CTS HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CTS HEALTH (EIN 91-1266346)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201323169349305702
Schema version
2012v2.1
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)
Timestamp2013-11-12T17:01:36-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22650AddressLine1
CityYAKIMACity
StateWAState
ZIP Code989072650ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911266346EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KADLEC HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKADLNameControl
Phone5099464611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1888 SWIFT BLVDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code993523583ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJULIE MEEKName
TitleVP FINANCE/ CFOTitle
Phone5099464611Phone
Date Signed2013-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCATHY STERBENZName
PTINP00737078PTIN
Phone5092487750Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJULIE MEEKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1888 SWIFT BLVDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code993523583ZIPCode
FieldValueIRS element (for citing)
Gross Receipts61304076GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KADLEC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY HEALTHCARE FOR EVERY PATIENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees458TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI8450TotalGrossUBI
Net Unrelated Business Txbl Income4498NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year41865461ProgramServiceRevenuePriorYear
Program Service Revenue CY45717968ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year-3028InvestmentIncomeCurrentYear
Other Revenue Prior Year15232699OtherRevenuePriorYear
Other Revenue Current Year15165784OtherRevenueCurrentYear
Total Revenue Prior Year57098160TotalRevenuePriorYear
Total Revenue Current Year60880724TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year39838899SalariesEtcPriorYear
Salaries Etc Current Year42624387SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21695897OtherExpensePriorYear
Other Expenses Current Year18336826OtherExpensesCurrentYear
Total Expenses Prior Year61534796TotalExpensesPriorYear
Total Expenses Current Year60961213TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4436636RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-80489RevenuesLessExpensesCY
Total Assets BOY14344913TotalAssetsBOY
Total Assets EOY14625001TotalAssetsEOY
Total Liabilities BOY7332402TotalLiabilitiesBOY
Total Liabilities EOY7692979TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7012511NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6932022NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE QUALITY HEALTHCARE FOR EVERY PATIENT. THROUGH THE SUPPORT OF KADLEC REGIONAL MEDICAL CENTER (KRMC), KADLEC MEDICAL ASSOCIATES IS DEDICATED TO INPATIENT CARE, DEFINED BY QUALITY AND COMPASSION.THROUGH THE SUPPORT OF KADLEC HEALTH SYSTEM, KADLEC CLINIC SEEKS TO DELIVER EXCEPTIONAL, PATIENT-CENTERED CARE, TO PROVIDE A SUPERIOR PRACTICE ENVIRONMENT FOR ITS PHYSICIANS, AND TO ENSURE THE AVAILABILITY OF COMPREHENSIVE MEDICAL SERVICES FOR OUR COMMUNITIES. THROUGH THE SUPPORT OF KADLEC HEALTH SYSTEM, KADLEC NEUROSCIENCE CENTER PROVIDES EXCEPTIONAL PATIENT-CENTERED NEUROLOGICAL CARE FOR OUR COMMUNITIES AND A SUPERIOR PRACTICE ENVIRONMENT FOR OUR PHYSICIANS AND PROVIDERS.THROUGH THE SUPPORT OF KADLEC HEALTH SYSTEM, TRICITIES NEPHROLOGY PROVIDES EXCEPTIONAL PATIENT-CENTERED NEPHROLOGY CARE FOR OUR COMMUNITIES AND A SUPERIOR PRACTICE ENVIRONMENT FOR OUR PHYSICIANS AND PROVIDERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10776303Expense
Revenue12955285Revenue
DescriptionKADLEC MEDICAL ASSOCIATES LLC (KMA) IS A DISREGARDED ENTITY WITHIN KHS WHICH PROVIDES HOSPITAL-BASED PHYSICIAN SERVICES TO KADLEC REGIONAL MEDICAL CENTER. THIS SERVICE ALLOWS PHYSICIANS IN THE COMMUNITY TO REMAIN IN THEIR OFFICE AND SERVICE MORE PATIENTS IN THE OUTPATIENT SETTING.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense30693000Expense
Revenue25266653Revenue
DescriptionKADLEC CLINIC LLC (KC) IS A DISREGARDED ENTITY PROVIDING PHYSICIAN SERVICES AT LOCATIONS THROUGHOUT THE COMMUNITY. BRING PRIMARY CARE PHYSICIANS AND SPECIALISTS TO UNDERSERVED AREAS IRREGARDLESS OF ABILITY TO PAY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense9922563Expense
Revenue7542013Revenue
DescriptionKADLEC NEUROSCIENCE CENTER LLC (KNC) IS A DISREGARDED ENTITY AND WAS STARTED IN APRIL OF 2008 TO BRING A RANGE OF NEUROSCIENCE RELATED PHYSICIANS AND SERVICES TO THE AREA IN ORDER TO SERVE THIS PATIENT POPULATION.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1374351Expense
Revenue15092630Revenue
