETTER UNDERSTAND THEIR HEALTH PLAN COVERAGE OPTIONS. PRMC PROVIDES SPACE AND MATERIALS TO RUN THE PROGRAM, AND VOLUNTEERS PROVIDE THE MANPOWER. PRMC'S SOCIAL SERVICE DEPARTMENT WORKS CLOSELY WITH THE PROGRAM VOLUNTEERS TO MAKE SURE THEY HAVE THE TOOLS AND SUPPORT THEY NEED TO PROVIDE SERVICES. - JOB SHADOWING IS POPULAR AMONG STUDENTS INTERESTED IN BECOMING HEALTHCARE PROFESSIONALS. THE PROGRAM IS SUCCESSFUL, AND MOST STUDENTS WHO SHADOW ARE VERY IMPRESSED WITH THEIR EXPERIENCE. TOURS ARE ALSO POPULAR AMONG STUDENTS. SEVERAL SCHOOLS WILL BRING STUDENTS TO PRMC ANNUALLY FOR A TOUR. SOME OF THESE SCHOOLS INCLUDE PRATT ELEMENTARY AND HIGH SCHOOL, MACKSVILLE HIGH SCHOOL, STAFFORD HIGH SCHOOL, FAIRFIELD ELEMENTARY, SKYLINE ELEMENTARY, HASKINS ELEMENTARY, AND GREENSBURG. - PRMC HOSTS A BLOOD DRIVE FOR THE AMERICAN RED CROSS. IN FY22, PRMC HOSTED A TOTAL OF 5 BLOOD DRIVES. EDUCATION FOR A HEALTHY FUTURE: PRMC CONSIDERS EDUCATION TO BE PART OF ITS MISSION. IT IS IMPORTANT TO HELP PREPARE THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS TO MEET NEW HEALTHCARE DEMANDS. TO ENSURE A QUALITY WORKFORCE IS AVAILABLE TO PROVIDE CARE FOR OUR FRIENDS AND NEIGHBORS IN THE FUTURE, PRMC IS COMMITTED TO THE EDUCATION OF CURRENT AND FUTURE CAREGIVERS AND HAS PARTNERED WITH LOCAL HIGH SCHOOLS AND AREA COMMUNITY COLLEGES TO PROVIDE INSTRUCTORS, CLASSROOM SPACE, AND PRACTICUM TRAINING. - IN FY22, PRMC CONTRIBUTED OVER $62K IN CONTINUING EDUCATION SUPPORT. THIS WAS A COMBINATION OF SCHOLARSHIPS, TUITION REIMBURSEMENT, AND OFF-SITE EDUCATION CLASSES. - PRMC'S RADIOLOGY DEPARTMENT TRAINS TWO STUDENTS FROM HUTCHINSON COMMUNITY COLLEGE EVERY YEAR. BOTH STUDENTS WORK 40-HOUR WEEKS. STUDENTS DO GET ALL THE HOLIDAYS OFF, 10 PERSONAL DAYS, A WEEK'S VACATION AT SPRING BREAK AND A WEEK'S VACATION OVER CHRISTMAS BREAK. PRMC DOES NOT RECEIVE ANY COMPENSATION FROM HCC, AND THE STUDENTS ALSO DO NOT RECEIVE ANY COMPENSATION FROM PRMC. THEY LEARN THROUGH HANDS-ON EXPERIENCE WITH OVERSIGHT FROM RADIOLOGY TECHNOLOGISTS AND HCC INSTRUCTORS WHO VISIT THE STUDENTS ON PRMC'S CAMPUS WEEKLY. OPENING OUR FACILITIES FOR LOCAL MEETINGS: PRATT REGIONAL MEDICAL CENTER IS HOST TO ACTIVE, COLLABORATIVE COMMUNITY GROUPS SUCH AS THE PRATT COMMUNITY HEALTH AND RESOURCE COUNCIL AND THE PRATT MINISTERIAL ALLIANCE. THESE GROUPS HAVE MET MONTHLY AT PRMC FOR YEARS TO DISCUSS, SHARE, AND STRATEGIZE FOR SOLUTIONS TO COMMUNITY HEALTH AND RESOURCE-RELATED TOPICS. ALL REGULAR MEETINGS TAKE PLACE AT PRATT REGIONAL MEDICAL CENTER, AND PRATT REGIONAL MEDICAL CENTER EMPLOYEES ARE ACTIVE PARTICIPANTS AND LEADERS WITHIN THESE GROUPS. IN FY22, PRMC HOSTED 82 MEETINGS TOTALING 276 HOURS OF USE IN OUR MEETING ROOMS. SOME MEETINGS INCLUDE MINISTERIAL ALLIANCE, AGAPE CLINIC, HEALTH AND RESOURCE COUNCIL, ROTARY BOARD, AND