2016-05-16T08:54:11-05:00 2015-06-30 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2014-07-01 480774005 HUTCHINSON REGIONAL MEDICAL CENTER INC % CASSANDRA J DOLEN HUTC 6205134556 1701 E 23RD HUTCHINSON KS 67502 CASSANDRA J DOLEN CFO 6205134556 2016-05-15 true STEVEN L WEBB P00235405 3162652811 2014 2016-08-17 19:52:53Z CASSANDRA J DOLEN 1701 E 23RD HUTCHINSON KS 67502 139792814 false X WWW.HUTCHREGIONAL.COM X 1969 KS ENHANCING THE QUALITY OF LIFE THROUGH INTEGRATED HEALTHCARE. 16 14 1152 250 768709 499694 1400228 2346209 125672274 129238801 2055664 5201727 5209583 2999979 134337749 139786716 0 301416 0 0 47969947 49098872 0 0 0 69080469 77263156 117050416 126663444 17287333 13123272 212210229 218033085 26901542 21590873 185308687 196442212 ENHANCING THE QUALITY OF LIFE THROUGH INTEGRATED HEALTHCARE. false false 106859495 0 130335143 HUTCHINSON REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED TO OPERATE 199 GENERAL ACUTE BEDS. ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION. 106859495 true true false true false false false false false true true false true false true false false true false false false false false false false false true true true false true false false false false false false true true false false false false false true true true false false true 73 0 true 1152 true true true false false false false false false false false false X 16 14 false false false false false false false true true false false true true true true true true true false true true X CASSANDRA J DOLEN 6205134556 1701 E 23RD HUTCHINSON KS 67502 EDWARD BERGER DIRECTOR/VICE-CHAIR 1.0 3.0 X X 0 0 0 BRUCE BUCHANAN DIRECTOR/SECRETARY 1.0 3.0 X X 0 0 0 ANN BUSH DIRECTOR 1.0 3.0 X 0 0 0 REX DEGNER DIRECTOR 1.0 3.0 X 0 0 0 MIKE EVANS DIRECTOR 1.0 3.0 X 0 0 0 ALLEN FEE DIRECTOR 1.0 3.0 X 0 0 0 RONA GAZAWAY MD DIRECTOR 1.0 3.0 X 0 0 0 MIKE HAGLEY MD DIRECTOR 1.0 3.0 X 0 0 0 KEITH HUGHES DIRECTOR 1.0 3.0 X 0 0 0 DIANE LEE DIRECTOR/TREASURER 1.0 3.0 X X 0 0 0 KEVIN MILLER DIRECTOR/PRESIDENT 37.5 7.5 X X 480786 0 36979 KIM MOORE DIRECTOR/CHAIR 1.0 3.0 X X 0 0 0 DAVID NEAL DIRECTOR 1.0 3.0 X 0 0 0 LAVERNA SHAW DIRECTOR 1.0 4.0 X 0 0 0 JOHN SWEARER DIRECTOR 1.0 3.0 X 0 0 0 KEITH WHITAKER DIRECTOR 1.0 3.0 X 0 0 0 KENDALL E JOHNSON COO/PRESIDENT 37.5 7.5 X X 272408 0 42292 CASSIE DOLEN VP FINANCE 45.0 0.0 X 79506 0 356 WILLIAM GIERSCH VP CLINICAL SERVICES 45.0 0.0 X 169780 0 29393 JULIE WARD VP NURSING 45.0 0.0 X 202804 0 22809 GREG MEREDITH VP COMPLIANCE 45.0 0.0 X 67356 0 19769 THOMAS BORREGO VP FOUNDATION 45.0 0.0 X 100266 0 30688 THOMAS SMITH CMO 45.0 0.0 X 148807 0 8777 KEVIN CHILES VP HUMAN RESOURCES 45.0 0.0 X 163380 0 27335 PEGGY TUXHORN VP QUALITY 45.0 0.0 X 124995 0 14673 AMELIA BOYD VP BUSINESS DEVELOPMENT 45.0 0.0 X 17784 0 0 H DANIEL STAFFORD VP COMPLIANCE 45.0 0.0 X 13702 0 310 JONATHAN FUNK VP BUSINESS DEVELOPMENT 45.0 0.0 X 51179 0 2630 PATRICK MOWDER DIRECTOR PHARMACY 45.0 0.0 X 164465 0 26361 RAGU TIRUKONDA MEDICAL PHYSICIST 45.0 0.0 X 184844 0 35691 RONALD FENWICK PHARMACIST 45.0 0.0 X 150441 0 17596 CLINTON BOOR PHARMACIST 45.0 0.0 X 145602 0 28854 LARISA GRAY PHARMACIST 45.0 0.0 X 136272 0 29632 2674377 0 374145 29 false true false CLINICAL COLLEAGUES INC ANESTHESIA PHYSICIAN 5465106 EMCARE INC ER PHYSICIANS 1059010 FLEMING CARDIOVASCULAR CARDIOVASCULAR SURG. 825700 REHABCARE GROUP INC REHAB SERVICES 651882 TRUVEN HEALTH ANALYTICS HEALTHCARE CONSULT. 