2011-08-15T16:42:54-04:00 2010-09-30 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2009-10-01 481058737 PRATT REGIONAL MEDICAL CENTER COMPANY INC PRAT 6206727451 200 COMMODORE PRATT KS 67124 HILARY DOLBEE 6204501437 2011-08-15 true STEVEN L WEBB 3162652811 2009 2016-02-24 21:20:13Z HILARY DOLBEE CFO 200 COMMODORE PRATT KS 67124 37731412 false X WWW.PRMC.ORG X 1988 KS TO 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. 9 7 490 104 0 0 92692 490076 35823929 36529761 184803 135549 610068 493997 36711492 37649383 0 4057 0 0 19396526 19343836 0 0 0 16932883 17470663 36329409 36818556 382083 830827 24807208 24978604 11394516 10691050 13412692 14287554 SEE SCHEDULE O false false 30550109 0 36610028 Acute care hospital that provides medical care to the general public. See Schedule O for continuation. 30550109 true true false true false false false false true true true false false false false false false false false false true false false true true false false false false false false false true false true false false false false false true false false false true 47 0 true 490 true false false false false false false false false false 9 7 true false false false true true true true true false false true true true true true true true false false X HILARY DOLBEE 6204501437 200 COMMODORE PRATT KS 67124 WILLIAM WOJCIECHOWSKI ED D 1.0 X X 0 0 0 DON PETERS 1.0 X X 0 0 0 BILL KELLER 1.0 X 0 0 0 BARBARA CUDNEY MD 1.0 X 0 0 0 JEANETTE SIMENS 1.0 X 0 0 0 IAN KOVACH MD 40.0 X 1136615 0 8914 GARY BARKER 1.0 X 0 0 0 SUE SCHREPEL 1.0 X 0 0 0 DAN SUITER MD 1.0 X 0 0 0 SUSAN PAGE 40.0 X 118286 0 6171 KEN BROWN 40.0 X 110919 0 4917 HILARY DOLBEE 39.5 X 77375 0 4324 NANCY BAILEY 39.5 X 37028 0 1646 JACOB BREEDING 40.0 X 438898 0 8822 JON MORGAN 40.0 X 242199 0 2588 FREDRICK FARMER 40.0 X 176985 0 9478 DAVID SHERRADEN 40.0 X 146683 0 15489 PAMELA FRUECHTING 40.0 X 142412 0 1169 2627400 0 63518 15 false true false PRATT OPEN MRI MEDICAL SERVICES 471028 CPSI COMPUTER SUPPORT 434864 LAB CORP OF AMERICA LAB SERVICES 208405 3 322234 145427 22415 490076 NET PATIENT SERVICE REVENUE 621300 36529761 36529761 36529761 142196 142196 0 0 319502 75382 244120 244120 244120 0 6647 -6647 -6647 -6647 0 0 0 PROFESSIONAL BILLING 518210 3313 3313 CAFETERIA/VENDING 722210 125611 125611 MEDICAL RECORDS 518210 9193 9193 111760 80267 31493 249877 37649383 36610028 0 549279 4057 4057 0 0 0 1609977 1123874 486103 0 15243593 13611666 1631927 331780 195021 136759 1010359 589659 420700 1148127 674872 473255 0 113917 113917 67442 67442 0 0 0 3133187 2447655 685532 165809 102527 63282 6411462 6100202 311260 0 0 1089685 836721 252964 105095 83120 21975 0 53051 33025 20026 348224 325872 22352 0 1656082 973449 682633 603340 70719 532621 BAD DEBT EXPENSE 2703510 2703510 RECRUITING 262803 193892 68911 LICENSES/DUES/SUBSCRIPTIONS 131596 69414 62182 REPAIRS/MAINTENANCE 356982 283756 73226 MISCELLANEOUS 268478 127098 141380 36818556 30550109 6268447 0 5325 8501 971026 858764 4660074 4144297 1859603 1947042 293407 492441 41462783 30835462 11053740 10627321 2743338 3877986 141364 374055 70942 53075 3008389 2595122 24807208 24978604 4292921 4160442 6535000 6010000 267866 390449 298729 130159 11394516 10691050 X 13318710 14192327 5359 6604 88623 88623 13412692 14287554 24807208 24978604 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7374 false false false 7374 false 88623 88623 88623 88623 1.00000 false true true 12625 12625 20803014 13515511 7287503 18083328 15702189 2381139 2563816 1617762 946054 10627321 FUNDS HELD BY FISCAL AGENT 787833 INV IN PRATT HEALTH FOUNDATION 1551789 UNAMORTIZED BOND COSTS 135500 DUE FROM MEDICARE 120000 2595122 37649383 36818556 830827 145678 -101643 44035 874862 37870443 145678 75382 221060 37649383 37649383 36893938 75382 75382 36818556 36818556 INTENDED USES OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE HELD BY PRATT HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. IMCOME FROM THE ENDOWMENT FUNDS IS TO BE USED FOR PROGRAMS AND SUPPORT OF PRATT REGIONAL MEDICAL CENTER. