2026-05-07T16:08:56-05:00 2025-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2024-07-01 480559088 Hays Medical Center Inc HAYS 7856235000 2220 Canterbury Drive Hays KS 67601 EDWARD HERRMAN CEO 7856235000 2026-05-07 1 0 Eric L Otting P00298454 7852334226 2026-05-07 2024 2025-03-06 01:10:19Z Edward Herrman 2220 Canterbury Drive Hays KS 67601 278307833 0 X www.haysmed.com X 1944 KS Hays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Organization is striving to become the best tertiary care center in rural America. 11 8 1717 105 0 0 2575880 2384568 244364322 264864224 11016451 9656643 1778944 1391413 259735597 278296848 520370 49759 0 0 120341418 121056571 0 0 312016 138988296 158484099 259850084 279590429 -114487 -1293581 260409553 265968014 82948201 85819107 177461352 180148907 X Hays Medical Center is a tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code and is licensed by the State of Kansas Department of Health and Environment. The purpose of the Organization is to provide healthcare facilities and services for the care and treatment of inpatients and outpatients who are acutely ill or who otherwise require medical care and related services. The core purpose of the Organization is to help people be healthy. The Organization is striving to become the best tertiary care center in rural America. 0 0 252030124 49759 266255637 Patient Care Program services consist of routine and ancillary department healthcare services provided by a healthcare organization as defined in Section 501(c)(3) of the IRS code. Admissions: Acute-4,300, Newborn ICU-29, Newborn-469, Rehab-226, Total admissions-5,024. Patient days: ICU/CPCU-8,348, Medical/Surgical-10,346, Obstetrics-1,059, Newborn ICU-370, Newborn-788, Rehab-2,108, Total patient days-23,019. Other statistical information: Surgical procedures-8,130, Cardiac caths-1,814, Emergency room visits-12,374, Outpatient procedures-166,738, Medical oncology service visits-6,080, Clinic visits-147,110. 252030124 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 186 0 1 1717 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Michelle Beckner 7856232350 2220 Canterbury Drive Hays KS 67601 Chris Wente Board member/Secretary eff 01/25 0.50 X X 0 0 0 Alan Moore Board Member 0.50 X 0 0 0 Daniel Schippers Treasurer 0.50 X X 0 0 0 Melissa Romme Vice Chair 0.50 X X 0 0 0 Wayne Kieffer Board Member 0.50 X 0 0 0 Mary Martin Board Member thru 08/24 0.50 X 0 0 0 Jana Horsfall Chair 0.50 X X 0 0 0 DG Bickle Secretary thru 12/24/Board Member 0.50 X X 0 0 0 Tom McDonald MD Board Member 0.50 X 0 0 0 Ernesto Lopez-Corona MD Physician/Board Member thru 12/24 40.00 X 597228 0 58642 Edward Herrman President & CEO 36.00 4.00 X X 815354 0 178177 Kayla Gray MD Physician/Board Member 40.00 X 459665 0 20727 Oluwaseun Akinbo Physician/Board Mem. eff. 01/25 40.00 X 792804 0 49619 Michelle Beckner Chief Financial Officer 36.00 4.00 X 366538 0 103465 Terry Siek Chief Nursing Officer thru 9/24 36.00 4.00 X 270074 0 50056 Shae Veach VP Regional Development 36.00 4.00 X 277582 0 89309 Joannah Applequist Chief Legal Officer 36.00 4.00 X 349583 0 74651 Bryan Brady VP Physician Practice and 36.00 4.00 X 247072 0 83684 Patricia Crawley Physician 40.00 X 839955 0 40702 Manmohan Biring Physician 40.00 X 1517765 0 52267 Max De Carvalho Physician 40.00 X 958843 0 47425 Gulraiz Cheema Physician 40.00 X 1100248 0 47151 Douglas Tangel Physician 40.00 X 1050090 0 34942 George Harms Former Chief Financial Officer 0.00 X 593894 0 0 10236695 0 930817 183 1 1 0 Quest Diagnostics Inc PO Box 772976 Chicago IL 606770276 Lab services 5814737 Qualivis LLC PO Box 674913 Dallas TX 752674913 Contract staffing 5400437 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Physician services 3822399 Berkeley Research Group LLC PO Box 676158 Dallas TX 752676158 Consulting fees 3584558 Locumtenenscom 2575 Northwards Pkwy Alpharettes GA 30009 Contract staffing 1604608 5 2344392 40176 2384568 Patient service revenue 621990 254907557 254907557 Retail pharmacy 456110 3824112 3824112 Services to