409145 28 2178709 165500 2000 2346209 NET PATIENT SERVICE REVENUE 621400 127473562 127464039 9523 NON-PATIENT LABORATORY 621500 550001 550001 AMBULANCE SERVICES 621910 786685 786685 PHARMACY CONSULTING 900099 428553 428553 129238801 3340855 208862 3131993 0 0 403052 403052 0 403052 403052 521330 1345640 6098 521330 1339542 1860872 1860872 0 0 0 ELECTRONIC HEALTH RECORDS 900099 887157 887157 EMPLOYEE/GUEST MEALS 722513 556819 556819 HOUSEKEEPING SERVICES 900099 65183 65183 1087768 323 1087445 2596927 139786716 129566434 768709 7105364 301416 301416 0 0 0 1989833 1989833 17694 17694 37570082 30116688 7453394 1825209 1567687 257522 4818532 3867751 950781 2877522 2374243 503279 0 229918 11756 218162 117376 300 117076 0 0 271593 271593 17431153 16099705 1331448 210044 476 209568 942880 748071 194809 2560220 2554720 5500 0 2456197 2425998 30199 276981 228050 48931 0 58076 45010 13066 99754 82307 17447 0 7934197 6546506 1387691 470930 25875 445055 MEDICAL SUPPLIES 15193349 15193349 BAD DEBTS 13291325 13291325 PHARMACEUTICALS 7052691 6997166 55525 ABANDONED PROJECTS 2340710 2340710 6325762 4363402 1962360 126663444 106859495 19803949 0 13693821 17491317 4388307 3130852 0 0 17665069 21346052 0 0 0 0 0 0 3961017 3917995 1965117 1899018 189196275 137845263 53343430 51351012 81699401 83847684 29995720 0 0 28404494 0 0 5498347 6644661 212210229 218033085 15808483 13489819 0 0 952 4958 8440087 7325087 0 0 0 0 0 0 0 0 2652020 771009 26901542 21590873 X 154212990 168694685 31095697 27747527 0 0 185308687 196442212 212210229 218033085 X 13123272 -2642054 652307 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 24784 false false false 24784 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE ANNUAL DUES PAID TO KHA, AHA, AND RRC/SCH ARE USED FOR LOBBYING. 41187 1502 418 42271 34513 935 6113 374 41187 28381 2950 3513 331 34513 28337 319 275 28381 23434 5169 266 28337 1.00000 false true true 1410871 1410871 102589218 64739796 37849422 79831026 70435422 9395604 5365160 2670045 2695115 51351012 INV. IN HUTCHINSON VHA 144587 C INV. IN HHCS 480000 C INV. IN ASC 20000 C BENEFICIAL INT. IN N/A OF FDN 27759907 F 28404494 0 CAPITAL LEASE 26509 DUE TO THIRD PARTY PAYER 744500 771009 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 true X true X 225. true true false false 669982 334340 335642 0.00300 10034131 9363608 670523 0.00590 10704113 9697948 1006165 0.00890 82255 82255 0.00070 9558190 6118612 3439578 0.03040 44959 44959 0.00040 9685404 6118612 3566792 0.03150 20389517 15816560 4572957 0.04040 true 13291325 59137909 56378733 2759176 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 CNTR INC 1 false false true X X X X X X X X X 12 true false true true X SEE SECTION C X true 12 true WWW.HUTCHREGIONAL.COM false false true X 150. 