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        <ProgramServices>17885559</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>10210591</ProgramServices>
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    </IRS990>
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        </ContributorNameBusiness>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <Identifier>Explanation of Lobbying Activities:</Identifier>
        <ReturnReference>Part II-B, Line 1:</ReturnReference>
        <Explanation>A portion of annual dues paid by Salina Regional Health Center, Inc., to various health care organizations has been identified as association lobbying activities by those organizations. The amount reported as direct contact with legislators, their staff, government officials, or a legislative body represents the portion of dues identified as association lobbying activities by these organizations. Salina Regional Health Center, Inc., does not participate in activities supporting a political candidate.</Explanation>
      </Form990ScheduleCPartIV>
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        <EndOfYearBalance>900186</EndOfYearBalance>
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        <Description>Estimated reimbursements payable</Description>
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      </OtherLiabilities>
      <TotalOfAmounts>4073051</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
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        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
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      <Form990ScheduleDPartXIII>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
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        <GrossRevenueTotalEvents>31048</GrossRevenueTotalEvents>
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      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
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      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>3910</PersonsServed>
        <TotalCommunityBenefitExpense>3105541</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>3105541</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01920</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>11879</PersonsServed>
        <TotalCommunityBenefitExpense>17236844</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7881225</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9355619</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05790</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <PersonsServed>15789</PersonsServed>
        <TotalCommunityBenefitExpense>20342385</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7881225</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12461160</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07710</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>20</NumberOfActivitiesOrPrograms>
        <PersonsServed>2242</PersonsServed>
        <TotalCommunityBenefitExpense>159087</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>159087</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>11</NumberOfActivitiesOrPrograms>
        <PersonsServed>100</PersonsServed>
        <TotalCommunityBenefitExpense>2062249</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2062249</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01280</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>22</NumberOfActivitiesOrPrograms>
        <PersonsServed>9181</PersonsServed>
        <TotalCommunityBenefitExpense>29638152</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>17796440</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11841712</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07320</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>2671</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2671</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>14</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>718169</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>718169</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00440</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>69</NumberOfActivitiesOrPrograms>
        <PersonsServed>11523</PersonsServed>
        <TotalCommunityBenefitExpense>32580328</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>17796440</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14783888</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09140</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>69</NumberOfActivitiesOrPrograms>
        <PersonsServed>27312</PersonsServed>
        <TotalCommunityBenefitExpense>52922713</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>25677665</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>27245048</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.16850</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>14568</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>14568</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>70090</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>70090</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>686</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>686</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>52514</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>52514</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <PersonsServed>53</PersonsServed>
        <TotalCommunityBuildingExpense>329069</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>329069</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00200</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <NumberOfActivitiesOrPrograms>16</NumberOfActivitiesOrPrograms>
        <PersonsServed>53</PersonsServed>
        <TotalCommunityBuildingExpense>466927</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>466927</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00280</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>5677241</BadDebtExpenseAmount>
      <AmountAttributableTo>691336</AmountAttributableTo>