CAH network and afill 900099 2749284 2749284 Fitness center 713940 1390940 1390940 1992331 1992331 264864224 2856366 2856366 576633 0 576633 576633 576633 6804042 7220 0 10985 6804042 -3765 6800277 6800277 Cafeteria revenue 722210 524756 524756 Physician practice billing 900099 158267 158267 Shared savings from insurance com 900099 131757 131757 814780 278296848 266255637 0 9656643 X 49759 49759 4988401 2080241 2908160 94136794 87980775 6042431 113588 3316306 3029777 282549 3980 12565154 11479525 1070551 15078 6049916 5527203 515453 7260 669108 669108 204678 204678 25845 25845 225494 225494 46614742 39446822 7158717 9203 609252 5633 603619 1056355 273331 782058 966 8051777 5993692 2058084 1 2200836 1725055 452085 23696 142463 101811 40579 73 653261 516907 136284 70 1183469 926419 254091 2959 8370526 6552448 1797152 20926 1607430 1481605 125825 Pharmaceuticals 40572895 40572895 Medical Supplies 26650712 26650712 Taxes and assessments 8272305 8192713 79592 0 Repairs and maintenance 6293651 5442657 846645 4349 5079300 4000144 969289 109867 279590429 252030124 27248289 312016 5822367 559891 15166683 13781430 29490291 27679291 62500 5905511 6552987 6534170 6571124 283314382 222887583 56593006 60426799 88158335 89666474 31377963 33688554 21361227 26978964 260409553 265968014 36515012 42428630 44645000 41810000 1788189 1580477 82948201 85819107 X 162471352 163618907 14990000 16530000 177461352 180148907 260409553 265968014 X -1293581 2441136 1540000 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 23896 1 1949 0 0 25845 0 Part II-B, Line 1: Hays Medical Center, Inc., is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. Hays Medical Center also incurred travel expenses to meet with a government official to discuss regulations and legislation. 14841138 3291077 1359649 3081868 16409996 14697330 1691353 1431401 2978946 14841138 14495373 1608246 -291800 1114489 14697330 13716519 1549264 360421 1130831 14495373 11952988 647679 1866539 750687 13716519 0.00400 0.90200 0.09400 0 1 1 726360 726360 92957656 63105570 29852086 178136051 148818540 29317511 11494315 10963473 530842 60426799 75000 F Hedge funds 15486220 F Private equity fund 6478367 F Real estate limited partnership 4526287 F Limited partnership 7122680 F 33688554 Beneficial interest in net assets of foundations 16530000 Intercompany receivables 746855 Estimated third-party payor settlements 5436504 Deferred financing costs 472275 Other receivables 2579950 Interest receivable 182903 Operating right of use lease assets 430477 Contract receivables 600000 26978964 Estimated third-party payor settlements 1150000 Right of use lease liabilities 430477 1580477 X Part V, Line 4: The endowed funds held by the Hays Medical Center Foundation are used to help meet both the immediate and long range health care needs of patients of Hays Medical Center, Inc. The Hays Medical Center Foundation provides grants and assistance to Hays Medical Center, Inc., for property and equipment acquisitions, education, and community health issues. Part X, Line 2: Management is not aware of any uncertainties in income tax positions. Central American/Caribbean 0 0 Investments 13760249 Switzerland 0 0 Investments 3471922 0 0 0 0 0 0 17232171 0 17232171 0 0 1 0 1 0 1 1 X 1 X 130.000000000000 1 X 1 1 0 1 1 279379 279379 0.00100 13701464 9789477 3911987 0.01400 13980843 9789477 4191366 0.01500 1764506 1401715 362791 0.00130 924892 71126 853766 0.00310 84915359 43259908 41655451 0.14900 14109 14109 0.00010 87618866 44732749 42886117 0.15350 101599709 54522226 47077483 0.16850 93408 93408 0.00030 93408 93408 0.00030 1 4726356 0 81128918 98446734 -17317816 X 1 1 2 1 Hays Medical Center Inc 2220 Canterbury Hays KS 67601 X X X 2 Pawnee Valley Community Hospital Inc 923 Carroll Ave Larned KS 67550 X X X X Hays Medical Center Inc 1 0 0 1 X X X X X X X X X 23 1 0 1 1 X https://www.haysmed.com/wp-content/uploads/2024/06/2024-Community-Health-Ne X 1 23 1 https://www.haysmed.com/wp-content/uploads/2024/06/2024-Community-Health-Ne 0 1 X 130.