PRATT REGIONAL MEDICAL CENTER CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PRATT REGIONAL MEDICAL CENTER CORPORATION (EIN 48-1058737)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-15
IRS object ID
201311359349301941
Schema version
2011v1.5
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)
Timestamp2013-05-15T09:28:59-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11551 N WATERFRONT PKWY STE 300AddressLine1
CityWICHITACity
StateKSState
ZIP Code672066601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN481058737EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRATT REGIONAL MEDICAL CENTER CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% HILARY DOLBEEInCareOfName
Name ControlPRATNameControl
Phone6206727451Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1
CityPRATTCity
StateKSState
ZIP Code67124ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHILARY DOLBEEName
TitleCFOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameELIZABETH S HOGANName
Phone3162652811Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHILARY DOLBEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1
CityPRATTCity
StateKSState
ZIP Code67124ZIPCode
FieldValueIRS element (for citing)
Gross Receipts50755725GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PRMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees516TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year168501ContributionsGrantsPriorYear
Contributions Grants Current Year38062ContributionsGrantsCurrentYear
Program Service Revenue Prior Year43460206ProgramServiceRevenuePriorYear
Program Service Revenue CY42169564ProgramServiceRevenueCY
Investment Income Prior Year401949InvestmentIncomePriorYear
Investment Income Current Year153403InvestmentIncomeCurrentYear
Other Revenue Prior Year1713581OtherRevenuePriorYear
Other Revenue Current Year1846591OtherRevenueCurrentYear
Total Revenue Prior Year45744237TotalRevenuePriorYear
Total Revenue Current Year44207620TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9014GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8424GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21674021SalariesEtcPriorYear
Salaries Etc Current Year22510948SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19879475OtherExpensePriorYear
Other Expenses Current Year19359397OtherExpensesCurrentYear
Total Expenses Prior Year41562510TotalExpensesPriorYear
Total Expenses Current Year41878769TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4181727RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2328851RevenuesLessExpensesCY
Total Assets BOY29415166TotalAssetsBOY
Total Assets EOY30425882TotalAssetsEOY
Total Liabilities BOY11427742TotalLiabilitiesBOY
Total Liabilities EOY9155971TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17987424NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21269911NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense34892652Expense
Grants7905Grants
Revenue43538200Revenue
DescriptionACUTE CARE HOSPITAL THAT PROVIDES MEDICAL CARE TO THE GENERAL PUBLIC. SEE SCHEDULE O FOR CONTINUATION.Description
Total Program Service Expense34892652TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees516NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHILARY DOLBEENamePerson
Telephone Number6204501437TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1
CityPRATTCity
StateKSState
ZIP Code67124ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BILL KELLER
CHAIRMAN/BOARD MEMBER1.0X000
DON PETERS
VICE CHAIR/BOARD MEMBER1.0X000
WILLIAM WOJCIECHOWSKI
BOARD MEMBER1.0X000
BARBARA CUDNEY
BOARD MEMBER1.0X000
JEANETTE SIEMENS
BOARD MEMBER1.0X000
STEVEN DONNENWERTH
BOARD MEMBER1.0X000
GARY BARKER
BOARD MEMBER1.0X000
SUE SCHREPEL
BOARD MEMBER1.0X000
DAN SUITER
BOARD MEMBER1.0X000
BECCA FLOWERS
BOARD MEMBER1.0X000
DENNIS MCKINNEY
BOARD MEMBER1.0X000
IAN KOVACH
BOARD MEMBER/SURGEON40.0X93979806639
SUSAN PAGE
PRESIDENT40.016311208300X
KEN BROWN
VICE PRESIDENT40.012191204618X
HILARY DOLBEE
TREASURER/CFO39.59303602488X
NANCY BAILEY
SECRETARY39.54109001280X
ALEXANDER NEEL
PHYSICIAN40.01093560011654X
JON MORGAN
PODIATRIST40.028910509789X
FREDRICK FARMER
PHYSICIAN40.020626006662X
JASON WILTSHIRE
SURGEON40.0595690018134X
JOHN VRTISKA
PHYSICIAN40.023266408051X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3776227TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation77615TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
PRATT OPEN MRI
MRI SERVICES627840
KEY REHABILITATION
THERAPY SERVICES280480
LABCORP OF AMERICA
LAB SERVICES268265
WATERSTONE BENEFIT ADMINISTRATION
BENEFIT ADMIN233778
FUTURENET TECHNOLOGIES
TRANSCRIPTION209172
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Related Organizations1155RelatedOrganizations
Government Grants34636GovernmentGrants
All Other Contributions2271AllOtherContributions
Total Contributions38062TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621300BusinessCode
Total Revenue Column42169564TotalRevenueColumn
Related Or Exempt Function Income42169564RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue42169564TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column200554TotalRevenueColumn
Exclusion$200,554ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real308772Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real75941Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real232831Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column232831TotalRevenueColumn
Exclusion$232,831ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6424408Securities
Other605Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6462832Securities
Other9332Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-38424Securities
Other-8727Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-47151TotalRevenueColumn
