2011-11-14T09:09:03-06:00 2010-12-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2010-01-01 800025964 DECATUR HEALTH SYSTEMS INC DECA 7854752208 810 WEST COLUMBIA STREET OBERLIN KS 67749 LYNN DOEDEN 7854752208 2011-11-15 true STEVEN L WEBB 3162652811 2010 2016-03-07 17:11:31Z LYNN DOEDEN 810 WEST COLUMBIA STREET OBERLIN KS 67749 6915813 false X WWW.DECATURHEALTHSYSTEMS.ORG X 2002 KS THE MISSION OF DECATUR HEALTH SYSTEMS IS TO PROVIDE HIGH QUALITY CARE FOR RURAL AMERICA BY CARING AND SHARING FROM THE HEART. 5 5 145 5 54077 0 239647 64913 6219175 6751898 8097 5994 83225 74765 6550144 6897570 0 0 0 0 4525946 4314061 0 0 0 2414243 2538115 6940189 6852176 -390045 45394 1808410 2183654 1808410 2183654 0 THE MISSION OF DECATUR HEALTH SYSTEMS IS TO PROVIDE HIGH QUALITY CARE FOR RURAL AMERICA BY CARING AND SHARING FROM THE HEART. false false 5977687 0 6751898 THE ORGANIZATION OPERATED AN ACUTE CARE HOSPITAL TO PATIENTS IN THE CITY OF OBERLIN, KANSAS AND THE COMMUNITY OF DECATUR COUNTY. THE ORGANIZATION PROVIDED INPATIENT AND OUTPATIENT HEALTH SERVICES AS WELL AS LONG-TERM CARE SERVICES TO THE ELDERLY FOR A TOTAL OF 14,305 PATIENT DAYS DURING 2010. 5977687 true true false true false false false false false true false false true true true false true false false false false false false true false true false false false false false false false false false false false false false false false false false true false false false false true 21 0 true 145 true true true false false false false false false false false false X 5 5 false false false false false false false true true false false true true true true true true true false false X LYNN DOEDEN 7854752208 PO BOX 268 OBERLIN KS 67749 X RON JANSONIUS 2.5 X X 0 0 0 GARY WALTER 1.0 X X 0 0 0 PAM WILSON 1.0 X X 0 0 0 CONNIE M GRAFEL 0.5 X 0 0 0 KATHY NAUER 0.5 X 0 0 0 LYNN DOEDEN 40.0 X 116360 0 7291 AMANDA FORTIN 40.0 X 52472 0 5569 168832 0 12860 1 false false false 0 5130 59783 64913 NET PATIENT SERVICE REVENUE 621300 6751898 6751898 6751898 5994 5994 0 0 0 14655 5130 18243 -3588 -3588 0 0 MEALS 722210 12132 12132 WHEAT RIDGE MANAGEMENT FEE 561000 53458 53458 MISCELLANEOUS 900099 12763 619 12144 78353 6897570 6751898 54077 26682 0 0 0 0 181692 181692 0 3388875 3021082 367793 92667 90385 2282 403956 394007 9949 246871 240791 6080 0 16946 16946 69210 69210 0 0 0 459765 343274 116491 9882 330 9552 929594 907405 22189 0 0 263633 257140 6493 21072 13433 7639 0 5944 4133 1811 4617 4503 114 0 62308 60773 1535 48930 47725 1205 BAD DEBT EXPENSE 214592 214592 DUES & SUBSCRIPTIONS 333772 304368 29404 REPAIRS & MAINTENANCE 54237 53020 1217 MINOR EQUIPMENT 35038 14149 20889 MISCELLANEOUS 8575 6577 1998 6852176 5977687 874489 0 83011 87985 7389 224469 862711 1268570 0 17191 89511 104962 30578 47974 1057453 874950 235210 182503 500000 250000 1808410 2183654 562408 897735 2200 0 1243802 1285919 1808410 2183654 X 0 0 0 0 1808410 2183654 X 45394 -45394 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 1540 false false false 1540 false 1057453 874950 182503 182503 DUE FROM MEDICARE 0 INVESTMENT IN WHEAT RIDGE 250000 250000 0 DUE TO DECATUR COUNTY HOSPITAL 1285919 1285919 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. GOLF BENEFIT 19785 5130 14655 15400 1359 1080 0 0 404 0 19785 5130 14655 15400 1359 1080 0 0 404 18243 -3588 true true true X true X true true false true true 6601 6601 0.00100 499628 539909 506229 539909 6601 0.00100 8492 7939 613 0.00010 8492 7939 613 0.00010 514721 547848 7214 0.00110 false 165901 0 5234323 6071455 -837132 X true true 1 1 DECATUR HEALTH SYSTEMS INC

810 W COLUMBIA OBERLIN KS 67749

