﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2011v1.5">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-05-15T17:13:18-05:00</Timestamp>
    <TaxPeriodEndDate>2012-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>BKD LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1551 N WATERFRONT PKWY STE 300</AddressLine1>
        <City>WICHITA</City>
        <State>KS</State>
        <ZIPCode>672066601</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>480774005</EIN>
      <Name>
        <BusinessNameLine1>HUTCHINSON REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
      </Name>
      <InCareOfName>% KENDALL E JOHNSON</InCareOfName>
      <NameControl>HUTC</NameControl>
      <Phone>6205134556</Phone>
      <USAddress>
        <AddressLine1>1701 E 23RD</AddressLine1>
        <City>HUTCHINSON</City>
        <State>KS</State>
        <ZIPCode>67502</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>KENDALL E JOHNSON</Name>
      <Title>VP FINANCE/CFO</Title>
      <DateSigned>2013-05-15</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>ELIZABETH S HOGAN</Name>
      <Phone>3162652811</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="10">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerPerson>KENDALL E JOHNSON</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1701 E 23RD</AddressLine1>
        <City>HUTCHINSON</City>
        <State>KS</State>
        <ZIPCode>67502</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>146925595</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.HUTCHREGIONAL.COM</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1969</YearFormation>
      <StateLegalDomicile>KS</StateLegalDomicile>
      <ActivityOrMissionDescription>A 199 BED ACUTE CARE HOSPITAL WITH THE MISSION TO PROVIDE THE HIGHEST QUALITY CARE IN A COMPASSIONATE AND ETHICAL MANNER.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>18</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>12</NbrIndependentVotingMembers>
      <TotalNbrEmployees>1389</TotalNbrEmployees>
      <TotalNbrVolunteers>166</TotalNbrVolunteers>
      <TotalGrossUBI>2331959</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>1037946</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>285430</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>5143004</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>134731311</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>135391667</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1429491</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>901659</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>2155051</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>5367955</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>138601283</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>146804285</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>129780</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>59807732</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>56669712</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>81407221</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>75559113</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>141214953</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>132358605</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-2613670</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>14445680</RevenuesLessExpensesCY>
      <TotalAssetsBOY>162449516</TotalAssetsBOY>
      <TotalAssetsEOY>173777039</TotalAssetsEOY>
      <TotalLiabilitiesBOY>32638262</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>29711011</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>129811254</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>144066028</NetAssetsOrFundBalancesEOY>
      <MissionDescription>WE ARE DEVOTED TO PROVIDING THE HIGHEST QUALITY CARE IN A COMPASSIONATE AND ETHICAL MANNER.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>113056878</Expense>
      <Grants>129780</Grants>
      <Revenue>136964118</Revenue>
      <Description>HUTCHINSON REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED TO OPERATE 199 GENERAL ACUTE BEDS. ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION.</Description>
      <TotalProgramServiceExpense>113056878</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">true</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">true</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital referenceDocumentId="IRS990ScheduleH">true</Hospital>
      <FinancialStmtAttached referenceDocumentId="BinaryAttach">true</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="IRS990ScheduleL">false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="IRS990ScheduleL">true</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">true</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>75</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>1389</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>true</UnrelatedBusinessIncome>
      <Form990-TFiled>true</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>18</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>12</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>true</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>true</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>true</WrittenPolicyOrProcedure>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>KENDALL E JOHNSON</NamePerson>
        <TelephoneNumber>6205134556</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1701 E 23RD</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67502</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>ANNASTEEN BLACKIM</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRUCE BUCHANAN</NamePerson>
        <Title>DIRECTOR/CHAIR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANN BUSH</NamePerson>
        <Title>DIRECTOR/SECRETARY</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TIMOTHY CRATER MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN DEARDOFF</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REX DEGNER MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIKE EVANS</NamePerson>
        <Title>DIRECTOR/TREASURER</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALLEN FEE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEITH HUGHES</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VERLIN JANZEN MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN JONES</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEVIN MILLER</NamePerson>
        <Title>DIRECTOR/PRESIDENT</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>150931</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10876</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EVAN MOODIE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KIM MOORE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID NEAL</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROLYN PATTERSON</NamePerson>
        <Title>DIRECTOR/VICE CHAIR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LOUIS SCHLICKAU</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MERT SELLERS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES SILER MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN SWEARER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENT TYLER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENDALL E JOHNSON</NamePerson>
        <Title>VP FINANCE</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>126435</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18765</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM GIERSCH</NamePerson>
        <Title>VP CLINICAL SERVICES</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>174998</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26899</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JANET HAMOUS</NamePerson>
        <Title>VP HUMAN RESOURCES</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>159489</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33448</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JULIE WARD</NamePerson>
        <Title>VP HUMAN RESOURCES</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>83146</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8052</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICIA EDWARDS</NamePerson>
        <Title>VP NURSING</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>158802</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30603</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TODD LAFFOON</NamePerson>