Exclusion-$47,151ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
ELECTRONIC HEALTH RECORD INCENTIVE62130012705391270539
CAFETERIA/VENDING722210135746$135,746
MEDICAL RECORDS51821011890$11,890

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column195585TotalRevenueColumn
Related Or Exempt Function Income98097RelatedOrExemptFunctionIncome
Exclusion$97,488ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1613760TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column44207620TotalRevenueColumn
Related Or Exempt Function Income43538200RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$631,358ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total8424Total
Program Services8424ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1329195Total
Program Services885551ProgramServices
Management And General443644ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18173952Total
Program Services16203809ProgramServices
Management And General1970143ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total321473Total
Program Services188267ProgramServices
Management And General133206ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1408525Total
Program Services804569ProgramServices
Management And General603956ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1277803Total
Program Services748329ProgramServices
Management And General529474ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total193139Total
Management And General193139ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79414Total
Management And General79414ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3439212Total
Program Services2631783ProgramServices
Management And General807429ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total158668Total
Program Services99776ProgramServices
Management And General58892ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7599921Total
Program Services7299406ProgramServices
Management And General300515ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1181027Total
Program Services924490ProgramServices
Management And General256537ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total118055Total
Program Services94542ProgramServices
Management And General23513ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total101138Total
Program Services74650ProgramServices
Management And General26488ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total206091Total
Program Services205842ProgramServices
Management And General249ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1748588Total
Program Services1024039ProgramServices
Management And General724549ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total595429Total
Program Services58924ProgramServices
Management And General536505ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE27449292744929
REPAIRS/MAINTENANCE380036273186106850
RECRUITING34309825823884860
PROG-RELATED TAX ASSESSMENTS263175263175

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total207477Total
Program Services100723ProgramServices
Management And General106754ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total41878769Total
Program Services34892652ProgramServices
Management And General6986117ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1188382BOY
EOY447493EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY419910BOY
EOY282687EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5884148BOY
EOY5519318EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1581429BOY
EOY1523743EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY456554BOY
EOY481250EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39882308LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30223437LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10286531BOY
EOY9658871EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5640520BOY
EOY8698812EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY445092BOY
EOY351349EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY35208BOY
EOY17342EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3477392BOY
EOY3445017EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29415166BOY
EOY30425882EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5645153BOY
EOY4003231EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5450000BOY
EOY4930000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY230322BOY
EOY133256EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY102267BOY
EOY89484EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11427742BOY
EOY9155971EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17886845BOY
EOY21171427EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11956BOY
EOY9861EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY88623BOY
EOY88623EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17987424BOY
EOY21269911EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29415166BOY
EOY30425882EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2328851ReconcilationRevenueExpenses
Reconcilation Other Changes953636ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$6,977GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB6977TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1FReturnReference
Explanation15% OF KHA DUES AND 24.6% OF AHA DUES PAID WERE FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance88623BeginningOfYearBalance
Investment Earnings Or Losses5926InvestmentEarningsOrLosses
Other Expenditures5926OtherExpenditures
End Of Year Balance88623EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance88623BeginningOfYearBalance
Investment Earnings Or Losses5367InvestmentEarningsOrLosses
Other Expenditures5367OtherExpenditures
