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Hays Medical Center Inc

2220 Canterbury Drive
Hays, KS 67601
EIN: 480559088
Individual Facility Details: Hays Medical Center Inc
2220 Canterbury Drive
Hays, KS 67601
1 hospital in organization:
(click a facility name to update Individual Facility Details panel)
Bed count206Medicare provider number170013Member of the Council of Teaching HospitalsYESChildren's hospitalNO

Hays Medical Center IncDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
18.14%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 235,350,690
      Total amount spent on community benefits
      as % of operating expenses
      $ 42,697,260
      18.14 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 3,822,870
        1.62 %
        Medicaid
        as % of operating expenses
        $ 5,142,914
        2.19 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 914,422
        0.39 %
        Subsidized health services
        as % of operating expenses
        $ 32,287,725
        13.72 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 526,146
        0.22 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 3,183
        0.00 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 383,679
        0.16 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 212984044 including grants of $ 14783) (Revenue $ 212709942)
      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-4,310, Newborn ICU-29, Newborn-544, Total admissions-4,883. Patient days: ICU/CPCU-7,206, Medical/Surgical-12,716, Obstetrics-1,086, Newborn ICU-338, Newborn-893, Total patient days-22,239. Other statistical information: Surgical procedures-7,731, Cardiac caths-1,613, Emergency room visits-12,001, Outpatient procedures-166,564, Medical oncology service visits-6,270, Clinic visits-150,301.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      Hays Medical Center, Inc.
      Part V, Section B, Line 5: The CHNA conducted in collaboration with the Ellis County Health Department identified significant health needs within the Ellis County and 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 meetings, 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 broad interest of the community served by the Hospital. Key stakeholders in attendance included representatives from: Ellis County Health Department, Ellis County EMS, Ellis County Sheriff's Office, First Care Clinic FQHC, Fort Hays State University, Early Childhood Connections, High Plains Mental Health, Kansas Department for Children and Families, City of Hays, and Hays Medical Center. The CHNA was coordinated and produced by VVV Consultants, LLC, 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 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 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, Pawnee County Attorney's Office, Reed Pharmacy, County Living of Larned, Frick Vet, The Center for Counseling & Consulation, Heart of Kansas Family Health Care, Larned City Council, 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 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, KS
      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 fourth Community Health Needs Assessment along with the Ellis County Health Department in calendar year 2021. 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 as follows: Drug & Alcohol Abuse - 13.9% Mental Health (Diagnosis, Placement, Aftercare) - 13.9% Owning Your Health/Awareness of Healthcare Services - 11.1% Access to BH Workforce - 9.7% Child Care Options - 8.3% Food Insecurity/Nutrition - 8.3% Access to Health Funding - 6.9% Nursing Home/Senior Care - 5.6% Poverty/Employment Readiness - 5.6% Suicide - 5.6%The Town Hall meeting also noted the Community's Health Strengths, which are as follows: Emergency & Ambulance Services Specialty Services Available Robust Medical System (Birth - Death) Usage of Telehealth/Telemedicine School Nurse Clinic Access Hospice Services Infant Care (Neonatal) Patient Referral (PC)In the 2020 CHNA Implementation Plan, it is noted that several areas are not part of hospital mission critical operations and that the Medical Center will be a partner with others to address these needs. These needs and the lead partner are listed below.Drug & Alcohol Abuse - the lead partners are Smokey Hill Foundation and Valley Hope - Hays Medical Center's goal, in collaboration with other community partners, is to reduce substance abuse among target populations through early detection and intervention. We have been able to develop a system of care to address substance abuse with the Smokey Hill Foundation and Valley Hope and support collaborating agencies that address substance use issues through primary care and other medical services for jointly served patients. Mental Health (Diagnosis, Placement, Aftercare) - the lead partner is High Plains Mental Health - Camber Health recently opened an Inpatient and Outpatient youth acute mental health treatment facility in Hays. The new facility treats youth 6-18 who are experiencing depression, anxiety, suicidal thoughts, the impacts of trauma, and other mental health conditions. Hays Medical Center worked with Camber on the building, which HaysMed owns, that houses the facility. Access to Behavioral Health Workforce - the lead partner is High Plains Mental Health - High Plains Mental Health works closely with Fort Hays State University and other organizations to help identify Behavioral Health workforce in the region to provide the workforce needed. This initiative will continue to evolve as the unemployment rate in Ellis County is so low.
      Hays Medical Center, Inc.
