2026-08-14T12:31:43-05:00 2025-09-30 423603499 Eide Bailly Advisory LLC 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2024-10-01 481169103 Salina Regional Health Center Inc SALI 7854527145 400 South Santa Fe Salina KS 67401 Dianna White CFO 7854527145 2026-08-13 1 1 Kim Hunwardsen P00484560 6122536500 2026-08-12 2024 2025-03-06 01:10:19Z Joel Phelps 400 South Santa Fe Salina KS 67401 435621047 0 X www.srhc.com X 1995 KS To provide high quality acute medical care 14 12 2470 150 3773948 2721617 1253898 4295867 365636164 407243699 16333111 23407635 -7215 -11842 383215958 434935359 35500 472945 0 0 188205680 199715836 0 0 0 196155793 215468530 384396973 415657311 -1181015 19278048 624094190 680306030 53690103 71360187 570404087 608945843 X To provide quality health care services in a healing and spiritual environment 0 0 326117618 472945 403504878 Salina Regional Health Center, Inc. provides hospital and health related services to the people of Saline County, Kansas. During the fiscal year Salina Regional Health Center, Inc. discharged 6,999 inpatients resulting in 30,998 patient days, treated outpatients in 543,747 visits and generated 371 million in net patient service revenue. Charges of $6.5 million were provided in charity care assistance during the year.Salina Regional Health Services is the sole owner of Salina Regional Health Affiliations, LLC (SRHA). SRHA manages Memorial Health Systems (MHS), a tax-exempt hospital located in Abilene, Kansas, in Dickinson County. SRHC also manages Lindsborg Community Hospital Association in McPherson County and Cloud County Health Center, d/b/a North Central Kansas Medical Center in Cloud County. All three of these hospitals are in rural communities and operate as critical access hospitals. By sharing its resources and expertise, SRHC assists these facilities in providing high quality medical care, thereby furthering its tax-exempt purpose. 326117618 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 150 0 1 2470 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X The Organization 7854527145 400 South Santa Fe Salina KS 67401 Joel Phelps President/CEO 40.00 2.00 X X 881947 0 62879 Mark Ritter Chair 1.50 1.50 X X 0 0 0 Brian Boyer Past Chair 1.50 0.00 X X 0 0 0 Phil Gilliland Treasurer 1.50 0.50 X X 0 0 0 Julie Beswick Secretary 1.50 0.50 X X 0 0 0 Amy Stonebraker Trustee 1.50 0.00 X 0 0 0 Chuck Oleen Trustee 1.50 0.00 X 0 0 0 Robert Heath Trustee 1.50 0.00 X 0 0 0 Michael Wegner Trustee 1.50 0.00 X 0 0 0 Tracey Biles Trustee 1.50 0.00 X 0 0 0 Stacy Clark Trustee 1.50 0.00 X 0 0 0 Gary Williams Trustee/Chief of Staff 40.00 0.00 X 694290 0 50842 Larry Fief Trustee 1.50 0.00 X 0 0 0 Frank Hampton Trustee 1.50 0.00 X 0 0 0 Joe Tallon VP Finance/CFO 40.00 3.50 X 449242 0 50920 Bethanie McDowell Vice President, CNO 40.00 0.50 X 242934 0 18089 Brenda Cox Vice President, HR 40.00 1.50 X 338972 0 49758 Terry Hauschel Vice President, Operations 40.00 0.50 X 297692 0 20508 Robert Freelove Senior VP, CMO 40.00 0.50 X 618637 0 40176 John J Berghuis Vice President, CIO 40.00 0.00 X 344745 0 25326 Travis Rump Physician 40.00 0.00 X 1931548 0 19977 Yazan Abuodeh Physician 40.00 0.00 X 1261412 0 15761 Scott Boswell Physician 40.00 0.00 X 1420286 0 49926 David Battin Physician 40.00 0.00 X 1073330 0 38098 Steven Tenny Physician 40.00 0.00 X 1200970 0 59452 10756005 0 501712 285 0 1 0 ANESTHESIA ASSOCIATES OF CENTRAL KANSAS 200 S 5TH ST STE A SALINA KS 674014190 Contract Labor 2523224 TEKSYSTEMS PO BOX 198568 ATLANTA GA 303848568 Professional Services 2349372 LIFEPOINT REHABILITATION PO BOX 7411793 CHICAGO IL 606741793 Contract Labor 1924750 QUALIVIS LLC PO BOX 674913 DALLAS TX 752674913 Contract Labor 1825042 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 Professional Services 1591717 61 4294242 1625 4295867 Patient Revenue 621550 370552840 370552840 Health Affiliations Contract Serv 621550 27033091 27033091 Joint Venture Revenue 621550 3773948 3773948 Cafeteria 621550 930081 930081 4953739 4953739 407243699 23494671 23494671 73498 135406 -61908 -61908 -61908 87036 -87036 -87036 -87036 20317 5378 14939 14939 492995 457868 35127 35127 434935359 403504878 3773948 23360666 471945 471945 1000 1000 4352752 1504717 2848035 874747 874747 163979790 141689802 22289988 3916468 3347261 569207 17337428 11511567 5825861 9254651 7600088 1654563 442323 442323 120132 120132 91245 91245 39270153 31576264 7693889 881310 14447 866863 6187412 3189063 2998349 11699878 1877013 9822865 4690002 2135134 2554868 505015 131178 373837 2741529 377368 2364161 15642994 5413373 10229621 3440864 753948 2686916 Medical and Patient Sup 114064023 112348753 1715270 Dues, Licenses, and Tax 13003270 692078 12311192 2688380 516627 2171753 415657311 