End Of Year Balance88623EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance88623BeginningOfYearBalance
End Of Year Balance88623EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Contributions88623Contributions
End Of Year Balance88623EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12625OtherCostOrOtherBasis
Book Value12625BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20803142OtherCostOrOtherBasis
Depreciation14526485Depreciation
Book Value6276657BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16489210OtherCostOrOtherBasis
Depreciation13886118Depreciation
Book Value2603092BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2577331OtherCostOrOtherBasis
Depreciation1810834Depreciation
Book Value766497BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9658871TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
FUNDS HELD BY FISCAL AGENT616876
INV IN PRATT HEALTH FOUNDATION1686641
UNAMORTIZED BOND COSTS71500
DUE FROM MEDICARE1070000
FieldValueIRS element (for citing)
Total Book Value Other Assets3445017TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue44207620TotalRevenue
Total Expenses41878769TotalExpenses
Excess Or Deficit For Year2328851ExcessOrDeficitForYear
Net Unrealized GL On Investments906971NetUnrealizedGLOnInvestments
Total Adjustments906971TotalAdjustments
Excess Or Deficit Per FS3235822ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt42445603TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments906971NetUnrealizedGainsInvestments
Other Revenues75941OtherRevenues
Revenue Not Rptd F990982912RevenueNotRptdF990
Revenue Subtotal41462691RevenueSubtotal
Other Revenues Not Included2744929OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2744929RevenueNotRptdOnFinStmt
Total Revenue Per Form99044207620TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt39209781TotExpensesEtcAuditedFinclStmt
Other Expenses Included75941OtherExpensesIncluded
Expenses Not Rptd F99075941ExpensesNotRptdF990
Expenses Subtotal39133840ExpensesSubtotal
Other Expenses Not Included2744929OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2744929ExpensesNotRptdOnFinStmt
Total Expenses Per Form99041878769TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF ENDOWMENT FUNDSSCHEDULE 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.
UNCERTAIN TAX POSITIONSSCHEDULE 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.
RECONCILIATION OF REVENUESCHEDULE D, PART XII, LINE 2DRENTAL EXPENSES 75,941 RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,744,929
RECONCILIATION OF EXPENSESSCHEDULE D, PART XIII, LINE 2DRENTAL EXPENSES 75,941 RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,744,929

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served240PersonsServed
Total Community Benefit Expense344471TotalCommunityBenefitExpense
Direct Offsetting Revenue221687DirectOffsettingRevenue
Net Community Benefit Expense122784NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served5038PersonsServed
Total Community Benefit Expense1966583TotalCommunityBenefitExpense
Direct Offsetting Revenue689198DirectOffsettingRevenue
Net Community Benefit Expense1277385NetCommunityBenefitExpense
Percent Of Total Expense0.03260PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served5278PersonsServed
Total Community Benefit Expense2311054TotalCommunityBenefitExpense
Direct Offsetting Revenue910885DirectOffsettingRevenue
Net Community Benefit Expense1400169NetCommunityBenefitExpense
Percent Of Total Expense0.03570PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served2078PersonsServed
Total Community Benefit Expense52227TotalCommunityBenefitExpense
Direct Offsetting Revenue1990DirectOffsettingRevenue
Net Community Benefit Expense50237NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served75PersonsServed
Total Community Benefit Expense114681TotalCommunityBenefitExpense
Net Community Benefit Expense114681NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served1101PersonsServed
Total Community Benefit Expense7365TotalCommunityBenefitExpense
Direct Offsetting Revenue1590DirectOffsettingRevenue
Net Community Benefit Expense5775NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense5543TotalCommunityBenefitExpense
Net Community Benefit Expense5543NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served3254PersonsServed
Total Community Benefit Expense179816TotalCommunityBenefitExpense
Direct Offsetting Revenue3580DirectOffsettingRevenue
Net Community Benefit Expense176236NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served8532PersonsServed
Total Community Benefit Expense2490870TotalCommunityBenefitExpense
Direct Offsetting Revenue914465DirectOffsettingRevenue
Net Community Benefit Expense1576405NetCommunityBenefitExpense
Percent Of Total Expense0.04010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served158PersonsServed
Total Community Building Expense41101TotalCommunityBuildingExpense
Net Community Building Expense41101NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served158PersonsServed
Total Community Building Expense41101TotalCommunityBuildingExpense
Net Community Building Expense41101NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,498,102BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare14463006AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare15086275CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-623269MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRATT REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1
CityPRATTCity
StateKSState
ZIP Code67124ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PRATT REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent250.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 I, LINE 7, COLUMN FTHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,744,929.
