2025-11-17T14:52:04+00:00 2024-12-31 440160260 Forvis Mazars LLP 1551 N Waterfront Pkwy Ste 300 Wichita KS 672066601 990 2024-01-01 481178846 Coffeyville Regional Medical Center Inc COFF 6202511200 1400 W 4th Street Coffeyville KS 67337 BRIAN LAWRENCE CEO 6202511200 2025-11-17 true Kevin Ensminger P01310558 3162652811 2025-11-17 2024 2025-03-06 01:10:19Z BRIAN LAWRENCE 1400 W 4th Street Coffeyville KS 67337 46856376 false X HTTP://CRMCINC.ORG X 1996 KS Medical care and services by an acute care hospital. 7 6 394 35 0 1927620 3966497 44660898 42410490 326249 218641 1260821 260748 48175588 46856376 7639 9825 0 0 27232088 28839658 0 0 110593 24890403 24319600 52130130 53169083 -3954542 -6312707 24706170 26946065 11407020 19241297 13299150 7704768 To promote general health and well being through the development, promotion, improvement and support of all forms of healthcare services in Coffeyville, Kansas and the surrounding area. false false 45985414 9825 42410490 COFFEYVILLE REGIONAL MEDICAL CENTER OPERATES AN ACUTE CARE HOSPITAL LOCATED IN SOUTHEAST KANSAS. WE PROVIDE INPATIENT, OUTPATIENT, URGENT AND EMERGENT CARE, AND PHYSICIAN SERVICES TO ALL PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, SEXUAL PREFERENCE, OR ABILITY TO PAY. 45985414 true true false true false false false false false true true false false true true true true false false false false false false false false false true true false false true false false false false false false false false true false false false false false false true false false false false true 56 0 true 394 true false false false false false false false false false false false false X 7 6 false false false false false true false true true false false false false true true true true true true false false false X Jeffrey Morris 6202511200 1400 W 4th Coffeyville KS 67337 DEBBIE CARTER SECRETARY / TREASURER 2.0 0.0 X X 0 0 0 MONTE COFFMAN CHAIRMAN 2.0 0.0 X X 0 0 0 NEAL BARKLEY VICE-CHAIR 2.0 0.0 X X 0 0 0 CRAIG CORRELL DIRECTOR 2.0 0.0 X 0 0 0 DR GARRICK RETTELE DIRECTOR - END 10/24 2.0 0.0 X 0 0 0 GEOFF COLLINS DIRECTOR 2.0 0.0 X 0 0 0 JAMES GRIMMETT DIRECTOR 2.0 0.0 X 0 0 0 JODI HAYES DIRECTOR 2.0 0.0 X 0 0 0 BRIAN LAWRENCE CEO / PRESIDENT 40.0 0.0 X 346436 0 62603 JEFF MORRIS CFO 40.0 0.0 X 125232 0 22280 SARAH HOY CNO / VICE PRESIDENT 40.0 0.0 X 145371 0 13462 BRITTANY LOVE PHYSICIAN 40.0 0.0 X 432669 0 41654 MICHELLE MCGUIRK PHYSICIAN 40.0 0.0 X 415985 0 57390 PERRY YUNG PING LIN PHYSICIAN 40.0 0.0 X 600906 0 55583 SHRAVAN KUMAR REDD GANGULA PHYSICIAN 40.0 0.0 X 505984 0 64150 SUNIL MENON PHYSICIAN 40.0 0.0 X 683321 0 64278 3255904 0 381400 29 false true false Crossland Construction Company Inc 833 S East Street PO Box 45 Columbus KS 66725 Construction Contractor 999875 Green Country Emergency Physicians 1145 S Utica 365 TULSA OK 74104 ER Coverage 973932 Trimedx 5451 Lakeview Pkwy S Drive Indianapolis IN 46268 Biomedical Services 567311 Quality Care LLC 16074 US Highway 59 ALTAMONT KS 67330 Physician services 535033 Echelon Arch & Design 107 N Penn Ave Independence KS 67301 Architectural & Design Services 364546 11 1269548 2696949 3966497 Net patient service revenue 622110 41526973 41526973 0 0 340b Pharmacy 456110 681295 681295 0 0 Cafeteria and dietary income 722310 202222 202222 0 0 0 0 0 0 42410490 215762 0 0 215762 27992 0 27992 0 27992 0 0 27992 2879 0 0 2879 2879 0 0 2879 OTHER REVENUE 622110 232756 0 0 232756 0 0 0 0 232756 46856376 42410490 0 479389 X 9825 9825 0 0 715384 632864 80020 2500 94205 94205 21490339 19011427 2403816 75096 2015134 1791583 214044 9507 3124394 2777785 331868 14741 1400202 1244869 148727 6606 67336 67336 156800 156800 7560 7560 9646199 7104534 2541665 0 81486 81486 437666 435765 1901 7101 7101 1170942 887910 282997 35 119004 90239 28761 4 138970 138970 2148259 1798145 348055 2059 548888 416215 132657 16 PHARMACY DRUGS 5789853 5789853 MEDICAL SUPPLIES 3013609 3013609 BANK & COLLECTION FEES 497597 377321 120261 15 EQUIPMENT RENTAL 220128 166921 53201 6 268202 203374 64820 8 53169083 45985414 7073076 110593 399269 18108 631626 583864 5685561 6906629 0 0 0 0 1490479 1429056 360065 486848 65119239 52235338 12094615 12883901 0 0 4044555 4637659 24706170 26946065 9249771 12371013 0 0 608415 3794351 1548834 3075933 11407020 19241297 X 10164060 4251516 3135090 3453252 13299150 7704768 24706170 26946065 X -6312707 718325 X X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7560 7560 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Coffeyville Regional Medical Center, Inc. is a member of the Kansas Hospital Association and American Hospital Association. These organizations engage in lobbying activities for hospital and general health care interests as a part of the services provided to members. 