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IN HUTCHINSON VHA 192290 C INV. IN HHCS 480000 C INV. IN ASC 20000 C BENEFICIAL INT. IN N/A OF FDN 28673210 F 29365500 0 CAPITAL LEASE 148474 DUE TO THIRD PARTY PAYER 1992204 2140678 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE HELD BY HUTCHINSON REGIONAL MEDICAL CENTER FOUNDATION, A RELATED TAX EXEMPT ORGANIZATION. THE INTENDED USE OF THE FUND IS TO SUPPORT THE FOUNDATION'S CHARITABLE ACTIVITIES AND ITS RELATED ORGANIZATIONS. SCHEDULE D, PART X, LINE 2 THE MEDICAL CENTER AND ITS NOT-FOR-PROFIT AFFILIATES HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(2) OR 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HEALTHCARE SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. HHCSI IS A TAXABLE CORPORATION WHICH PAYS TAXES AT PREVAILING CORPORATE RATES. THE HEALTHCARE SYSTEM FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE HEALTHCARE SYSTEM IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES BEFORE 2011. THE HEALTHCARE SYSTEM'S POLICY IS TO EVALUATE UNCERTAIN TAX POSITIONS ANNUALLY. MANAGEMENT HAS EVALUATED THE HEALTHCARE SYSTEM'S TAX POSITIONS AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT OR DISCLOSURE IN THE FINANCIAL STATEMENTS. true true X true X 125. true X true true false false 657068 322531 334537 0.00260 9717199 3566594 6150605 0.04820 10374267 3889125 6485142 0.05080 689434 0 689434 0.00540 10248782 6750683 3498099 0.02740 68479 0 68479 0.00050 11006695 6750683 4256012 0.03330 21380962 10639808 10741154 0.08410 true 24649389 66059755 63475979 2583776 X true true 1 1 HUTCHINSON REGIONAL MEDICAL CENTER 1701 E 23RD HUTCHINSON KS 67502 HTTP://WWW.HUTCHREGIONAL.COM H078001 X X X HUTCHINSON REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 15 true false true true X SEE SECTION C X true 16 true SEE SECTION C false true X 125. 200. X X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 BECAUSE DATA NEEDS TO BE REPRESENTATIVE TO BE VALUABLE FOR PLANNING PROCESSES, THE HEALTH IMPROVEMENT COUNCIL DECIDED TO MAKE EFFORTS TO COLLECT DATA FROM THE GROUPS THAT WERE UNDER-REPRESENTED IN THE FIRST COMMUNITY SURVEY. THE SALVATION ARMY, FIRST COURSE GROUPS AT HUTCHINSON REGIONAL MEDICAL CENTER AND CIRCLES OF HOPE WERE UTILIZED TO TARGET GROUPS WHO WERE UNDER-REPRESENTED IN THE FIRST ROUND OF DATA COLLECTION. SCHEDULE H, PART V, SECTION B, LINE 6B RENO COUNTY HEALTH DEPARTMENT SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.HUTCHREGIONAL.COM/HEALTH-EDUCATION/COMMUNITY-HEALTH-NEEDS-ASSE SSMENT SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.HUTCHREGIONAL.COM/HEALTH-EDUCATION/COMMUNITY-HEALTH-NEEDS-ASSE SSMENT SCHEDULE H, PART V, SECTION B, LINE 11 THE RESPONSES FROM THE SURVEY WERE ANALYZED INTO CATEGORIES TO DETERMINE THE AREAS THAT WERE A PRIORITY FOR THE COMMUNITY TO ADDRESS. FROM ALL OF THE TOPICS