225. X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X true X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 THE LOCAL HEALTH DEPARTMENT AND HUTCHINSON REGIONAL HEALTHCARE SYSTEM CREATED A STEERING COMMITTEE WITH MEMBERS ENCOMPASSING NEARLY 30 DIFFERENT ORGANIZATIONS AND INDIVIDUALS WHO REPRESENTED A BROAD SPECTRUM OF THE COMMUNITY AND SUBSCRIBED TO A BROAD DEFINITION OF HEALTH. INPUT FOR THE ASSESSMENT WAS GATHERED FROM RESIDENTS THROUGH COMMUNITY FORUMS, FOCUS GROUPS, AND OVER 2,000 RESPONDENTS TO AN ONLINE AND PAPER SURVEY. DATA WAS ALSO GATHERED ON THE HEALTH STATUS OF THE COMMUNITY, THE WORKINGS OF THE LOCAL PUBLIC HEALTH SYSTEM, AS WELL AS AN ASSESSMENT OF FORCES LIKELY TO IMPACT THE HEALTH OF THE PUBLIC IN THE NEAR FUTURE. SCHEDULE H, PART V, SECTION B, LINE 6B RENO COUNTY HEALTH DEPARTMENT SCHEDULE H, PART V, SECTION B, LINE 7A WWW.HUTCHREGIONAL.COM/HEALTH-EDUCATION/RENO-COUNTY-HEALTH SCHEDULE H, PART V, SECTION B, LINE 11 THE LAST COMPLETED ASSESSMENT WAS DONE IN THE FALL OF 2012. THE WORK ON THAT ASSESSMENT WAS DEVELOPED AND IMPLEMENTATIONS STARTED IN 2013. THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS CREATED USING TASKFORCES WITH MEMBERSHIP FROM COMMUNITY LEADERS AND THE PUBLIC. THE CHIP GROUP DETERMINED TWO PRIORITIES FROM THE ASSESSMENT THAT NEEDED TO BE ADDRESSED FIRST, HEALTH BEHAVIORS AND ACCESS TO HEALTHCARE. THE CHIP TASKFORCES EACH FOCUSED ON ONE PRIORITY. THERE HAVE BEEN SEVERAL PROJECTS INITIATED THROUGHOUT THE COMMUNITY ON VARIOUS TOPICS THAT WERE FROM THE ASSESSMENT. THE TWO LISTED HERE WERE THE ONES THAT THE HOSPITAL WAS MOST INVOLVED IN. THE HEALTHY BEHAVIORS PROJECTS INCLUDED SEVERAL IMPROVEMENTS, SOME OF THOSE ARE LISTED HERE. 1) ESTABLISHING A COMMUNITY GARDEN FOR PRODUCTION OF FRESH VEGETABLES, 2) STREET PROJECT INCORPORATED ESTABLISHMENT OF WALKING AND BIKE ROUTES, 3) IMPROVEMENT IN ACCESS TO THE HOSPITAL, 4) ESTABLISHMENT OF SAFE ROUTES TO A SCHOOL IN A LOWER INCOME NEIGHBORHOOD AND THE ESTABLISHMENT OF THE "WALKING SCHOOL BUS." 5) THE HOSPITAL WAS ONE OF THE FIRST HOSPITALS IN THE STATE TO CREATE A HEALTHY MENU IN THE CAFETERIA FOR THE EMPLOYEES AND THE PUBLIC THAT HAS REDUCED CARBOHYDRATE AND FAT IN THE FOOD OPTIONS. THE SECOND PRIORITY WAS IMPROVEMENT OF ACCESS TO HEALTHCARE. THIS WAS APPROACHED IN SEVERAL WAYS FROM MOBILITY TO INCREASING SITES AND TIMES AVAILABLE. THE HOSPITAL INITIATED A VOUCHER PROGRAM THAT DISTRIBUTED VOUCHERS FOR THE PUBLIC TRANSPORT (RCAT) AND A SPECIFIED TAXI SERVICE. THE VOUCHERS ARE PROVIDED TO THE PATIENTS THAT ARE BEING DISMISSED THAT HAVE NEED TO FOLLOW UP APPOINTMENTS, BUT HAVE MINIMAL RESOURCES THAT WOULD ALLOW THEM TO KEEP THEIR APPOINTMENTS. THIS ENSURES THAT THEY ARE ABLE TO GET CONTINUED CARE. THIS PROGRAM HAD A POSITIVE IMPACT AND WAS SUPPORTED BY DONATIONS FROM THE COMMUNITY AND THE COUNTY. CURRENTLY IT HAS BEEN ESTABLISHED AND IS USED BY OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY. THE