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 Management 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 CHANGE IN NET ASSETS SCHEDULE D, PART XI, LINE 8 CHANGE IN DEFINED BENEFIT PENSION PLAN $ 58,480 TRANSFERS TO PRATT COUNTY, KANSAS ( 5,000) CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 1,245 CHANGE IN INTEREST IN NET ASSETS OF PHF (156,368) TOTAL $(101,643) RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES $ 75,382 RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSES $ 75,382 true true true X true X true true true false true true 180 410420 0 410420 0.01110 4816 2338469 1622941 715528 0.01940 4996 2748889 1622941 1125948 0.03050 1702 13388 960 12428 0.00030 57 141874 0 141874 0.00390 1190 15063 0 15063 0.00040 0 15270 0 15270 0.00040 2949 185595 960 184635 0.00500 7945 2934484 1623901 1310583 0.03550 202 48501 0 48501 0.00130 202 48501 0 48501 0.00130 false 1313636 0 14150473 16261249 -2110776 X true true PRATT REGIONAL MEDICAL CENTER

200 COMMODORE PRATT KS 67124

X X X THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO. THE SUBSIDIZED HEALTH SERVICES EXPENSE IN PART I, LINE 7, OF SCHEDULE H DOES NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS. THE 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 $2,703,510. THE HOSPITAL REPORTS PATIENT ACCOUTNS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN ACCORDANCE WITH A PREDETERMINED PAYMENT PLAN. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON THE HOSPITAL'S STATED TIME POLICY. BAD DEBT EXPENSE (AT COST) INDENTIFIED THE PROVISION FOR UNCOLLECTIBLES FROM 9/30/10 AUDITED STATEMENT OF OPERATIONS. MULTIPLIED THAT AMOUNT X THE COST-TO-CHARGE RATIO. Government 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. WHEN A RESPONSIBLE PARTY IS UNABLE TO MEET THE FINANICAL 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 THE REQUIRED FINANCIAL (AS OUTLINED ON THE APPLICATION) ARE 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 COUSELOR IS MADE, THE CHARITY CARE APPLICATION IS DENIED AND FURTHER COLLECTION ACTION IS TAKE. OUR CURRENT 48 BED HOSPITAL IS LOCATED IN SOUTH CENTRAL KANSAS. 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 REHABILIATION 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 DEFFICULTY 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. PRMC 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 PATINET CALLS TO INQUIRE ABOUT THE CHARITY CARE PROGRAM THE PATIENT FINANCIAL COUSELOR OUTLINES THE REQUIREMENTS, DOCUMENTS NEEDED AND EXPLAINS THE CHARITY CARE POLICY IN DETAIL. IN ADDITION, THE HOPSITAL 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. 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. 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. 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 provides a safety net for vulnerable populations who have no health insurance. We provide individuals with Medicare or Medicaid expert medical care and access to the latest medical technologies, despite the fact that these government programs offer fixed reimbursements that often do not fully cover the costs for the scope of care and treatment needed. PRMC offers a variety of free or low cost educational programs, support groups and health screenings each year. We provide a variety of direct health care services that are not profitable, but fulfill a great need in the community and region. We offer educational opportunities to physicians and health professionals throughout the region. We remain active in community organizations and endeavors that benefit us all. Many of these community benefits either would not or could not exist without the support and commitment of PRMC. In FY2010 these community benefits totaled $1,359,084 and impacted the lives of many people throughout the community. While we have enjoyed a long-standing tradition of providing these and other services to benefit our community, our role as an organization that provides significant community benefit is not well understood. Increasingly, we are being asked to demonstrate our value and benefit to the community we serve. In response, PRMC is taking a more planned, managed and organized approach to documenting the benefits we provide to our community. During the last year, we have implemented a plan to integrate community benefit into ongoing processes of planning, budgeting and reporting. A good local health care system may itself be part of the prescription