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X https://www.haysmed.com/wp-content/uploads/2023/03/BUS116A.pdf X https://www.haysmed.com/billing-financial/#/financial-assistance-applicatio X X X X 1 X 0 X X X X 1 X 0 0 Pawnee Valley Community Hospital Inc 2 0 0 1 X X X X X X X X X 23 1 0 1 1 X https://pawneevalleyhospital.com/wp-content/uploads/2024/06/CHNA_2024_Pawne X http://www.pawneecountykansas.com/ X 1 23 1 https://pawneevalleyhospital.com/wp-content/uploads/2024/07/CHNA2024_ImpDet 0 1 X 130.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X https://pawneevalleyhospital.com/billing/#financial-assistance-policy X https://pawneevalleyhospital.com/billing/#financial-assistance-policy X X X X 1 X 0 X X X X 1 X 0 0 Hays Medical Center, Inc. Part V, Section B, Line 5: The CHNA conducted in 2024 in collaboration with the Ellis County Health Department identified significant health needs within Ellis County and the Hays Medical Center community. A town hall meeting was organized to provide an objective consensus building method of reviewing and prioritizing county health issues. During the Town hall meeting, the group reflected on the size and seriousness of any health concerns cited and discussed current community health strengths. The group identified and ranked top community health concerns, and all Town Hall attendees and community members were encouraged to continue to contribute ideas by going online and taking a feedback survey that addresses any additional thoughts related to the CHNA. All Town Hall priority-setting and scoring processes involved the input of a diverse group with knowledge and/or expertise in public health as well as persons who represent the board interest of the community served by the Hospital. Key stakeholders included: Ellis County Public Health, First Care Clinic, Fort Hays State University, North Center Kansas Vo-Tech, USD 489, Thomas More Prep, Ellis County EMS, Medical and Dental Providers, Early Childhood Connections, Area Agency on Aging and City and County Commissioners. The CHNA was coordinated and produced by VVV Research and Development, Inc., from Olathe, Kansas. Pawnee Valley Community Hospital, Inc. Part V, Section B, Line 5: The CHNA was conducted in collaboration with the Pawnee County Health Department. A Town Hall meeting was conducted in February 2024 to provide an objective consensus building method of reviewing and prioritizing county health issues. During the Town Hall meeting, the group reflected on the size and seriousness of any health concerns cited and discussed current community health strengths. The group identified and ranked top community health concerns, and all Town Hall attendees were encouraged to continue to contribute ideas by going online and taking a feedback survey that addresses any additional thoughts related to the CHNA. All Town Hall priority-setting and score processes involved the input of a diverse group with knowledge and/or expertise in public health as well as persons who represent the broad interests of the community served by the hospital. Key stakeholders in attendance included Larned State Hospital, Country Living of Larned, The Center for Counseling & Consulation, Heart of Kansas Family Health Care, Larned Police Department, Pawnee County Sheriff's office, Pawnee County Health Department, County Commissioners, members of the Chamber of Commerce, members of the USD 495 School Board, local members of the media, local religious organizations, local business owners, and representatives of Pawnee Valley Community Hospital. The CHNA was coordinated and produced by VVV Research & Development, Inc. from Olathe, Kansas. Hays Medical Center, Inc. Part V, Section B, Line 6b: Ellis County Health Department Pawnee Valley Community Hospital, Inc. Part V, Section B, Line 6b: Pawnee County, KS Hays Medical Center, Inc. Part V, Section B, Line 11: Hays Medical Center, Inc. conducted its fifth Community Health Needs Assessment along with the Ellis County Health Department in 2024. The Hospital and County Health Department will work with others