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        <ExplanationTxt>Part V, Section B, Line 5: The Community Health Assessment Core group was made up of 78 key informed representatives from the community, including doctors, attorneys, business owners and leaders of several not for profit entities. This group partnered to conduct an assessment of the health status and needs of our community. Several tools and frameworks have been developed to guide communities through the CHNA process. The framework that was selected by the CHNA Core Group is the Institute of Medicine Community Health Improvement Process. An important initial step in the process is the preparation, analysis and interpretation of data describing the community: the Community Profile. The Community Profile describes the factors that contribute to the health and the health status of the community. Data Sources - There are numerous publicly available sources for valid, reliable data. The Kansas State Department of Health and Environment (KDHE) collects information that includes pregnancy outcomes, births, deaths, cancer incidence, reportable diseases, and more. Kansas community specific data are accessible on the KDHE website. In 2011 The Kansas Partnership for Improving Community Health (KanPICH) launched the Kansas Health Matters web site to assist communities with the CHNA/CHIP process. The measures compiled in this report come from multiple sources that use scientifically sound data collection and analysis methods. More information about the methods used to produce these data is available from each source.</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 6a: Salina Surgical Center</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 6b: Salina Saline County Health DepartmentUnited Way of SalinaSalina Surgical HospitalDVACKNorth Central KS Area on AgingCentral Kansas Mental HealthCentral Kansas Foundation</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 11: In the CHNA conducted for FY2022, the following needs were identified and prioritized in the following order:Depression/mental health, heart disease related indicators, aging population, cancer, drug poisoning, smoking, stroke, Covid-19, diabetes, domestic violence, immunizations, overweight/obesity including child obesity, trauma/falls, sexually transmitted disease rate, and pregnancy related indicators.The organization will not directly address the following needs identified for the reasons listed:Sexually transmitted disease rate Saline County Health Department is focused on addressing this.Domestic Violence - DVACK is the expert in this area. SRH Foundation may provide financial support to DVACK and other organizations specializing in domestic violence.In the year ended September 30, 2022, the facility has taken the following actions to address the identified needs: SRHC provides funding to Salina Regional Health Foundation, Inc. (SRH Foundation). The Foundation, in turn, supports the identified needs of SRHC by making distributions to tax-exempt organizations, including the Health Center and other causes and institutions related to, affiliated with, or cooperating in the achievement of its exempt purposes. The Foundation is a corporate member of SRHC.Depression/Mental HealthSRHC addressed this need through services offered by our behavioral health department, Veridian Behavioral Health. Many of Veridian's services are geared toward individuals and families who are struggling with common life problems such as depression, anxiety, marital problems, parent-child conflicts or grief and loss. Our services are provided in a convenient and comfortable, private office setting.Veridian psychiatrists provide direct care in an office setting while actively serving in various settings, such as intensive outpatient care, inpatient care in SRHC and in nursing homes.SRHC has worked with SRH Foundation to provide funding to organizations working to remove the stigma of depression and mental health, and provide counseling, therapy and treatment for individuals suffering from these health issues.Heart Disease Related IndicatorsSRHC addressed this need through its Salina Regional Health Center Chest Pain Center which has received the Primary PCI Accreditation from the American College of Cardiology. Striving for this national accreditation demonstrates Salina Regional Health Center's commitment to always being ready to treat patients with heart attacks. We are able to treat many of our heart attack patients without emergency surgery with a procedure called percutaneous coronary intervention (PCI). Aging PopulationSRHC addressed this need through its Meds to Bed program, providing enhanced education on medication at discharge. SRHC takes a very active role in several area nursing schools through contributions made through its Foundation.Saline County Department of Senior Services grant for $10,000 from SRH Foundation. The grant money was used for the Senior Centers Health Fair to benefit Meals on Wheels and healthcare for pets.Cloud County Community College (CCCC) grant for $250,000 from SRH Foundation. The requested funds were used toward the building of a Technical Education and Innovation Center to house academic programs of Renewable Energy, Nursing and Allied Health, and Agriculture and Industrial Technology. The CCCC Technical Education and Innovation Center positively influences the number of workers in Kansas by providing the needed education and skills to support occupational groups expected to grow employment from 2019-2029. One of the targeted outcomes for the center is increasing enrollment in Nursing and Allied Health, and addressing workforce needs for talent retention and attraction to handle the increased needs as the region's population ages. CancerSRHC addressed this need by maintaining Oncology and Radiation Oncology services, plus support services including Nutrition Counseling, Appearance Center, Spiritual support, and Cancer Registry.The Tammy Walker Cancer Center had several Cancer screening events throughout the year (Prostate, Skin, Breast and Colon). Our Foundation provides grants to Rolling Hills Zoo for Dream Night at the Zoo, a free evening at Rolling Hills Zoo for children with cancer or other chronic illnesses. Our comprehensive cancer program holds the prestigious cancer program approval by the American College of Surgeons Commission on Cancer and the American College of Radiation Oncology. In addition, the Tammy Walker Cancer Center is affiliated with the renowned Midwest Cancer Alliance, increasing access to the latest cancer treatment discoveries through a wide variety of clinical research studies.Death Rate Due to Drug PoisoningSalina Rescue Mission grant for $40,000 grant from SRH Foundation. The funds hired an Addictions Recovery Professional that has training and experience