PRATT REGIONAL MEDICAL CENTER CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PRATT REGIONAL MEDICAL CENTER CORPORATION (EIN 48-1058737)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201702279349303100
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-15T14:09:54-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11551 N WATERFRONT PKWY STE 300AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672066601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481058737EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRATT REGIONAL MEDICAL CENTER CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ALAN WAITESInCareOfNm
Business Name ControlPRATBusinessNameControlTxt
Phone6206727421PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1Txt
CityPRATTCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67124ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN PAGEPersonNm
Person TitleCFOPersonTitleTxt
Phone6204501437PhoneNum
Signature2017-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN L WEBBPreparerPersonNm
PTINP00235405PTIN
Phone3162652811PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN PAGEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1Txt
CityPRATTCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67124ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,161,865GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PRMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee533TotalEmployeeCnt
Total Volunteers105TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,521,580PYContributionsGrantsAmt
CY Contributions Grants$206,154CYContributionsGrantsAmt
PY Program Service Revenue$49,840,822PYProgramServiceRevenueAmt
CY Program Service Revenue$49,435,475CYProgramServiceRevenueAmt
PY Investment Income$339,224PYInvestmentIncomeAmt
CY Investment Income$548,535CYInvestmentIncomeAmt
PY Other Revenue$2,278,067PYOtherRevenueAmt
CY Other Revenue$2,976,142CYOtherRevenueAmt
PY Total Revenue$53,979,693PYTotalRevenueAmt
CY Total Revenue$53,166,306CYTotalRevenueAmt
PY Grants And Similar Paid$11,540PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$30,774CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,006,240PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,937,296CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$24,233,006PYOtherExpensesAmt
CY Other Expenses$26,877,433CYOtherExpensesAmt
PY Total Expenses$51,250,786PYTotalExpensesAmt
CY Total Expenses$54,845,503CYTotalExpensesAmt
PY Revenues Less Expenses$2,728,907PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,679,197CYRevenuesLessExpensesAmt
Total Assets BOY$68,355,280TotalAssetsBOYAmt
Total Assets EOY$65,899,312TotalAssetsEOYAmt
Total Liabilities BOY$36,289,599TotalLiabilitiesBOYAmt
Total Liabilities EOY$35,159,406TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,065,681NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,739,906NetAssetsOrFundBalancesEOYAmt
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$45,182,712ExpenseAmt
Grant$30,774GrantAmt
Revenue$50,271,498RevenueAmt
DescACUTE CARE HOSPITAL THAT PROVIDES MEDICAL CARE TO THE GENERAL PUBLIC. PRATT REGIONAL MEDICAL CENTER (PRMC) STRIVES TO PROVIDE EXCELLENT AND COMPASSIONATE HEALTHCARE SERVICES. 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.Desc
Total Program Service Expenses$45,182,712TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document39IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee533EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonALAN WAITESPersonNm
Phone6204501432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1Txt
CityPRATTCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67124ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BILL KELLER
CHAIRMAN/BOARD MEMBER1.00.0Yes (X)Yes (X)$0$0$0
DON PETERS
VICE CHAIRMAN/BOARD MEMBER1.00.0Yes (X)Yes (X)$0$0$0
TRACEY BEVERLIN
BOARD MEMBER1.00.0Yes (X)$0$0$0
WAKON FOWLER MD
BOARD MEMBER1.00.0Yes (X)$0$0$0
JEANETTE SIEMENS
BOARD MEMBER1.00.0Yes (X)$0$0$0
JASON WILTSHIRE MD
BOARD MEMBER39.01.0Yes (X)$634,816$0$20,643
GARY BARKER
BOARD MEMBER1.00.0Yes (X)$0$0$0
DENNIS MCKINNEY
BOARD MEMBER1.00.0Yes (X)$0$0$0
BECCA FLOWERS
BOARD MEMBER1.00.0Yes (X)$0$0$0
LORIN HAAS
BOARD MEMBER1.00.0Yes (X)$0$0$0
STEVEN DONNENWERTH MD
BOARD MEMBER1.00.0Yes (X)$0$0$0
FRANK LAUBHAN
BOARD MEMBER1.00.0Yes (X)$0$0$0
SUSAN PAGE
PRESIDENT40.00.0Yes (X)$201,373$0$13,854
KENNETH BROWN
VICE PRESIDENT40.00.0Yes (X)$144,252$0$12,231
JACK KENNEDY
VICE PRESIDENT40.00.0Yes (X)$135,776$0$9,709