326117618 89539693 0 16664962 18385556 51634760 64002938 1877822 927429 4730602 4578048 19828068 36033150 372113108 276890234 95131934 95222874 400409470 426465336 25972759 26776804 7216238 7216238 627575 697657 624094190 680306030 35120142 41121037 18569961 30239150 53690103 71360187 X 554077746 591608889 16326341 17336954 570404087 608945843 624094190 680306030 X 19278048 18343248 920460 X 0 1 X 1 1 1 X 0 1 0 0 0 1 21594 1 69651 0 0 91245 0 Part II-B, Line 1: A portion of annual dues paid by Salina Regional Health Center, Inc., to various health care organizations has been identified as lobbying activities by those organizations and reported as other activities above. Salina Regional Health Center, Inc., does not participate in activities supporting a political candidate. The organization also has a representative who serves as the Executive Director of Governmental Affairs and Marketing. She spends approximately 30% of her time on policy-related activities. Of that time, about 10% is dedicated to direct lobbying efforts, primarily focused on state-level issues. Less than 1% of her direct lobbying time involves engagement with the federal delegation. The majority of her efforts in governmental affairs are concentrated on monitoring and influencing state policies that impact the organization's mission and services. Overall, the larger share of her responsibilities lies in marketing and public affairs, which constitutes the predominant portion of her role. 2793921 13700 208968 3016589 2443133 8450 342338 2793921 2242559 10150 227612 37188 2443133 2472691 13378 -243510 2242559 2181574 -243510 308231 32533 2472691 0.00000 0.45080 0.54920 1 1 1 8460360 8460360 180735140 132176920 48558220 178873775 142374508 36499267 4043833 2338806 1705027 95222874 305340 Due to Related Parties 17852208 Deferred Compensation Payable 259275 Estimated Third-Party Payor Settlements 11822327 30239150 X 449465373 18343248 365283 18708531 430756842 4178517 4178517 434935359 411934230 0 411934230 3723081 3723081 415657311 Part X, Line 2: The Health Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Health Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Net Assets Released from Restrictions 365,283. Part XI, Line 4b - Other Adjustments: Investment Income on Restricted Assets 444,611. Reclassification of nonoperating expense 3,462,038. Auxiliary Revenue 271,868. Part XII, Line 4b - Other Adjustments: Reclassification of nonoperating expense 3,462,038. Auxiliary Expense 261,043. Rummage Sale 20317 20317 5378 20317 20317 5378 5378 14939 1 1 X 1 X 1 X 1 1 0 1 1 3261 1967935 1967935 0.00470 28712 42660501 30633734 12026767 0.02890 31973 44628436 30633734 13994702 0.03360 17 443002 41301 401701 0.00100 6 2605638 1244516 1361122 0.00330 24 87206 143668030 104511732 39156298 0.09420 1 8142 8142 0.00000 3 435993 435993 0.00100 51 87206 147160805 105797549 41363256 0.09950 51 119179 191789241 136431283 55357958 0.13310 1 34007274 0 61023678 63618583 -2594905 X 1 1 1 Salina Surgical Center LLC Surgical services 0.50000 0.50000 2 Salina Surgery Properties LLC Real property rental 0.50000 0.50000 1 1 Salina Regional Health Center Inc 400 South Santa Fe Salina KS 67401 www.srhc.com H-085-001 X X X X 21 Provider based clinics Salina Regional Health Center Inc 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X see Part V Section B narrative X 1 24 1 see Part V Section B narrative 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X www.srhc.com/patients-and-visitors/billing-information.php X www.srhc.com/patients-and-visitors/billing-information.php X www.srhc.com/patients-and-visitors/billing-information.php X X X X X X 1 X 0 X X X X X 1 X 0 0 Salina Regional Health Center, Inc. Part V, Section B, Line 5: The Community Health Assessment group was made up of representatives from Salina Regional Health Center and area agencies for the prioritization of these health needs. These individuals and agencies represented underserved populations.Several tools and frameworks have been developed to guide communities through the CHNA process. The framework selected by the CHNA Core Group is the Institute of Medicine Community Health Improvement Process. An important initial step in the process is the preparation, analysis, and interpretation of data describing the community: the Community Profile. The Community Profile describes the factors that contribute to the health and health status of the community. Salina Regional Health Center, Inc. Part V, Section B, Line 6a: Salina Surgical Center Salina Regional Health Center, Inc. Part V, Section B, Line 6b: Salina-Saline County Health DepartmentUnited Way of SalinaDVACKNorth Central KS Area on AgingCentral Kansas Mental HealthCentral Kansas Foundation Salina Regional Health Center, Inc. Part V, Section B, Line 11: The following needs from the FY25 community health needs assessment will be addressed: heart disease related Indicators, depression/mental health, aging population, overweight/obesity, cancer, diabetes, trauma/falls, drug poisoning, pregnancy related Indicators, domestic violence, stroke, immunizations, and smoking. These needs are a continuation of needs identified in the prior CHNA. Aging Population - Through the Meds to Bed program, SRHC took a very active role in educating patients regarding their medications at discharge.