2024-05-10T14:31:36-05:00 2023-06-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2022-07-01 481179684 Hays Medical Center Foundation HAYS 7856232350 2220 Canterbury Drive Hays KS 67601 EDWARD HERRMAN President and CEO 7856232350 2024-05-10 1 EDWARD HERRMAN 999009999 0 Eric L Otting P00298454 7852334226 2024-05-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Edward Herrman 2220 Canterbury Drive Hays KS 67601 3818809 0 X http://haysmedfoundation.org X 1995 KS Hays Medical Center Foundation works to attract financial support from the general public to meet both immediate and long range healthcare needs. 17 16 0 137 0 0 2990655 1952456 0 0 4367232 1571625 233143 160667 7591030 3684748 904148 1012748 0 0 0 0 0 0 430844 748462 999649 1652610 2012397 5938420 1672351 41445063 44208019 30907 76639 41414156 44131380 Hays Medical Center Foundation works to attract financial support from the general public to meet both immediate and long range healthcare needs. 0 0 1251748 1012748 Health care delivery. Provide grants and assistance to Hays Medical Center Inc. for property and equipment acquisitions, education, and community health issues. Provide scholarships to students seeking a healthcare career. 1251748 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 10 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X Andy Beck Controller of HMC 7856232350 2220 Canterbury Drive Hays KS 67601 Alaina Cunningham Pres. thru Dec. 2022/Secretary beg. Jan. 2023 1.00 X X 0 0 0 Mark McCullick VP thru Dec. 2022/President beg. Jan. 2023 1.00 X X 0 0 0 Patrick Parke Treasurer 1.00 X X 0 0 0 Chris Brungardt Sec. thru Dec. 2022/Vice President beg. Jan. 2023 1.00 X X 0 0 0 Tyler J Gottschalk Board member 1.00 X 0 0 0 Edward Herrman Board member 1.00 40.00 X 0 586768 141118 Wayne Kieffer Board member 1.00 X 0 0 0 Dr Tom McDonald Board member 1.00 X 0 0 0 Lynette Pfannenstiel Board member 1.00 X 0 0 0 Mike Pollock Board member 1.00 X 0 0 0 Julie Rider Board member thru. Dec 2022 1.00 X 0 0 0 Jennifer Teget Board member 1.00 X 0 0 0 Dr Brennan Uehling Board member 1.00 X 0 0 0 Dave Van Doren Board member 1.00 X 0 0 0 Eric Wagner Board member 1.00 X 0 0 0 Annette Yost Board member thru. Dec 2022 1.00 X 0 0 0 Josh Dreher Board member begin. Jan 2023 1.00 X 0 0 0 Laure Gross Board member begin. Jan 2023 1.00 X 0 0 0 Ed Rempe Board member begin. Jan 2023 1.00 X 0 0 0 Jeff Brull Executive Director 40.00 X 0 117224 38570 0 703992 179688 0 0 1 0 Hays Medical Center Inc 2220 Canterbury Drive Hays KS 67601 Contract Labor 341287 1 149064 1803392 188429 1952456 638588 638588 111850 111850 933037 0 933037 933037 933037 90659 149064 134061 -43402 -43402 Other income 900099 92219 92219 92219 3684748 0 0 1732292 995431 995431 17317 17317 318544 318544 172764 172764 23913 23913 80829 80829 50174 50174 5168 5168 17061 17061 Scholarships 239000 239000 Miscellaneous 50741 41499 9242 Minor Equipment 25502 25502 Oil Expenses 8005 8005 7948 7948 2012397 1251748 329805 430844 16579 42166 4066046 2251636 710362 684180 25275113 29130697 11364109 12071173 12854 28167 41445063 44208019 30907 2140 0 74499 30907 76639 X 26918783 29434050 14495373 14697330 41414156 44131380 41445063 44208019 1672351 1044873 0 X 0 1 X 1 0 X X X 1 Hays Medical Center Inc 480559088 3 1 986469 0 1 986469 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14495373 1608246 -291800 1114489 14697330 13716519 1549264 360421 1130831 14495373 11952988 647679 1866539 750687 13716519 11177350 1258089 342717 825168 11952988 11240794 569494 292554 925492 11177350 0.13829 0.67316 0.18855 0 0 0 Hedge funds 6428667 F Private equity fund 2053614 F Real estate limited partnership 1817473 F Limited partnership 