2014-05-08T11:08:49-05:00 2013-06-30 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2012-07-01 480774005 HUTCHINSON REGIONAL MEDICAL CENTER INC % KENDALL E JOHNSON HUTC 6205134556 1701 E 23RD Suite HUTCHINSON KS 67502 KENDALL E JOHNSON 6205134556 2014-05-15 true ELIZABETH S HOGAN 3162652811 2012 2015-11-30 17:44:51Z KENDALL E JOHNSON 1701 E 23RD HUTCHINSON KS 67502 130937551 false X WWW.HUTCHREGIONAL.COM X 1969 KS A 199 BED ACUTE CARE HOSPITAL WITH THE MISSION TO PROVIDE THE HIGHEST QUALITY CARE IN A COMPASSIONATE AND ETHICAL MANNER. 19 13 1279 269 1888203 790793 5143004 372937 135391667 126973818 901659 2263563 5367955 1322582 146804285 130932900 129780 9300 0 0 56669712 51544413 0 0 0 75559113 70629568 132358605 122183281 14445680 8749619 173777039 187558914 29711011 29741854 144066028 157817060 WE ARE DEVOTED TO PROVIDING THE HIGHEST QUALITY CARE IN A COMPASSIONATE AND ETHICAL MANNER. false false 104058625 9300 127197717 HUTCHINSON REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED TO OPERATE 199 GENERAL ACUTE BEDS. ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION. 104058625 true true false true false false false false false true true true false false true true 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 68 0 true 1279 true true true false false false false false false false false false X 19 13 true false false false false false false true true false false true true true true true true true false true true X KENDALL E JOHNSON 6205134556 1701 E 23RD HUTCHINSON KS 67502 BRUCE BUCHANAN 1.0 1.0 X ANN BUSH 1.0 2.0 X X TIMOTHY CRATER MD 1.0 1.0 X JOHN DEARDOFF 1.0 1.0 X REX DEGNER MD 1.0 1.0 X MIKE EVANS 1.0 1.0 X ALLEN FEE 1.0 1.0 X KEITH HUGHES 1.0 1.0 X VERLIN JANZEN MD 1.0 1.0 X JOHN JONES 1.0 2.0 X KEVIN MILLER 38.0 7.0 X X 410480 0 30877 EVAN MOODIE 1.0 1.0 X X KIM MOORE 1.0 1.0 X X DAVID NEAL 1.0 1.0 X CAROLYN PATTERSON 1.0 1.0 X X LOUIS SCHLICKAU 1.0 2.0 X JAMES SILER MD 1.0 1.0 X JOHN SWEARER 1.0 1.0 X KEITH WHITAKER 1.0 1.0 X KENDALL E JOHNSON 41.0 4.0 X 202609 32808 WILLIAM GIERSCH 40.0 0.0 X 147170 24938 JANET HAMOUS 40.0 0.0 X 88050 15141 JULIE WARD 40.0 0.0 X 117706 15109 PATRICIA EDWARDS 40.0 0.0 X 163865 25937 ROBYN CHADWICK 43.0 2.0 X 125764 15844 DANIEL STAFFORD 43.0 2.0 X 61384 5628 PATRICK MOWDER 40.0 0.0 X 152014 24926 RAGU TIRUKONDA 40.0 0.0 X 173412 28387 RONALD FENWICK 40.0 0.0 X 151751 15600 MARK LEVINSON 40.0 0.0 X 448975 23423 BARBARA LUDER 40.0 0.0 X 646716 29837 2889896 0 288455 33 false true false CLINICAL COLLEAGUES INC ANESTHESIA PHYSICIAN 5157408 REHABCARE GROUP INC REHAB SERVICES PROV. 739707 CENTRAL STATES RECOVERY INC PROF. COLLECTIONS CO 395363 EXEC HEALTH RESOURCES INC MEDICAL COMPLIANCE 393825 HEALOGICS WOUND CARE WOUND CARE MGMT. CO. 316850 24 363873 9064 372937 NET PATIENT SERVICE REVENUE 621400 123930419 123915228 15191 NON-PATIENT LABORATORY 621500 1383159 1383159 AMBULANCE SERVICES 621910 886454 886454 PHARMACY CONSULTING 900099 507832 507832 LAUNDRY/LINEN SERVICE 812300 265954 265954 126973818 667383 223899 443484 0 0 364049 364049 0 364049 364049 753217 847614 4651 753217 842963 1596180 1596180 0 0 0 EMPLOYEE/GUEST MEALS 722513 584674 584674 HOUSEKEEPING SERVICES 900099 62756 62756 REFUNDS & INCENTIVES 900099 56800 56800 254303 254303 958533 130932900 125309514 1888203 3362246 9300 9300 0 0 0 1401419 1401419 217437 217437 39293437 31477074 7816363 1723039 1488817 234222 5564889 4508868 1056021 3344192 2759293 584899 0 279782 3000 276782 128370 