in working with those in substance abuse recovery. This person will help Mission develop classes and resources that are open to all of its residents, regardless of which program they are in. This staff person also taught relapse prevention skills, helped guests develop recovery plans and started support meetings within the Mission.Obesity (Child and Adult)School Marathon Foundation grant for $40,000 from SRH Foundation. The funds used for the Fall 2022 School Marathon, a 26.2-mile group running event for children. The School Marathon inspires lifelong habits for healthy living through a program that allows children to achieve the challenging goal of completing the marathon. The targeted population includes all Salina public and private elementary students in grades K-6. The program is all-encompassing and includes special needs populations. St. John's Missionary Baptist Church for $14,261 grant from SRH Foundation. The requested funds assisted in the completion of the church's Kid Kare Preschool Playground Project. The funds purchased a playset for the playground, specifically designed for children, ages 3-5.Smoking, Percentage of Adults Who Currently SmokeContinue with smoking cessation classes.StrokeSRHC addressed this need by continuing to provide exceptional stroke care and maintaining its designation as a Primary Stroke Center. A dedicated stroke response team is called to the Emergency Department whenever stroke is suspected. Members of the team include emergency room physicians, nurses, radiology staff, pharmacists and lab personnel who all have received specialized training to provide stroke care. The stroke team can be activated from the field by emergency responders to ensure that the team is ready to receive and treat the patient the moment they arrive at Salina Regional Health Center.Public education also is key to improving stroke outcomes. As an initiative to educate the public on stroke recognition and how to respond, the acronym FAST is often used: Facial drooping, Arm weakness, Speech difficulties and Time to call emergency services. Salina Regional has distributed educational cards in the past and plans to continue educating the public on stroke recognition.North Central-Flint Hills Area Agency on Aging, Inc., for $18,000 grant from SRH Foundation. The funds are to be used to support the 2022 Sunflower Fair and Regional Outreach Initiative. This is the area's premier health and wellness fair geared toward older adults and individuals with disabilities. They provide outreach and education related to Heart Disease, Stroke, Depression/Mental Health, Trauma/Falls, and general wellness of older adults. Continued in Part VI</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Salina Regional Health Center, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 13h: Presumptive eligibility may be utilized if a patient qualifies under the eligibility screening done by Salina Family Healthcare Clinic, a Community Clinic.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Salina Regional Health Center, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 20e: On the back of the patient statement is information on how to obtain a FAP. SRHC also hires a third party to help uninsured patients verify eligibility for public benefits or the FAP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Salina Regional Health Center, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, Line 7a and 10a</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.srhc.com/about-us/community-benefit-report.php</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>21</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - Salina Regional Outpatient Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S Santa Fe Lower Level</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient imaging clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - Salina Regional Oncology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>511 S Santa Fe</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - Comcare Santa Fe Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S Santa Fe Suite 300</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic, lab &amp; x-ray services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - Comcare Ohio Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2090 S Ohio Street</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic, imaging center &amp; lab services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - Salina Regional Neurosurgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S Santa Fe Suite 300</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - Salina Pediatric Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S Santa Fe Suite 100</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - Comcare Statcare Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1001 S Ohio St</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Minor emergency and illness clinic, lab &amp; x-ray services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - Salina Regional Surgical Associates</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S Santa Fe Suite 200</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - Salina Womens Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S Santa Fe Suite 140</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - Salina Regional Cardo Thoracic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S Santa Fe Suite 200</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - Comcare Minneapolis Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>311 N Mill St</AddressLine1Txt>
            <CityNm>Minneapolis</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67456</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic, lab &amp; x-ray services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - Comcare Occupational Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1101 E Republic St</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Therapy, lab and x-ray services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - Salina Regional Veridian</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 Holly Lane</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient psych clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - Salina Regional Pulmonary</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S Santa Fe Lower Level</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - Salina Regional Outpatient PT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S Santa Fe</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient physical therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - Salina Regional Neurosciences</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S Santa Fe Suite 210</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - Salina Regional Infant Child Development</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>155 N Oakdale</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient child development services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - Salina Regional Podiatry</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>501 S Santa Fe Suite 200</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - Salina Regional Orthopedic Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S Santa Fe Suite 240</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Orthopedic Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - Salina Regional Urgent Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2265 S 9th St</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>Minor emergency and illness clinic, lab &amp; x-ray services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - Salina Regional ENT &amp; Audiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>520 S Santa Fe Suite 200</AddressLine1Txt>