KELLY MCDERMEIT
VICE PRESIDENT40.00.0Yes (X)$113,657$0$11,329
VINCENT WILCZEK
TREASURER39.50.5Yes (X)$108,925$0$12,668
NANCY BAILEY
SECRETARY38.51.5Yes (X)$47,001$0$1,360
IAN KOVACH
MD40.00.0$974,099$0$22,354Yes (X)
ALEXANDER NEEL
MD40.00.0$903,386$0$16,185Yes (X)
AARON ZOOK
MD40.00.0$609,049$0$308Yes (X)
ALAN PRIBIL
MD40.00.0$504,277$0$24,544Yes (X)
LUIS ESPINOZA
MD40.00.0$474,058$0$17,204Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,850,669TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$162,389TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TRUBRIDGE LLC
3725 AIRPORT BOULEVARD SUITE 208AMOBILEAL36608BUSINESS SERVICES$1,049,888
PRATT OPEN MRI
PO BOX 269PRATTKS67124MRI SERVICES$584,303
HUTTON CONSTRUCTION CO
2229 S WEST STREETWICHITAKS67213CONTRACTOR$493,197
DR DAN SUITER
420 COUNTRY CLUB ROADPRATTKS67124ENDOSCOPY SERVICES$461,234
HHS CULINARY NUTRITION SOLUTIONS
216 E 4TH STREETAUSTINTX78701FOOD SERVICES$385,286
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$206,154GovernmentGrantsAmt
Total Contributions$206,154TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621300BusinessCd
Total Revenue Column$49,435,475TotalRevenueColumnAmt
Related Or Exempt Func Income$49,435,475RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$49,435,475TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$279,920TotalRevenueColumnAmt
Exclusion$279,920ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$358,292RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$84,629RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$273,663RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$273,663TotalRevenueColumnAmt
Exclusion$273,663ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,175,670SecuritiesAmt
Other$3,875OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,910,930SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$264,740SecuritiesAmt
Other$3,875OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$268,615TotalRevenueColumnAmt
Exclusion$268,615ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SALES TAX APPROPRIATIONS900099$1,565,818$1,565,818
340B REVENUE900099$763,868$763,868
CAFETERIA/VENDING722513$151,647$151,647

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$221,146TotalRevenueColumnAmt
Related Or Exempt Func Income$72,155RelatedOrExemptFuncIncomeAmt
Exclusion$148,991ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,702,479OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,166,306TotalRevenueColumnAmt
Related Or Exempt Func Income$50,271,498RelatedOrExemptFuncIncomeAmt
Exclusion$2,688,654ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$30,774TotalAmt
Program Services$30,774ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$764,445TotalAmt
Management And General$764,445ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,640,762TotalAmt
Program Services$20,908,777ProgramServicesAmt
Management And General$2,731,985ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$280,726TotalAmt
Program Services$208,905ProgramServicesAmt
Management And General$71,821ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,764,490TotalAmt
Program Services$1,254,796ProgramServicesAmt
Management And General$509,694ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,486,873TotalAmt
Program Services$1,046,881ProgramServicesAmt
Management And General$439,992ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$62,290TotalAmt
Management And General$62,290ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$81,125TotalAmt
Management And General$81,125ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,230,063TotalAmt
Program Services$4,124,676ProgramServicesAmt
Management And General$2,105,387ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$154,385TotalAmt
Program Services$116,527ProgramServicesAmt
Management And General$37,858ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,823,576TotalAmt
Program Services$2,436,983ProgramServicesAmt
Management And General$386,593ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,653,318TotalAmt
Program Services$1,383,432ProgramServicesAmt
Management And General$269,886ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$136,006TotalAmt
Program Services$117,475ProgramServicesAmt
Management And General$18,531ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$93,000TotalAmt
Program Services$68,487ProgramServicesAmt
Management And General$24,513ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$128,413TotalAmt