UNITED WAY 2-1-1 ONE CALL CENTER HAD NOT BEEN MARKETED IN OUR COMMUNITY. THE TASKFORCE REVIEWED THE RESOURCES AND DETERMINED THAT IT DID NOT REPRESENT OUR COMMUNITY WELL. THE SOURCES OF HEALTHCARE OPTIONS WERE ENHANCED AND CREATED A ROBUST RESOURCE OF OPTIONS THAT COVER A VAST ARRAY OF HEALTHCARE NEEDS. FALL OF 2015 WE INITIATED AN ASSESSMENT SURVEY AND ARE CURRENTLY INVOLVED IN THE ANALYSIS AND PREPPING FOR A PRESENTATION TO A COMMUNITY GATHERING WHERE MEMBERS WILL REVIEW THE RESULTS AND THE TOP FIVE ITEMS IDENTIFIED. THE EVENT WILL ESTABLISH ACTION GROUPS TO INITIATE CREATIVE PLANS TO ADDRESS THE IDENTIFIED NEEDS IN THE COMING YEAR. SCHEDULE H, PART V, SECTION B, LINE 16A WWW.HUTCHREGIONAL.COM/TOP-MENU/PATIENT-ACCOUNTS SCHEDULE H, PART V, SECTION B, LINE 16B WWW.HUTCHREGIONAL.COM/LOCATIONS-SERVICES/HOSPICE-HOMECARE-RENO-COUNTY/ PATIENT-FORMS-ASSISTANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 22 AS THE PURPOSE OF OUR UNINSURED DISCOUNT IS TO LEVEL THE PLAYING FIELD BETWEEN OUR SELF PAY PATIENT AND OUR INSURED PATIENT, OUR UNINSURED DISCOUNT IS BASED ON THE PERCENTAGE OF DISCOUNT WE GENERALLY GIVE OUR MANAGED CARE DISCOUNTS. THIS INCLUDES THE DISCOUNTS OFF OF CHARGES THAT ARE DICTATED BY THE FEE SCHEDULES AND THE PERCENT OF CHARGES DISCOUNT. IN OTHER WORDS, THE AGGREGATE OF ALL MANAGED CARE CONTRACTUAL DISCOUNTS. OTHER WORDS, THE AGGREGATE OF ALL MANAGED CARE CONTRACTUAL DISCOUNTS. 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 $13,291,325. 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 6/30/15 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 6/30/2015 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 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. 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 TO PARTICIPATE IN A COMMUNITY HEALTH NEEDS ASSESSMENT AND SUBSEQUENT IMPROVEMENT PLANS. PHASE 1 HAS INVOLVED THE IDENTIFICATION OF CO-CHAIRS FROM BOTH ORGANIZATIONS AND THE PRELIMINARY IDENTIFICATION OF A STEERING COMMITTEE. FURTHER REFINEMENT OF THE COMMITTEE WILL OCCUR, AS ITS IMPERATIVE TO INCLUDE CONSTITUENTS WHO HAVE SIGNIFICANT INFLUENCE AS WELL AS PEOPLE MOST AFFECTED BY HEALTH PROBLEMS. A MEMBER OF THE HUTCHINSON REGIONAL EXECUTIVE TEAM ALSO SERVES ON THE ADVISORY BOARD OF THE RENO COUNTY HEALTH DEPARTMENT. IN THE MONTHS AHEAD, THE CONSTITUENCY WILL REVIEW STATISTICS, SURVEY DATA AND OTHER FORMS OF INFORMATION ABOUT THE COMMUNITY. FROM THIS REVIEW, THE GOALS AND OBJECTIVES WILL BE IDENTIFIED. HUTCHINSON REGIONAL IS PARTNERING WITH THE RENO COUNTY HEALTH DEPARTMENT AND OTHERS TO HELP IDENTIFY RESOURCES AND SUPPORT TO MEET THESE OBJECTIVES. ADDITIONALLY, HUTCHINSON REGIONAL HAS FORMED TWO INTERNAL RESPONSE TEAMS TO FOCUS ON TOBACCO USE CESSATION AND REDUCING CHILDHOOD OBESITY. THE TOBACCO CESSATION GROUP IS COLLABORATING WITH THE LOCAL HEALTH DEPARTMENT. IN ITS EFFORTS TO REDUCE CHILDHOOD OBESITY, THE HOSPITAL IS PARTNERING WITH THE HEALTH DEPARTMENT, HEAD START, EARLY HEAD START AND SMART START OF RENO & RICE COUNTIES. 