        <Title>VP MARKETING</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>125034</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>31930</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBYN CHADWICK</NamePerson>
        <Title>VP QUALITY</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>121324</ReportableCompFromOrganization>
        <OtherCompensation>11993</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICK MOWDER</NamePerson>
        <Title>DIRECTOR PHARMACY</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>153822</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30613</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAGU TIRUKONDA</NamePerson>
        <Title>MEDICAL PHYSICIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>173458</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>29934</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RONALD FENWICK</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>149002</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15408</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CLINTON BOOR</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>138387</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23615</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BARBARA LUDER</NamePerson>
        <Title>MD</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>158594</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5752</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA HARRISON</NamePerson>
        <Title>FORMER PRESIDENT</Title>
        <AverageHoursPerWeek>0.0</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>252054</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>2261</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2125476</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>280149</TotalOtherCompensation>
      <NumberIndividualsGT100K>32</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CLINICAL COLLEAGUES INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>ANESTHESIA PHYSICIAN</DescriptionOfServices>
        <Compensation>5072860</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>J A THOMAS ASSOCIATES INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>COMPLIANCE/CLINICAL</DescriptionOfServices>
        <Compensation>521338</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SCOTT SELLERS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>ER PHYSICIAN</DescriptionOfServices>
        <Compensation>476726</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>BRYAN K HENDERSON</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>ER PHYSICIAN</DescriptionOfServices>
        <Compensation>412351</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>RICHARD PRICE DO</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>ER PHYSICIAN</DescriptionOfServices>
        <Compensation>412000</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>27</NumberOfContractorsGT100K>
      <RelatedOrganizations>4891229</RelatedOrganizations>
      <GovernmentGrants>183715</GovernmentGrants>
      <AllOtherContributions>68060</AllOtherContributions>
      <TotalContributions>5143004</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE REVENUE</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>131932367</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>131707323</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>225044</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>NON-PATIENT LABORATORY</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>1596951</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>1596951</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>AMBULANCE SERVICES</Description>
        <BusinessCode>621910</BusinessCode>
        <TotalRevenueColumn>995890</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>995890</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PHARMACY CONSULTING</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>542836</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>542836</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>LAUNDRY/LINEN SERVICE</Description>
        <BusinessCode>812300</BusinessCode>
        <TotalRevenueColumn>323623</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>323623</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>135391667</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>979628</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>186316</UnrelatedBusinessRevenue>
        <ExclusionAmount>793312</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>376974</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>376974</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>376974</TotalRevenueColumn>
        <ExclusionAmount>376974</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>25749</Securities>
        <Other>43341</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>121310</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>25749</Securities>
        <Other>-77969</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-77969</TotalRevenueColumn>
        <ExclusionAmount>-77969</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MEDICARE SETTLEMENT</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4035861</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4035861</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>INSURANCE PROCEEDS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>360156</TotalRevenueColumn>
        <ExclusionAmount>360156</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>EMPLOYEE/GUEST MEALS</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>441595</TotalRevenueColumn>
        <ExclusionAmount>441595</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>153369</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>25</UnrelatedBusinessRevenue>
        <ExclusionAmount>153344</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>4990981</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>146804285</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>137281910</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>2331959</UnrelatedBusinessRevenue>
        <ExclusionAmount>2047412</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>129780</Total>
        <ProgramServices>129780</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1587295</Total>
        <ManagementAndGeneral>1587295</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>42780359</Total>
        <ProgramServices>34263753</ProgramServices>
        <ManagementAndGeneral>8516606</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1890633</Total>
        <ProgramServices>1634930</ProgramServices>
        <ManagementAndGeneral>255703</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>6854404</Total>
        <ProgramServices>5599696</ProgramServices>
        <ManagementAndGeneral>1254708</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>3557021</Total>
        <ProgramServices>2934898</ProgramServices>
        <ManagementAndGeneral>622123</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>537883</Total>
        <ManagementAndGeneral>537883</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>114488</Total>
        <ProgramServices>52068</ProgramServices>
        <ManagementAndGeneral>62420</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>14648584</Total>
        <ProgramServices>13678110</ProgramServices>
        <ManagementAndGeneral>970474</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>333715</Total>
        <ProgramServices>400</ProgramServices>
        <ManagementAndGeneral>333315</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>865585</Total>
        <ProgramServices>632877</ProgramServices>
        <ManagementAndGeneral>232708</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2401334</Total>
        <ProgramServices>2401249</ProgramServices>
        <ManagementAndGeneral>85</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2242022</Total>
        <ProgramServices>2240571</ProgramServices>
        <ManagementAndGeneral>1451</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>181205</Total>
        <ProgramServices>160249</ProgramServices>
        <ManagementAndGeneral>20956</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>47132</Total>
        <ProgramServices>38336</ProgramServices>
        <ManagementAndGeneral>8796</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>173449</Total>
        <ProgramServices>143113</ProgramServices>
        <ManagementAndGeneral>30336</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>10091280</Total>