-The Salina Regional Health Foundation provided $10,000 to the North Central Flint Hills Area Agency on Aging to support the 2025 Sunflower Fair, an event that promotes resources, services, and engagement opportunities for seniors. -The Foundation supported dementia education by contributing $1,000 to the Alzheimer's Support and Education Group for its Dementia Symposium. -The Foundation awarded $7,216 to the Salina Family YMCA to purchase a T6 Recumbent Cross Trainer, designed to support individuals with limited mobility, balance challenges, or those transitioning from rehabilitation to independent exercise.Cancer -Our cancer program holds prestigious accreditation from the American College of Surgeons Commission on Cancer and the American College of Radiation Oncology. In addition, the Tammy Walker Cancer Center (TWCC) is affiliated with the Midwest Cancer Alliance, which expands patient access to the latest treatment options and clinical research studies. SRHC maintains a full range of cancer services, including medical oncology and radiation oncology. -TWCC hosted several cancer screening events and participated in community health fairs and educational presentations. -The Foundation awarded a $5,000 grant to Rolling Hills Zoo to support Dream Night at the Zoo, which provides a free evening for children with cancer or chronic illnesses and their families. -A $20,000 grant was awarded to the American Red Cross of Kansas to support community blood drives in Saline County.-The Foundation provides $110,000 annually to OCCK to support transportation services through the Med-Van program, helping TWCC patients travel to and from their treatments. Drug Poisoning -Continued to partner with the Central Kansas Foundation, the leading organization for substance abuse prevention and treatment services in north-central Kansas. SRHC also provided financial support through a contract totaling $13,000 per month to help fund drug counseling and educational services.-The Foundation awarded a $15,000 grant to the Saint Luke's Foundation Tuition Scholarship Fund to assist individuals seeking substance abuse education and recovery support. -The Foundation provided $60,000 in support for addiction treatment initiatives through the Central Kansas Foundation to help establish The Nest at Pathfinder Recovery Center, a program designed to expand treatment and recovery resources for individuals battling substance use disorders. Depression / Mental Health -Veridian Behavioral Health, a comprehensive, multidisciplinary center providing high-quality mental health care, offers a range of mental health services. Psychiatrists at Veridian provide outpatient care and are actively involved in intensive outpatient programs, inpatient behavioral health services, and nursing home care. -The Foundation provided funding to Blessed Hope Family to support its Mental Health Counseling Services Program. -SRHC also provided $9,800 to the Smoky Hill Education Foundation to host two Educator Recharge Retreats, which offer local educators an opportunity to focus on stress management, self-care, and mental wellness. -Support of $26,000 was provided to Resilience Clubhouse to assist with the development of a new Salina mental health program. Funding helped purchase a passenger van and commercial-grade kitchen equipment, supporting programming designed to promote social connection, life skills, and recovery for individuals living with mental health challenges. -The Foundation awarded $50,000 to Blessed Hope Family for the Expanding Roots of Hope Project, which provides scholarships for foster and adoptive families. These scholarships help ensure families have access to mental health support, educational programming, and childcare services so they can participate in programs that strengthen family stability and emotional well-being. Diabetes -In addition to clinical care, SRHC offered quarterly diabetes support group programs designed to provide patients with education and peer support from SRHC's Pharmacy, Dietary, and Organizational Development teams.Domestic Violence -SRHC partners with Domestic Violence Association