IDENTIFIED, THE TOP FIVE AREAS OF INTEREST WERE IDENTIFIED. THOSE AREAS WERE: ALCOHOL, HEALTH CARE COSTS, DRUG ABUSE, OBESITY AND MENTAL HEALTH. THE STEERING COMMITTEE ELICITED MEMBERS OF THE COMMITTEE TO PARTICIPATE IN A CONVENING SESSION TO ANALYZE THE TOP FIVE AREAS FURTHER. SPECIFIC INVITATIONS WERE SENT TO KEY LEADERS IN THE COMMUNITY, HEALTHCARE PROVIDERS AND COMMUNITY STAKEHOLDERS. THOSE ATTENDING THE CONVENING SESSION WERE BROKE INTO SMALL GROUPS TO ALLOW FOR EVERY MEMBER'S OPINION TO BE HEARD AND RECORDED. THE SMALL GROUPS WERE ASKED TO ADDRESS TWO QUESTIONS FOR EACH OF THE FIVE AREAS. WHAT STRATEGIES ARE CURRENTLY IN PLACE AND THOSE THAT ARE STILL NEEDED? HOW FEASIBLE IS IT TO FULFILL THE STRATEGIES THAT WERE IDENTIFIED? THESE QUESTIONS WERE IDENTIFIED BY THE STEERING COMMITTEE AS A METHOD TO PRIORITIZE THE TOP FIVE AREAS OF CONCERN. KNOWING THAT WE HAVE LIMITED RESOURCES THE COMMITTEE WANTED TO PRIORITIZE WHAT COULD BE IMPLEMENTED AND WHAT WOULD HAVE THE MOST IMPACT. THIS PROCESS IDENTIFIED MENTAL HEALTH AND OBESITY AS THE AREAS TO ADDRESS INITIALLY. THE UNITED WAY INITIATED A MENTAL HEALTH COALITION OF INTERESTED COMMUNITY MEMBERS. THIS GROUP HAS STARTED DISCUSSIONS REGARDING MENTAL HEALTH ISSUES WITHIN OUR COMMUNITY. THE STEERING COMMITTEE WILL ASSIST THIS GROUP TO CONTINUE THEIR WORK ON MENTAL HEALTH ISSUES AND USE THE CHNA INFORMATION TO ASSIST IN EVALUATING THE CURRENT PROGRAMS AND REVISING THEM OR DEVELOPING NEW PROGRAMS TO MEET SPECIFIC NEEDS IDENTIFIED. THIS GROUP HAS COMMUNITY MEMBERSHIP THAT WILL BE ABLE TO FACILITATE CHANGE IN THE COMMUNITY TO ADDRESS IDENTIFIED ISSUES. SINCE THE PREVIOUS TRIENNIAL CHNA THREE COMMUNITY ORGANIZATIONS HAVE SUPPORTED THE FORMATION OF A COALITION CALLED HEALTH EATING-ACTIVE LIVING (HEAL). THE ORGANIZATIONS THAT SUPPORT THIS COALITION ARE THE UNITED WAY, RENO COUNTY HEALTH DEPARTMENT AND THE COMMUNITY FOUNDATION. THE HEAL COALITION HAS PROGRAMS IN PLACE TO ADDRESS SOME OF THE STRATEGIES THAT WERE SUGGESTED TO BE ADDRESSED FOR OBESITY. THE STEERING COMMITTEE WILL SHARE THE CHNA WITH THIS GROUP TO SUPPORT AND STRENGTHEN THEIR CURRENT PROJECTS AND ASSIST IN DIRECTING THE NEXT PROJECTS THAT THEY DEVELOP TOWARDS ADDRESSING OBESITY ISSUES IN OUR COMMUNITY. HEAL RENO COUNTY COUNCIL PROVIDES OVERSIGHT FOR THE MANY INITIATIVES. HRMC IS ACTIVE ON SEVERAL INITIATIVES SINCE THE LAST CHNA. RECENTLY THE HEALTH CARE ACCESS TASKFORCE COLLABORATED TO INITIATE A PRE DIABETIC PROGRAM. THIS PROGRAM PUTS IN PLACE A PROGRAM FOR QUALIFIED COMMUNITY MEMBERS TO RECEIVE TESTING EDUCATION AND SUPPORT TO MAKE POSITIVE LIFESTYLE CHANGES. THE PROGRAM IS SPONSORED BY THE CDC AND PROVIDES EVIDENCE BASED INFORMATION FOR THE USERS. IN MARCH OF 2018 WE HAVE PULLED A TEAM TOGETHER INCLUDING OTHER HEALTHCARE PROVIDERS TO START THE PROCESS FOR OUR NEXT CHNA. THE PROJECTED PLAN IS TO SURVEY IN LATE SUMMER AND HAVE A NEW COMMUNITY HEALTH IMRPOVEMENT PLAN IN PLACE BY EARLY 2019. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, AND 16C WWW.HUTCHREGIONAL.COM/PATIENTS-FAMILIES/BILLING-ASSISTANCE/FINANCIAL-ASSIS TANCE-POLICY 1 SLEEP DIAGNOSTIC CENTER 2701 N MAIN SUITE F HUTCHINSON KS 67502 SLEEP DIAGNOSTIC CENTER SCHEDULE H, PART I, LINE 3C IN ADDITION TO FPG CONSIDERATIONS, THE HOSPITAL ALSO USES MEDICAL INDIGENCY, INSURANCE STATUS, AND RESIDENCY TO DETERMINE WHETHER INDIVIDUALS ARE FAP ELIGIBLE. SCHEDULE H, PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $24,649,389. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S 6/30/2018 MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES COSTS. SCHEDULE H, PART III, LINE 2 THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS FROM THE FINANCIAL STATEMENTS IS MULTIPLIED BY THE COST TO CHARGE RATIO FROM THE 6/30/2018 MEDICARE COST REPORT IN ORDER TO ESTIMATE THE BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WILL MOST DEFINITELY BE SOME BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF WE KNOW THE PATIENT IS ELIGIBLE, THEY WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT. SCHEDULE H, PART III, LINE 4 THE BAD DEBT EXPENSE FOOTNOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 9B WHEN A PATIENT ACCOUNT IS ASSIGNED TO A COLLECTION AGENCY, THE AGENCY WILL INFORM THE PATIENT OF HUTCHINSON REGIONAL'S CHARITY CARE POLICY AND WILL ASSIST THE PATIENT IN CONTACTING THE MEDICAL CENTER TO APPLY FOR ASSISTANCE. DURING THE PROCESS OF DETERMINING ELIGIBILITY, COLLECTION EFFORTS WILL BE SUSPENDED PROVIDING THE PATIENT COOPERATES WITH THE ELIGIBILITY PROCESS. SCHEDULE H, PART VI, LINE 2 HUTCHINSON REGIONAL MEDICAL CENTER IS PARTNERING WITH THE RENO COUNTY HEALTH DEPARTMENT AND SEVERAL HEALTHCARE PROVIDERS TO PARTICIPATE IN A COMMUNITY HEALTH NEEDS ASSESSMENT AND SUBSEQUENT IMPROVEMENT PLANS. TO DETERMINE WHO WE SHOULD SURVEY WE UTILIZED THE COUNTY DEMOGRAPHIC INFORMATION. THIS PROVIDED THE APPROPRIATE MIX OF POPULATION THAT WOULD BE REPRESENTATIVE FOR THE SURVEY. AN ASSESSMENT TOOL WAS CREATED AFTER RESEARCH OF OTHER COMMUNITY TOOLS AND BEST PRACTICES THAT THE HEALTH DEPARTMENT HAD USED IN SURVEYING FOR PUBLIC OPINION. THE ASSESSMENT WAS HANDLED IN VARIOUS METHODS I.E. STEERING COMMITTEE TAKING THE ASSESSMENT TOOL TO VARIOUS ORGANIZATIONS, UTILIZATION OF MEDIA TO REQUEST COMMUNITY MEMBERS TO TAKE THE SURVEY, THROUGH COMMUNITY GATHERINGS AND FOCUS GROUPS. THE INITIAL DISTRIBUTION OF THE ASSESSMENT WAS DONE AT A MONTHLY COMMUNITY EVENT AT THE HOSPITAL, "FIRST COURSE", IN JUNE 2015. AT THIS EVENT WE ALSO SHARED THE PROGRESS THAT HAD BEEN MADE FROM THE 2012 SURVEY AND DISCUSSED THE NEED TO REPEAT THE SURVEY TO DETERMINE ANY CHANGES THAT WERE NEEDED FOR NEW PROGRAMS. OVER THE SUMMER WE FORMULATED TEAMS AND IDENTIFIED GROUPS THAT WE WOULD