X X X X DECATUR HEALTH SYSTEMS INC 1 AMOUNT OF BAD DEBT REMOVED FROM PART I, LINE 7, CALCULATION SCHEDULE H, PART I, LINE 7 THE AMOUNT OF BAD DEBT REMOVED FROM PART I, COLUMN F, CALCULATIONS $214,592. METHOD USED TO DETERMINE THE COST-TO-CHARGE RATIO PART I, LINE 7 THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY TO REPORT CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. METHOD USED TO DETERMINE BAD DEBT EXPENSE PART III, LINE 4 THE COST METHODOLOGY TO REPORT THE ORGANIZATION'S BAD DEBT EXPENSE ON LINE 2 IS ACTUAL COST. PATIENTS HAVE 30 DAYS TO MAKE A PAYMENT ON THEIR ACCOUNT. AFTER THAT 30 DAYS IF NO PAYMENT IS MADE THEN A REMINDER IS SENT REQUESTING A PAYMENT IN THE NEXT TWO WEEKS. IF NO PAYMENT IS RECEIVED THEN A FINAL NOTICE IS SENT STATING THAT A PAYMENT MUST BE MADE WITHIN TWO MORE WEEKS. AT THAT TIME IF NO PAYMENT IS RECEIVED THE ACCOUNT IS MOVED TO BAD DEBT. MEDICARE SHORTFALL PART III, LINE 8 SSERVING 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. COLLECTION PRACTICES PART III, LINE 9B IF THE PATIENT QUALIFIES FOR CHARITY CARE PER WRITTEN HOSPITAL CRITERIA, THE QUALIFYING BALANCE IS WRITTEN OFF TO CHARITY CARE AND NO FURTHER COLLECTION EFFORTS ARE MADE. NEEDS ASSESSMENT THE ORGANIZATION SENDS OUT SATISFACTION SURVEYS AND ASKS FOR FEEDBACK ON WHAT THE COMMUNITY FEELS IT WOULD BENEFIT FROM. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE FACILITY INFORMS AND EDUCATES PATIENTS BY HAVING THE SOCIAL SERVICES MANAGER SPEAK WITH PATIENTS AND GIVE THEM ALL OF THE INFORMATION NECESSARY TO EDUCATE THEM ON THE DIFFERENT ASSISTANCE PROGRAMS AVAILABLE TO THEM. COMMUNITY LIMITATION THE ORGANIZATION SERVES A SMALL RURAL AREA IN NORTHWEST KANSAS. THE TOWN HAS A POPULATION OF APPROXIMATELY 1200 PEOPLE. THE MAIN ECONOMY IS AGRICULTURE. PROMOTION OF COMMUNITY HEALTH DECATUR HEALTH SYSTEMS, INC. HAS A COMMUNITY BOARD AND AN OPEN MEDICAL STAFF. COMMUNITY BENEFIT REPORT STATE FILINGS KANSAS FORM 990 REIVEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S CFO. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY CHANGES ARE MADE IF NECESSARY. COPIES OF THE FORM 990 ARE THEN PROVIDED TO THE ORGANIZATION'S ENTIRE GOVERNING BODY PRIOR TO FILING WITH THE IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY IS COMPLETED BY BOARD MEMBERS, OFFICERS, AND EMPLOYEES. IF A POTENTIAL CONFLICT IS PRESENT THE BOARD MEMBERS WILL DELIBERATE TO DETERMINE WHETHER AN ACTUAL CONFLICT EXIST. A CONFLICTED BOARD MEMBER ABSTAINS FROM VOTING ON THE MATTER. CEO COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS PERFORM AN ANNUAL EVALUATION OF THE CEO TO DETERMINE COMPENSATION AND RAISES. A COMPENSATION COMMITTEE REVIEWS THE KHA COMPENSATION DATA ANNUALLY TO DETERMINE WHETHER COMPENSATION IS APPROPRIATE GIVEN THE GEOGRAPHICAL LOCATION AND THE ORGANIZATION'S SIZE. USING THE EVALUATION AND THE KHA COMPENSATION DATA, THE BOARD DELIBERATES ANY COMPENSATION ADJUSTMENTS. THE DELIBERATION AND DECISION ARE DOCUMENTED IN THE BOARD MINUTES. OTHER OFFICERS COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15B THE CEO PERFORM AN ANNUAL EVALUATION OF THE CFO AND ALL DEPARTMENT HEADS TO DETERMINE COMPENSATION AND RAISES. THE ANNUAL KHA COMPENSATION DATA IS UTILIZED AS A GUIDE FOR DETERMINING APPROPRIATE COMPENSATION. EVALUATION RECORDS AND COMPENSATION ADJUSTMENTS ARE DOCUMENTED AND FILED IN THE EMPLOYEE'S FILE. 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. CHANGE IN NET ASSETS RECONCILIATION FORM 990, PART XI, LINE 5 CHANGE IN AMOUNT DUE TO LESSOR $(45,394) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RON JANSONIUS TITLE:CHAIRMAN/BOARD MEMBER HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GARY WALTER TITLE:SECRETARY/BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAM WILSON TITLE:TREASURER/BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CONNIE M. GRAFEL TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHY NAUER TITLE:BOARD MEMBER HOURS:1 DECATUR COUNTY HOSPITAL 810 W COLUMBIA OBERLIN KS 67749 486110898 HOSPITAL KS 501(C)(3) 115 NA false false false false false false false false false true false false false false false true false false