      <AmountReimbursedByMedicare>52102828</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>53926886</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1824058</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Salina Regional Health Center Inc</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>400 South Santa Fe</AddressLine1>
          <City>Salina</City>
          <State>KS</State>
          <ZIPCode>67401</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>Salina Surgical Center LLC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>401 South Santa Fe</AddressLine1>
          <City>Salina</City>
          <State>KS</State>
          <ZIPCode>67401</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Salina Regional Health Center Inc</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <OtherNeedsAddressed>X</OtherNeedsAddressed>
        <AllNeedsAddressed>0</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <PermitLienOnResidence>X</PermitLienOnResidence>
        <PermitOtherActions>X</PermitOtherActions>
        <CollectionActivities>0</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Salina Surgical Center LLC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <CHNAConducted>0</CHNAConducted>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>100.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: Costing methodology used to determine ratio of patient care cost to charges is total operating expenses less bad debt, Medicaid provider taxes, total community benefit, and building expenses divided by total charges less community benefit charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: Advancing Communities Together (ACT) analyzed data and discussed with multiple agencies in July 2012 resulting in the following high-level list of community health improvement priorities (descending order of priority): teen sexual behavior, obesity (children, adult) and the outcomes of obesity (heart disease, stroke), domestic violence, serious injuries requiring hospital care, chronic lower respiratory disease, adult flu vaccination, and cancer. These priorities have since been further researched. A report is being made available to the general public in early 2013 and through community forums, on-line surveys and paper surveys; input from the broader community is being obtained. Salina Regional Health Center is collaborating with Salina-Saline County Health Department and Central Kansas Foundation to conduct a community health assessment and develop a community health improvement plan. Across the early months of 2012, data was gathered, analyzed, and discussed by this collaborative group. Poster board presentations of the group's findings were prepared for presentation to a July 9, 2012 forum of representatives from a broader group of agencies that are involved in community development and health improvement. Participants included representatives of Salina Area United Way, Salina Family Healthcare, ComCare PA, Occupational Center of Central Kansas, Greater Salina Community Foundation, Salina Public Schools, Veridian Behavioral Health, Central Kansas Mental Health Center, Saline County Commission on Aging, Kansas State University Extension, City of Salina Parks and Recreation, Heartland Programs, North Central Kansas Regional Trauma Council, Salina Regional Health Center, The Volunteer Connection, Salina-Saline County Health Department, Central Kansas Foundation, and faith-based programs. The outcome of the meeting was buy-in to a process of getting broad community input into health improvement priorities, commitment to partner in the process, understanding of community health status data, and initial identification of priority issues to be addressed.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: See note A5 (page 9) of the audited financial statements regarding the allowance for uncollectible accounts. Part III, Line 3: A review of bad debt accounts was conducted to find accounts that were eligible for charity care. Eligibility was determined by whether the patient had received financial assistance for a portion of their responsibility toward the account. Any remaining charges written off after the financial assistance was granted was included as bad debt expense attributable to patients eligible for financial assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: Amounts were obtained from the cost report filed with Medicare for the period ending September 30, 2013, less subsidized health services revenue and expenses included in Schedule H, Part I, Item 7(g). The total amount of the shortfall is considered a community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: If a patient qualifies for financial assistance, the account is adjusted according to our policy. Any remaining balance after adjustment is collected under the billing and collection policies. Our billing and collection policies are the same for all patients. Patients who have qualified for financial assistance are considered approved for a period of six months from the date of approval. After six months, patients need to reapply for financial assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 2:</ReturnReference>
        <Explanation>Ratio of patient care cost to charges (see calculation for Part I, Line 7) multiplied by provision for bad debts.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Salina Regional Health Center, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 3: Salina Regional Health Center collaborated with Salina-Saline County Health Department and Central Kansas Foundation to conduct a community health assessment and develop a community health improvement plan. Data was gathered, analyzed, and discussed by this collaborative group. Results were presented at a forum of representatives from a broader group of agencies involved in community development and health improvement. Broad community input was obtained through public forums and surveys. To assess public perception of the health issues identified by community partner organizations as most concerning, a survey and background information was developed and distributed in March 2013. Saline County residents were invited to review the information and participate in the survey via social media, the local newspaper, email, and notices posted throughout the community. A summary of the issues was presented at two public meetings that included opportunity for discussion with CHA Core Group representatives. A written summary of issues and the survey were placed at community locations that were easily accessible. Electronic versions of materials and the link to an internet survey were distributed via social media, the local newspaper, and email. Three hundred four individual surveys were completed during the 30 days it was available.