PROVIDE INFORMATION TO AND DISTRIBUTE THE SURVEYS TO. SEPTEMBER - NOVEMBER 2015 WE HAD A MASS DISTRIBUTION OF THE ASSESSMENT SURVEY. AFTER DOING THE INITIAL REVIEW OF THE DEMOGRAPHICS OF THOSE THAT RESPONDED, IT WAS DECIDED THAT WE NEEDED TO PROVIDE THE ASSESSMENT TO SOME SPECIFIC GROUPS TO INCREASE THE NUMBERS IN THOSE DEMOGRAPHICS. IN JANUARY 2016 WE TOOK THE ASSESSMENT SURVEY TO THE SALVATION ARMY AND FIRST CALL FOR HELP TO COVER THE UNDERSERVED/POVERTY, YOUNG PROFESSIONAL GROUP FOR THOSE UNDER 40 IN OUR AREA AND TO DELOS V. SMITH SENIOR CENTER AND WESLEY TOWERS FOR THE RETIRED POPULATION. THE TOTAL RESPONSE FOR THE SURVEY WAS OVER 2,000 RETURNED FORMS THAT WERE BOTH ELECTRONIC AND PAPER HAND COPIES. SCHEDULE H, PART VI, LINE 3 THE MEDICAL CENTER POSTS NOTICES OF CHARITY CARE IN ADMISSIONS, THE EMERGENCY DEPARTMENT, FINANCIAL SERVICES, AND ON THE MEDICAL CENTER'S WEBSITE. PATIENTS ARE GIVEN THE PLAIN LANGUAGE SUMMARY INDICATING THE POLICY AT THE TIME OF THEIR ADMISSION VIA THE CONDITIONS OF ADMISSION FORM. IN CASE OF AN EMERGENCY, THE PATIENT WILL BE NOTIFIED AS SOON AS POSSIBLE OF THE EXISTENCE OF CHARITY CARE. ENGLISH TRANSLATION OF THIS NOTICE WILL BE MADE AVAILABLE TO SPANISH-SPEAKING PATIENTS. THE MEDICAL CENTER HAS TRAINED FRONT LINE STAFF TO ANSWER CHARITY CARE QUESTIONS OR DIRECT SUCH QUESTIONS TO THE APPROPRIATE PARTY. WRITTEN INFORMATION REGARDING THE MEDICAL CENTER'S CHARITY CARE POLICY AS WELL AS OTHER PAYMENT OPTIONS WILL BE MADE AVAILABLE TO ANY PERSON WHO REQUESTS SUCH INFORMATION VIA MAIL, PHONE OR IN PERSON. WE INFORM OUR PATIENTS OF OUR CHARITY CARE POLICY DURING ANY CONTACT OUR PATIENT ACCOUNTS REPRESENTATIVES HAVE WITH THE PATIENT IN WHICH THE PATIENT EXPRESSES AN INABILITY TO PAY. WE HAVE A FINANCIAL COUNSELOR WHO REVIEWS ALL OUR SELF PAY INPATIENTS AND OUTPATIENTS OVER $2,000 AND PART OF THAT REVIEW IS A SCREENING FOR CHARITY ELIGIBILITY. WE HAVE ALSO INSTRUCTED OUR COLLECTION AGENCY TO PRESENT/OFFER A CHARITY CARE APPLICATION TO ANY PATIENT WHO EXPRESSES AN INTEREST. ADDITIONALLY, OUR CHARITY CARE POLICY IS ON OUR WEBSITE. SCHEDULE H, PART VI, LINE 4 HUTCHINSON REGIONAL MEDICAL CENTER (HRMC) IS A COMMUNITY HOSPITAL IN RURAL KANSAS. THE FACILITY IS LICENSED FOR 199 BEDS. HRMC SERVES RENO COUNTY AS THE ONLY ACUTE CARE FULL SERVICE HOSPITAL IN THE COUNTY. WE ARE THE LARGEST ACUTE CARE FACILITY IN THE AREA TO THE WEST OF RENO COUNTY AS WELL. THE COMMUNITY SUPPORTS A STATE PRISON, MANUFACTURING, VARIOUS TYPES OF SHOPPING AND ADVANCED EDUCATION FOR THE COUNTY. THE COMMUNITY IS ALSO THE HOST FOR THE STATE FAIR, AND TOURIST ATTRACTIONS THAT DRAW VISITORS FROM WELL BEYOND THE COUNTY LINES. RENO COUNTY HAS A MEDIAN AGE OF 39.7 WITH 17.2% OVER THE AGE OF 65. RENO COUNTY IS THE 9TH MOST POPULATED COUNTY IN KANSAS, WITH A RACIAL MIX OF 86% WHITE, 9% HISPANIC AND 3% BLACK. THE MEDIAN INCOME IS $44,673. SCHEDULE H, PART VI, LINE 5 HUTCHINSON REGIONAL IS THE ONLY COMMUNITY BASED HOSPITAL IN RENO COUNTY AND IS GOVERNED BY A BOARD OF DIRECTORS IN WHICH NEW MEMBERS ARE NOMINATED AND SELECTED FROM THE COMMUNITY AT LARGE. CORPORATION BY-LAWS STATE: "IT IS THE INTENT AND PURPOSE OF THESE BY-LAWS THAT THE MEMBERS OF THE BOARD SHALL CONSTITUTE A BALANCED REPRESENTATION OF THE COMMUNITY AND THE MEDICAL STAFF." THE BOARD MEETS MONTHLY WITH THE PURPOSE OF GUIDING THE HOSPITAL AND ASSURING QUALITY MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. MEDICAL STAFF PRIVILEGES ARE GRANTED BY A COMBINED VOTE OF THE MEDICAL EXECUTIVE COMMITTEE AND HUTCHINSON REGIONAL BOARD OF DIRECTORS. QUALIFIED PHYSICIANS FROM RENO COUNTY AND THE SURROUNDING AREA ARE ENCOURAGED TO APPLY FOR PRIVILEGES AND ARE ONLY REJECTED FOR LICENSURE OR OTHER ISSUES RELATED TO QUALITY OF CARE OR MORAL CHARACTER. ALL SURPLUS FUNDS ARE APPLIED TOWARDS INVESTMENTS IN PLANT OR EQUIPMENT TO PROVIDE STATE OF THE ART CARE IN THE MOST MODERN, PATIENT FRIENDLY ENVIRONMENT POSSIBLE. CONSTRUCTION IS CURRENTLY UNDERWAY TO COMPLETELY REMODEL AND ENLARGE THE INTENSIVE CARE UNIT. AT COMPLETION IT WILL HAVE STATE OF THE ART FEATURES. THIS WILL ALLOW FOR INCREASING THE QUALITY OF CARE PROVIDED. HUTCHINSON REGIONAL HAS A STRONG VISION FOR THE FUTURE. WE'RE DEEPLY INVESTED IN THE QUALITY OF HEALTH CARE DELIVERY AND COMMUNITY WELL-BEING. OUR STANDARD FOR AND COMMITMENT TO EXCELLENCE IS REPRESENTED BY OUR MISSION AND VISION STATEMENTS. HUTCHINSON REGIONAL MEDICAL CENTER MISSION STATEMENT ENHANCING THE QUALITY OF LIFE THROUGH INTEGRATED HEALTHCARE. OUR VISION BECOMING THE LEADING WELLNESS-FOCUSED MEDICAL CENTER THROUGH COLLABORATION, EFFICIENCY AND OUTCOMES. CORE VALUES o INTEGRITY o COMPASSION o ACCOUNTABLILTY o RESPECT o EXCELLENCE HUTCHINSON REGIONAL PROUDLY SERVES THE NEEDS OF OUR COMMUNITY AND MAKES EVERY EFFORT TO DELIVER THE BEST CARE POSSIBLE. AS AN EXEMPT ENTITY, WE UNDERSTAND OUR OBLIGATION AND DUTY TO THE PEOPLE WE SERVE. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 N/A true HUTCHINSON RENO COUNTY CHAMBER OF COMMERCE 117 NORTH WALNUT HUTCHINSON KS 67501 480273250 501(C)(6) 27850 GENERAL SUPPORT KANSAS FAIRGROUNDS FOUNDATION 2000 N POPLAR ST HUTCHINSON KS 67502 753129856 501(C)(3) 21250 GENERAL SUPPORT NEW BEGINNINGS INC PO BOX 2504 HUTCHINSON KS 67504 010360077 501(C)(3) 12895 COST FOOD GENERAL SUPPORT 2 1 SCHEDULE I, PART I, LINE 2 THE ORGANIZATIONS TO WHOM THE GRANTS WERE MADE WILL MONITOR ALL USES OF THE FUNDS. X true true X X X X X true false false false false false false false false KENDALL E JOHNSON DIRECTOR/PRESIDENT 379786 0 104971 0 7014 0 17673 0 17917 0 527361 0 0 0 CASSIE DOLEN VP FINANCE 178023 0 16430 0 326 0 12477 0 1320 0 208576 0 0 0 GREGORY MEREDITH VP COMPLIANCE 128519 0 14138 0 1207 0 9453 0 16620 0 169937 0 0 0 THOMAS