      Part V, Section B, Line 11: Child Care Options - the lead partners are City of Hays and Ellis County - A child care task force was developed with stakeholders in the community that continues to collaborate on a variety of different opportunities to provide childcare and access to childcare. Hays Medical Center is in the process of building a Childcare facility that will hold 70 infants and toddlers and be located on-site. HaysMed has also donated land to Grow Hays that will develop a Senior Center that will house a Childcare Center on the land. Food Insecurity/Nutrition - the lead partners are Catholic Health Initiatives & Schools - The extension of the Public Health Emergency has been beneficial to children in the school system. The Community works closely with the local food pantry to ensure adequate food is secured and filled as needed. Nursing Home/Senior Care - the lead partners are City of Hays and Ellis CountyPoverty/Employment Readiness - the lead partners are City of Hays and Ellis CountySuicide - the lead partner is High Plains Mental Health - High Plains Mental Health has contracted to expand services through telemedicine in the region and Ellis County. This has helped to alleviate some of the needs, but they continually look to provide other resources that are useful in schools, hospitals, and other area agencies. Hays Medical Center 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.Updates to the progress are outlined below.Owning Your Health/Awareness of Healthcare Services Affordable Care - As a result of feedback from the CHNA, the Imagine Ellis County Coalition was formed comprising stakeholders from Hays Medical Center, private business, local county and city government, school representatives, and elected officials. Imagine Ellis County is an engaged group of Ellis County citizens collaborating on a vision for the future. An area of focus and planning centers around a comprehensive guide of resources available in Ellis County and sponsored by the United Way of Ellis County. The awareness of health care services available can be located at Health Services (elliscountykshelp.com). Hays Medical Center's Center for Health Improvement has started a number of different programs to engage the community including:Walk with a Doc LiveWell - Senior focused exercise programDiabetes SolutionYouth Performance TrainingWeight Loss SolutionsCOVID Recovery ProgramAccess to Health Funding - Hays Medical Center has led efforts and continues to collaborate with Grow Hays, Imagine Ellis County, United Way of Ellis County, and the Chamber of Commerce to provide workshops and opportunities for funding of health related programs. The most recent presentation highlighted the Kansas Commerce Department Community Service Tax Credit program and the Community Development Block Grants.
      Pawnee Valley Community Hospital, Inc.
      Part V, Section B, Line 11: Pawnee Valley Community Hospital, Inc. conducted its fourth Community Health Needs Assessment along with the Pawnee County Health Department in calendar year 2021. 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) - 16.5% Drug (Opioids) & Alcohol Abuse - 14.8% Access to Care After Hours - 8.7% Affordable Care - 7.8% Awareness of Health Services - 7.8% Teen Tobacco/Vaping - 7.8% Awareness of Exercise/Fitness Activities - 6.1% Insurance Coverage - 6.1% Women's Health (Maternal & Fetal, Breastfeeding, etc.) - 6.1%The Town Hall meeting also noted the Community's Health Strengths, which are listed below. Nutrition - Health Food Options Nursing Home/Senior Care Access to Services Growth Opportunity Charity Care Care Coordination/Leadership Recreational Activities Stable Health Services Health Department - Communication/Collaboration Ratio of ProvidersOn the 2020 CHNA Implementation Plan, it is noted that several areas are not part of hospital mission critical operations and that the Hospital will be a partner with others to address these needs. These needs and the lead partner are listed below.Mental Health (Diagnosis, Placement, Aftercare) - Mental Health Agency/Pawnee County Health DepartmentDrug (Opioids) & Alcohol Abuse - Mental Health Agency/Pawnee County Health Department Teen Tobacco/Vaping - Pawnee County Health Department Awareness of Exercise/Fitness Activities - Pawnee County Health DepartmentInsurance Coverage - No lead partner identified at this timeThe remaining CHNA Health Areas of Need will be addressed with Pawnee Valley Community Hospital as the lead partner. Updates to the progress are outlined below.Access to Care After Hours - Heart of Kansas (non-PVCH clinic) has extended clinic hours every Thursday evening which compliments our Tuesday evening. PVCH launched the patient portal for our family medicine clinic in April 2022, which allowas access to healthcare results and messaging. PVCH continues to offer family telemedicine clinic visits.Affordable Care - PVCH decreased the outpatient charges physical therapy, occupational therapy, speech therapy, imaging charges and lab charges by 1/3 on July 1, 2021, and again by 1/3 in January 1, 2022. PVCH has a finanical assistance program available to all patients meeting the program's guidlines. PVCH is an active participant along with KHA to support Medicaid expansion in Kansas.Awareness of Health Services - PVCH has contracted with a marketing firm to assist with understanding which services are of greatest need for our community. The firm identifed inpatient and outpatient rehab and inpatient respiratory PVCH also participates in local Larned Area Chamber Coffee and After Hours to highlight our health services.Women's Health (Maternal & Fetal, Breastfeeding, etc.) - PVCH added in 2022 a family medicine provider who has over 20 years of women's health services experience to our family medicine clinic. PVCH has initiated a weight loss program for women in 2022 and currently provides consultations and birth control options for women of all ages and annual women's health visits. Pawnee County Health Department currently provides maternal/fetal and breast feeding resources and education.
      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.
      Supplemental Information
      Schedule H (Form 990) Part VI
      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 $67,341,503 of expenses attributable to physician clinics that have net operating losses.
      Part III, Line 4:
      See Note B (pages 11-14 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, 2022.
      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 is first considered at this point in time. In addition, if full payment is not received or if payment is not made within 30 days, the patient will receive a statement that includes a copy of the FAP. If the patient contacts the CSR and it is determined that at least a 2-year payment plan cannot be established with the patient, the CSR will screen for charity care 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 21,000 people per the 2020 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 $50,900. Approximately 17.6% of the population was below the poverty line. Almost 7% 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 was part of the University of Kansas affiliated health care system through November 2021. Hays Medical Center separated from the affiliation with the University of Kansas agreement on November 30, 2021 and are no longer a part of this affiliated health care system.