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Salina Regional Health Center, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 5c: The initial data report was provided on websites and in paper form at the Salina Regional Health Center information desk, public library, county health department, and other locations. The final report is posted on the Salina Regional Health Center website. A professional publication for broad distribution is under development for spring 2014 distribution (newspaper, direct mail, personal distribution to agencies, and other public locations). Results will also be presented by a SRHC representative at civic clubs and other settings.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Salina Regional Health Center, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 7: Childhood obesity, teen pregnancy, adult obesity, domestic violence, and sexually-transmitted infections were needs identified in the CHNA which are not being addressed by Salina Regional Health Center as they are outside the scope of our operations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Salina Regional Health Center, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 16e: File against estates</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Salina Surgical Center, LLC</Identifier>
        <Explanation>Part V, Section B, Line 18e: No such efforts</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Salina Regional Health Center, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 20d: Deduction of 30%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Salina Surgical Center, LLC</Identifier>
        <Explanation>Part V, Section B, Line 20d: Usual and customary net charges for services rendered.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Notice 2014-3 Proposed Revenue Procedure Disclosure:</Identifier>
        <ReturnReference>Part V, Section B, Line 1:</ReturnReference>
        <Explanation>A community health needs assessment for Salina Surgical Center, LLC, a hospital facility of the hospital organization Salina Regional Health Center, was not conducted by the end of Salina Regional Health Center's taxable year. In late November 2013 our consultant began researching the requirements of 501(r) in relationship to our ownership percentage of Salina Surgical Center. In January 2014, we received a letter from our consultant indicating that Salina Surgical Center met the definition of a hospital facility under the proposed regulations. After reviewing the research and consulting legal counsel, we concluded in May 2014 that Salina Surgical Center, LLC is a hospital facility of Salina Regional Health Center; therefore, all requirements of 501(r) are applicable to Salina Surgical Center. We are currently in the process of making sure all requirements under 501(r) are met including the adoption of the CHNA and implementation strategy for Salina Surgical Center. We anticipate starting the joint CHNA by the end of the fiscal year ended 9/30/2014 and meeting the requirements for conducting the CHNA and adopting an implementation strategy by fiscal year ended 9/30/2015. To minimize future failures, we will communicate with Salina Surgical Center regarding the 501(r) requirements on an ongoing basis and work together with them to meet the requirements. On August 6, 2014, the board of directors of Salina Surgical Center reviewed and endorsed the findings of the Saline County 2013 Community Needs Assessment Survey.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: In addition to the community health needs assessment, SRHC analyzes hospital discharge data for all counties in the region. The Kansas Hospital Association inpatient discharge database includes data for all reporting hospitals. From this we determine usage trends that help us plan needed services. For example, a significant number of residents of north central Kansas have had to travel far out of the region to access neurosurgical services because SRHC only had one neurosurgeon. This assessment and other information led to SRHC's employment of two additional neurosurgeons. One began practice in 2012 and the other in 2013.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: At registration, the patient is informed of their rights for financial assistance if unable to produce valid insurance coverage. The patient is referred to a third-party vendor to determine eligibility for governmental programs and if it is determined they do not qualify, they are screened under our financial assistance guidelines. We post our guidelines on our website as well.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Salina Regional Health Center, Inc., is a rural sole community hospital serving a primary service area of Saline County, three immediately adjacent counties are its secondary service area, and has a 14-county referral area although certain specialties draw statewide. For purposes of community health needs assessment, the principal community of SRHC is Saline County because the other three counties each have a local Critical Access Hospital within the county. The primary service area (Saline County) has a population of 55,740. When compared to the national population, this area is represented by an older population with a lower educational level and lower median income. The area population grew 0.2% between 2010 and 2013. The primary service area population is expected to increase by 1.3% by 2018, which is lower than the rate of growth expected for Kansas (2.2%) and the U.S. (3.3%) for the same time period.The service area is less ethnically diverse compared to the U.S. overall. The majority of residents are Caucasian (81.4%) followed by Hispanic (10.3%), and Black (3.5%). Spanish patient education materials are available at SRHC and the hospital has developed a team of Spanish translators. Recognizing the relatively lower educational level in the community, the hospital writes patient information at a 6th to 8th grade reading level.Median household income in the primary service area in 2013 was $47,339, compared to a Kansas median of $51,273, and national median of $53,046. A lack of available resources to the indigent is a challenge in this environment, so in addition to providing charity care, the hospital has and continues to support the Salina Family Healthcare Center, which provides care to the indigent. Our patient population is composed of 50% Medicare, 11% Medicaid, 31% Commercial, 3% Tricare Workers Compensation, and 5% uninsured.