            <CityNm>Salina</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67401</ZIPCd>
          </USAddress>
          <FacilityTxt>ENT &amp; Audiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive eligibility may be utilized if a patient qualifies under the eligibility screening done by Salina Family Healthcare Clinic, a Community Clinic.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Benefit report is available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Amounts reported on Lines 7a and 7b are from the organization's cost accounting system taking all patient segments into account. Amounts on lines 7e, 7f, 7i are from the actual general ledger. Subsidized health services on line 7g were calculated utilizing IRS Worksheet 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7g:</FormAndLineReferenceDesc>
        <ExplanationTxt>Subsidized health services includes expense in excess of revenue of $31,952,662 attributable to physician clinics.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement on pages 15 and 16.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>The payments are compared to the actual cost of providing the service as arrived at through the cost accounting system. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>If a patient qualifies for financial assistance, the account is adjusted according to our policy. Any remaining balance after adjustment is collected under the billing and collection policies. Our billing and collection policies are the same for all patients. Patients who have qualifed for financial assistance are considered approved for a period of six months from the date of approval. After six months, patients need to reapply for financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>continued...Covid-19 Salina Regional Health Center continued to serve and play a significant role on the Salina County COVID-19 task force. SRHC continued full COVID screening of every patient and visitor that entered any of our facilities. Our clinics employed special screeners while the hospital used employed Information desk staff along with two staff from various departments working one-hour shifts for screening.SRHC maintained signage and posters throughout facilities with most up to date Covid 19 requirements and precautions from the CDC. We also maintained a COVID-19 webpage with all the latest CDC information. SRHC Urgent Care maintained our COVID Testing Site for our entire heath system using both PRC and Antigen testing. SRHC kept the public informed of the Hospital and region's COVID 19 status with Salina Regional's Chief Medical Officer appearing on SRHC's video news magazine The Pulse quarterly and continued to send press releases and social media updates on COVID 19 status. DiabetesSRHC addressed this need through Salina Regional Endocrinology Clinic, led by a board-certified endocrinologist, certified in Internal Medicine/Endocrinology.SRHC continued the diabetes support group program with Pharmacy, Dietary, and Organizational Development. Due to the pandemic the Diabetes Support group moved to a virtual format. With the producing of videos of each month's meetings participation actually increased and meetings will continue to be available online even when they go back to in person meetings in the future. ImmunizationsTammy Walker Cancer Center, a department of SRHC, continues to focus on HPV vaccinations. Saline County Health Dept. is focused heavily on immunizations.Trauma/FallsSRHC addresses this need by providing specialized care for patients with serious or life-threatening injuries through its Level III Trauma Center.Salina Regional Health Center plays an integral role in the region and statewide trauma councils.SRHC works with Cloud County Health Center in Concordia, KS in their efforts toward a Level IV Trauma Center designation.Pregnancy Related IndicatorsSRHC continued the "Becoming a Mom Program" which is a joint effort between SRHC and the Saline County Health Department. The Birth Center at Salina Regional Health Center has been named one of Kansas' "Best of the Best in Metabolic and Newborn Screening." Salina Regional was one of 12 facilities across the state to receive the "Best of the Best" designation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the community health needs assessment, SRHC analyzes hospital discharge data for all counties in the region. The Kansas Hospital Association inpatient discharge database includes data for all reporting hospitals. From this we determine usage trends that help us plan needed services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>At registration, the patient is informed of their rights for financial assistance if unable to produce valid insurance coverage. The patient is referred to a third-party vendor to determine eligibility for governmental programs and if it is determined they do not qualify, they are screened under our financial assistance guidelines. We post our guidelines on our website as well.