in the community to address the needs that were identified in the survey. The needs that received the most votes are listed below. Mental Health (Diagnosis, Placement, Aftercare, Access to Providers) 18.5% Uninsured/Underinsured 13.9% Visiting Specialists (GER, NEURO, ENDO, RHE, POD, IFD Lymes) 12.0% Access to Memory Care Services 12.0% Awareness of Healthcare Services 10.2% Domestic Violence & Abuse 10.2% Access to Dentists/Periodontists 5.6%Updates to the progress in 2025 are outlined below-Over the past year, HaysMed has continued to strengthen healthcare across western Kansas by expanding services, enhancing access, and investing in community wellness.HaysMed introduced several advanced treatments and technologies, such as Aquablation therapy, pulse field ablation, and care in the new hybrid operating room, bringing innovative procedures closer to home for rural patients. Community access has also improved through the addition of new providers in pulmonology, cardiology, primary care, pain management, emergency medicine, and more.Partnerships like the collaboration with Gove County Medical Center further extend specialty care into surrounding communities, ensuring patients receive high-quality services without the need to travel long distances.HaysMed also supported community health through outreach and education, including wellness classes (Walk with a Doc, LiveWell Program, Weight Loss Solutions, Diabetes Solutions), symposiums, screenings, and public programs including Medicare Advantage education designed to empower individuals to make informed health decisions.These accomplishments, paired with national recognition for quality and safety, reflect HaysMed's ongoing commitment to providing exceptional, accessible care for the region.HaysMed is dedicated to continually learning, engaging, and fulfilling the health needs of the community we serve. As a result of this commitment the following is the description of the actions taken during the most recent fiscal year to address the significant health needs identified through the CHNA for which HaysMed is a lead partner. Pawnee Valley Community Hospital, Inc. Part V, Section B, Line 11: Pawnee Valley Community Hospital, Inc. (PVCH) conducted its fifth Community Health Needs Assessment (CHNA) along with the Pawnee County Health Department in 2024. The Hospital and County Health Department will work with others in the community to address the needs that were identified in the survey. The needs that received the most votes are listed below.Substance Abuse (Drugs & Alcohol) - 16.3%Mental Health (Diagnosis, Placement, Aftercare, Access to Providers) - 14.0%Childcare (Accessible & Affordable) - 11.6%Provide Youth Activities - 8.5%Physician Recruitment (Primary Care-MD's, DO's) - 7.8%Health Education (Chronic/Prevention) - 6.2%Obesity (Exercise & Nutrition) - 5.4%Physical Activities for Adults - 5.4%Visiting Specialists (Onc, Ortho, CV, OBGYN, ENT, NEP, DERM) - 5.4%The Town Hall meeting also noted the Community's Health Strengths, which are listed below.Three family medicine clinicsEMT, Fire Dept and Hospital have strong collaborationThriving hospitalAccess to recreation and exerciseOpioids dispense is minimalQuality Health DepartmentBi-annual health fairQuality and affordable long-term careChildcare committee - improving childcareSeveral internet providers/strong connectionAvailable mental health/crisis servicesSchool programs for parent involvement and educationCommunity involvementState Hospital offers continuing educationOn the 2024 CHNA Implementation Plan, it is noted that several areas are not part of hospital mission critical operations and that PVCH will be a partner with others to address these needs. These needs and the lead partner are listed below.Substance Abuse (Drugs & Alcohol) - Center for Counseling and Pawnee County Health DepartmentMental Health (Diagnosis, Placement, Aftercare, Access to Providers) - Center for Counseling and Pawnee County Health DepartmentChildcare (Accessible & Affordable) - Pawnee County