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: The governing board of Salina Regional Health Center, Inc., is comprised of volunteers intentionally selected to promote the betterment of the region we serve. Demonstrating its commitment to community benefit, this board has for nearly 20 years donated an average of 10% of the hospital's end-of-year operating margin to the Community Health Invest Program (CHIP) of the Salina Regional Health Foundation. Salina Regional Health Center, Inc., administrators and governing board members assist the Foundation by participating in the CHIP Committee.The Salina Regional Health Foundation's Community Health Investment Program (CHIP) awarded 12 grants in fiscal year 2013 for a total of $315,750. Funding for CHIP primarily comes from Salina Regional Health Center, which tithes a percentage of its operating margin each year to the Salina Regional Health Foundation. Additional funding for CHIP has come from the Salina Regional Service Auxiliary.Since the program was established in 1994, more than $8 million has been awarded through CHIP. Funding priorities for CHIP have primarily focused on youth development with emphasis on healthy lifestyles, dental access, and early childhood care and education. Grants in 2013 included:- $50,000 to the Coronado Area Council, Boy Scouts of America, for its Second Century Scouting Campaign to make capital improvements to Camp Brown and Scout Strong programming.- $50,000 to Noon Network AMBUCS for a handicapped accessible playground at Coronado Elementary School.- $50,000 to Kansas Wesleyan University for nursing scholarships.- $35,850 to the Salina Family Healthcare Center for a nitrous oxide delivery system at the clinic and pediatric surgical dental equipment for patients needing to undergo general anesthesia surgical procedures at the hospital.- $35,000 to the Salina-Saline County Health Department for the Maternal Child Health Program for prenatal education programming.- $25,000 to the Good Neighbor Fund for grants up to $1,000 to area charitable organizations to be awarded upon request at the discretion of the Foundation's executive director.- $20,000 in matching funds for the 2013 Salina Area United Way Campaign. The grant matched 50 cents for each dollar raised by Salina Regional Health Center's employee and volunteer led campaign. Employees raised $47,261.46 for a total contribution of $67,261.46.- $19,400 to the Salina Education Foundation to support the Power of One/Healthy Lifestyles Project, Sudden Opportunity Grants, The Heart Project, Early Childhood Parent Involvement Project, Heartland Programs, Opportunity Now/Social Meals Project, Kansas Kids Fitness Project, Central Kansas Cooperative in Education Ropes Project, and School Nurse Emergency Funds.- $12,000 to the Stiefel Theatre to provide complimentary tickets to area music students who complete specialized course work.- $10,000 to Big Brothers Big Sisters of Salina for the Big Heart Program, which pairs Bigs with children who have a parent or guardian facing a serious illness or injury.- $5,000 to Rolling Hills Zoo for Dream Night a special night at the zoo for children with terminal or chronic illness or disability and their immediate families.- $3,500 to Salina Community Theatre to allow special needs children and their families to attend performances free of charge.Salina Regional Health Center, Inc., is a member of the Sunflower Health Network (SHN), an organization of Salina Regional Health Center, Inc., and 14 Critical Access Hospitals (CAHs) distributed across 14 counties. A Salina Regional administrator led SHN strategic planning that resulted in regional health priorities, including improving access to specialist physician care, optimizing timeliness and safety of patient transfers, and sustaining the number of quality nurses in the region. As a result of this process, Salina Regional Health Center, Inc., invested in hiring physician recruiters for both the Salina community and the larger region. In 2012 Salina Regional Health Center, Inc., was verified by the American College of Surgeons as a Level III trauma center, the only designated Level III trauma center in the north central Kansas region. Salina Regional also provides access to computerized patient simulators and other nursing education modalities to strengthen the quality of nurses in regional communities.Salina Regional Health Center began a partnership with The University of Kansas School Of Medicine in 2010 to open a medical school campus in Salina. The intent is to develop students who will live and practice medicine in smaller-town Kansas to help alleviate the rural physician shortage. The eight students in the inaugural class completed their first year of medical school in 2012. Salina Regional Health Center is investing $1 million over a four-year period to help defray faculty and operating costs. The hospital also invested several hundred thousand dollars to renovate a building on the hospital campus. The building is provided to KU rent-free for as long as the medical school campus exists.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Salina Regional Health Foundation Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>400 South Santa Fe</AddressLine1>
          <City>Salina</City>
          <State>KS</State>
          <ZIPCode>67401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>480949407</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>672810</AmountOfCashGrant>
