2012-03-09T13:19:45-06:00 2011-06-30 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2010-07-01 480970362 Horizons Mental Health Center HORI 6206637595 1600 North Lorraine Hutchinson KS 675015600 Michael Garrett 6206637595 2012-03-03 1 Eric L Otting 7852334226 2012-03-03 2010 2016-02-24 21:20:13Z Michael Garrett 1600 North Lorraine Hutchinson KS 675015600 11670845 0 X N/A X 1984 KS Operation of a licensed community mental health center providing inpatient and outpatient mental health services. The following services provided are: adult, adolescent & child counseling, marriage and family counseling, psychological testing, medication management, child advocacy center, biofeedback and stress management, crisis management services, community services for targeted mental health problems, employee assistance programs, and inpatient treatment for acute psychiatric illness. 13 13 208 2 0 0 1366763 1390818 9209695 10186268 46164 76870 2476 11372 10625098 11665328 0 0 0 0 7159094 8406633 0 0 0 3183942 2170105 10343036 10576738 282062 1088590 4393960 5789120 775690 1082260 3618270 4706860 Operation of a licensed community mental health center providing inpatient and outpatient mental health services. 0 0 9867222 10192702 Operation of a licensed community mental health center providing inpatient and outpatient services for mental illness. 9867222 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 4 0 1 208 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Gary Halderman 6206941076 1600 North Lorraine Suite 202 Hutchinson KS 675015600 Kenneth D Jorns 1.00 X X 0 0 0 Lynnda Gray 1.00 X 0 0 0 Susan Lynch 1.00 X 0 0 0 Penny Wood 1.00 X X 0 0 0 Ms Candi Coker 1.00 X 0 0 0 Jeremy Tan MD 40.00 X X 204508 0 13864 Michael Garrett 40.00 X X 123516 0 34176 Steve Engelhardt 1.00 X X 0 0 0 Judith Seltzer 1.00 X X 0 0 0 Julia Ferguson 1.00 X 0 0 0 Eileen Hawkins 1.00 X 0 0 0 Bobby Reed 1.00 X 0 0 0 William Giersch 1.00 X 0 0 0 Linda Harrison 1.00 X 0 383219 19675 Gary Halderman 40.00 X 76738 0 7862 Lyonel Benoit MD 40.00 X 184396 0 0 589158 383219 75577 3 0 1 0 0 1390818 1390818 Patient fees net 621400 9328710 9328710 County mill levy 621400 708864 708864 Special liquor tax 621400 4612 4612 144082 144082 10186268 76870 76870 10455 5517 4938 4938 Insurance settlement 811000 6434 6434 6434 11665328 10192702 0 81808 445102 445102 6299046 6250467 48579 288279 283779 4500 869048 835641 33407 505158 478651 26507 5297 5297 20163 910 19253 2153 1209 944 138090 92255 45835 58699 46578 12121 455114 451348 3766 145933 131519 14414 2000 2000 95527 95527 107158 19024 88134 Bad Debts 345371 345371 Purchased Services 184309 51219 133090 Physician Contract Fees 138541 138541 Automotive & Gas 100648 96941 3707 Community Outreach 76506 76506 294596 163175 131421 10576738 9867222 709516 0 811103 1274276 2340517 3111474 653173 754676 282907 382307 2763163 2500310 305160 262853 1100 3534 4393960 5789120 589830 917341 185860 164919 775690 1082260 X 3618270 4706860 3618270 4706860 4393960 5789120 1088590 0 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2763163 2500310 262853 262853 11665328 10576738 1088590 0 1088590 11670845 5517 5517 11665328 0 11665328 10582255 5517 5517 10576738 0 10576738 Part XII, Line 2d - Other Adjustments: Expenses from fundraising 5,517. Part XIII, Line 2d - Other Adjustments: Expenses from fundraising 5,517. Golf tournament 10455 10455 5517 10455 10455 5517 5517 4938 X X X 0 0 0 0 0 0 0 0 0 Jeremy Tan MD 192479 0 12029 0 0 0 13447 0 417 0 218372 0 112418 0 Michael Garrett 108180 0 15336 0 0 0 17088 0 17088 0 157692 0 69081 0 Linda Harrison 0 335519 0 0 0 47700 0 16120 0 3555 0 402894 0 169384 Lyonel Benoit MD 169396 0 15000 0 0 0 0 0 0 0 184396 0 128460 0 William Giersch Director of Horizo William Giersch, Interim President and CEO, Promise Regional Medical Center 0 Linda Harrison Director of Horizon Linda Harrison, President and CEO, Promise Regional Medical Center 0 Form 990, Part VI, Section B, line 11 A copy of the Form 990 is made available to the governing board prior to it being filed. Form 990, Part VI, Section B, line 12c At each Annual meeting, each Board member will be asked to sign a Board Policy Agreement indicating whether they have no confilict of interest or if there is, disclosing the conflict of interest. Form 990, Part VI, Section B, line 15a A committee made up of Horizons Board Members(Chariman, Medical Director and Hospital CEO) confer with the hospital's VP of Human Resources to determine a salary range upon hire. This committee had for its use the biannual salary survey conducted by the Association of Community Mental Health Centers of Kansas (ACMHCK). At each anniversary date an evaluation of the CEO's performance is solicited from each Board member and reviewed by the Committee. A percentage wage increase is suggested and voted upon by the full Board. Prior to hiring an officer and/or key employee, the CEO confers with the VP of Human Resources at Promise Regional to review the job description and place the position on the appropriate salary scale. Wage and salary surveys from local businesses and the ACMHCK is considered as well. Form 990, Part VI, Section C, line 19 The Organization provides Form 990 to the public upon request. The Organization does not currently provide access to governing documents, conflict of interest policy or financial statements. Review of financial statements Form 990, Part XII, Line 2(c) The finance committee assumes the responsibility for the oversight of the audited financial statements and selection of the independent accountant. Promise Regional Medical Center - Hutchinson Inc 1701 East 23rd Avenue Hutchinson KS 67502 480774005 Acute care hospital KS 501(c)(3) 3 N/A 0 Main Line Inc 1701 East 23rd Avenue Hutchinson KS 67502 486111813 Leases personal and real property to healthcare organizations KS 501(c)(3) 11b Promise Regional Medical Center Hutchinson Inc 0 Hospice of Reno County 1701 East 23rd Avenue Hutchinson KS 67502 480927101 Hospice and Home Care KS 501(c)(3) 9 Promise Regional Medical Center Hutchinson Inc 0 Living Center Inc 1901 East 23rd Avenue Hutchinson KS 67502 481066643 Long term care facility KS 501(c)(3) 9 Promise Regional Medical Center Hutchinson Inc 0 Promise Regional Medical Center - Hutchinson Foundation 1701 East 23rd Avenue Hutchinson KS 67502 480891435 To raise funds to support affiliated entities missions KS 501(c)(3) 11b N/A 0 Hutchinson Health Care Services Inc 803 E 30th Hutchinson KS 67502 480970364 Durable Medical Equipment KS Promise Regional Medical Center Hutchinson Inc C 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 Main Line Inc J 298153 Hutchinson Health Care Services Inc O 914 Promise Regional Medical Center - Hutchinson Foundation H 66440 Chng in assts held for benefit of Promise Regional Medical Center - Hutchinson Inc N 104969 Promise Regional Medical Center - Hutchinson Inc P 39651