Program Services$108,117ProgramServicesAmt
Management And General$20,296ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,118,545TotalAmt
Program Services$2,899,794ProgramServicesAmt
Management And General$1,218,751ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$611,405TotalAmt
Program Services$90,756ProgramServicesAmt
Management And General$520,649ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$6,217,206$6,217,206
BAD DEBT EXPENSE$3,361,231$3,361,231
REPAIRS/MAINTENANCE$323,831$225,733$98,098
PROG-RELATED TAX ASSESSMENTS$136,053$136,053

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$746,986TotalAmt
Program Services$446,109ProgramServicesAmt
Management And General$300,877ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$54,845,503TotalAmt
Program Services$45,182,712ProgramServicesAmt
Management And General$9,662,791ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,603,482BOYAmt
EOY$2,611,693EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,870BOYAmt
EOY$8,543EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,318,030BOYAmt
EOY$6,501,634EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,946,965BOYAmt
EOY$1,956,905EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$429,455BOYAmt
EOY$504,753EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$75,765,001LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,613,483LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,895,876BOYAmt
EOY$39,151,518EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,544,678BOYAmt
EOY$9,578,597EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$234,684BOYAmt
EOY$327,916EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,374,240BOYAmt
EOY$5,257,753EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$68,355,280BOYAmt
EOY$65,899,312EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,536,015BOYAmt
EOY$5,824,498EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,564,392BOYAmt
EOY$29,199,362EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$138,059BOYAmt
EOY$97,196EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$51,133BOYAmt
EOY$38,350EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,289,599BOYAmt
EOY$35,159,406EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,965,828BOYAmt
EOY$30,641,608EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,230BOYAmt
EOY$9,675EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$88,623BOYAmt
EOY$88,623EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,065,681BOYAmt
EOY$30,739,906EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,355,280BOYAmt
EOY$65,899,312EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,679,197ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$41,471NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$311,951OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$8,704GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$8,704TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FFormAndLineReferenceDesc
Explanation20.9% OF KHA DUES AND 22.12% OF AHA DUES PAID WERE FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,623BeginningYearBalanceAmt
Investment Earnings Or Losses$2,087InvestmentEarningsOrLossesAmt
Other Expenditures$2,087OtherExpendituresAmt
End Year Balance$88,623EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,623BeginningYearBalanceAmt
Investment Earnings Or Losses$1,609InvestmentEarningsOrLossesAmt
Other Expenditures$1,609OtherExpendituresAmt
End Year Balance$88,623EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,623BeginningYearBalanceAmt
Investment Earnings Or Losses$335InvestmentEarningsOrLossesAmt
Other Expenditures$335OtherExpendituresAmt
End Year Balance$88,623EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,623BeginningYearBalanceAmt
Investment Earnings Or Losses$8InvestmentEarningsOrLossesAmt
Other Expenditures$8OtherExpendituresAmt
End Year Balance$88,623EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,623BeginningYearBalanceAmt
Investment Earnings Or Losses$5,926InvestmentEarningsOrLossesAmt
Other Expenditures$5,926OtherExpendituresAmt
End Year Balance$88,623EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,625OtherCostOrOtherBasisAmt
Book Value$12,625BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,125,229OtherCostOrOtherBasisAmt
Depreciation$19,742,883DepreciationAmt
Book Value$33,382,346BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,632,209OtherCostOrOtherBasisAmt
Depreciation$14,705,482DepreciationAmt