KIWANIS. EMPLOYEES IN THE COMMUNITY: EVERY YEAR, PRATT REGIONAL MEDICAL CENTER EMPLOYEES UNITE TO VOLUNTEER AND PARTICIPATE IN COMMUNITY ACTIVITIES. SOME HELP IN THEIR CHURCHES OR THEIR CHILDREN'S SCHOOL, OTHERS VOLUNTEER TO COACH LITTLE LEAGUE TEAMS, WHILE SOME GET INVOLVED IN LOCAL CLUBS AND ORGANIZATIONS. ALL OF THESE ACTIVITIES BENEFIT THE QUALITY OF LIFE AS RESIDENTS OF PRATT COUNTY. AT PRATT REGIONAL MEDICAL CENTER, IT'S IMPORTANT TO US TO GIVE BACK TO OUR COMMUNITY. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 N/A true TUITION ASSISTANCE 5 7410 SCHOLARSHIPS 1 10000 SCHEDULE I, PART I, LINE 2 SCHOLARSHIP FUNDS ARE PAID TO THE KANSAS BOARD OF REGENTS. QUALIFIED APPLICANTS ARE CHOSEN AND THE SCHOLARSHIP FUNDS ARE DISTRIBUTED BY THE BOARD OF REGENTS. IN ORDER TO QUALIFY FOR TUITION ASSISTANCE, THE EMPLOYEE MUST MEET SPECIFIED CRITERIA, INCLUDING MEETING CERTAIN ACADEMIC EXPECTATIONS AND SUBMITTING REQUIRED FORMS AND DOCUMENTATION IN A TIMELY MANNER. X X X X true false false false false false false false false ALAN WAITES VICE PRESIDENT/TREASURER 152345 0 0 0 0 0 13777 0 3693 0 169815 0 0 0 KELLY MCDERMEIT VICE PRESIDENT 138723 0 0 0 0 0 13777 0 1919 0 154419 0 0 0 KENNETH BROWN VICE PRESIDENT 162530 0 0 0 0 0 13777 0 3693 0 180000 0 0 0 SUSAN PAGE PRESIDENT 176375 0 0 0 0 0 13777 0 1142 0 191294 0 0 0 AARON ZOOK MD 934296 0 0 0 0 0 0 0 291 0 934587 0 0 0 IAN KOVACH MD 1008493 0 0 0 0 0 13777 0 1250 0 1023520 0 0 0 BRENDA WESTHOFF MD 623465 0 0 0 0 0 0 0 669 0 624134 0 0 0 ROBERT HARRIS MD 609887 0 0 0 0 0 0 0 3693 0 613580 0 0 0 ALEXANDER NEEL MD 558971 0 0 0 0 0 12629 0 3400 0 575000 0 0 0 SCOTT GORDON CHIEF OF STAFF 377034 0 0 0 0 0 13777 0 291 0 391102 0 0 0 LUIS ESPINOZA MD 421017 0 0 0 0 0 13777 0 3693 0 438487 0 0 0 SCHEDULE J, PART I, LINE 4C DARRELL LAVENDER RECEIVED A SEVERENCE BENEFITS PACKAGE IN JULY OF 2022 WHICH IS EQUAL TO HIS CURRENT BASE SALARY AND BENEFITS FOR A TOTAL OF 52 WEEKS, IN ADDITION TO $135,000 PAYABLE IN THREE EQUAL MONTHLY INSTALLMENTS OF $45,000. A PRATT COUNTY KANSAS PUBLIC BUILDING COMMISSION 261249655 739762CE0 2016-09-15 9784984 SEE PART VI false false false B PRATT COUNTY KANSAS PUBLIC BUILDING COMMISSION 261249655 739762CQ3 2021-09-15 9178100 SEE PART VI false false false A 490000 0 9784984 1703644 0 0 160521 0 0 0 9624463 0 2015 false true true true B 0 0 9178100 1576647 0 0 104750 0 0 0 9073350 0 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true A false true false false 0 false 0 false true B false false false false 0 false 0 false true A true B true SCHEDULE K, PART I, LINE A, COLUMN (F) REFUND A PORTION OF THE SERIES 2012 BONDS (11/01/12). SCHEDULE K, PART I, LINE B, COLUMN (F) Refund a portion of the Series 2012 Bonds (11/01/12) and refund a portion of the Series 2015 Bonds (12/3/2015). FORM 990, PART