for maintaining a healthy rural economy. Health Professions Education PRMC is dedicated to providing opportunities for students to learn about healthcare. Student internships, job shadowing opportunities and student training programs help serve to inspire future generations to consider careers in health care. In FY2010 more than $141,874 was invested in these endeavors. - You will find PCC nursing students working and learning side-by-side with PRMC's nursing staff. - There are two students placed in the PRMC radiology department annually. These radiology students from Hutchinson Community College spend 40 hours per week for one full year at PRMC learning and working side-by-side with radiology technologists. - Last year 72 area high school students experienced and learned from shadowing opportunities in a variety of departments at PRMC. Donations / Cash and In Kind Contributions Each year PRMC makes cash donations to community organizations that improve the health of the citizens of Pratt and the region we serve. PRMC donations reached $4,057 in cash. To name a few of the organizations and activities supported were: the Pratt Teen Center, Relay for Life, many area high school after-prom parties, the local chapter of the American Red Cross, Judgment House and local fire safety materials for children and families. In-kind donations in the amount of $11,213 went to third-world countries, specifically to Haiti, through the Docs Who Care organization in FY2010. Community Health Education and Outreach Many people benefited from PRMC's health education programs, support groups and community-based health screenings offered in FY2010. Education and outreach services are offered to the community at little or no cost so that money does not become a hindrance to participation. Some of the free services include: Meals on Wheels - The Meals on Wheels program began at PRMC in 1970. Monday through Friday, people who are participating in the program receive a hot meal delivered to their home for a minimal fee of $3. These meals are nutritional and therefore valuable to families and people who are unable to prepare a hot meal on a daily basis. Volunteers are crucial to the programs' success. 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 and Medicare Part D enrollment. 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. In FY 10, the PAP program saved 249 people $58,353.91 on their prescription drug costs. Bicycle Safety Program - Pratt elementary 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 1995 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; 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. Each route has a "killer hill' to challenge the muscular development of the students. The bicyclers are followed by Karyn Rinke, of the Pratt Health Foundation, in case of emergency or mechanical breakdown. The program celebrated its 15th anniversary in 2010. HALO (a cancer and chronic illness support group) - A cancer support group formed in April 2010. The group chose to go by the name HALO standing for Hope and Love Odyssey. They had their first official meeting on Sunday, April 25th at PRMC. HALO was founded to provide multiple methods of coping with the challenges cancer presents. People who are living with a chronic illness may also benefit from attending the group meetings. The group offers support to current patients, their loved ones and survivors. The meetings include visits from people representing a variety of professions, and an open forum for discussions, questions and answers. Dental Screening in Elementary Schools - The Pratt Health Foundation 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. Dental screening provides: - An opportunity to encourage kids to brush and floss their teeth daily. The students are given toothbrushes to encourage brushing. - Local and state health officials receive statistics relating to oral health. This data reveals the rate of decay in different communities and can be compared to fluoride content in the water as well as dietary tendencies. Diets that are high in sugar tend to promote tooth decay. The program was started with a United Methodist Health Ministry grant 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. PRMC