SMITH CMO 169093 0 14130 0 4351 0 11903 0 1261 0 200738 0 0 0 KEVIN CHILES VP HUMAN RESOURCES 159567 0 17650 0 1538 0 11839 0 17464 0 208058 0 0 0 PEGGY TUXHORN VP QUALITY 123225 0 12181 0 1671 0 8520 0 7288 0 152885 0 0 0 RICHARD HOYT COO 217647 0 17575 0 3103 0 6928 0 2069 0 247322 0 0 0 CALVIN WRIGHT VP DATA PROCESSING 199300 0 20504 0 1889 0 14329 0 1984 0 238006 0 0 0 PATRICK MOWDER DIRECTOR PHARMACY 172683 0 13984 0 4709 0 12433 0 12515 0 216324 0 0 0 RAGU TIRUKONDA MEDICAL PHYSICIST 181978 0 5441 0 375 0 12170 0 16405 0 216369 0 0 0 MARK KEETON DIRECTOR APPLICATION ARCHITECT 140289 0 8737 0 293 0 9449 0 1072 0 159840 0 0 0 CLINTON BOOR PHARMACIST 147415 0 0 0 107 0 9374 0 16306 0 173202 0 0 0 SCHEDULE J, PART I, LINE 1A HUTCHINSON REGIONAL MEDICAL CENTER, INC. PROVIDED COUNTRY CLUB AND SOCIAL CLUB DUES TO KENDALL JOHNSON, CHRIS KELLY, WES HOYT AND SUE WRAY AND DID INCLUDE THE FAIR MARKET VALUE OF THE DUES IN THEIR W-2'S. SCHEDULE J, PART I, LINE 4A JULIE WARD RECEIVED SEVERANCE PAYMENT OF $5,449. A CITY OF HUTCHINSON KANSAS 486015517 44816RASI 2016-12-15 37443028 SEE PART VI false false false A 785000 0 37224608 0 0 0 237380 0 0 13301835 0 11754486 2018 false false false true A false true true true false 0 false false false true A false true false false 0 false 0 false true A true SCHEDULE K, PART I, LINE A, COLUMN F CONSTRUCT AND EQUIP IMPROVEMENTS TO HOSPITAL FACILITIES. SCHEDULE K, PART II, LINE 3, COLUMN A PROCEEDS $37,205,647.60 INITIAL PROCEEDS 20,685.41 OTHER RECEIPTS (REMAINING PROCEEDS FROM COST OF ISSUANCE) 27,701.68 INTEREST/DIVIDENDS ON PROJECT FUND (29,493.07) UNREALIZED GAIN/LOSS ON PROJECT FUND 65.90 INTEREST/DIVIDENDS ON P&I FUND ---------- 37,224,607.52 FEE INSURANCE GROUP SEE PART V 764552 INSURANCE PROVIDER false NADINE HULLET SEE PART V 65843 EMPLOYMENT false SHERRY RELPH SEE PART V 50398 EMPLOYMENT false SCHEDULE L, PART IV, COLUMN B 1) ENTITY MORE THAN 35% OWNED BY ALLEN FEE, DIRECTOR 2) FAMILY MEMBER OF AMANDA HULLET, OFFICER 3) FAMILY MEMBER OF AMANDA HULLET, OFFICER FORM 990, PART VI, SECTION A, LINE 2 KIM MOORE AND JANET HAMILTON HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN PROVIDED TO THE CFO. ANY QUESTIONS AND CONCERNS THE CFO HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTORS AND OFFICERS ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. AFTER DISCLOSURE AND DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON LEAVES THE MEETING WHILE THE REMAINING BOARD MEMBERS DISCUSS AND VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE, THE DISINTERESTED DIRECTORS SHALL DETERMINE BY A MAJORITY VOTE WHETHER THE ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND IF SO, WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15A & 15B EXECUTIVE COMPENSATION IS HANDLED WITH THE ASSISTANCE OF ESTABLISHED, REPUTABLE AND INDEPENDENT THIRD PARTY COMPENSATION