        <PurposeOfGrant>To further the activities of the Community Health Improvement Program (CHIP)</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KU Endowment</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3901 Rainbow Blvd</AddressLine1>
          <City>Kansas City</City>
          <State>KS</State>
          <ZIPCode>661607804</ZIPCode>
        </AddressUS>
        <EINOfRecipient>480547734</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>250000</AmountOfCashGrant>
        <PurposeOfGrant>Support KU School of Medicine - Salina campus</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Salina Regional Health Center, Inc., provides scholarships to students attending nursing school.</TypeOfGrant>
        <NumberOfRecipients>23</NumberOfRecipients>
        <AmountOfCashGrant>96662</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: All donee information is kept as part of the organization's books and records. For all nursing scholarships recipients are selected based on set criteria.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Sean Herrington MD</NamePerson>
        <Title>Trustee</Title>
        <BaseCompensationFilingOrg>302943</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>73769</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>346</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Micheal Terry</NamePerson>
        <Title>President/CEO</Title>
        <BaseCompensationFilingOrg>344566</BaseCompensationFilingOrg>
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        <BonusFilingOrg>134400</BonusFilingOrg>
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      <Form990ScheduleJPartII>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Larry Barnes</NamePerson>
        <Title>VP Information Technology</Title>
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        <BonusFilingOrg>35555</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Charles Grimwood</NamePerson>
        <Title>VP Regional Development</Title>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jack Hinnenkamp</NamePerson>
        <Title>VP Facilities Management</Title>
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        <BonusFilingOrg>26695</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Moody</NamePerson>
        <Title>VP Human Resources</Title>
        <BaseCompensationFilingOrg>172585</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>28422</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joel Phelps</NamePerson>
        <Title>COO</Title>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>30754</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>347757</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John Kelemen</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>642184</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>25000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5769</OtherCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jacob Breeding</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>343821</BaseCompensationFilingOrg>
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        <BonusFilingOrg>60000</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ali Manguoglu</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>367604</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>4500</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Keir Swisher</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>340539</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>68000</BonusFilingOrg>
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        <OtherCompensationFilingOrg>346</OtherCompensationFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jeremiah Ostmeyer</NamePerson>
        <Title>Physician</Title>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 6</ReturnReference>
        <Explanation>The compensation committee of the board determines bonus and incentive payments based on a balanced scorecard which includes financial, patient satisfaction, and quality data. In addition, a compensation review is performed by an independent outside consultant.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>City of Salina Kansas</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>486017228</IssuerEIN>
        <CUSIPNumber>794770DP9</CUSIPNumber>
        <DateIssued>2006-04-07</DateIssued>
        <IssuePrice>65053116</IssuePrice>
        <DescriptionOfPurpose>Extinguish Series 1999 Revenue Bonds and to construct a new patient tower</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>9978116</AmountRetired>
        <TotalProceeds>65053116</TotalProceeds>
        <AmountInReserveFund>4432787</AmountInReserveFund>
        <IssuanceCostsFromProceeds>570534</IssuanceCostsFromProceeds>
        <CapitalExpenditures>37121199</CapitalExpenditures>
        <OtherSpentProceeds>23036195</OtherSpentProceeds>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Stacie Maes</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of Jim Maes, Trustee</Relationship>
        <AmountOfTransaction>53919</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Salina Surgical Center</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>4 Board of directors are employees and/or trustees of SRHC</Relationship>
        <AmountOfTransaction>164781</AmountOfTransaction>
        <DescriptionOfTransaction>Provide employees and supplies</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Patricia Grimwood</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Spouse of Charles Grimwood, Key Employee of SRHC</Relationship>
        <AmountOfTransaction>28170</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Linda Hinnenkamp</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Spouse of John Hinnenkamp, Key Employee of SRHC</Relationship>