SCHEDULE H, PART I, LINE 7THE 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.
BAD DEBT EXPENSEACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOITIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BAD DEBT EXPENSE (AT COST) INDENTIFIED THE PROVISION FOR UNCOLLECTIBLES FROM 9/30/12 AUDITED STATEMENT OF OPERATIONS. MULTIPLIED THAT AMOUNT X THE COST-TO-CHARGE RATIO.SCHEDULE H, PART III, LINE 4
MEDICAREGOVERNMENT 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. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.SCHEDULE H, PART III, LINE 8
COLLECTION PRACTICESWHEN A RESPONSIBLE PARTY IS UNABLE TO MEET THE FINANCIAL 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 COUNSELOR IS MADE, THE CHARITY CARE APPLICATION IS DENIED AND FURTHER COLLECTION ACTION IS TAKEN. MAXIMUM AMOUNTS CHARGED SCHEDULE H, PART V, SECTION B, LINE 19 GROSS CHARGES ARE THE SAME FOR ALL PAYORS. GROSS CHARGES SCHEDULE H, PART V, SECTION B, LINE 21 EVERY PATIENT IS CHARGED THE SAME AMOUNT. IF A PATIENT IS ELIGIBLE FOR FREE OR REDUCED CARE, AN ADJUSTMENT IS MADE ON THEIR ACCOUNT, BUT THE AMOUNT BILLED IS THE GROSS CHARGE.SCHEDULE H, PART III, LINE 9B
NEEDS ASSESSMENTMEETING 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 2
PATIENT EDUCATION ON ELIGIBILITY FOR ASSISTANCEPRMC 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 COUNSELOR 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 3
COMMUNITY INFORMATIONOUR 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 4
PROMOTION OF COMMUNITY HEALTHProviding 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 150 people with a total of 438 prescriptions creating a savings of $123,519.33. 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 FY12 PRMC delivered 298 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) - PRMC staff and volunteers run the local Meals on Wheels program. Meals are prepared and delivered five days a week to residents who are not able to prepare a nutritious meal for themselves. PRMC's dietary staff prepared 2,738 meals in FY11. - Volunteers provide one-on-one education about options available to seniors through Medicare Part D opportunities; In FY12, PRMC Volunteers assisted 243 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 36 Students who job shadowed in various departments throughout the hospital in FY12. 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. 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 FY12 PRMC gave $1000 scholarships to five nursing students for a total of $5000. - Barton County Community College EMT students trained on PRMC's campus. - Five Medical Laboratory Technology students from Barton County Community College shadowed in lab during FY12 for a total of 423 hours. - Physician Assistant students from Wichita State University spent a total of 79 days 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, 35 PCC nursing students spent a total of 10,080 hours at PRMC. - PRMC's radiology department trains two students from Hutchinson Community College every year. Both students work 40 hour weeks. Students do get all the holidays off, 10 personal days, a week's vacation at spring break and a week's vacation over Christmas break. PRMC does not receive any compensation from HCC and the students also do not receive any compensation from PRMC. They learn through hands on experience with oversight from radiology technologists and HCC instructors who visit the students on PRMC's campus weekly. Opening Our Facilities for Local Meetings: Pratt Regional Medical Center is host, 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 FY12 PRMC hosted 325 meetings totalling 810 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 5

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS55000
TUITION ASSISTANCE73424

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SUSAN PAGE
163112000005162031380171412000
IAN KOVACH
939798000000066390946437000
ALEXANDER NEEL
10935600000019000975401105214000
JON MORGAN
289105000003868059210298894000