Book Value$4,926,727BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,994,938OtherCostOrOtherBasisAmt
Depreciation$2,165,118DepreciationAmt
Book Value$829,820BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$39,151,518TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
FUNDS HELD BY FISCAL AGENT$2,543,510
INV IN PRATT HEALTH FOUNDATION$2,310,867
UNAMORTIZED BOND COSTS$279,816
DUE FROM MEDICARE$112,000
EHR INCENTIVE RECEIVABLE$11,560
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,257,753TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$49,957,314TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$41,471NetUnrealizedGainsInvstAmt
Other Revenue$110,768OtherRevenueAmt
Revenue Not Reported$152,239RevenueNotReportedAmt
Revenue Subtotal$49,805,075RevenueSubtotalAmt
Other Revenues Not Included$3,361,231OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,361,231RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$53,166,306TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$51,568,901TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$84,629OtherExpensesIncludedAmt
Expenses Not Reported$84,629ExpensesNotReportedAmt
Expenses Subtotal$51,484,272ExpensesSubtotalAmt
Other Expenses Not Included$3,361,231OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,361,231ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$54,845,503TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT 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 2MANAGEMENT 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 2DTRANSFER FROM PRATT HEALTH FOUNDATION 26,139 RENTAL EXPENSES 84,629
SCHEDULE D, PART XI, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS 3,361,231
SCHEDULE D, PART XII, LINE 2DRENTAL EXPENSES 84,629
SCHEDULE D, PART XII, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS 3,361,231

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served327PersonsServedCnt
Total Community Benefit Expns$327,799TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,228DirectOffsettingRevenueAmt
Net Community Benefit Expns$316,571NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served6915PersonsServedCnt
Total Community Benefit Expns$2,971,307TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,411,628DirectOffsettingRevenueAmt
Net Community Benefit Expns$559,679NetCommunityBenefitExpnsAmt
Total Expense0.01090TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served7242PersonsServedCnt
Total Community Benefit Expns$3,299,106TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,422,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$876,250NetCommunityBenefitExpnsAmt
Total Expense0.01700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served991PersonsServedCnt
Total Community Benefit Expns$19,162TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,162NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served45PersonsServedCnt
Total Community Benefit Expns$233,383TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$233,383NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served687PersonsServedCnt
Total Community Benefit Expns$9,109TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$800DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,309NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,809TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,809NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served1723PersonsServedCnt
Total Community Benefit Expns$274,463TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$800DirectOffsettingRevenueAmt
Net Community Benefit Expns$273,663NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served8965PersonsServedCnt
Total Community Benefit Expns$3,573,569TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,423,656DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,149,913NetCommunityBenefitExpnsAmt
Total Expense0.02230TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served70PersonsServedCnt
Total Community Benefit Expns$16,389TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,389NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served70PersonsServedCnt
Total Community Benefit Expns$16,389TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,389NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$3,361,231BadDebtExpenseAmt
Bad Debt Expense Attributable$200,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$16,316,137ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,911,832CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,595,695MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRATT REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1Txt
CityPRATTCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67124ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PRMC.ORGWebsiteAddressTxt
State LicenseH076001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PRATT REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PRMC.ORG/CHNA/INDEX.PHPOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.PRMC.ORG/CHNA/INDEX.PHPStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.PRMC.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.PRMC.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.PRMC.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE H, PART V, SECTION B, LINE 5FormAndLineReferenceDesc
ExplanationTHE ASSESSMENT PROCESS WAS INITIATED AND CHAIRED JOINTLY BY PRATT REGIONAL MEDICAL CENTER AND THE PRATT COUNTY HEALTH DEPARTMENT. EACH PROVIDED ROUGHLY EQUAL FINANCIAL AND IN-KIND SUPPORT FOR THE ASSESSMENT PROCESS. ALL OF THE EDUCATIONAL, GOVERNMENTAL, CIVIC AND HEALTH RELATED ORGANIZATIONS WITHIN THE COUNTY WERE INVITED TO PARTICIPATE. TO ENSURE INPUT FROM PERSONS WITH A BROAD KNOWLEDGE OF THE COMMUNITY, NOTICES OF ALL MEETINGS WERE ANNOUNCED, AS A PUBLIC SERVICE, ON THE LOCAL RADIO STATION, AND IN THE LOCAL NEWSPAPER. THE HOSPITAL FACILITY CONSULTED WITH LOCAL BUSINESS LEADERS, EDUCATORS, FARMERS, MEDICAL PROFESSIONALS, LAW ENFORCEMENT OFFICERS AND OTHER RESIDENTS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM ALL AREAS OF THE COMMUNITY. SCHEDULE H, PART V, SECTION B, LINE 11 THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWENTY HEALTH NEEDS. A COMMITTEE WAS ORGANIZED TO PRIORITIZE THE NEEDS AND FOUR PRIORITIES WERE IDENTIFIED FOR IMPROVEMENT. WHILE SOME OF THE NEEDS WERE COMBINED IN IDENTIFYING THESE FOUR PRIORITIES, OTHER NEEDS WERE NOT ADDRESSED DUE TO A LACK OF FINANCIAL AND OTHER RESOURCES. SCHEDULE H, PART V, SECTION B, LINE 22 GROSS CHARGES ARE THE SAME FOR ALL PAYORS. FAP-ELIGIBLE PATIENTS RECEIVE A SLIDING FEE SCALE DISCOUNT THAT RESULTS IN A NET CHARGE LESS THAN THE AMOUNTS GENERALLY BILLED TO OTHER PATIENTS.ExplanationTxt
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
PRATT REHABILITATION & RESIDENCE CENTER
227 S HOWARDPRATTKS67124REHABILITATION/LONG TERM CARE
PRATT INTERNAL MEDICINE GROUP
420 COUNTRY CLUB ROADPRATTKS67124RURAL HEALTH CLINIC
FARMER CLINIC
609 E FIRSTST JOHNKS67576RURAL HEALTH CLINIC
FARMER CLINIC
802 W BROADWAYSTAFFORDKS67578RURAL HEALTH CLINIC
KINSLEY RURAL HEALTH CLINIC
807 E FOURTHKINSLEYKS67547RURAL HEALTH CLINIC
SYLVIA HEALTH CARE CLINIC
200 S MAINSYLVIAKS67581RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CTHE CRITERIA USED FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, OTHER THAN FPG, THE MEDICAL CENTER ALSO CONSIDERED ASSET LEVELS AND INSURANCE STATUS AS CRITERIA IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. 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 $3,361,231. 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 7GTHE SUBSIDIZED HEALTH SERVICES EXPENSE IN PART I, LINE 7, OF SCHEDULE H DOES NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS.
SCHEDULE H, PART IITHE 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 9/30/16 AUDITED STATEMENT OF OPERATIONS. MULTIPLIED THAT AMOUNT X THE COST-TO-CHARGE RATIO. SCHEDULE H, PART III, LINE 3 THE PORTION OF BAD DEBT INCLUDED AS A COMMUNITY BENEFIT WAS ESTIMATED BASED ON HISTORICAL AMOUNTS WRITTEN OFF UNDER THE FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, LINE 4 SEE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8GOVERNMENT 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 9BWHEN 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 2MEETING 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 3PRMC 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 4OUR CURRENT 48 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 2010 CENSUS, IN 2009, 11.2% OF PRATT COUNTY RESIDENTS WERE LIVING BELOW THE POVERTY LEVEL. THE UNINSURED ADULT POPULATION IN PRATT COUNTY WAS 14.4 PERCENT, AND IN 2009-2010, THE PERCENTAGE OF KANSANS WITHOUT HEALTH INSURANCE ROSE TO 13%, THE HIGHEST RATE OF THE DECADE. EACH YEAR, HUNDREDS 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. PRMC HAS COMMITTED $10,000 PER YEAR FOR ANCILLARY SERVICES FOR AGAPE HEALTH CLINIC PATIENTS, AS WELL AS SUPPORT THROUGH USAGE OF MEETING ROOMS, AND VOLUNTEER MANPOWER FOR SPECIALIZED HEALTH CARE SUPPORT AND INFORMATION.