        <ProgramServices>8326315</ProgramServices>
        <ManagementAndGeneral>1764965</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1070036</Total>
        <ProgramServices>30970</ProgramServices>
        <ManagementAndGeneral>1039066</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>18141047</Total>
        <ProgramServices>18141047</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>12027251</Total>
        <ProgramServices>12027251</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACEUTICALS</Description>
        <Total>5878601</Total>
        <ProgramServices>5851329</ProgramServices>
        <ManagementAndGeneral>27272</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD/DIETARY SUPPLIES</Description>
        <Total>1164331</Total>
        <ProgramServices>1155379</ProgramServices>
        <ManagementAndGeneral>8952</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>5641170</Total>
        <ProgramServices>3614557</ProgramServices>
        <ManagementAndGeneral>2026613</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>132358605</Total>
        <ProgramServices>113056878</ProgramServices>
        <ManagementAndGeneral>19301727</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>9857461</BOY>
        <EOY>30498826</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>16510017</BOY>
        <EOY>16440421</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>17725611</BOY>
        <EOY>17036661</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>4794457</BOY>
        <EOY>4331167</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2071276</BOY>
        <EOY>2058331</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>174497596</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>115423683</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>67288241</BOY>
        <EOY>59073913</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>14672224</BOY>
        <EOY>15209660</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>24632405</BOY>
        <EOY>24174081</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>4897824</BOY>
        <EOY>4953979</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>162449516</BOY>
        <EOY>173777039</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>16694076</BOY>
        <EOY>16626065</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>1186</BOY>
        <EOY>1105</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>12386141</BOY>
        <EOY>10480087</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>3556859</BOY>
        <EOY>2603754</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>32638262</BOY>
        <EOY>29711011</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>105638303</BOY>
        <EOY>120490005</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>24172951</BOY>
        <EOY>23576023</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>129811254</BOY>
        <EOY>144066028</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>162449516</BOY>
        <EOY>173777039</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>14445680</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-190906</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>28337</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>319</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>275</AdministrativeExpenses>
        <EndOfYearBalance>28381</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>23434</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>5169</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>266</AdministrativeExpenses>
        <EndOfYearBalance>28337</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>20495</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>3173</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>234</AdministrativeExpenses>
        <EndOfYearBalance>23434</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>24474</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-3775</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>204</AdministrativeExpenses>
        <EndOfYearBalance>20495</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>1420204</OtherCostOrOtherBasis>
        <BookValue>1420204</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>91769401</OtherCostOrOtherBasis>
        <Depreciation>54249039</Depreciation>
        <BookValue>37520362</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>75172978</OtherCostOrOtherBasis>
        <Depreciation>58670918</Depreciation>
        <BookValue>16502060</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>6135013</OtherCostOrOtherBasis>
        <Depreciation>2503726</Depreciation>
        <BookValue>3631287</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>59073913</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>INV. IN HUTCHINSON VHA</Description>
        <BookValue>130909</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>INV. IN HHCS</Description>
        <BookValue>480000</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>INV. IN ASC</Description>
        <BookValue>20000</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>BENEFICIAL INT. IN N/A OF FDN</Description>
        <BookValue>23543172</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>24174081</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>AGENCY FUNDS</Description>
        <Amount>911514</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASE</Description>
        <Amount>114046</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYER</Description>
        <Amount>1578194</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2603754</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>225.</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>1104871</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>203165</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>901706</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00830</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>12592947</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14408749</DirectOffsettingRevenue>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>13697818</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14611914</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>901706</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00830</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>134796</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2500</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>132296</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </CommunityHealthServices>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>8795138</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5048117</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3747021</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02830</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>219180</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>219180</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00170</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>9149114</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5050617</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4098497</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03100</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>22846932</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>19662531</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5000203</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03930</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>3892331</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>62471097</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>63594159</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1123062</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>HUTCHINSON REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1701 E 23RD</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67502</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HUTCHINSON REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>150.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>225.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>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 $12,027,251.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7</Identifier>
        <Explanation>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 6/30/2012 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BUILDING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE H, PART II</ReturnReference>
