WEST CENTRAL KANSAS ASSOCIATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
WEST CENTRAL KANSAS ASSOCIATION INC (EIN 74-2842747)
Tax period
2009-08-01 to 2010-07-31
Filed
2011-06-13
IRS object ID
201111649349300116
Schema version
2009v1.7
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)
Timestamp2011-06-13T13:17:59-05:00Timestamp
Tax Period End Date2010-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1
CityTopekaCity
StateKSState
ZIP Code666033491ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742842747EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1West Central Kansas Association IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone7854833131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 S MainAddressLine1
CityRussellCity
StateKSState
ZIP Code67665ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameShelley BodenName
TitleCEOTitle
Phone7854832323Phone
Date Signed2011-06-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGary D KnollName
Phone7852334226Phone
Date Prepared2011-06-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Russell Regional HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonShelley BodenNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 S MainAddressLine1
CityRussellCity
StateKSState
ZIP Code67665ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13035069GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTo provide a caring and compassionate team dedicated to the delivery of quality healthcare, and to meet the current and future healthcare needs of the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees239TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2500ContributionsGrantsPriorYear
Contributions Grants Current Year1844ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12815238ProgramServiceRevenuePriorYear
Program Service Revenue CY12685907ProgramServiceRevenueCY
Investment Income Prior Year45660InvestmentIncomePriorYear
Investment Income Current Year51169InvestmentIncomeCurrentYear
Other Revenue Prior Year366735OtherRevenuePriorYear
Other Revenue Current Year295933OtherRevenueCurrentYear
Total Revenue Prior Year13230133TotalRevenuePriorYear
Total Revenue Current Year13034853TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20315GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9448745SalariesEtcPriorYear
Salaries Etc Current Year9210714SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4838752OtherExpensePriorYear
Other Expenses Current Year4868121OtherExpensesCurrentYear
Total Expenses Prior Year14307812TotalExpensesPriorYear
Total Expenses Current Year14078835TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1077679RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1043982RevenuesLessExpensesCY
Total Assets BOY3710678TotalAssetsBOY
Total Assets EOY3455961TotalAssetsEOY
Total Liabilities BOY3710678TotalLiabilitiesBOY
Total Liabilities EOY3230961TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY225000NetAssetsOrFundBalancesEOY
Mission DescriptionTo care for our communities and their citizens with the caring, compassion, quality and commitment that validates their trust in us.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12532019Expense
Revenue12981840Revenue
DescriptionRussell Regional Hospital provides a variety of health care services including acute inpatient care, swingbed inpatient care, outpatient care, home health care, and long-term care services to patients in need of care.Description
Total Program Service Expense12532019TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
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 Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees239NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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 Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Shelley Boden CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7854832323TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 S MainAddressLine1
CityRussellCity
StateKSState
ZIP Code67665ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Morris Krug
President1.00XX000
Sylvia Newton
Secretary1.00XX000
John O Farmer III
Treasurer1.00XX000
Michael Holland
Director1.00X000
Richard L Shields
Vice-President1.00XX000
Shelley Boden
CEO40.00X99123019399
Duane Fields
Former CFO40.00X8223100
Janel Burch
CFO40.00X000
Earl Merkel
Physician40.0029628200X
Aaron Rowland
Physician40.0023866400X
Andrea Herrera
Physician40.00207899011187X
Jill Doerfler-Iniguez
Physician40.0022281202886X
Randal Moyers
Pharmacist40.00169801010863X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1316812TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation44335TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Docs Who Care
1337 S Fountain DriveOlatheKS66061Physician ER & Clinic Coverage343648
Aegis Therapies
PO Box 8103Fort SmithAR72902Therapy Service130192
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions1844AllOtherContributions
Total Contributions1844TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet patient service reDescription
Business Code900099BusinessCode
Total Revenue Column12685907TotalRevenueColumn
Related Or Exempt Function Income12685907RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12685907TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column51330TotalRevenueColumn
Exclusion$51,330ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real7224Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7224Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7224TotalRevenueColumn
Related Or Exempt Function Income7224RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other55Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other216Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-161Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-161TotalRevenueColumn
Exclusion-$161ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Ambulance services621910235810235810
Cafeteria sales7222103030230302
Miscellaneous income9000991398213982

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8615TotalRevenueColumn
Related Or Exempt Function Income8615RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue288709TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13034853TotalRevenueColumn
Related Or Exempt Function Income12981840RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$51,169ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total136689Total
Management And General136689ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7542025Total
Program Services6894615ProgramServices
Management And General647410ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total60660Total
Program Services56451ProgramServices
Management And General4209ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total969389Total
Program Services892196ProgramServices
Management And General77193ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total501951Total
Program Services452066ProgramServices
Management And General49885ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11860Total
Management And General11860ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total169697Total
Program Services9018ProgramServices
Management And General160679ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total34113Total
Program Services31898ProgramServices
Management And General2215ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total120675Total
Program Services20301ProgramServices
Management And General100374ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total322773Total
Program Services322287ProgramServices
Management And General486ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total14977Total
Program Services14850ProgramServices
Management And General127ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total91725Total
Management And General91725ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total433232Total
Program Services433232ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total168140Total
Program Services168140ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad debt provision731979731979
Purchased services62052557683843687
Pharmacy supplies532983532983
Repairs and maintenance46695336819898755
Medical supplies43267840193530743