SCHEDULE H, PART VI, LINE 5PROVIDING 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 AND IT CANNOT BE ACHIEVED SOLELY THROUGH THE CARE WE PROVIDE WITHIN OUR FACILITIES; IT INCLUDES THE PEOPLE HELPED AND THE LIVES TOUCHED BY OUR COMMUNITY PROGRAMS. PRESCRIPTION ASSISTANCE PROGRAM: THE PRATT REGIONAL MEDICAL CENTER PRESCRIPTION ASSISTANCE PROGRAM (PAP) IS A SERVICE AVAILABLE TO ANYONE WHO NEEDS ASSISTANCE WITH COMPLETING AND FOLLOWING UP ON THE PAPERWORK REQUIRED FOR PRESCRIPTION DRUG ASSISTANCE APPLICATION. PRATT'S PAP PROGRAM IS UNIQUE IN THE FACT PRMC SUPPORTS THIS PROGRAM BY PROVIDING OFFICE SPACE, SUPPLIES AND OVERSIGHT FROM THE PRMC SOCIAL SERVICE DEPARTMENT, WHILE HOSPITAL VOLUNTEERS MANAGE THE PROGRAM. THE PAP PROGRAM ASSISTED 250 PEOPLE CREATING A SAVINGS OF $70,549.81. BICYCLE SAFETY & FITNESS PROGRAM: PRATT COUNTY STUDENTS IN THIRD AND FOURTH GRADE HAVE THE OPPORTUNITY TO PARTICIPATE IN A BICYCLE SAFETY & FITNESS COURSE SPONSORED BY THE PRATT HEALTH FOUNDATION EVERY SPRING. THIS PROGRAM WAS STARTED IN 1996 WITH A KANSAS HEALTH FOUNDATION GRANT AND THE PROGRAM HAS BEEN OFFERED EVER SINCE. THIS PROGRAM TEACHES: THE RULES OF THE ROAD, HOW TO USE HAND SIGNALS, SAFE RIDING HABITS, THE BENEFITS OF PHYSICAL ACTIVITY, AND HOW TO USE A BICYCLE HELMET. STUDENTS GO ON A BICYCLE RIDE FOR ABOUT 30 MINUTES FOR TWO DAYS A WEEK WITH DEWAYNE BRYAN, WHO IS THE EXECUTIVE DIRECTOR OF THE PRATT HEALTH FOUNDATION. AFTER THE INITIAL LESSONS ARE TAUGHT, THE STUDENTS GO ON A SPECIALLY DESIGNED THREE-MILE RIDE THROUGH PRATT. THE BICYCLERS ARE FOLLOWED BY THE STAFF OF THE PRATT COUNTY HEALTH DEPARTMENT IN CASE OF EMERGENCY OR MECHANICAL BREAKDOWN. COMMUNITY SERVICE COORDINATOR PEGGY LEE AND SELECTED HELPERS, WATCH THE TRAFFIC WHEN THE GROUP CROSSES BUSY INTERSECTIONS. DENTAL SCREENINGS FOR ELEMENTARY STUDENTS PROGRAM: THE PRATT HEALTH FOUNDATION (PHF) COLLABORATES WITH PRATT DENTISTS AND SCHOOLS TO PROVIDE A DENTAL SCREENING PROGRAM FOR 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 SINCE 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 FY16 PRMC DELIVERED 279 BABIES. BECAUSE PRMC IS THE ONLY HOSPITAL WHERE BABIES ARE DELIVERED IN OUR AREA, PATIENTS ARE TRAVELING FROM SURROUNDING COUNTIES TO DELIVER THEIR BABY AT PRMC. - PRMC VOLUNTEERS PURCHASE BOOKS AND PRESENT NEW PARENTS WITH INFORMATION ABOUT THE IMPORTANCE OF READING TO CHILDREN (BOOKS FOR BABES). - VOLUNTEERS PROVIDE ONE-ON-ONE EDUCATION ABOUT OPTIONS AVAILABLE TO SENIORS THROUGH MEDICARE PART D OPPORTUNITIES; IN FY16, PRMC VOLUNTEERS ASSISTED NUMEROUS CLIENTS WITH THE MEDICARE PLAN D ENROLLMENT PROCESS. PRMC PROVIDES SPACE AND MATERIALS TO RUN THE PROGRAM AND VOLUNTEERS PROVIDE THE MAN POWER. 