Childcare CoalitionProvide Youth Activities - Pawnee Co Youth Initiative Foundation/Larned Rec CenterPhysical Activities for Adults - Pawnee Co Youth Initiative Foundation/Larned Rec CenterThe remaining CHNA Health Areas of Need will be addressed with PVCH as the lead partner. Updates to the progress are outlined below.Physician Recruitment (Primary Care-MD's, DO's) and Visiting Specialists (Oncology, Ortho, Cardiovascular, OBGYN, ENT, Nephrology, Dermatology) - Heart of Kansas recruited a family medicine physician to work at the Larned, KS clinic.Pawnee Valley Community Hospital recruited a Board-Certified Emergency Medicine Physician to replace the resigning Emergency Department Medical Director.The Pawnee Valley Community Family Medicine Clinic family medicine physician is engaged with the Kansas Osteopathic Medicine School to receive a medical student for rotation during 2025-2026 school year.Family medicine physician at Healthy Choice Clinic engaged with the Kansas Osteopathic Medicine School and received a medical student during the 2024-2025 school year. Rotation included Pawnee Valley Community Hospital.Added additional Specialty Care Clinic days for Cardiology Nurse Practitioner from HaysMed DeBakey Heart Institute.Pawnee Valley Community hospital is actively engaged in conversations and work to add the following additional specialty care services: Psychiatric Mental Health Nurse Practitioner Rheumatology Telehealth ServicesThe Pawnee Valley Community Family Medicine Clinic family medicine physician is partnered with the HaysMed Center Women's Health to provide an obstetrical shared care model. Health Education (Chronic/Prevention) - Pawnee Valley Community Hospital Family Medicine clinic implemented and is growing a Chronic Care Management Program with ChartSpan.Pawnee Valley Community Hospital engaged and trained a Pawnee Valley Community Hospital Family Medicine clinic family medicine nurse practitioner to teach Chronic Care Management classes quarterly.Pawnee Valley Community Hospital provided education on occupational therapy services and benefits via newspaper and social media to the community in addition to the Occupational Therapist attending civic group meetings to provide the education.Pawnee Valley Community Hospital initiated a vaccine campaign educating the community on vaccines and the important role they play in health prevention and public health.Pawnee Valley Community Hospital Family Medicine clinic initiated a women's health campaign which included obesity/weight loss services for women (education, medication treatment, exercise regimens, etc.)Pawnee County Health Department provides: One-on-one teaching in the office as needed Educated clients on chronic disease issues Health information via: Facebook, Digital sign, Bulletin boards, Pamphlets (inside and outside office), County resource list (posted on webpage) Bulletin board topics included: Breast Cancer Awareness, Diabetes Awareness, World Breastfeeding Week, Dental Health, Mental Health Preparedness education is offered multiple times per yearObesity (Exercise & Nutrition) Pawnee Valley Community Hospital Family Medicine clinic initiated a women's health campaign, which included obesity/weight loss services for women (education, medication treatment, exercise regimens, etc.) Pawnee Valley Community Hospital sponsors an annual 6th Grade Health Fair.Visiting Specialists Added additional Specialty Care Clinic days for Pulmonology Nurse Practitioner from HaysMed Pulmonology Clinic. Added additional Specialty Care Clinic days for Cardiology Nurse Practitioner from HaysMed DeBakey Heart Institute. Pawnee Valley Community Hospital is actively engaged in conversations and works to add the following additional specialty care services: Psychiatric Mental Health Nurse Practitioner Rheumatology Telehealth Services The Pawnee Valley Community Family Medicine Clinic family medicine physician is partnered with the HaysMed Center Women's Health to provide an obstetrical shared care model. The following CHNA Health