FREDRICK FARMER
206260000006662000212922000
JASON WILTSHIRE
5956900000038970142370613824000
JOHN VRTISKA
232664000002908051430240715000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1PRATT COUNTY KANSAS PUBLIC BUILDING COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN261249655IssuerEIN
CUSIP Number739762AS1CUSIPNumber
Date Issued2011-10-13DateIssued
Issue Price3035978IssuePrice
Description Of PurposeREFUND 9/15/2007 ISSUEDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds3035978TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds5978IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds3030000OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2000YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART VIdentifier
Return ReferenceWRITTEN PROCEDURES WERE ESTABLISHED AND IMPLEMENTED OCTOBER 1, 2012.ReturnReference

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSEE SCHEDULE L PART VNamePerson
FieldValueIRS element (for citing)
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationA) PRATT OPEN MRI, LLC (POMRI) B) IAN KOVACH, M.D. AND DAN SUITER, M.D. ARE BOARD MEMBERS OF PRATT REGIONAL MEDICAL CENTER COMPANY, INC. (PRMC) AND OWN GREATER THAN 35% INTEREST IN POMRI. C) $627,840 D) PRMC PURCHASED MEDICAL SERVICES FROM POMRI.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, 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 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.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4APratt 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. In 2012, PRMC provided $265,988 in charity care and donated $5,543 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 FY12, PRMC paid $19,829,037 in salaries and benefits, and purchased over $2 million in local products and services and paid $937,192 for utilities. PRMC brings value to the Pratt community through providing quality health care and jobs. The hospital proudly provides four family practice physicians, three internal medicine physicians (with a fourth one coming soon), 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.
BUSINESS RELATIONSHIPFORM 990, PART VI, SECTION A, LINE 2IAN KOVACH AND DAN SUITER, BOARD MEMBERS, HAVE A BUSINESS RELATIONSHIP.
MEMBERSFORM 990, PART VI, SECTION A, LINE 6PRATT HEALTH FOUNDATION (THE FOUNDATION), A KANSAS NONPROFIT CORPORATION, IS THE SOLE MEMBER OF PRATT REGIONAL MEDICAL CENTER COMPANY, INC. (PRMC). THE FOUNDATION IS DESIGNATED AS THE SOLE MEMBER SO LONG AS IT SHALL CONTINUE TO QUALIFY AS A TAX EXEMPT, NON PROFIT ENTITY RECOGNIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
MEMBERS MAY ELECT GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BODY OF PRATT REGIONAL MEDICAL CENTER COMPANY, INC. (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.
GOVERNING BODY DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 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 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11AAN 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.
CONFLICT OF INTEREST POLICYFORM 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.
COMPENSATION REVIEWFORM 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.
AVAILABILITY OF DOCUMENTSFORM 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CHANGE IN DEFINED BENEFIT PENSION PLAN 120,115 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (2,095) CHANGE IN INTEREST IN NET ASSETS OF PHF (71,355) NET UNREALIZED GAINS ON INVESTMENTS 906,971 --------- TOTAL 953,636
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HILARY DOLBEE TITLE:TREASURER/CFO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NANCY BAILEY TITLE:SECRETARY HOURS:1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PRATT HEALTH FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 COMMODOREAddressLine1
CityPRATTCity
StateKSState
ZIP Code67124ZIPCode
FieldValueIRS element (for citing)
EIN481088881EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateKSLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.