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. THERE WERE APPROXIMATELY 15 STUDENTS WHO JOB SHADOWED IN VARIOUS DEPARTMENTS THROUGHOUT THE HOSPITAL IN FY16. THE PROGRAM IS SUCCESSFUL AND MOST STUDENTS WHO SHADOW ARE VERY IMPRESSED WITH THEIR EXPERIENCE. TOURS ARE ALSO POPULAR AMONG STUDENTS. SEVERAL SCHOOLS 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. THIRTY-FIVE PRMC EMPLOYEES LINED UP FOUR TIMES THIS YEAR TO DONATE BLOOD. EDUCATION FOR A HEALTHY FUTURE: PRMC CONSIDERS EDUCATION TO BE PART OF ITS MISSION. IT IS IMPORTANT TO HELP PREPARE THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS TO MEET NEW HEALTH CARE 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 FY16 PRMC GAVE $500 SCHOLARSHIPS TO TWO NURSING STUDENTS FOR A TOTAL OF $1000. - BARTON COUNTY COMMUNITY COLLEGE EMT STUDENTS TRAINED ON PRMC'S CAMPUS. - FIVE PHYSICIAN ASSISTANT STUDENTS FROM WICHITA STATE UNIVERSITY SPENT A TOTAL OF 468 HOURS AT PRMC IN THE EMERGENCY DEPARTMENT. - PRATT COMMUNITY COLLEGE NURSING STUDENTS PERFORM CLINICAL ROTATIONS AT PRMC. THIS INCLUDES FIRST AND SECOND YEAR STUDENTS. DURING THE FALL SEMESTER, 26 PCC NURSING STUDENTS SPENT A TOTAL OF 661 HOURS AT PRMC. - PRMC'S RADIOLOGY DEPARTMENT TRAINS TWO STUDENTS FROM HUTCHINSON COMMUNITY COLLEGE EVERY YEAR. 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, AND HAS BEEN HOST TO AN 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 FY16 PRMC HOSTED 189 MEETINGS TOTALING 483 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 6N/A
SCHEDULE H, PART VI, LINE 7N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
SCHOLARSHIPS2$3,383
TUITION ASSISTANCE14$27,391

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationSCHOLARSHIP 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JASON WILTSHIRE MD
BOARD MEMBER$634,576$0$0$0$240$0$3,586$0$17,057$0$655,459$0$0$0
IAN KOVACH
MD$971,520$0$0$0$2,579$0$5,692$0$16,662$0$996,453$0$0$0
ALEXANDER NEEL
MD$901,802$0$0$0$1,584$0$1,746$0$14,439$0$919,571$0$0$0
AARON ZOOK
MD$608,833$0$0$0$216$0$0$0$308$0$609,357$0$0$0
ALAN PRIBIL
MD$502,693$0$0$0$1,584$0$7,554$0$16,990$0$528,821$0$0$0
LUIS ESPINOZA
MD$473,818$0$0$0$240$0$0$0$17,204$0$491,262$0$0$0
SUSAN PAGE
PRESIDENT$200,341$0$0$0$1,032$0$4,828$0$9,026$0$215,227$0$0$0
KENNETH BROWN
VICE PRESIDENT$142,194$0$0$0$2,058$0$2,852$0$9,379$0$156,483$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
PRATT COUNTY KANSAS PUBLIC BUILDING COMMISSION
A261249655739762AS12011-10-13$3,035,975REFUND 9/15/2007 ISSUEfalsefalsefalse
PRATT COUNTY KANSAS PUBLIC BUILDING COMMISSION
B261249655739762BF82012-11-01$27,888,214HOSPITAL RENNOVATIONS & IMPROVEMENfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$3,035,978$0$0$0$5,978$0$0$0$3,030,000$02000Yes (true)falseYes (true)Yes (true)
B$0$0$28,498,775$0$343,735$0$420,487$0$0$27,524,239$0$210,314falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1TO OPERATE A GENERAL HOSPITAL FOR THE PROVISION OF FACILITIES FOR THE DIAGNOSIS, TREATMENT, OR CARE OF INDIVIDUALS SUFFERING FROM PHYSICAL ILLNESS, DISEASE, INJURY, OR DEFORMITY IN PRATT CO AND ADJACENT AREAS. FORM 990, PART III, LINE 1 TO OPERATE A GENERAL HOSPITAL FOR THE PROVISION OF FACILITIES FOR THE DIAGNOSIS, TREATMENT OR CARE OF INDIVIDUALS SUFFERING FROM PHYSICAL ILLNESS, DISEASE, INJURY, OR DEFORMITY WITHIN PRATT COUNTY AND ADJACENT AREAS. SUCH DIAGNOSIS, CARE AND TREATMENT SHALL BE PROVIDED TO ALL PERSONS, REGARDLESS OF RACE, CREED, COLOR, SEX, OR ABILITY TO PAY.