is a Place for Community Groups to Gather - Pratt Regional Medical Center is host to an active, collaborative community groups known as the Pratt Community Health and Resource Council. They have met monthly for over ten 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 this group. PRMC also provides meeting space at no charge for - Kiwanis, Pratt Rotary Board, Pratt Area Chamber of Commerce, Pratt Ministerial Alliance, and HALO. A few other community benefit projects include: - Purchasing books and presenting new parents with information about the importance of reading to children (Books for Babes). - Providing one-on-one education about options available to seniors through Medicare Part D opportunities; In FY10 PRMC Volunteers assisted 209 clients with the Medicare Plan D enrollment process. PRMC provides space and materials to run the program and volunteers provide the man power. - Well mother/well baby check-ups and childbirth education classes. Pratt Regional Medical Center is currently the only hospital in the service area providing labor and delivery care. - PRMC employee quarterly Red Cross blood drive. - Free Diabetes Education Classes for the community. - Free CPR and First Aid Classes for the community. X X X false false false false false false false false false IAN KOVACH MD 1136255 0 0 0 360 0 3002 0 5912 0 1145529 0 0 0 JACOB BREEDING 438682 0 0 0 216 0 2142 0 6681 0 447721 0 0 0 JON MORGAN 242047 0 0 0 153 0 2588 0 0 0 244787 0 0 0 FREDRICK FARMER 175953 0 0 0 1032 0 5431 0 4047 0 186463 0 0 0 DAVID SHERRADEN 146519 0 0 0 164 0 4723 0 10766 0 162172 0 0 0 PRATT COUNTY KANSAS PUBLIC BUILDING COMMISSION 480606708 739762AAO 2007-09-15 2960000 BUILDING PURCHASE false false PRATT COUNTY KANSAS PUBLIC BUILDING COMMISSION 480606708 739762AK8 2007-09-15 4380000 BUILDING PURCHASE false false 2960000 204126 0 0 59200 0 2696674 2000 true false true true 4380000 295874 0 0 175472 0 3908654 2000 true false true true false false false false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 true false false false false false false false false false false false false SEE SCHEDULE O ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 To operat 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 ACCOMPLISHMENTS FORM 990, PART III, LINE 4A Pratt Regional Medical Center strives to provide excellent and compassionate healthcare services. As a voluntary, non-profit, community hospital, Pratt Regional Medical Center is committed to serving all who seek our healthcare services regardless of their ability to pay. Our commitment to providing quality healthcare services remains top priority for our Regional Medical Center. BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 2 IAN KOVACH AND DAN SUITER, BOARD MEMBERS, HAVE A BUSINESS RELATIONSHIP. MEMBERS FORM 990, PART VI, SECTION A, LINE 6 PRATT 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 BODY FORM 990, PART VI, SECTION A, LINE 7A THE 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 MEMBERS FORM 990, PART VI, SECTION A, LINE 7B THE 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 PROCESS FORM 990, PART VI, SECTION B, LINE 11A AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE 990 IS THEN PROVIDED TO THE CFO AND ACCOUNTING PERSONNEL FOR REVIEW PRIOR TO FILING THE 990. ANY QUESTIONS AND 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 POLICY FORM 990, PART VI, SECTION B, LINE 12C AT 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 REVIEW FORM 990, PART VI, SECTION B, LINES 15A & B CONSISTENT 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 DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. AVERAGE HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS FORM 990, PART VI, SECTION A, LINE 1A, COLUMN B AVG HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS HILARY DOLBEE 0.50 NANCY BAILEY 0.50 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV A) 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) $426,338 D) PRMC PURCHASED MEDICAL SERVICES FROM POMRI E) NO PRATT HEALTH FOUNDATION 200 COMMODORE PRATT KS 671243099 481088881 SUPPORT KS 501(C)(3) 7 NA false false true false false false false false false false false true false false false false false false