Areas of Need in which PVCH assisted. Updates to the progress are outlined below.Childcare (Accessible & Affordable) Pawnee Valley Community Hospital Administrator partnered with the Pawnee County Chamber and Economic Development to form a Pawnee County Childcare Coalition. Pawnee Valley Community Hospital Administrator chaired the committee. Grants were received to offset supplies for current day care providers and assist new providers. Pawnee Valley Church opened a new day care facility. Organized a Child Care Provider Appreciation Day (May) and delivered thank-you gifts to current providers. Provide Youth ActivitiesPawnee Co Youth Initiative Foundation was created and ran with this project. Pawnee Valley Community Hospital Administrator is a member of this Foundation. Activities include: Cops and Bobbers (June), Free Movie Night, Touch-a-Truck education booth, Root Beer Float socials at Pawnee Heights (twice), Secured grant funding for spring programming, Task force includes multiple youth stakeholdersPhysical Activities for Adults Pawnee Valley Community Hospital supports and partners with the Pawnee County Health Department.Pawnee County Health Department provides: Promotion of exercise opportunities in Pawnee County through: Health fairs, County Fair, One-on-one Counseling Incorporation of physical activity education into HD, WIC, FP, KBH programs Presentations at Pawnee Valley Community Hospital 6th Grade Health Fair and Ag DaySubstance AbusePawnee Valley Community Hospital partnered with local school districts to provide Narcan. Includes policy, education, and a coordinated plan.Mental HealthPawnee Valley Community Hospital is in discussions with the Center for Counseling and Consultation to build mental health services at Pawnee Valley Community Hospital. Pawnee Valley Community Hospital Administrator is an active member of the Larned State Hospital Advisory Committee. Pawnee Valley Community Hospital is actively recruiting for a mental health provider. Hays Medical Center, Inc. Part V, Section B, Line 13h: The balance of the patient account is also considered. Pawnee Valley Community Hospital, Inc. Part V, Section B, Line 13h: The balance of the patient account is also considered. 4 1 - Hays Family Medicine 2509 Canterbury Hays KS 67601 Family medicine 2 - HaysMed Convenient Care Walk-in Clinic 3216 Vine Street Suite 20 Hays KS 67601 Convenient care services 3 - HaysMed Multispecialty Clinic 2300 N 14th Ave Suite 200 Dodge City KS 67801 Various medical specialties 4 - HaysMed Multispecialty Clinic 3720 10th St Great Bend KS 67550 Various medical specialties Part I, Line 7: Hays Medical Center, Inc.'s, cost accounting system was used to calculate community health improvement services, health professions education, and subsidized health services costs. A cost-to-charge ratio derived from Worksheet 2 was used to calculate financial assistance at cost and the community benefit expense attributable to serving Medicaid beneficiaries. Part I, Line 7g: Subsidized health services community benefit expenses include $82,854,881 of expenses attributable to physician clinics that have net operating losses. Part III, Line 4: See Note B (pages 11-15 of the financial statements) for a description of the Medical Center's bad debt expensePart III, Line 2:Costing methodology: A cost-to-charge ratio derived from Worksheet 2 was used to calculate bad debt expense at cost. Part III, Line 8: The Medicare cost report was the costing methodology used to determine Medicare allowable costs. Allowable costs of care reported on line 6 were determined using amounts from Worksheet D, Part V and Worksheet D-1 in the Hays Medical Center, Inc., Medicare cost report for the fiscal year ended June 30, 2025. Part III, Line 9b: Whenever possible, the customer service representatives (CSR's) of Hays Medical Center, Inc., try to determine the estimated self-pay balance prior to the patient receiving services. FAP eligibility may be considered at this point in time. The patient will receive statements that