400668 50272 50272 400668 400668 67813 67813 400668 400668 10883 10883 400668 400668 62314 62314 400668 370668 30000 17809 17809 400668 0.0 1.0 0.0 true false 213000 213000 24601315 19287810 5313505 0 0 0 25604363 21980773 3623590 14700561 10966755 3733806 12883901 Other receivables 644281 Beneficial interest in net assets of foundation 3501576 Sales tax receivable 267902 Estimated third-party payor settlements 223900 4637659 Federal Income Taxes Liability for receivables sold with recourse 55000 Estimated third-party payor settlements 565000 Right-Of-Use Liability 2455933 3075933 X 46853497 0 0 46853497 2879 2879 46856376 53166204 0 0 53166204 2879 2879 53169083 Schedule D, Part V, Line 4 Intended uses of endowment funds The Coffeyville Regional Medical Center Foundation's endowment consists of a fund established for dietary scholarships. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Coffeyville Regional Medical Center is a not-for-profit corporation described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GAIN ON DISPOSAL OF ASSET - 2879 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements GAIN ON DISPOSAL OF ASSET - 2879 true true X true X 250 true X 629448 0 629448 0.01184 5958364 3437579 2520785 0.04741 0 0 0 0.0 0 0 6587812 3437579 3150233 0.05925 0 0 0 0.0 0 0 0 0.0 10662265 5407004 5255261 0.09885 0 0 0 0.0 0 0 0 0.0 0 0 10662265 5407004 5255261 0.09885 0 0 17250077 8844583 8405494 0.15810 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 2240168 7030687 10680490 -3649803 X true true 1 1 Coffeyville Regional Medical Center 1400 W 4th Street Coffeyville KS 67337 H063102 X X X X Coffeyville Regional Medical Center 1 false false true X X X X X X X X X 22 false false true true X https://www.crmcinc.org/about/publications-reports/ X true 22 true http://crmcinc.org/about/publications-reports/ false true X 250.0 400.0 X X X X X true true X X X true X http://crmcinc.org/patients-visitors/billing-insurance/financial-assistance X http://crmcinc.org/patients-visitors/billing-insurance/financial-assistance X http://crmcinc.org/patients-visitors/billing-insurance/financial-assistance X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Coffeyville Regional Medical Center, Inc.. Montgomery County Health Department Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Coffeyville Regional Medical Center, Inc.. Lack of Community Communication -CRMC continued to promote health and wellness on social media. CRMC created and promoted "Health Hub" nutrition videos and educational materials on a quarterly basis. CRMC also offers childbirth education and breastfeeding programs. The Medical Center continued to promote the services through physical mailings distributed homes within a 35 mile radius. -Telehealth hospital services were discontinued in June 2022. However, virtual visits are available through the primary care clinics. -Live Health Montgomery County works to maintain CHNA health resource directory, which provides primary contact information. -CRMC continues to educate the community with Alliance of Ministries and its resources. Primary Care Providers -CRMC hosted several regional meetings with primary providers and visiting specialists to increase collaboration among healthcare providers. -CRMC participated in the Farm and Home Show and other community events to promote services and service providers at CRMC. -CRMC completed Physician Manpower Assessment to document specific service area need by specialty. -CRMC established a High School Mentor Program that established a on-the-job training opportunities for local high school students. -CRMC continued to hold 6-9 and 12 month orientation meetings with new providers. Lack of Individual Health Ownership (Apathy) -The Medical Center published a Health Partners Magazine quarterly and makes it available on social media. The Medical Center also offered a women's health programs like Childbirth and Breast Feeding and participated in a community baby shower in November. -CRMC reopened a walking track after being closed due to Covid-19. The Medical Center announced that the indoor walking track is opened to the entire community and offers a climate controlled and safe environment. CRMC did not address the following needs identified in its most recently conducted community health needs assessment: Poverty, Obesity, Transportation, Drug Use, Tobacco, and Lack of Parental/Family Skills Education. CRMC did not address these needs because they are not part of CRMC's mission of health operations. CRMC will partner with other individuals and organizations to help address these needs as appropriate. 