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 A WRITTEN NOTICE 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 IS LOCATED IN RENO COUNTY, KANSAS IN THE CITY OF HUTCHINSON. RENO COUNTY HAS AN APPROXIMATE POPULATION OF 64,500 RESIDENTS WITH THE POPULATION BEING 68% URBAN RESIDENTS AND 32% RURAL RESIDENTS. THE ESTIMATED AVERAGE ANNUAL HOUSEHOLD INCOME IS $39,000. APPROXIMATELY 11% OF THE POPULATION IS BELOW THE FEDERAL POVERTY ANNUAL INCOME LEVEL. OF THOSE INDIVIDUALS, APPROXIMATELY 14% ARE UNDER THE AGE OF 18 AND 9% ARE 65 OR OVER. MEDICARE SERVICES ACCOUNT FOR APPROXIMATELY 55% OF ALL OF THE MEDICAL CENTER'S GROSS REVENUE, WHILE MEDICAID AND SELF-PAY SERVICES ACCOUNT FOR APPROXIMATELY 12% OF THE MEDICAL CENTER'S GROSS REVENUE. HUTCHINSON REGIONAL MEDICAL CENTER 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. THE MEDICAL CENTER IS DEEPLY INVESTED IN THE QUALITY OF HEALTH CARE DELIVERED AND COMMUNITY WELL-BEING. HUTCHINSON REGIONAL MEDICAL CENTER AIMS TO BE THE FIRST AND BEST CHOICE FOR HEALTH CARE IN THE SURROUNDING REGION. OTHER MEDICAL FACILITIES SURROUNDING THE MEDICAL CENTER ARE LOCATED IN HALSTEAD, MOUNDRIDGE, AND MCPHERSON. THE DISTANCES BETWEEN THE MEDICAL CENTER AND THESE FACILITIES ARE 23, 24, AND 26 MILES RESPECTIVELY. THERE ARE ALSO TWO LARGE MEDICAL FACILITIES LOCATED IN WICHITA AND BOTH ARE APPROXIMATELY 50 MILES AWAY. 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 OUR EMERGENCY DEPARTMENT. 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 NOTHING LESS THAN A PROMISE: TO BE THE FIRST AND BEST CHOICE FOR HEALTH CARE IN THE SURROUNDING REGION. OUR MISSION STATEMENT AND CORE VALUES REFLECT OUR COMMUNITY MINDED FOCUS: 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)(3) 10000 GENERAL SUPPORT COSMOSPHERE INC 1100 N PLUM HUTCHINSON KS 67501 486120520 501(C)(3) 25000 GENERAL SUPPORT LIVING CENTER INC 1901 E 23RD HUTCHINSON KS 67502 481066643 501(C)(3) 256467 GENERAL SUPPORT 3 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 X false false false false false false false false false KEVIN MILLER DIRECTOR/PRESIDENT 410520 0 65551 0 4715 0 17071 0 19908 0 517765 0 0 0 KENDALL E JOHNSON COO/PRESIDENT 252114 0 16999 0 3295 0 17071 0 25221 0 314700 0 0 0 WILLIAM GIERSCH VP CLINICAL SERVICES 158585 0 10889 0 306 0 11232 0 18161 0 199173 0 0 0 JULIE WARD VP NURSING 189606 0 12489 0 709 0 13326 0 9483 0 225613 0 0 0 THOMAS SMITH CMO 143984 0 4823 0 0 0 7403 0 1374 0 157584 0 0 0 KEVIN CHILES VP HUMAN RESOURCES 154052 0 8758 0 570 0 1187 0 26148 0 190715 0 0 0 PATRICK MOWDER DIRECTOR PHARMACY 163563 0 0 0 902 0 10685 0 15676 0 190826 0 0 0 RAGU TIRUKONDA MEDICAL PHYSICIST 180008 0 4602 0 234 0 12302 0 23389 0 220535 0 0 0 RONALD FENWICK PHARMACIST 145374 0 4403 0 664 0 9552 0 8044 0 168037 0 0 0 CLINTON BOOR PHARMACIST 141156 0 4386 0 60 0 9449 0 19405 0 174456 0 0 0 LARISA GRAY PHARMACIST 133512 0 2629 0 131 0 8894 0 20738 0 165904 0 0 0 SCHEDULE J, PART I, LINE 1A HUTCHINSON REGIONAL MEDICAL CENTER, INC. PROVIDED COUNTRY CLUB AND SOCIAL