of Central Kansas to help ensure victims have access to critical resources. DVACK provides free and confidential services to individuals experiencing domestic violence, sexual assault, stalking, teen dating violence, elder abuse, and human trafficking. -Within the hospital, SRHC operated the Sexual Assault Nurse Examiner/Sexual Assault Response Team (SANE/SART) Forensic Nursing Department in the Emergency Department. This program provides 24/7 access to specially trained forensic nurses who care for victims of sexual assault and other forms of violence. These professionals are trained to provide compassionate medical care, collect forensic evidence, and work collaboratively with law enforcement and advocacy organizations to support survivors through the reporting and recovery process. -The Foundation awarded a $28,346 grant to Child Advocacy and Parenting Services to support the CAPS Education Program, including the Happy Bear program, bullying prevention education, and parenting classes. -The Foundation provided $10,000 to Big Brothers Big Sisters of Salina to support its Community-Based Mentoring Program. Mentoring relationships can play an important role in providing positive support systems for young people and helping prevent cycles of violence and instability.Heart Disease Related Indicators -Beyond clinical services, SRHC participated in community outreach efforts focused on heart health education and prevention. Staff provide blood pressure screenings and CPR/AED demonstrations at community events such as the Sunflower Senior Fair. Immunizations -At the Tammy Walker Cancer Center, efforts focus on HPV vaccinations, helping protect adolescents and young adults from vaccine-preventable cancers.-Through partnerships with local public health organizations, SRHC helps ensure community members have access to recommended immunizations and preventive services that protect long-term health. Obesity (Child and Adult) -SRHC provided a $45,000 grant to the School Marathon Foundation to support the Fall 2025 School Marathon, a 26.2-mile group running event designed to inspire children to stay active and pursue fitness goals. - SRHC and the Foundation support Center Street Park, a community space featuring an inclusive playground, walking path, and outdoor exercise equipment.-SRHC also supports youth-focused physical activity programs through partnerships with organizations like ScoutReach, Coronado Area Council, Scouting America. A $16,530 grant funded the ScoutReach After School Program, which combines fun and educational activities to promote physical health, teamwork, and personal growth.Pregnancy-Related Indicators -SRHC offered the Becoming a Mom Program in partnership with the Saline County Health Department, providing prenatal education, resources, and support to expectant mothers throughout pregnancy. -The hospital's Birth Center has earned "Best of the Best" recognition for excellence in metabolic and newborn screening.-SRHC operated a Breast Milk Depot in collaboration with the Oklahoma Mothers' Milk Bank, providing donor breast milk to infants in need and supporting optimal neonatal nutrition. -SRHC maintained its recognition through High 5 for Mom & Baby Premier, which highlights hospitals and programs demonstrating high-quality care for mothers and newborns. -The Foundation provided a $5,000 grant to the Salina Public Library to support the construction of a new Nursing Mother's Room as part of the Re-Imagining Our Library Project, ensuring breastfeeding mothers have a private, comfortable space in a public setting. Smoking -SRHC continued to offer smoking cessation classes. Stroke -SRHC maintained a designation as a Primary Stroke Center and operated a dedicated stroke response team. -Public education included FAST stroke awareness initiatives and community outreach. Trauma/Falls -SRHC is a Level III Trauma Center and participates in regional and statewide trauma councils. -The trauma team provided fall risk assessments at the Sunflower Senior Fair. Sexually transmitted disease is not being directly addressed as others within our service area are addressing these needs. Salina Regional Health Center, Inc. Part V, Section B, Line 13h: Presumptive eligibility may be utilized if a patient qualifies under the eligibility screening done by Salina Family Healthcare Clinic, a Community Clinic. Salina Regional Health Center, Inc. Part V, Section B, Line 20e: On the back of the patient statement is information on how to obtain a FAP. SRHC also hires a third party to help uninsured patients verify eligibility for public benefits or the FAP. Salina Regional Health Center, Inc. Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. Part V, Section B, Line 7a and 10a and Part I, Line 6b https://www.srhc.com/about-us/community-benefit-report.php 1 1 - Comcare Occupational Health Center 2265 S 9th St Salina KS 67401 Therapy, lab and x-ray services Part I, Line 3c: The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive eligibility may be utilized if a patient qualifies under the eligibility screening done by Salina Family Healthcare Clinic, a Community Clinic. Part I, Line 6a: The Community Benefit report is available upon request. Part I, Line 7: Amounts reported on Lines 7a and 7b are from the organization's cost accounting system taking all patient segments into account. Amounts on lines 7e, 7f , 7h, and 7i are from the actual general ledger. Subsidized health services on line 7g were calculated utilizing IRS Worksheet 6. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Part III, Line 4: The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement on pages 16 and 17. Part III, Line 8: The payments are compared to the actual cost of providing the service as arrived at through the cost accounting system. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our community. Part III, Line 9b: If a patient qualifies for financial assistance, the account is adjusted according to our policy. Any remaining balance after adjustment is collected under the billing and collection policies. Our billing and collection policies are the same for all patients. Patients who have qualifed for financial assistance are considered approved for a period of six months from the date of approval. After six months, patients need to reapply for financial assistance. Part VI, Line 2: In addition to the community health needs assessment, SRHC analyzes hospital discharge data for all counties in the region. The Kansas Hospital Association inpatient discharge database includes data for all reporting hospitals. From this we determine usage trends that help us plan needed services. Part VI, Line 3: At registration, the patient is informed of their rights for financial assistance if unable to produce valid insurance coverage. The patient is referred to a third-party vendor to determine eligibility for governmental programs and if it is determined they do not qualify, they are screened under our financial assistance guidelines. We post our guidelines on our website as well. Part VI, Line 4: Salina Regional Health Center, Inc. is a rural community hospital serving a primary service area of Saline County, three immediately adjacent counties are its secondary service area, and has a 14-county referral area although certain specialties draw statewide. The primary service area (Saline County) has a population of 53,098. The population declined from 54,303 based on the April 1, 2020 Census. When compared to the national population, this area is represented by an older population with a lower educational level and lower median income.The Challenge of the Aging PopulationSaline county's population of persons 65 years and older is at 19.90% compared to the national average of 17.70%, which puts a strain on resources including healthcare resources which are already strained by workforce shortages and changing Medicare policies. Key areas of concern for Saline county's aging population include 15% Osteoporosis treatment compared to 12% state and national average, depression treatment at 19% compared to 18% statewide and 16% nationally. Saline county does have a high number of mental health providers per 100,000 residents at 373 versus the state average of 238 and ranks in the top 50% nationally. The service area is less ethnically diverse compared to the national average with the majority of the population being Caucasian (78.30%), Hispanic or Latino (12.90%) and Black or African American (3.70%). Spanish patient education materials are available at SRHC and the hospital translates via Certified Languages International.Median household income in the primary service area was $59,887 in 2025 compared to a Kansas median of $69,747 and a national median of $75,149. A lack of available resources to the indigent is a challenge in this environment, so in addition to providing charity care, the hospital has and continues to support the Salina Family Healthcare Center, which provides care to the indigent. Part VI, Line 5: The governing board of Salina Regional Health Center, Inc. is comprised of volunteers intentionally selected to promote the betterment of the region we serve. Salina Regional Health Center, Inc., administrators and governing board members assist the corporate member, Salina Regional Health Foundation, Inc. by participating in the CHIP committee.The Sunflower Health Network is a not-for-profit organization that consists of 26 counties