        <AmountOfTransaction>62467</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Salina Regional Health Center has two corporate members: Salina Regional Health Foundation, Inc., and Via Christi Health, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The corporate members have the power to approve appointment of members to and removal of members from the Board of Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The Form 990 is provided to the Board of Trustees for review prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>A conflict of interest questionnaire is required to be completed upon election and annually. The questionnaire is reviewed by legal counsel.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>An independent compensation firm is obtained to complete an annual review and analysis of all the administrative staff members. The compiled report is forwarded to the Compensation Committee of the Board that reviews the analysis and approves the report.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Intercompany transfers 173,716. Change in fair value of assets held in trust 478,251. Change in beneficial interest in net assets of Foundation 801,453.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Audit Committee</Identifier>
        <ReturnReference>Form 990, Part XII, Line 2C:</ReturnReference>
        <Explanation>The audit committee assumes the responsibility for the oversight of the audited financial statements, review of the Form 990 and Form 990-T, and selection of the independent accounting firm.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Salina Regional Health Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>400 South Santa Fe</AddressLine1>
          <City>Salina</City>
          <State>KS</State>
          <ZIPCode>67401</ZIPCode>
        </AddressUS>
        <EIN>480949407</EIN>
        <PrimaryActivities>Advancement of healthcare, health &amp; medical education, research, &amp; welfare</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(b)(1)(A)(vi)</PublicCharityStatus>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Salina Regional Health Properties Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>400 South Santa Fe</AddressLine1>
          <City>Salina</City>
          <State>KS</State>
          <ZIPCode>67401</ZIPCode>
        </AddressUS>
        <EIN>481154675</EIN>
        <PrimaryActivities>Own and operate medical office buildings for section 501(c)(3) organizations</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>Salina Regional Health Center Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Hospice of Salina Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>730 Holly Lane</AddressLine1>
          <City>Salina</City>
          <State>KS</State>
          <ZIPCode>67402</ZIPCode>
        </AddressUS>
        <EIN>481131570</EIN>
        <PrimaryActivities>Provide hospice care and support services to the terminally ill and their</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Salina Regional Health Center Inc</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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          <BusinessNameLine1>Via Christi Health Inc</BusinessNameLine1>
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          <AddressLine1>8200 E Thorn Drive Suite 300</AddressLine1>
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          <State>KS</State>
          <ZIPCode>67226</ZIPCode>
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        <LegalDomicileState>KS</LegalDomicileState>
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          <State>KS</State>
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          <City>Salina</City>
          <State>KS</State>
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        <LegalDomicileState>KS</LegalDomicileState>
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        <ShareOfEOYAssets>4388513</ShareOfEOYAssets>
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        <PercentageOwnership>0.50000</PercentageOwnership>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Salina Regional Home Medical Services LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>520 South Santa Fe Suite 140</AddressLine1>
          <City>Salina</City>
          <State>KS</State>
          <ZIPCode>67401</ZIPCode>
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        <EIN>481221623</EIN>
        <PrimaryActivity>Home medical services</PrimaryActivity>
        <LegalDomicileState>KS</LegalDomicileState>
        <DirectControllingEntityName>
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        <ShareOfEOYAssets>548772</ShareOfEOYAssets>
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      </Form990ScheduleRPartIII>
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          <BusinessNameLine1>Salina Regional Health Enterprises Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>400 South Santa Fe</AddressLine1>
          <City>Salina</City>
          <State>KS</State>
          <ZIPCode>67402</ZIPCode>
        </AddressUS>
        <EIN>481056225</EIN>
        <PrimaryActivity>Provide mgmt services to hospitals in N. Central KS area</PrimaryActivity>
        <LegalDomicileState>KS</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Salina Regional Health Center Inc</BusinessNameLine1>
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        <ShareOfEOYAssets>74283</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>1</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
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      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
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      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Salina Regional Health Properties Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
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        <MethodOfAmtDetermination>Cash received</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Salina Regional Health Properties Inc</BusinessNameLine1>
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        <MethodOfAmtDetermination>Actual cost</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Hospice of Salina Inc</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Hospice of Salina Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Actual cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Salina Surgical Center LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
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        <MethodOfAmtDetermination>Markup of cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>