III, LINE 4A IN FY2022, PRMC PROVIDED OVER $238K IN CHARITY CARE AND CONTINUES TO FINANCIALLY SUPPORT THE AGAPE CLINIC - CONTRIBUTING OVER $5600 DURING THIS PERIOD. PRMC FOCUSED RECRUITMENT AND RETENTION EFFORTS BY AWARDING OVER $62K IN CONTINUED EDUCATION. PRMC EMPLOYS OVER 400 EMPLOYEES IN BOTH FULL AND PART-TIME POSITIONS - MAKING IT THE LARGEST EMPLOYER IN PRATT COUNTY. IN FY2022, PRMC SUPPORTED OR LOCAL ECONOMY BY CONTRIBUTING OVER $29M TOWARDS SALARIES AND BENEFITS AND AN ADDITIONAL $1.2M IN UTILITIES TO HELP OPERATE THE FACILITY. PRMC BRINGS ENORMOUS VALUE TO THE PRATT COMMUNITY THROUGH QUALITY HEALTHCARE SERVICES AND EMPLOYMENT OPPORTUNITIES. OUR TOP-NOTCH PHYSICIANS PROVIDE PATIENT-CENTERED CARE IN A WIDE VARIETY OF SPECIALITIES. OUR MEDICAL STAFF IS COMPRISED OF FIVE FAMILY PRACTICE PHYSICIANS, THREE INTERNISTS, ONE GASTROENTEROLOGIST, ONE PSYCHOLOGIST, THREE ORTHOPEDIC SURGEONS, ONE GENERAL SURGEON, ONE GYNECOLOGY SURGEON, AND ONE PODIATRY SURGEON. PRMC HAS BEEN SUCCESSFUL AT MEETING HIGH-QUALITY HEALTHCARE NEEDS FOR THE PAST SEVENTY-FOUR YEARS. IT IS PRMC'S VISION TO CONTINUE MEETING THOSE EXPECTATIONS AND BECOMING THE HEALTHCARE PROVIDER OF CHOICE FOR SOUTH-CENTRAL AND WESTERN KANSAS. FORM 990, PART VI, SECTION A, LINE 6 PRATT HEALTH FOUNDATION (PHF), A KANSAS NONPROFIT CORPORATION, IS THE SOLE MEMBER OF PRATT REGIONAL MEDICAL CENTER CORPORATION (PRMC). THE FOUNDATION IS DESIGNATED AS THE SOLE MEMBER SO LONG AS IT SHALL CONTINUE TO QUALIFY AS A TAX EXEMPT, NONPROFIT ENTITY RECOGNIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BODY OF PRATT REGIONAL MEDICAL CENTER CORPORATION (PRMC) IS ABLE TO NOMINATE NEW MEMBERS TO ITS GOVERNING BODY. PRATT HEALTH FOUNDATION, BEING THE SOLE MEMBER OF PRMC, RETAINS THE RIGHT TO APPROVE SUCH NEW MEMBERS OF THE GOVERNING BODY OF PRMC. FORM 990, PART VI, SECTION A, LINE 7B PHF, BEING THE SOLE MEMBER OF PRMC, HAS THE RIGHT TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE 990 IS THEN PROVIDED TO THE CFO AND ACCOUNTING PERSONNEL FOR REVIEW. ANY QUESTIONS OR CONCERNS THE CFO AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE, IF NEEDED. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE (OR ELECTION IN THE CASE OF BOARD MEMBERS) AND ANNUALLY THEREAFTER, THE CFO OR HIS/HER DESIGNEE SHALL PROVIDE TO THE BOARD AND TO ALL EXECUTIVE OFFICERS A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. EACH MEMBER SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OF DUALITY OR INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL OR BUSINESS, WHICH MAY EXIST OR APPEAR AS TO THE ORGANIZATION OR ANY SYSTEM ENTITY OR ANY MATTER OF BUSINESS WHICH MAY COME BEFORE THE BOARD. THE BOARD CHAIRMAN REVIEWS ANY POTENTIAL CONFLICTS, AND DETERMINES WHETHER A CONFLICT IS PRESENT. A CONFLICTED INDIVIDUAL MUST