FIRMS. SURVEYS ARE PURCHASED AND PROVIDE WAGE INFORMATION TO THE VICE PRESIDENT OF HUMAN RESOURCES WHO WORKS WITH THE BOARD OF DIRECTORS TO ESTABLISH EXECUTIVE PAY AND BENEFITS. THE NATIONAL COMPENSATION FIRMS CONDUCT COMPREHENSIVE WAGE STUDIES WHICH INCLUDE EXECUTIVE LEVEL POSITIONS. THIS INFORMATION IS ANALYZED BY THE VICE PRESIDENT OF HUMAN RESOURCES AND A RECOMMENDATION IS MADE TO THE CHAIRPERSON OF THE BOARD FOR USE WITH THE EXECUTIVE BOARD, WHICH SERVES AS THE COMPENSATION COMMITTEE. THE CEO BASE PAY IS DETERMINED BY THE BOARD BASED ON MARKET DATA AND EXECUTIVE PERFORMANCE. THE CEO BONUS IS DETERMINED BY THE BOARD BASED ON HOSPITAL AND CEO PERFORMANCE, IN ACCORDANCE WITH THE GUIDELINES OUTLINED IN THE EMPLOYMENT AGREEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST, SUBJECT TO THE APPROVAL OF THE CEO. FORM 990, PART XI, LINE 9 TRANSFERS FROM AFFILIATES 1,950,000 CHANGE IN BENEFICIAL INTEREST IN FOUNDATIONS (1,939,548) ---------- 10,452 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:12835794 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:4877192 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:3983765 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:335359 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LABORATORY TOTAL FEES:133596 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS TOTAL FEES:64949 HOSPICE OF RENO COUNTY INC 1701 E 23RD HUTCHINSON KS 67502 480927101 HOSPICE CARE KS 501(C)(3) 10 HRMC INC true LIVING CENTER INC 1901 E 23RD HUTCHINSON KS 67502 481066643 LTC FACILITY KS 501(C)(3) 10 HRMC INC true HORIZONS MENTAL HEALTH CENTER INC 1600 N LORRAINE HUTCHINSON KS 67501 480970362 MENTAL HEALTH KS 501(C)(3) 3 HRMC INC true HUTCHINSON REGIONAL MEDICAL FOUNDATION 1701 E 23RD HUTCHINSON KS 67502 480891435 SUPPORT KS 501(C)(3) 12D NA false MAIN LINE INC 1701 E 23RD HUTCHINSON KS 67502 486111813 LEASING KS 501(C)(3) 12A HRMC INC true HUTCHINSON REGIONAL MED CENTER AUXILIARY 1701 E 23RD HUTCHINSON KS 67502 237224491 GIFT SHOP KS 501(C)(3) 10 HRMC INC true HUTCHINSON HEALTH CARE SERVICES INC 803 E 30TH HUTCHINSON KS 67502 480970364 MEDICAL EQUIP KS HRMC INC C-CORPORATION 2636516 4311585 1.00000 true TRADE CENTER OWNERS ASSOCIATION 1701 E 23RD HUTCHINSON KS 67502 463422807 PROPERTY MGMT KS HRMC INC C-CORPORATION 0 0 1.00000 true false true true false false false false false false true false false false true true false true false false HORIZONS MENTAL HEALTH CENTER INC O 226221 FMV HORIZONS MENTAL HEALTH CENTER INC Q 159245 FMV HUTCHINSON HEALTH CARE SERVICES INC O 71155 FMV HUTCHINSON HEALTH CARE SERVICES INC Q 55262 FMV HOSPICE OF RENO COUNTY INC O 173727 FMV HOSPICE OF RENO COUNTY INC Q 121080 FMV MAIN LINE INC O 123095 FMV MAIN LINE INC Q 68265 FMV MAIN LINE INC C 1950000 FMV HUTCHINSON REGIONAL MEDICAL CENTER AUXILIARY C 74922 FMV MAIN LINE INC J 123095 FMV