1750625 F Investment in community foundation 20794 F 12071173 Intercompany payables 74499 74499 X Part V, Line 4: The endowed funds held by the 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 5623579 Switzerland 0 0 Investments 1805155 0 0 0 0 0 0 7428734 0 7428734 0 0 1 0 1 0 Part III Accounting Method: Black Tie Gala 223195 136454 86741 54641 1217 39447 7000 27928 Golf Tournament 16528 12610 3918 1440 1001 760 627 239723 149064 90659 1440 55642 1977 40074 7000 27928 134061 -43402 1 Hays Medical Center Inc 2220 Canterbury Drive Hays KS 67601 480559088 501(c)(3) 861765 0 Cash paid Capital equipment costs Hays Medical Center Inc 2220 Canterbury Drive Hays KS 67601 480559088 501(c)(3) 124704 0 Cash paid Reimbursed education, minor equipment and other program expenses Fort Hays State University One Tiger Place Hays KS 67601 486108086 501(c)(3) 8962 0 Cash paid Support health care education 2 Educational scholarships 19 17317 Cash paid Part I, Line 2: Assistance to organizations: The Hays Medical Center Foundation disburses funds to Hays Medical Center for the reimbursement of capital purchases or expenses and require invoices or purchase orders before funds are released. It disburses funds to other organizations after receiving board approval for the disbursement. Assistance to individuals: The Foundation Executive Director and staff manage the scholarship program. The Hays Medical Center Human Resources staff provide information to the Foundation regarding eligible receipients and employment status. 0 1 0 0 0 0 0 0 0 Edward Herrman Board member 0 584336 0 107 0 2325 0 107525 0 33593 0 727886 0 0 Jeff Brull Executive Director 0 107001 0 10000 0 223 0 7547 0 31023 0 155794 0 0 Part I, Line 4b Officers and key employees of Hays Medical Center, Inc., a related organization, are eligible to participate in a non-qualified retirement plan. Contributions from employer are contributed to the plan on an annual basis. Contributions to plan for Edward Herrman were $89,225. X 1 18035 Cash proceeds X 3 119460 Market value X 2 217 X Prizes and auction items 100 50717 Market value 0 1 1 Part I, Line 32b: The Hays Medical Center Foundation hires or uses third parties to sell non-cash contributions on a case-by-case basis. Form 990, Part VI, Section A, line 6 Hays Medical Center, Inc. is the sole member of the Hays Medical Center Foundation. Form 990, Part VI, Section A, line 7a Hays Medical Center is the sole member of Hays Medical Center Foundation. Hays Medical Center has three of its directors serving as directors of the Foundation. Form 990, Part VI, Section A, line 7b Governing body decisions are subject to approval by Hays Medical Center, Inc, as acting member. 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 executive director and finance committee of the board for review prior to filing. Form 990, Part VI, Section B, line 12c Officers and directors are required to complete a conflict of interest statement annually. The statements are used to monitor and enforce compliance with the policy. If a conflict does exist, the board member will be required to recuse themselves from any discussion or vote. Form 990, Part VI, Section C, line 19 These documents are not available to the public. An annual report to donors contains summary financial information. Hays Medical Center Inc 2220 Canterbury Drive Hays KS 67601 480559088 Hospital KS 501(c)(3) Line 3 N/A 0 HaysMed Partners Inc 2220 Canterbury Drive 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 2220 Canterbury Drive Hays KS 67601 481253246 Hospital operated by Hays Medical Center KS 501(c)(3) Line 3 HaysMed Partners Inc 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0