DescriptionTRICITIES NEPHROLOGY LLC (TCN) IS A DISREGARDED ENTITY AND WAS ACQUIRED IN FEBRUARY OF 2009 TO BRING A NEPHROLOGY PHYSICIAN AND SERVICES TO THE AREA IN ORDER TO SERVE THIS PATIENT POPULATION. KHS IS A HEALTHCARE SYSTEM PROVIDING HOSPITAL AND PHYSICIANS SERVICES TO THE SURROUNDING COMMUNITY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1374351TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev15092630TotalOfOtherProgramServiceRev
Total Program Service Expense52766217TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees458NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJULIE L MEEKNamePerson
Telephone Number5099422708TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1888 SWIFT BLVDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code99352ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
SUSAN KREID
KHS - CHAIR2.002.00XX000
TOM COWAN
KHS - VICE CHAIR2.002.00XX000
DAVID MERKLEY MD
KHS - SECRETARY2.002.00XX000
SANDRA GAMBLE
KHS - TREASURER2.002.00XX000
STEVE KING
KHS - MEMBER2.002.00X000
DAVID LIPPES
KHS - MEMBER2.00X000
WAYNE MARTIN PHD
KHS - MEMBER2.002.00X000
THOMAS RADO MD
KHS - MEMBER2.00X000
NEIL RAWLINS MD
KHS - MEMBER2.00X127507394899668
JOHN T SAMSELL MD
KHS - MEMBER2.002.00X000
RONALD SCHWARTZ MD
KHS - MEMBER2.00X000
SAM VOLPENTEST
KHS-MEMBER;KC,KMA,KNC-JOIN OP. COMM2.00X000
RAND WORTMAN
KHS-PRES/CEO; KNC-V.CHAIR; KC MEMBER56.004.00XX0563839315219
JULIE L MEEK
KHS - VP FINANCE/CFO2.0050.00X031985525295
DAVID R ROACH
VICE PRESIDENT2.0050.00X027677926326
JEFFREY A CLARK
VICE PRESIDENT2.0050.00X023490325245
WILLIAM T WINGO
VICE PRESIDENT2.0050.00X028467226882
BRIAN O'GRADY MD
KNC - PHYSICIAN50.0078538801209X
MATTHEW FEWEL MD
KNC - PHYSICIAN50.007408839100014959X
CHEERAG UPADHAYA
KNC - PHYSICIAN50.00681011993004911X
DEBRA STEELE
KNC - PHYSICIAN50.00654978770007488X
HANNAN CHAUGLE
KC - PHYSICIAN50.006168835880014959X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3606650TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2045637TotalReportableCompFrmRltdOrgs
Total Other Compensation472161TotalOtherCompensation
Number Individuals GT100 K84NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HOSPITAL MEDICINE ASSOCIATES
P O BOX 634850CINCINNATIOH452634850HOSPITALISTS CONSULTING MANAGEMENT SERVI601318
HALLEY CONSULTING GROUP
P O BOX 118WESTERVILLEOH430860118MANAGEMENT CONSUTLING SERVICES556966
DELTA LOCUM TENENS
P O BOX 202940DALLASTX753202056PHYSICIAN LOCUM SERVICES552530
COMPHEALTH
P O BOX 972651DALLASTX753972651PHYSICIAN LOCUM SERVICES354420
BOUTEN CONSTRUCTION
N 627 NAPA STREETSPOKANEWA99220CONSTRUCTION MANAGEMENT263374
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6214003849432638494326
PROFESSIONAL FEES FOR SERVICE62140072236427223642
FieldValueIRS element (for citing)
Total Program Service Revenue45717968TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real133521Real
Personal5431Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real118235Real
Personal1996Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real15286Real
Personal3435Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18721TotalRevenueColumn
Exclusion$18,721ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other300093Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other303121Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3028Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3028TotalRevenueColumn
Exclusion-$3,028ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SUBSIDY FROM KRMC9000991401315014013150
EHR/MEANINGFUL USE900099880334880334
EPIC CONVERSION SALARIES900099135661135661

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column117918TotalRevenueColumn
Related Or Exempt Function Income109468RelatedOrExemptFunctionIncome
Unrelated Business Revenue8450UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue15147063TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60880724TotalRevenueColumn
Related Or Exempt Function Income60856581RelatedOrExemptFunctionIncome
Unrelated Business Revenue8450UnrelatedBusinessRevenue
Exclusion$15,693ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total135083Total
Program Services135083ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37296948Total
Program Services35158743ProgramServices
Management And General2138205ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total850552Total
Program Services716311ProgramServices
Management And General134241ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2501833Total
Program Services2112928ProgramServices
Management And General388905ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1839971Total
Program Services1649682ProgramServices
Management And General190289ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total83306Total
Program Services5519ProgramServices
Management And General77787ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total165418Total
Management And General165418ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4047763Total
Program Services2204692ProgramServices
Management And General1843071ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total209500Total