include instructions on how to obtain a FAP application. If the patient contacts the CSR, the CSR will mail a FAP application upon request or direct the patient to the website to print one out and request that the charity care application be completed by the patient. Part VI, Line 3: Information regarding the Hays Medical Center, Inc., charity care program is located on the Hays Medical Center, Inc., website for patients and community members to view, and the financial assistance application is also on the website to print off and complete. In addition, if a customer service representative of Hays Medical Center, Inc., contacts a patient about a bill and in visiting with them they determine that the patient could possibly qualify for the Hospital's charity care policy, they will send the application to the patient as well. Part VI, Line 4: Hays Medical Center, Inc., is located in Hays, Kansas, which has a population of approximately 21,200 people per the 2024 population census performed by the U.S. Census Bureau. One of the State of Kansas Regents universities is also located in Hays, Kansas, so the population includes many college-aged students. The median household income of Hays, Kansas, is approximately $56,900. Approximately 19.9% of the population was below the poverty line. Almost 5% of the Hospital's revenue is from services provided to patients eligible for Medicaid. Hays Medical Center, Inc., is the only hospital in the city of Hays. In addition, since this is a rural area and because it is the only hospital providing tertiary level care in the region, Hays Medical Center, Inc., provides certain services to the whole western half of the State of Kansas. Part VI, Line 5: Hays Medical Center, Inc., promotes the health of the community by extending medical privileges to most qualified, local physicians. In addition, the majority of the Board of Directors live and work in the city of Hays, but they are not employed by Hays Medical Center, Inc. Part VI, Line 6: Hays Medical Center is not part of an affiliated health system. 1 Grow Hays 219 West 10th Hays KS 67601 481048442 501(c)(3) 10000 0 Cash paid Improve community served by the Medical Center United Way of Ellis County 1200 Main St 102 Hays KS 67601 480876865 501(c)(3) 23138 0 Cash Paid Promote a healthy community served by the Medical Center 2 Part I, Line 2: The Medical Center has implemented processes to ensure that all contributions are approved by the appropriate authorizing individual. It only disburses contributions to approved reputable organizations. 1 X X X X 1 1 0 0 0 1 0 0 0 Manmohan Biring Physician 549915 0 728316 0 239534 0 17250 0 35017 0 1570032 0 0 0 Gulraiz Cheema Physician 786698 0 288938 0 24612 0 17250 0 29901 0 1147399 0 0 0 Douglas Tangel Physician 498157 0 299009 0 252924 0 17250 0 17692 0 1085032 0 0 0 Max De Carvalho Physician 791515 0 165396 0 1932 0 17250 0 30175 0 1006268 0 0 0 Edward Herrman President & CEO 687816 0 124775 0 2763 0 140966 0 37211 0 993531 0 0 0 Patricia Crawley Physician 612202 0 213311 0 14442 0 17250 0 23452 0 880657 0 0 0 Oluwaseun Akinbo Physician/Board Mem. eff. 01/25 638678 0 147286 0 6840 0 17250 0 32369 0 842423 0 0 0 Ernesto Lopez-Corona MD Physician/Board Member thru 12/24 583616 0 0 0 13612 0 17250 0 41392 0 655870 0 0 0 George Harms Former Chief Financial Officer 0 0 0 0 593894 0 0 0 0 0 593894 0 373414 0 Kayla Gray MD Physician/Board Member 303296 0 84273 0 72096 0 17250 0 3477 0 480392 0 0 0 Michelle Beckner Chief Financial Officer 319655 0 46345 0 538 0 67038 0 36427 0 470003 0 0 0 Joannah Applequist Chief Legal Officer 303698 0 43764 0 2121 0 69849 0 4802 0 424234 0 0 0 Shae Veach VP Regional Development 241144 0 35544 0 894 0 56961 0 32348 0 366891 0 0 0 Bryan Brady VP Physician Practice and 214354 0 32370 0 348 0 46926 0 36758 0 330756 0 0 0 Terry Siek Chief Nursing Officer thru 9/24 166407 0 33470 0 70197 0 41179 0 8877 0 320130 0 0 0 Part I, Lines 4a-b Severance payments received: Terry Siek - $50,880 Contributions to plan: Edward Herrman - $123,716 Michelle