128370 0 0 10042 10042 12784910 12032556 752354 203132 71 203061 641746 436278 205468 2510950 2510050 900 0 2290420 2288996 1424 193722 154490 39232 0 44782 22400 22382 140626 116031 24595 0 9515119 7850925 1664194 1080794 48001 1032793 MEDICAL SUPPLIES 15945214 15945214 BAD DEBTS 10735892 10735892 PHARMACEUTICALS 6547318 6530949 16369 FOOD/DIETARY SUPPLIES 1342919 1329577 13342 6233830 3593406 2640424 122183281 104058625 18124656 0 30498826 16922190 16440421 15890308 0 0 17036661 17448674 0 0 0 0 0 0 4331167 4812411 2058331 1724127 176434538 123480658 59073913 52953880 15209660 46205830 24174081 27453497 0 0 0 0 4953979 4147997 173777039 187558914 16626065 17535926 0 0 1105 1162 10480087 9490087 0 0 0 0 0 0 0 0 2603754 2714679 29711011 29741854 X 120490005 130638182 23576023 27178878 0 0 144066028 157817060 173777039 187558914 X 8749619 -1086908 6088321 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 18363 false false false 18363 false GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING. 28381 2950 3513 331 34513 28337 319 275 28381 23434 5169 266 28337 20495 3173 234 23434 24474 -3775 204 20495 1.00000 false true true 1416968 1416968 92261605 58054476 34207129 77725418 62801118 14924300 5030547 2625064 2405483 52953880 INV. IN HUTCHINSON VHA 137578 C INV. IN HHCS 480000 C INV. IN ASC 20000 C BENEFICIAL INT. IN N/A OF FDN 26815919 F 27453497 0 CAPITAL LEASE 86182 DUE TO THIRD PARTY PAYER 2628497 2714679 X INTENDED USES OF ENDOWMENT FUNDS 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. UNCERTAIN TAX POSITIONS 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 2009. 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 976809 283803 693006 0.00620 11821884 15492027 -3670143 12798693 15775830 -2977137 0.00620 107127 107127 0.00100 9723745 6104829 3618916 0.02610 196076 196076 0.00180 10026948 6104829 3922119 0.02890 22825641 21880659 944982 0.03510 true 3249808 59407940 58392142 1015798 X true true 1 1 HUTCHINSON REGIONAL MEDICAL CENTER

1701 E 23RD HUTCHINSON KS 67502

HTTP://WWW.HUTCHREGIONAL.COM X X X HUTCHINSON REGIONAL MEDICAL CNTR INC 1 true X X X X X X X X X 13 true false true X X X X X X X X true false true true 150. true 225. true X true true X X true false X X X true X false false 1 SLEEP DIAGNOSTIC CENTER

2701 N MAIN SUITE F HUTCHINSON KS 67502

SLEEP DIAGNOSTIC CENTER PERCENT OF TOTAL EXPENSE 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 $10,735,892. COSTING METHODOLOGY 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 6/30/13 MEDICARE COST REPORT. SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES COSTS. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II AT THIS TIME, HUTCHINSON REGIONAL DOES NOT HAVE PROGRAMS THAT DIRECTLY ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, HOWEVER THE MANAGEMENT TEAM IS (AS A PART OF THEIR JOB DESCRIPTION) REQUIRED TO PARTICIPATE IN COMMUNITY VOLUNTEER ACTIVITIES THAT FOCUS ON THESE ISSUES. AS OF 6/30/13, MEMBERS OF THE MANAGEMENT TEAM AND EXECUTIVE STAFF WERE CURRENLTY SERVING ON THE FOLLOWING LOCAL, STATE AND NATIONAL BOARDS AND COMMITTEES: 1. RENO COUNTY CANCER COUNCIL 2. RED CROSS BOARD 3. UNITED WAY OF RENO COUNTY 4. HUTCHINSON AREA STUDENT SERVICES HEALTH CLINIC 5. AMERICAN RED CROSS, HUTCHINSON CHAPTER 6. AMERICAN HEART ASSOCIATION - FLINTHILLS DIVISION BOARD OF DIRECTORS 7. EXECUTIVE LEADERSHIP TEAM FOR HUTCHINSON HEART WALK 8. KANSAS HEALTH ETHICS BOARD 9. ARTHRITIS FOUNDATION (KANSAS/MISSOURI CHAPTER) 10. HOSPICE & HOMECARE OF RENO COUNTY 11. HUTCHINSON COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM ADVISORY COMMITTEE 12. HUTCHINSON COMMUNITY COLLEGE - RHIT ADVISORY BOARD 13. AMBUCS MANY OF THESE BOARDS AND COMMITTEES HAVE DIRECT AND/OR INDIRECT IMPACT ON THE ROOT CAUSES OF HEALTH ISSUES IN OUR COUNTY AND THE SURROUNDING AREA. BAD DEBT ESTIMATE METHODOLOGY 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 6/30/2013 MEDICARE COST REPORT IN ORDER TO ESTIMATE THE BAD DEBT EXPENSE. COSTING METHODOLOGY 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. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HEALTHCARE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTHCARE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTHCARE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HEALTHCARE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 100% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2013 AND 2012. IN ADDITION, THE HEALTHCARE SYSTEM'S WRITE-OFFS WERE APPROXIMATELY $10,087,000 AND $11,189,000 FOR THE YEARS ENDED JUNE 30, 2013 AND 2012, RESPECTIVELY. MEDICARE SCHEDULE H, PART III, LINE 8B THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. COLLECTIONS PRACTICES 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. INPUT FROM COMMUNITY REPRESENTATIVES SCHEDULE H, PART V, SECTION B, LINE 3 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. WEBSITE ADDRESS FOR CHNA SCHEDULE H, PART V, SECTION B, LINE 5 HTTP://WWW.HUTCHREGIONAL.COM/NEWS_DETAIL.ASPX?NEWS_ID=58 EFFORTS MADE BEFORE INITIATING ANY ACTIONS LISTED IN LINE 17 SCHEDULE H, PART V, SECTION B, LINE 18 THE FINANCIAL ASSISTANCE POLICY AND APPLICATION CAN BE FOUND ON THE HOSPITAL'S WEBSITE. MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE PATIENTS SCHEDULE H, PART V, SECTION B, LINE 20 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 CARED 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. NEEDS ASSESSMENT 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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. COMMUNITY INFORMATION 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. PROMOTION OF COMMUNITY HEALTH 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. THE BIRTHING CENTER HAS UNDERGONE EXTENSIVE REMODELING AND PLANS ARE 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 WE ARE DEVOTED TO PROVIDING THE HIGHEST QUALITY CARE IN A COMPASSIONATE AND ETHICAL MANNER. OUR VISION HUTCHINSON REGIONAL MEDICAL CENTER WILL BE THE REGIONAL LEADER IN HEALTHCARE AND THE PATIENT EXPERIENCE. 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. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 N/A STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 N/A FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI, LINE 8 N/A true HUTCHINSON REGIONAL MEDICAL FOUNDATION 1701 E 23RD HUTCHINSON KS 67502 480891435 501(C)(3) 9300 GENERAL SUPPORT 1 PROCESS FOR MONITORING THE USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 THE ORGANIZATION MADE GRANTS TO HUTCHINSON REGIONAL MEDICAL FOUNDATION, A RELATED ORGANIZATION. THE FOUNDATION 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 405790 0 0 0 4690 0 13582 0 17295 0 441357 0 0 0 KENDALL E JOHNSON 202148 461 8783 0 24025 0 235417 0 0 0 WILLIAM GIERSCH 146886 284 9635 0 15303 0 172108 0 0 0 PATRICIA EDWARDS 163241 624 10777 0 15160 0 189802 0 0 0 PATRICK MOWDER 151182 832 10050 0 14876 0 176940 0 0 0 RAGU TIRUKONDA 173183 229 11522 0 16865 0 201799 0 0 0 RONALD FENWICK 