FORM 990, PART III, LINE 4AIN 2016, PRMC PROVIDED $316,571 IN CHARITY CARE AND DONATED $9,189 TO LOCAL CHARITIES AND COMMUNITY EVENTS, AS WELL AS HELPED TO EDUCATE AND TRAIN FUTURE CAREGIVERS SEEKING DEGREES IN THE HEALTH CARE FIELD. PRMC PLAYS A VITAL ECONOMIC ROLE IN THE PRATT COMMUNITY. AS THE LARGEST EMPLOYER IN THE COUNTY, PRMC EMPLOYS 440 PEOPLE WITH FULL AND PART-TIME JOBS. IN FY16, PRMC PAID $24,060,191 IN SALARIES AND BENEFITS, AND PURCHASED OVER $2 MILLION IN LOCAL PRODUCTS AND SERVICES AND PAID $1,328,707 FOR UTILITIES. PRMC BRINGS VALUE TO THE PRATT COMMUNITY THROUGH PROVIDING QUALITY HEALTH CARE AND JOBS. THE HOSPITAL PROUDLY PROVIDES FOUR FAMILY PRACTICE PHYSICIANS, FIVE INTERNAL MEDICINE PHYSICIAN A RURAL HEALTH CLINIC FAMILY PHYSICIAN, A GASTROENTEROLOGIST, A HEMATOLOGIST/ONCOLOGIST, AN INTERVENTIONAL PAIN MANAGEMENT SPECIALIST, A RADIOLOGIST, A GYNECOLOGICAL SURGEON, A GENERAL SURGEON, A PODIATRIST/FOOT AND ANKLE SURGEON AND TWO ORTHOPEDIC SURGEONS. PRMC HAS BEEN SUCCESSFUL AT MEETING HIGH QUALITY HEALTH CARE NEEDS FOR THE PAST 60 YEARS. IT IS PRMC'S VISION TO CONTINUE TO MEET THOSE EXPECTATIONS AND BECOME THE HEALTH CARE PROVIDER OF CHOICE FOR SOUTH-CENTRAL AND WESTERN KANSAS. FORM 990, PART VI, SECTION A, LINE 6 PRATT HEALTH FOUNDATION (THE FOUNDATION), 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 7BTHE FOUNDATION, 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 11BAN 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 12CAT 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, LINES 15A & BCONSISTENT 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (1,555) CHANGE IN INTEREST IN NET ASSETS OF PHF 287,367 TRANSFER FROM PRATT HEALTH FOUNDATION 26,139 --------- TOTAL 311,951
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED MEDICAL STAFF TOTAL FEES:4124676
FORM 990 PART IX LINE 11GDESCRIPTION:BILLING/COLLECTIONS TOTAL FEES:969009
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:676579
FORM 990 PART IX LINE 11GDESCRIPTION:ADMINISTRATION/HUMAN RESOURCES TOTAL FEES:333819
FORM 990 PART IX LINE 11GDESCRIPTION:PLANT OPERATIONS TOTAL FEES:125980

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PRATT HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1Txt
CityPRATTCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67124ZIPCd
FieldValueIRS element (for citing)
EIN481088881EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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