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Salina Regional Health Center, Inc. is a rural community hospital serving a primary service area of Saline County, three immediately adjacent counties are its secondary service area, and has a 14-county referral area although certain specialties draw statewide. For purposes of community health needs assessment, the principal community of SRHC is Saline County.The primary service area (Saline County) has a population of 53,596. Between 2020 and 2022 the population of Saline County, KS declined from 54,301 to 53,596. When compared to the national population, this area is represented by an older population with a lower educational level and lower median income.The Challenge of the Aging PopulationAs members of the baby boom generation get older and reach retirement age, they present an increasing challenge and opportunity for health care. The growth in the number of elderly patients from the boomer generation coupled with a loss of boomer-age providers will pressure an already-stressed health care system. A big unknown is how well Medicare will digest the 75 million baby boomers amid the federal government's attempt to transform how care is provided and paid for in the program.Saline County has a higher percentage in the 65+ age-group of 19.8% compared to 17.2% for the rest of the state. This percentage is projected to continue to rise until the year 2035 before it starts to decline. Cancer, high cholesterol, COPD, arthritis, Alzheimer's, and depression for Medicare aged residents all currently have higher rates than the rest of the state. These indicators coupled with an increase in residents in this age group will be an issue for years to come.The service area is less ethnically diverse compared to the U.S. overall. The majority of residents are Caucasian (79.0%) followed by Hispanic (12.4%) and Black (3.5%). Spanish patient education materials are available at SRHC and the hospital translates via Certified Languages International and Stratus.Recognizing the relatively lower educational level in the community, the hospital writes patient information at a 4th to 6th grade reading level.Median household income in the primary service area from 2017-2021 was $55,175 compared to a Kansas median of $64,521, and national median of $69,021. A lack of available resources to the indigent is a challenge in this environment, so in addition to providing charity care, the hospital has and continues to support the Salina Family Healthcare Center, which provides care to the indigent.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing board of Salina Regional Health Center, Inc., is comprised of volunteers intentionally selected to promote the betterment of the region we serve. Salina Regional Health Center, Inc., administrators and governing board members assist the Foundation by participating in the CHIP committee.Salina Regional Health Center, Inc. is a member of the Sunflower Health Network (SHN) along with 15 critical access hospitals (CAHS) distributed across 14 counties. A Kansas Hospital Association administrator led SHN strategic planning that resulted in regional health priorities, including providing access to specialist physician care, optimizing timeliness and safety of patient transfers, and sustaining the number of quality nurses in the region. As a result of this process, Salina Regional Health Center, Inc. was verified by the American College of Surgeons as a level III trauma center, the only designated level III trauma center in the North Central Kansas Region. Salina Regional also provides access to computerized patient simulators and other nursing education modalities to strengthen the quality of nurses in regional communities.In an effort to attract and train professional nurses in rural Kansas the University of Kansas School of Nursing and Salina Regional Health Center announced a partnership that opened a new campus location in Salina this fall. The campus will offer students a Bachelor of Science in Nursing, which accepts students who have already completed the first two years of their undergraduate education at any regionally-accredited college or university. The school is sharing existing facilities with the University of Kansas School of Medicine in Salina and accepted 12 students in its first class. The program will join medical students at a new campus in downtown Salina.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Salina Regional Health Foundation Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 South Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <RecipientEIN>480949407</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Morrison House support</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>All donee information is kept as a part of the organization's books and records. For CHIP grants, the grantee sends the organization a report, usually within a year from receiving the grant.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>0</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>0</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Travis Rump</PersonNm>
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        <PersonNm>Keir Swisher</PersonNm>
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        <PersonNm>Robert Freelove</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gary Williams</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joe Tallon</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brenda Cox</PersonNm>
        <TitleTxt>Vice President, HR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Luanne Smith</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Berghuis</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Terry Hauschel</PersonNm>
        <TitleTxt>Vice President, Operations</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and COO use their membership at the Country Club for business purposes. Expenses are categorized by the CEO and COO as business or personal. Personal use expenditures are reimbursed to SRHC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A portion of the bonuses reported in J, Part II, column (b)(ii) include bonuses given as a result of COVID-19. Gratitude bonuses were given to employees who provided direct patient care to Covid patients, and thank you bonuses were given to other employees. Physicians receive bonuses related to production as part of their employment agreements.</ExplanationTxt>
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    </IRS990ScheduleJ>
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        <NameOfInterested>
          <PersonNm>Deanna Hauschel</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of Terry Hauschel, key employee</RelationshipDescriptionTxt>
        <TransactionAmt>110596</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Mary Berghuis</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of John Berghuis, key employee</RelationshipDescriptionTxt>