151086 665 9708 0 5892 0 167351 0 0 0 MARK LEVINSON 446045 2930 5960 0 17463 0 472398 0 0 0 BARBARA LUDER 645906 810 18837 0 11000 0 676553 0 0 0 HEALTH OR SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A HUTCHINSON REGIONAL MEDICAL CENTER, INC. PROVIDED COUNTRY CLUB AND SOCIAL CLUB DUES TO KEVIN MILLER AND DID INCLUDE THE FAIR MARKET VALUE OF THE DUES IN HIS W-2. RENO PATHOLOGY ASSOCIATES SEE PART V 275000 INDEPENDENT CONTRACTOR false GILLILAND HAYES LLC SEE PART V 110318 INDEPENDENT CONTRACTOR false TRACY SCHLICKAU SEE PART V 39175 EMPLOYMENT false AMY CHASE SEE PART V 84009 EMPLOYMENT false SUSAN SILER SEE PART V 94253 EMPLOYMENT false HUTCHINSON HEALTH CARE SERV INC SEE PART V 225191 SHARED EMPLOYEES/EXPENSES false FEE INSURANCE GROUP SEE PART V 427035 INSURANCE PROVIDER false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FORM 990, SCHEDULE L, PART IV, COLUMN B 1) PROFESSIONAL CORPORATION MORE THAN 5% OWNED BY REX DEGNER, DIRECTOR 2) PROFESSIONAL CORPORATION MORE THAN 5% OWNED BY MELISSA MOODIE, FAMILY MEMEBER OF EVAN MOODIE, DIRECTOR 3) FAMILY MEMBER OF LOIS SCHLICKAU, DIRECTOR 4) FAMILY MEMBER OF WILLIAM GIERSCH, OFFICER 5) FAMILY MEMBER OF JAMES SILER, DIRECTOR 6) RELATED FOR PROFIT ENTITY OF WHICH CURRENT OFFICERS SERVE AS OFFICERS 7) ENTITY MORE THAN 35% OWNED BY ALLEN FEE, DIRECTOR BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 TIMOTHY CRATER, JAMES SILER AND VERLIN JANZEN HAVE A BUSINESS RELATIONSHIP. KENDALL E. JOHNSON AND KEVIN MILLER HAVE A BUSINESS RELATIONSHIP. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN PROVIDED TO THE VP OF FINANCE. ANY QUESTIONS AND CONCERNS THE VP OF FINANCE 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. CONFLICT OF INTEREST POLICY 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. COMPENSATION REVIEW 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. THE CEO BONUS IS DETERMINED BY THE BOARD BASED ON HOSPITAL AND CEO 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. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT CURRENTLY PROVIDE ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 TRANSFERS TO AFFILIATES 2,824,875 CHANGE IN BENEFICIAL INTEREST IN FOUNDATIONS 3,263,446 ---------- 6,088,321 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:6575151 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3190957 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE/SERVICE AGREEMENT TOTAL FEES:1546583 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:882678 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED LABOR/CONTRACT LABOR TOTAL FEES:224348 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LABORATORY TOTAL FEES:217800 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS TOTAL FEES:147393 HOSPICE OF RENO COUNTY INC 1701 E 23RD HUTCHINSON KS 67502 480927101 HOSPICE CARE KS 501(C)(3) 7 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 2924945 2322257 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 150360 FMV HORIZONS MENTAL HEALTH CENTER INC Q 320690 FMV HUTCHINSON HEALTH CARE SERVICES INC O 137505 FMV HUTCHINSON HEALTH CARE SERVICES INC Q 87686 FMV HOSPICE OF RENO COUNTY INC O 179387 FMV HOSPICE OF RENO COUNTY INC Q 316528 FMV LIVING CENTER INC J 184426 FMV LIVING CENTER INC O 899010 FMV LIVING CENTER INC Q 436376 FMV MAIN LINE INC O 95195 FMV MAIN LINE INC Q 368187 FMV MAIN LINE INC C 3000000 FMV HUTCHINSON REGIONAL MEDICAL FOUNDATION O 91962 FMV HUTCHINSON REGIONAL MEDICAL FOUNDATION C 182926 FMV