Beckner - $49,788 Terry Siek - $30,207 Shae Veach - $42,721 Joannah Applequist - $52,599 Bryan Brady - $33,981 Distributions from plan George Harms - $593,894 Part I, Line 6 A portion of incentive compensation for officers and key employees is determined by the change in net earnings for the fiscal year as compared to the previous year. Ernesto Lopez-Corona MD Board Member thru 12/24 Retention loan X 62500 62500 0 1 1 62500 Form 990, Part VI, Section B, line 11b The Form 990 is prepared and reviewed by an independent accounting firm. It is then reviewed by the organization's officers and accounting personnel. Their questions and concerns are addressed and either corrected or clarified in the Form 990. The final Form 990 is then provided to the board for review prior to filing. Form 990, Part VI, Section B, line 12c Officers, directors and key employees, along with all associates, are required to complete a conflict of interest statement annually. The statements are reviewed by the Board, the Compliance Officer, and Governance Director as well. When conflict of interest issues arise during a Board meeting, the board members with the conflict are asked to remove themselves from discussion or from the room entirely. They are not allowed to vote on that particular issue. Form 990, Part VI, Section B, line 15 The CEO's, officers', and key employees' salaries are reviewed annually by an independent consulting group and the Compensation Committee, which is made up of members of the Board. They base the review on salary comparisons obtained by the consulting group from peer hospitals in similiar geographic regions. The last review was conducted in February 2025. Form 990, Part VI, Section C, line 19 These documents are not made available to the public. Form 990, Part IX, line 11g Contract labor: Program service expenses 11,773,956. Management and general expenses 434,430. Fundraising expenses 2,747. Total expenses 12,211,133. Medical provider fees: Program service expenses 17,642,898. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,642,898. Laboratory services: Program service expenses 4,717,242. Management and general expenses 0. Fundraising expenses 1,100. Total expenses 4,718,342. Consulting services: Program service expenses 499. Management and general expenses 1,574,984. Fundraising expenses 0. Total expenses 1,575,483. Recruiting fees: Program service expenses 54,563. Management and general expenses 139,474. Fundraising expenses 13. Total expenses 194,050. Other non-provider medical professional fees: Program service expenses 3,356,459. Management and general expenses 64,234. Fundraising expenses 4,899. Total expenses 3,425,592. Collection and billing fees: Program service expenses 0. Management and general expenses 809,355. Fundraising expenses 0. Total expenses 809,355. Other purchased services: Program service expenses 1,901,205. Management and general expenses 4,136,240. Fundraising expenses 444. Total expenses 6,037,889. Form 990, Part XI, line 9: Change in beneficial interest in foundations 1,540,000. Hays Medical Center Foundation 2220 Canterbury Hays KS 67601 481179684 Provide grants and allocations to Hays Medical Center, Inc. KS 501(c)(3) Line 11a, I Hays Medical Center Inc 1 HaysMed Partners Inc 2220 Canterbury Hays KS 67601 270877152 Management contract for Pawnee Valley Community Hospital KS 501(c)(3) Line 3 Hays Medical Center Inc 1 Pawnee Valley Community Hospital Inc 923 Carroll Avenue Larned KS 67550 481253246 Hospital operated by Hays Medical Center KS 501(c)(3) Line 3 HaysMed Partners Inc 1 Hadley Foundation Inc 1200 Main Hays KS 67601 481107034 Support for Hays Medical Center KS 501(c)(3) Line 11c, III-FI N/A 0 0 0 1 1 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 Hays Medical Center Foundation C 2344392 FMV Hays Medical Center Foundation Q 350880 FMV Pawnee Valley Community Hospital Inc D 164143 FMV Pawnee Valley Community Hospital Inc L 813978 FMV Pawnee Valley Community Hospital Inc O 326872 FMV Pawnee Valley Community Hospital Inc Q 2000000 FMV