located primarily in North Central and North West Kansas. Sunflower Health Network's (SHN) specific purpose is to improve the health status of the population. The 27 member hospitals, in conjunction with their medical staffs, have developed a network that fosters cooperation and coordination. The priority has been to enhance the integration of health related services among the SHN member communities while respecting local autonomy. A Kansas Hospital Association administrator led SHN's strategic planning that resulted in regional health priorities, including providing access to specialist physician care, optimizing timeliness and safety of patient transfers, and sustaining the number of quality nurses in the region. As a result of this process, Salina Regional Health Center, Inc. was verified by the American College of Surgeons as a level III trauma center, the only designated level III trauma center in the North Central Kansas Region. In an effort to attract and train professional nurses in rural Kansas, the University of Kansas School of Nursing and Salina Regional Health Center announced a partnership that opened a new campus location in Salina. The campus offers students a Bachelor of Science in Nursing, which accepts students who have already completed the first two years of their undergraduate education at any regionally-accredited college or university. The school is sharing existing facilities with the University of Kansas School of Medicine in Salina and 24 students are admitted each fall to the Salina campus. The small class size gives students an opportunity for close-knit learning groups and one-on-one interaction with master's and doctoral prepared faculty. Clinical groups with a small student-to-instructor ratio provide student support in diverse clinical settings. Part VI, Line 7 A community benefit report is filed in Kansas. 1 Salina Regional Health Foundation Inc 400 South Santa Fe Salina KS 67401 480949407 501(c)(3) 466945 0 To further the activities of the Community Health Improvement Program (CHIP) 1 0 Part I, Line 2: All donee information is kept as a part of the organization's books and records. For CHIP grants, the grantee sends the organization a report, usually within a year from receiving the grant. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 Travis Rump Physician 971287 0 960261 0 0 0 16598 0 10749 0 1958895 0 0 0 Scott Boswell Physician 841959 0 578327 0 0 0 20010 0 38234 0 1478530 0 0 0 Yazan Abuodeh Physician 595207 0 666205 0 0 0 10118 0 11960 0 1283490 0 0 0 Steven Tenny Physician 838886 0 362084 0 0 0 17285 0 42167 0 1260422 0 0 0 David Battin Physician 868059 0 205271 0 0 0 5417 0 40779 0 1119526 0 0 0 Joel Phelps President/CEO 701947 0 180000 0 0 0 17150 0 45728 0 944825 0 0 0 Gary Williams Trustee/Chief of Staff 361951 0 332339 0 0 0 17286 0 33556 0 745132 0 0 0 Robert Freelove Senior VP, CMO 446334 0 172303 0 0 0 4950 0 42966 0 666553 0 0 0 Joe Tallon VP Finance/CFO 372523 0 76719 0 0 0 6600 0 44320 0 500162 0 0 0 Brenda Cox Vice President, HR 281348 0 57624 0 0 0 15356 0 34403 0 388731 0 0 0 John J Berghuis Vice President, CIO 288535 0 56210 0 0 0 15360 0 18612 0 378717 0 0 0 Terry Hauschel Vice President, Operations 247701 0 49991 0 0 0 9764 0 18448 0 325904 0 0 0 Bethanie McDowell Vice President, CNO 202545 0 40389 0 0 0 15337 0 3931 0 262202 0 0 0 Part I, Line 1a The CEO, Senior VP, and CFO use their membership at the Country Club for business purposes. Expenses are categorized by the CEO, Senior VP, and CFO as business or personal. Personal use expenditures are reimbursed to SRHC. Part I, Line 7 An annual Executive Compensation Review of the Administrative Team compensation and incentives is performed by an outside firm. The results of the report are provided to the CEO, VP of Human Resources and the Board Executive Compensation Committee (Committee). The Committee determines the CEO's bonus based on outcomes of his performance evaluation, the SRHC Administrative Dashboard, and his list of annual accomplishments. The CEO determines the incentives/bonuses for the remaining Administrative Team in alignment with how the Committee determines the CEO's incentive/bonus, and the level of performance and accomplishments for each team member. Physicians receive bonuses related to production as part of their employment agreements. Deanna Hauschel Family member of Terry Hauschel, key employee 120378 Employment 0 Mary Berghuis Family member of John J Berghuis, key employee 103834 Employment 0 John A Berghuis Family member of John J Berghuis, key employee 43906 Employment 0 Emily Budden Family member of Gary Williams, Director 606630 Employment 0 Form 990, Part VI, Section A, line 1a The Executive Committee shall consist