ABSTAIN FROM VOTING IN THE MATTER OF WHICH A CONFLICT HAS BEEN IDENTIFIED BY THE BOARD CHAIRMAN. FORM 990, PART VI, SECTION B, LINE 15A CONSISTENT WITH THE POLICY AND COMPENSATION PRACTICE WITHIN PRATT REGIONAL MEDICAL CENTER (PRMC), THE PRESIDENT AND CEO IS SUBJECT TO AN ANNUAL REVIEW BY THE PRMC BOARD OF DIRECTORS. REASONABLE COMPENSATION: IT IS THE OBLIGATION OF THE PRMC BOARD OF DIRECTORS TO SEE THAT ITS PRESIDENT AND CEO IS PAID A REASONABLE LEVEL OF COMPENSATION. THE FULL AMOUNT OF ALL DIRECT AND INDIRECT COMPENSATION IS CONSIDERED. COMPENSATION LEVELS ARE REVIEWED AND APPROVED EITHER BY THE BOARD OF DIRECTORS OF PRMC OR BY A COMPENSATION COMMITTEE MADE UP OF BOARD MEMBERS. APPROVAL PROCESS: A SPECIFIC COMPENSATION ARRANGEMENT MUST BE APPROVED EITHER BY THE BOARD OF DIRECTORS OR BY A COMPENSATION COMMITTEE TO WHICH COMPENSATION DECISION(S) HAVE BEEN DELEGATED BY ACTION OF THE BOARD OF DIRECTORS. IF A COMMITTEE IS USED IT IS TO BE COMPRISED OF DISINTERESTED BOARD MEMBERS. COMPARISONS: THE BOARD OR COMMITTEE USES COMPARATIVE DATA THAT LOOKS AT COMPARABLE SOURCES TO DETERMINE THE REASONABLENESS OF COMPENSATION. COMPARATIVE DATA INCLUDES: COMPENSATION PAID BY SIMILAR ORGANIZATIONS, AVAILABILITY OF SIMILAR SERVICES WITHIN THE GEOGRAPHIC AREA, ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE PRESIDENT AND CEO. DOCUMENTATION: THE BOARD OR COMMITTEE ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION THAT THE COMPENSATION ARRANGEMENT IS REASONABLE AT THE TIME THE DECISION IS MADE. RECORDS INCLUDE THE TERMS OF THE ARRANGEMENT THAT WAS APPROVED AND THE DATE IT WAS APPROVED, THE BOARD OR COMMITTEE MEMBERS PRESENT DURING THE DECISION OF THE ARRANGEMENT AND THOSE WHO VOTED IN FAVOR OF IT, COMPARABILITY DATA RELIED UPON AND HOW IT WAS OBTAINED, THE ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF THE TRANSACTION OR ARRANGEMENT BY ANY MEMBER OF THE BOARD OR COMMITTEE THAT HAD A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE PRESIDENT AND CEO TO ASSURE THE BOARD THIS SAME PROCESS IS FOLLOWED AND DOCUMENTED REGARDING COMPENSATION OF THE CFO AND VICE PRESIDENTS OF THE MEDICAL CENTER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN INTEREST IN NET ASSETS OF PHF -426,979 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:7045414 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING/COLLECTION TOTAL FEES:545317 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATION/HUMAN RESOURCES TOTAL FEES:832188 FORM 990 PART IX LINE 11G DESCRIPTION:PLANT OPERATIONS TOTAL FEES:155001 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:928160 PRATT HEALTH FOUNDATION 200 COMMODORE ST PRATT KS 67124 481088881 HEALTHCARE KS 501(C)(3) 7 false false false true false false false false false false false false false false true true false false false false