Program Services162526ProgramServices
Management And General46974ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4549989Total
Program Services4203785ProgramServices
Management And General346204ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1843490Total
Program Services505ProgramServices
Management And General1842985ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3767237Total
Program Services3346421ProgramServices
Management And General420816ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total518796Total
Program Services423736ProgramServices
Management And General95060ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total283893Total
Management And General283893ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total910275Total
Program Services643905ProgramServices
Management And General266370ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total980959Total
Program Services1046785ProgramServices
Management And General-65826ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TAXES9086909013107380
RENTAL/LEASE EQUIPMENT786914561633075
UBI TAXES6767
MISCELLANEOUS-112488670-19918

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total60961213Total
Program Services52766217ProgramServices
Management And General8194996ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY788131BOY
EOY1419905EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4466009BOY
EOY4894180EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY41431BOY
EOY38524EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16350BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10108045LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1862035LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8985845BOY
EOY8246010EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY47147BOY
EOY26382EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14344913BOY
EOY14625001EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3118297BOY
EOY3609635EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4211673BOY
EOY4080912EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2432BOY
EOY2432EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7332402BOY
EOY7692979EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7012511BOY
EOY6932022EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7012511BOY
EOY6932022EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14344913BOY
EOY14625001EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-80489ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis581786OtherCostOrOtherBasis
Book Value581786BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6328787OtherCostOrOtherBasis
Depreciation624722Depreciation
Book Value5704065BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1621543OtherCostOrOtherBasis
Depreciation503145Depreciation
Book Value1118398BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1551902OtherCostOrOtherBasis
Depreciation734168Depreciation
Book Value817734BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24027OtherCostOrOtherBasis
Book Value24027BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8246010TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITY DEPOSITDescription
Amount$2,432Amount
FieldValueIRS element (for citing)
Total Of Amounts2432TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationEFFECTIVE JANUARY 1, 2009, THESE ENTITIES ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2012 AND 2011, THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase 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
NEIL RAWLINS MD
KHS - MEMBER127507358470003642675019918261011350834158100
RAND WORTMAN
KHS-PRES/CEO; KNC-V.CHAIR; KC MEMBER04896940668850726001732800141939087905800
JULIE L MEEK
KHS - VP FINANCE/CFO030338901352602940012163013132034515000
DAVID R ROACH
VICE PRESIDENT023399003864904140013000013326030310500
JEFFREY A CLARK
VICE PRESIDENT021893901299302971012139013106026014800
WILLIAM T WINGO
VICE PRESIDENT026035202138002940013750013132031155400
BRIAN O'GRADY MD
KNC - PHYSICIAN785388000000012090786597000
MATTHEW FEWEL MD
KNC - PHYSICIAN740883000091000137500120907558429100000
CHEERAG UPADHAYA
KNC - PHYSICIAN68101100009930037020120906859229930000
DEBRA STEELE
KNC - PHYSICIAN65497800007700062790120906624667700000
HANNAN CHAUGLE
KC - PHYSICIAN616883000058800137500120906318425880000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationTHE BOARD IS ALLOWED TO TAKE THEIR COMPANION ON THE ANNUAL BOARD RETREAT. RAND WORTMAN KHS PRESIDENT & CEO, KRMC CEO; WILLIAM WINGO, VP, CORPORATE COUNSEL FOR KRMC AND KHS; THEIR MEADOW SPRINGS COUNTRY CLUB DUES ARE PAID BY THE MEDICAL CENTER.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE BOARD OF DIRECTORS HIRED QUORUM HEALTH RESOURCES AS A MANAGEMENT COMPANY TO OVERSEE DAY TO DAY OPERATIONS OF THE HEALTH SYSTEM. THE PRESIDENT AND CEO IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES.