        <TransactionAmt>82428</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee shall consist of the Chair, Vice-Chair, Secretary, Treasurer, President and Chief Executive Officer, and any other person appointed to the Executive Committee by the remaining members of it to serve with or without vote at the direction of the committee. Unless the Board specifically directs otherwise, during the intervals between meetings of the Board, the Executive Committee shall have, and may exercise, all the powers of the Board in the management of the business and affairs of SRHC in such manner as such committee shall deem in the best interest of SRHC, except it may not amend the Articles of Incorporation or Bylaws or perform any act prohibited by law.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Salina Regional Health Center has two corporate members, Salina Regional Health Foundation, Inc. and Via Christi Health, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The corporate members have the power to approve appointment of members to and removal of members from the Board of Trustees. Eighty percent of the Board shall be residents of the City of Salina or the geographic region surrounding Salina. The remaining twenty percent of the Board shall be representatives of Via Christi Health, Inc. and need not be residents of the City of Salina or the surrounding area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 will be reviewed by the CFO prior to filing with the IRS. It will be provided to the board after it is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy covers board members, members of board committees, officers of SRHC and its affiliates, and all key management personnel. A conflict of interest questionnaire is required to be completed upon election and annually thereafter. The board of directors determines whether a conflict exists and reviews such conflicts to determine appropriate action. If there is an identified conflict, the board may ask the interested person to leave the meeting during discussion of the matter that gives rise to the potential conflict, however, if asked, the interested person may make a statement or answer questions on the matter before leaving. The interested person will not be permitted to vote on the matter. If a significant conflict is identified, the conflicted person will no longer be eligible to remain on the board and will be so informed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent compensation firm is obtained to complete an annual review and analysis of all the administrative staff members, including CEO, CFO and COO. The compiled report is forwarded to the Compensation Committee of the Board who reviews the analysis and approves the report. The compensation process and performance review for the CEO was last completed in fiscal year 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in beneficial interest in net assets of Foundation 197,754. Change in Fair value of assets held in trust -1,509,096. Intercompany transfers 294,298. Income from Auxiliary 1,757.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Salina Regional Health Affiliations LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>400 S Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
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        <EIN>862790318</EIN>
        <PrimaryActivitiesTxt>Management organizatio</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <TotalIncomeAmt>-1953</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3319258</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Salina Regional Health Center Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Salina Regional Health Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>400 South Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>480949407</EIN>
        <PrimaryActivitiesTxt>Advancement of healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Salina Regional Health Properties Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>400 South Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>481154675</EIN>
        <PrimaryActivitiesTxt>Own and operate medical office buildings</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Salina Regional Health Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hospice of Salina Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>730 Holly Lane</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67402</ZIPCd>
        </USAddress>
        <EIN>481131570</EIN>
        <PrimaryActivitiesTxt>Hospice care and support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Salina Regional Health Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Salina Regional Home Medical Services LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 S Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>431948057</EIN>
        <PrimaryActivitiesTxt>Durable Medical Equip</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Salina Regional Health Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sunflower Health Network Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>400 S Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>481163256</EIN>
        <PrimaryActivitiesTxt>Health services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12b, II</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Salina Surgical Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>401 South Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>481199515</EIN>
        <PrimaryActivitiesTxt>Surgical center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <PredominantIncomeTypeTxt>Unrelated</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>4261004</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>7039572</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Salina Surgery Properties LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>401 South Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
        <EIN>481200039</EIN>
        <PrimaryActivitiesTxt>Property ownership</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>320051</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1185654</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Salina Regional Health Enterprises Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>400 South Santa Fe</AddressLine1Txt>
          <CityNm>Salina</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67402</ZIPCd>
        </USAddress>
        <EIN>481056225</EIN>
        <PrimaryActivitiesTxt>Management services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Salina Regional Health Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>623323</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>271338</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Salina Regional Health Properties</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>294298</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Book value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Salina Regional Home Medical Services</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>306000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>book value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III - Related Organizations Taxable as Partnership</FormAndLineReferenceDesc>
        <ExplanationTxt>Form K-1 for Salina Surgery Properties, LLC and Salina Surgical Center, LLC does not include an amount reported as unrelated business income in box 20, code V.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