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total715811Total
Program Services625032ProgramServices
Management And General90779ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14078835Total
Program Services12532019ProgramServices
Management And General1546816ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1414BOY
EOY275870EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY264114BOY
EOY52EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1935631BOY
EOY1689167EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY190795BOY
EOY169221EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY85840BOY
EOY111049EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2665301LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1680456LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1218741BOY
EOY984845EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14143BOY
EOY225757EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3710678BOY
EOY3455961EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1254686BOY
EOY1179475EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1012417BOY
EOY1096977EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1443575BOY
EOY954509EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3710678BOY
EOY3230961EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY225000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY225000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3710678BOY
EOY3455961EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6676OtherCostOrOtherBasis
Depreciation1076Depreciation
Book Value5600BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2580627OtherCostOrOtherBasis
Depreciation1641049Depreciation
Book Value939578BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis77998OtherCostOrOtherBasis
Depreciation38331Depreciation
Book Value39667BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings984845TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Other receivables757
Tax credit grant pledges receivable225000
FieldValueIRS element (for citing)
Total Book Value Other Assets225757TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to lessor$904,430
Estimated third-party payor settlements$50,079
FieldValueIRS element (for citing)
Total Of Amounts954509TotalOfAmounts
Total Revenue13034853TotalRevenue
Total Expenses14078835TotalExpenses
Excess Or Deficit For Year-1043982ExcessOrDeficitForYear
Other$1,043,982OtherAmount
Total Adjustments1043982TotalAdjustments
Excess Or Deficit Per FS0ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13035014TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal13035014RevenueSubtotal
Other Revenues Not Included-161OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-161RevenueNotRptdOnFinStmt
Total Revenue Per Form99013034853TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14078835TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14078835ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014078835TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:N/A
Part XI, Line 8 - Other Adjustments:Transfer from lessor: 597547. Change in amount due to lessor: 446435.
Part XII, Line 4b - Other Adjustments:Loss on disposal of assets: -161.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care0FPGReferenceFreeCare
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense109300TotalCommunityBenefitExpense
Direct Offsetting Revenue94664DirectOffsettingRevenue
Net Community Benefit Expense14636NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense975331TotalCommunityBenefitExpense
Direct Offsetting Revenue899050DirectOffsettingRevenue
Net Community Benefit Expense76281NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1084631TotalCommunityBenefitExpense
Direct Offsetting Revenue993714DirectOffsettingRevenue
Net Community Benefit Expense90917NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4134832TotalCommunityBenefitExpense
Direct Offsetting Revenue3437987DirectOffsettingRevenue
Net Community Benefit Expense696845NetCommunityBenefitExpense
Percent Of Total Expense0.05220PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4134832TotalCommunityBenefitExpense
Direct Offsetting Revenue3437987DirectOffsettingRevenue
Net Community Benefit Expense696845NetCommunityBenefitExpense
Percent Of Total Expense0.05220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5219463TotalCommunityBenefitExpense
Direct Offsetting Revenue4431701DirectOffsettingRevenue
Net Community Benefit Expense787762NetCommunityBenefitExpense
Percent Of Total Expense0.05900PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$486,327BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare6491705AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6282366CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall209339MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Russell Regional HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1200 South Main StreetAddressLine1
CityRussellCity
StateKSState
ZIP Code67665ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours
OtherLong-term care facility, outpatient physician clinicOther

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart III, Line 4: The Hospital provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. The Hospital estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each type of payor.The Hospital's bad debt at cost was determined by applying an overall ratio of cost to charges. Part III, Line 3West Central Kansas Association, Inc. is unable to determine the amount of bad debt expense attributable to patients eligible under its charity care policy for the year covered by this return. Suggested methods for estimation were either not in place or proved to be unreliable. For example, the number of financial assistance applications distributed but not returned was not tracked. Using demographic data to estimate an amount did not provide reasonable results. Rather than provide an estimate that can't be substantiated, West Central Kansas Association, Inc. has chosen to report zero dollars as bad debt expense attributable to charity care patients.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: The amount was obtained from the cost report filed with Medicare for the period ending 07/31/2010.ShortfallAsCommunityBenefit
Patient Education AssistancePart VI, Line 3: Patients receive information regarding federal, state and charity care programs upon request.PatientEducationAssistance
Community InformationPart VI, Line 4: The Hospital is located in Russell County, Kansas in the city of Russell and serves the surrounding area. The Russell community is a predominately agricultural one. The city of Russell and Russell County have an approximate population of 4,200 & 6,600 individuals respectively. The average Russell household annual income is approximately $31,181. Approximately 14.3% of the residents in the city of Russell have annual income below the federal poverty level and approximately 7.0% residents have annual income below 50% of the federal poverty level. Other hospitals in the area are located in Hays, Hoisington, and Great Bend. The distance between the Hospital and these facilities is approximately 26, 29, and 40 miles respectively.CommunityInformation
Other InformationPart VI, Line 6: The Hospital's governing body is comprised solely of local community members. All local physicians have admitting privileges at the Hospital.OtherInformation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (5 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
Earl Merkel
29628200000000029628201909170
Aaron Rowland
23866400000000023866401362200
Andrea Herrera
207899000000011187021908601324670
Jill Doerfler-Iniguez
22281200000288600022569801348800
Randal Moyers
16980100000223010640018066401009320

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11The Form 990 is reviewed by the governing body prior to filing.
Form 990, Part VI, Section B, line 15The compensation of the organization's officers is voted on and approved by the board of directors.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request.

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