FORM 990, PART VI, SECTION B, LINE 11ONCE THE 990 IS PREPARED BY A THIRD PARTY, ACCOUNTING STAFF REVIEWS THE DOCUMENTS TO VERIFY INFORMATION HAS BEEN PROVIDED AND INPUT ACCURATELY. ONCE THIS PROCESS HAS BEEN COMPLETED, THE 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE 990 IS ALSO UPLOADED TO THE BOARD WEBSITE AND IS AVAILABLE FOR ALL BOARD MEMBERS TO REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CIF SOMEONE IS SUSPECTED OF VIOLATING THE POLICY, THE COMPLIANCE OFFICER IS NOTIFIED AND RESEARCHES THE ISSUE. APPROPRIATE ACTIONS ARE TAKEN IF A VIOLATION OCCURS. EMPLOYEES MUST ANNUALLY ANSWER A NUMBER OF QUESTIONS REGARDING CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 1515A - SALARY SURVEYS WERE USED AND FINAL COMPENSATION AMOUNTS ARE APPROVED BY THE EXECUTIVE TEAM. 15B - SALARY SURVEYS WERE USED AND MGMA PHYSICIAN COMPENSATION GUIDELINES WERE ALSO USED.
FORM 990, PART VI, SECTION C, LINE 19FORMS 990, FORMS 1023,GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT IN THE ACCOUNTING OFFICE AT KADLEC REGIONAL MEDICAL CENTER AND ARE AVAILABLE TO ANYONE UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE ALSO SENT OUT TO WHOEVER REQUESTS THEM.
FORM 990, PART XII, LINE 2CNO CHANGES HAVE BEEN MADE IN THE PAST YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KADLEC CLINIC LLC
1060 JADWIN SUITE 300RICHLANDWA99352204265899PRIMARY CARE PHYSICIAN SERVICESWA277467345064981KADLEC HEALTH SYSTEM
KADLEC MEDICAL ASSOCIATES LLC
888 SWIFT BLVDRICHLANDWA993523583203980865INPATIENT HOSPITALISTS SERVICESWA129552841756357KADLEC HEALTH SYSTEM
KADLEC NEUROSCIENCE CENTER LLC
800 SWIFT BLVD SUITE 300RICHLANDWA993523583201613946NEUROLOGICAL RELATED PHYSICIAN SERVICESWA77294451173237KADLEC HEALTH SYSTEM
TRICITIES NEPHROLOGY LLC
833 SWIFT BLVDRICHLANDWA99352271041915NEPHROLOGY PHYSICIAN SERVICESWA1290346167981KADLEC HEALTH SYSTEM

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
KADLEC REGIONAL MEDICAL CENTER
888 SWIFT BLVDRICHLANDWA99352910655392ACUTE CARE HOSPITALWA501(C)(3)LINE 3KADLEC HEALTH SYSTEM0
KADLEC FOUNDATION
800 SWIFT BLVDRICHLANDWA99352237005501FUNDRAISINGWA501(C)(3)LINE 11A, IKADLEC HEALTH SYSTEM0
KADLEC NEUROLOGICAL RESOURCE CENTER
560 GAGE BLVD SUITE 106RICHLANDWA99352911266345EDUCATION ON NEUROLOGICAL DISORDERSWA501(C)(3)LINE 7KADLEC HEALTH SYSTEM0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1KADLEC ENTERPRISES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1888 SWIFT BLVDAddressLine1
CityRICHLANDCity
StateWAState
ZIP Code99352ZIPCode
FieldValueIRS element (for citing)
EIN911323736EIN
Primary ActivityENGAGE IN BUSINESS RELATED TO HEALTHCARE AND TO SUPPORT KHS & AFFILIATESPrimaryActivity
Legal Domicile StateWALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KADLEC HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of EOY Assets194ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
KRMC
K513618
KRMC
O1287734
KRMC
S14013150
KRMC
L7133055
KRMC
J16498

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