CLUB DUES TO KEVIN MILLER, KENDALL JOHNSON, AND THOMAS BORREGO AND DID INCLUDE THE FAIR MARKET VALUE OF THE DUES IN THEIR W-2'S. AMY CHASE SEE PART V 14598 EMPLOYMENT false FEE INSURANCE GROUP SEE PART V 841848 INSURANCE PROVIDER false SCHEDULE L, PART IV, COLUMN B 1) FAMILY MEMBER OF WILLIAM GIERSCH, OFFICER 2) ENTITY MORE THAN 35% OWNED BY ALLEN FEE, DIRECTOR 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, LINES 15A & 15B EXECUTIVE COMPENSATION IS HANDLED WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT WHO WORKS WITH THE BOARD OF DIRECTORS TO ESTABLISH EXECUTIVE PAY AND BENEFITS. A NATIONAL CONSULTING FIRM WAS ENGAGED TO CONDUCT A COMPREHENSIVE WAGE STUDY, WHICH INCLUDED EXECUTIVE LEVEL POSITIONS. THEY GATHERED AND ANALYZED COMPARATIVE COMPENSATION DATA AND MADE A RECOMMENDATION 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, IN ACCORDANCE WITH THE GUIDELINES OUTLINED IN THE EMPLOYMENT AGREEMENT. THE CEO DETERMINED COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES BY A REVIEW OF HEALTHCARE SALARY MARKET SURVEYS, BOTH REGIONAL AND NATIONAL. HIS DECISION WAS MADE IN CONSULTATION WITH THE HUMAN RESOURCES DEPARTMENT. 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 TO AFFILIATES 2,243,533 CHANGE IN BENEFICIAL INTEREST IN FOUNDATIONS (1,591,226) ---------- 652,307 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:9635970 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:4134955 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE/SERVICE AGREEMENTS TOTAL FEES:1172296 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:1150873 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:606617 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS TOTAL FEES:579457 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LABORATORY TOTAL FEES:150985 HOSPICE OF RENO COUNTY INC 1701 E 23RD HUTCHINSON KS 67502 480927101 HOSPICE CARE KS 501(C)(3) 9 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 MAIN LINE INC 1701 E 23RD HUTCHINSON KS 67502 486111813 LEASING KS 501(C)(3) 11B HRMC INC true LIVING CENTER INC 1901 E 23RD HUTCHINSON KS 67502 481066643 LTC FACILITY KS 501(C)(3) 9 HRMC INC true HUTCHINSON REGIONAL MEDICAL FOUNDATION 1701 E 23RD HUTCHINSON KS 67502 480891435 SUPPORT KS 501(C)(3) 11B NA false HUTCHINSON REGIONAL MED CENTER AUXILIARY 1701 E 23RD HUTCHINSON KS 67502 237224491 GIFT SHOP KS 501(C)(3) 9 HRMC INC true HUTCHINSON HEALTH CARE SERVICES INC 803 E 30TH HUTCHINSON KS 67502 480970364 MEDICAL EQUIPMENT KS HRMC INC C-CORPORATION 0 0 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 264674 FMV HORIZONS MENTAL HEALTH CENTER INC Q 312180 FMV HUTCHINSON HEALTH CARE SERVICES INC O 70783 FMV HUTCHINSON HEALTH CARE SERVICES INC Q 216875 FMV HOSPICE OF RENO COUNTY INC O 190123 FMV HOSPICE OF RENO COUNTY INC Q 300969 FMV LIVING CENTER INC B 256467 FMV LIVING CENTER INC O 1048832 FMV LIVING CENTER INC Q 719030 FMV MAIN LINE INC O 105575 FMV MAIN LINE INC Q 365408 FMV MAIN LINE INC C 2500000 FMV HUTCHINSON REGIONAL MEDICAL FOUNDATION O 153537 FMV