of the Chair, Vice-Chair, Secretary, Treasurer, President and Chief Executive Officer, and any other person appointed to the Executive Committee by the remaining members of it to serve with or without vote at the direction of the committee. Unless the Board specifically directs otherwise, during the intervals between meetings of the Board, the Executive Committee shall have, and may exercise, all the powers of the Board in the management of the business and affairs of SRHC in such manner as such committee shall deem in the best interest of SRHC, except it may not amend the Articles of Incorporation or Bylaws or perform any act prohibited by law. Form 990, Part VI, Section A, line 6 Salina Regional Health Center has two corporate members, Salina Regional Health Foundation, Inc. and Via Christi Health, Inc. Form 990, Part VI, Section A, line 7a The corporate members have the power to approve appointment of members to and removal of members from the Board of Trustees. Eighty percent of the Board shall be residents of the City of Salina or the geographic region surrounding Salina. The remaining twenty percent of the Board shall be representatives of Via Christi Health, Inc. and need not be residents of the City of Salina or the surrounding area. Form 990, Part VI, Section B, line 11b The 990 will be reviewed by the Corporate Compliance Officer prior to filing with the IRS. It will be provided to the board after it is filed. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers board members, members of board committees, officers of SRHC and its affiliates, and all key management personnel. A conflict of interest questionnaire is required to be completed upon election and annually thereafter. The board of directors determines whether a conflict exists and reviews such conflicts to determine appropriate action. If there is an identified conflict, the board may ask the interested person to leave the meeting during discussion of the matter that gives rise to the potential conflict, however, if asked, the interested person may make a statement or answer questions on the matter before leaving. The interested person will not be permitted to vote on the matter. If a significant conflict is identified, the conflicted person will no longer be eligible to remain on the board and will be so informed. Form 990, Part VI, Section B, line 15 An independent compensation firm is obtained to complete an annual review and analysis of all the administrative staff members, including the CEO and CFO. The compiled report is forwarded to the Compensation Committee of the Board who reviews the analysis and approves the report. The compensation process and performance review for the CEO is completed annually. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request. Form 990, Part XI, line 9: Change in beneficial interest in net assets of Foundation 205,823. Income from Auxiliary -10,825. Change in fair vaule of assets held in trust 725,462. Salina Regional Health Affiliations LLC 400 S Santa Fe Salina KS 67401 862790318 Management organization KS 27033091 2603269 Salina Regional Health Center Inc Salina Regional Health Foundation Inc 400 South Santa Fe Salina KS 67401 480949407 Advancement of healthcare KS 501(c)(3) Line 7 0 Salina Regional Health Properties Inc 400 South Santa Fe Salina KS 67401 481154675 Own and operate medical office buildings KS 501(c)(2) Salina Regional Health Center 1 Hospice of Salina Inc 730 Holly Lane Salina KS 67402 481131570 Hospice care and support KS 501(c)(3) Line 10 Salina Regional Health Center 1 Salina Regional Home Medical Services LLC 520 S Santa Fe Salina KS 67401 431948057 Durable Medical Equip KS 501(c)(3) Line 10 Salina Regional Health Center 1 Sunflower Health Network Inc 400 S Santa Fe Salina KS 67401 481163256 Health services KS 501(c)(3) Line 12b, II 0 Salina Surgical Center LLC 401 South Santa Fe Salina KS 67401 481199515 Surgical center KS Unrelated 3780180 5787377 0 0 0.50000 Salina Surgery Properties LLC 401 South Santa Fe Salina KS 67401 481200039 Property ownership KS Related 329140 1023576 0 0 0.50000 Salina Regional Health Enterprises Inc 400 South Santa Fe Salina KS 67402 481056225 Management services KS Salina Regional Health Center C 772988 222553 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 Salina Regional Health Properties S 484021 Book value Salina Regional Home Medical Services S 280500 book value Salina Regional Health Foundation B 466945 book value Part III - Related Organizations Taxable as Partnership Form K-1 for Salina Surgical Center, LLC does not include an amount reported as unrelated business income in box 20, code V, however income from the LLC is treated as unrelated business income on Form 990-T.