4 CRMC Medical Group 1400 W 4th Street Coffeyville KS 67337 Surgery and Specialty Clinic CRMC Medical Group - Coffeyville 1400 W 4th Street Coffeyville KS 67337 Primary Care Physician Clinic CRMC Medical Group 1717 W 8th Street Coffeyville KS 67337 Women's Health, Obstetrics, and Gynocology CRMC Medical Group - Independence 122 W Myrtle Street Independence KS 67301 Primary Care Physician Clinic Schedule H, Part V, Section B, Line 5 In August 2022, Coffeyville Regional Medical Center in conjunction with the Montgomery County Health Department began the process of updating the 2019 CHNA. The process included requesting various stakeholders in completing an on-line survey which was followed by a Town Hall Discussion in August 2022. The process included a wide variety of stake holders including business owners, civic leaders, law enforcement, hospital personnel, and other local health care professionals. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Provisions for bad debts are related to accounts who have been deemed uncollectible during the year. The uncollectible amount is then written off pursuant with Hospital policy. The cost of the bad debts reported was determined based upon the cost to charge ratio multiplied by the total charges written off to bad debt expense. Schedule H, Part III, Line 3 Bad Debt Expense Methodology The estimate of bad debt expense attributed to patients who we believe would be eligible under the organization's financial assistance policy was estimated at 15%. The gross charge amount was then adjusted to cost using overall cost to charge ratio obtained from worksheet 2. It is our belief that much more of the amount written off to bad debts relates to patients that would qualify for charity; however, do not take the time to complete the application process due to their individual circumstances. We believe this amount should be considered a community benefit because we are legally required to provide medical services to patients regardless of the ability to pay. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Coffeyville Regional Medical Center provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. The Medical Center estimates this allowance based on the aging of its accounts receivable and its historical collection experience. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The 2024 Medicare Cost Report was used to determine the Medicare revenue and related cost. The shortfall is a benefit to the Medical Center's community since it represents health care provided at less than cost to elderly and needy residents of the Medical Center's service area. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Admission representatives review accounts during the admissions process to identify patients with possible financial need. To be considered for charity care, the financial policy states that financial advisors will determine if the patient is eligible to apply for Medicaid or other financial assistance programs. The advisors will then assist the patient through the process of applying for financial assistance programs within and outside of the Medical Center. Whenever possible, prior to admission, the Hospital will conduct a pre-admission interview with the patient, the guarantor, and or legal representative. Patients who may qualify for financial assistance from a governmental program will be referred to the appropriate program prior to being considered for charity care. Schedule H, Part V, Section B, Line 16a FAP website - Coffeyville Regional Medical Center: Line 16a URL: http://crmcinc.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Coffeyville Regional Medical Center: Line 16b URL: http://crmcinc.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Coffeyville Regional Medical Center: Line 16c URL: http://crmcinc.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment The Medical Center periodically engages a consulting firm to assist with developing a strategic plan. Part of that process is to interview people in the community for their opinion on what the Medical Center can do to meet the community needs. Interviews include physicians, board members, auxiliary personnel, and business leaders in the community to help get a feel for what they see as most important for our community. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance The hospital has signs posted in each admission window and other locations in the hospital encouraging patients to ask about the available payment options and how to apply for financial assistance. The financial assistance policy and application form is also made available on the hospitals website. The patient may be referred to meet with one of the hospital's Financial Advisors, who will determine the patients' eligibility for benefits and help them through the process of applying for assistance. Schedule H, Part VI, Line 4 Community information Coffeyville is located in the southeastern part of Montgomery County, located in Southeast Kansas. It is located 64 miles north of Tulsa, Oklahoma. The US Census Bureau estimates the 2022 population of Montgomery County, Kansas to be 30,996. 21% of the population is 65 years of age or older, the median household income is $51,513, and 15.1% of individuals are below poverty level. Schedule H, Part VI, Line 5 Promotion of community health Health fairs, fundraising for relay for life, public education, and resources on Coffeyville Regional Medical Center's website are some examples of activities the Medical Center does to support health in the community. X X X false false false false false false false true false BRIAN LAWRENCE CEO / PRESIDENT 346436 0 0 0 0 0 32729 0 29874 0 409039 0 0 0 SARAH HOY CNO / VICE PRESIDENT 145371 0 0 0 0 0 13462 0 0 0 158833 0 0 0 SUNIL MENON PHYSICIAN 676027 0 7294 0 0 0 34404 0 29874 0 747599 0 0 0 PERRY YUNG PING LIN PHYSICIAN 384914 0 215992 0 0 0 31947 0 23636 0 656489 0 0 0 SHRAVAN KUMAR REDD GANGULA PHYSICIAN 290764 0 215220 0 0 0 31947 0 32203 0 570134 0 0 0 BRITTANY LOVE PHYSICIAN 432669 0 0 0 0 0 31412 0 10242 0 474323 0 0 0 MICHELLE MCGUIRK PHYSICIAN 413485 0 2500 0 0 0 31947 0 25443 0 473375 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments Physician bonuses are paid based upon Work RVUs. Officer bonuses are based on both performance and financial metrics and approved at the Board of Director's discretion. Marc Slavin Son-in-law of Debbie Carter, Board Member 94205 Employee Compensation false Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE 2024 AUDITED FINANCIAL STATEMENTS WERE NOT COMPLETE AT THE TIME OF FILING, THEREFORE THE 2023 AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE RETURN. THE FORM 990 WILL BE AMENDED ONCE THE AUDITED FINANCIAL STATEMENTS ARE COMPLETE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Each director shall be appointed by majority vote of the Board of Trustees and shall serve until his or her successor is appointed and qualified. Form 990, Part VI, Line 11b Review of form 990 by governing body An independent accounting firm prepares and reviews the Form 990. The return is then reviewed by the Organization's CFO and Controller. Any questions or concerns are addressed and any corrections or clarifications are made. Form 990, Part VI, Line 12c Conflict of interest policy A conflict of interest disclosure form is provided with a copy of the conflict of interest policy. This disclosure is completed by each member of the board upon appointment and annually thereafter. If a conflict of interest is discovered, the member concerned is not allowed to vote on the related matter. Form 990, Part VI, Line 15a Process to establish compensation of top management official The salary of the CEO is determined by the Board of Directors and is based upon performance and comparative information obtained from the Kansas Hospital Association wage survey. Form 990, Part VI, Line 19 Required documents available to the public The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon written request. Form 990, Part IX, Line 11g Other Fees PROFESSIONAL FEES - Total Expense: 2906151, Program Service Expense: 2906151, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 1286647, Program Service Expense: 1156421, Management and General Expenses: 130226, Fundraising Expenses: ; OUTSIDE SERVICES - Total Expense: 5453401, Program Service Expense: 3041962, Management and General Expenses: 2411439, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Increase in beneficial interest in net assets of CRMC FOUNDATION - 718325; Total - 718325; Form 990, Part XII, Line 2c Change of oversight process or selection process The Finance Committee reviews the audit prior to the presentation by the auditor to the Board of Directors. City of Coffeyville 102 W 7th Street P O Box 1629 Coffeyville KS 67337 486043317 To appoint the board of trustees KS 501(c)(1) NA false false false true false true false false false false false false false false false false false false false false