        <Explanation>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 ACTIVATES THAT FOCUS ON THESE ISSUES. AS OF 6/30/2012, MEMBERS OF THE MANAGEMENT TEAM AND EXECUTIVE STAFF WERE CURRENTLY 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 &amp; 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 4A</ReturnReference>
        <Explanation>THE HEALTHCARE SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTHCARE SYSTEM PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTHCARE SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. COSTING METHODOLOGY SCHEDULE H, PART III, LINE 4B 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 8B</ReturnReference>
        <Explanation>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. THE SHORTFALL IS A RESULT OF UNREIMBURSED COSTS INCURRED WHILE PROVIDING CARE FOR MEDICARE PATIENTS, BUT IS NOT INCLUDED AS A COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTIONS PRACTICES</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 9B</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE PATIENTS</Identifier>
        <ReturnReference>SCHEDULE H, PART V, LINE 19D</ReturnReference>
        <Explanation>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 CONRACTUAL DISCOUNTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 2</ReturnReference>
        <Explanation>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 &amp; RICE COUNTIES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 3</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 4</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 5</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HUTCHINSON REGIONAL MEDICAL FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1701 E 23RD</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67502</ZIPCode>
        </AddressUS>
        <EINOfRecipient>480891435</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>129780</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCESS FOR MONITORING THE USE OF GRANT FUNDS</Identifier>
        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>THE ORGANIZATION MADE GRANTS TO HUTCHINSON REGIONAL MEDICAL FOUNDATION, A RELATED ORGANIZATION. THE FOUNDATION WILL MONITOR ALL USES OF THE FUNDS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>KEVIN MILLER</NamePerson>
        <BaseCompensationFilingOrg>146383</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>4548</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10876</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>161807</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM GIERSCH</NamePerson>
        <BaseCompensationFilingOrg>171026</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3972</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11594</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15305</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>201897</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JANET HAMOUS</NamePerson>
        <BaseCompensationFilingOrg>151528</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>7961</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10797</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>22651</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>192937</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PATRICIA EDWARDS</NamePerson>
        <BaseCompensationFilingOrg>151574</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>7228</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10582</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20021</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>189405</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TODD LAFFOON</NamePerson>
        <BaseCompensationFilingOrg>117386</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>7648</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>8431</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23499</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>156964</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PATRICK MOWDER</NamePerson>
        <BaseCompensationFilingOrg>151842</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>1980</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10247</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20366</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>184435</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RAGU TIRUKONDA</NamePerson>
        <BaseCompensationFilingOrg>173229</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>229</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>11641</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18293</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>203392</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RONALD FENWICK</NamePerson>
        <BaseCompensationFilingOrg>148337</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>665</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9518</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5890</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>164410</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CLINTON BOOR</NamePerson>
        <BaseCompensationFilingOrg>138327</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>60</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>8941</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14674</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>162002</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BARBARA LUDER</NamePerson>
        <BaseCompensationFilingOrg>158481</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>113</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5752</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>164346</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA HARRISON</NamePerson>
        <BaseCompensationFilingOrg>36693</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>215361</OtherCompensationFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2261</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>254315</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>HEALTH OR SOCIAL CLUB DUES</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>COUNTRY CLUB AND SOCIAL DUES ARE PAID FOR KEVIN MILLER.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENT</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4A</ReturnReference>
        <Explanation>LINDA HARRISON - $159,006</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LUMINOUS NEON INC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>260478</AmountOfTransaction>
        <DescriptionOfTransaction>PURCHASE OF SIGNS &amp; SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RENO PATHOLOGY ASSOCIATES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>300000</AmountOfTransaction>
        <DescriptionOfTransaction>INDEPENDENT CONTRACTOR</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>AMY CHASE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>87196</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MORGAN BLACKIM</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>11774</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>FEE INSURANCE GROUP</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>330757</AmountOfTransaction>
        <DescriptionOfTransaction>INSURANCE PROVIDER</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>TRACY SCHLICKAU</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>34849</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>GILLILAND HAYES LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>155018</AmountOfTransaction>
        <DescriptionOfTransaction>INDEPENDENT CONTRACTOR</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SUSAN SILER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>100120</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>HUTCHINSON HEALTH CARE SERVICES IN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>215407</AmountOfTransaction>
        <DescriptionOfTransaction>SHARED EMPLOYEES/EXPENSES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV, COLUMN B</ReturnReference>
        <Explanation>1) ENTITY MORE THAN 35% OWNED BY MERT SELLERS, DIRECTOR 2) PROFESSIONAL CORPORATION MORE THAN 5% OWNED BY REX DEGNER, DIRECTOR 3) FAMILY MEMBER OF WILLIAM GIERSCH, OFFICER 4) FAMILY MEMBER OF ANASTEEN BLACKIM, DIRECTOR 5) ENTITY MORE THAN 35% OWNED BY ALLEN FEE, DIRECTOR 6) FAMILY MEMBER OF LOIS SCHLICKAU, DIRECTOR 7) PROFESSIONAL CORPORATION MORE THAN 5% OWNED BY MELISSA MOODIE, FAMILY MEMBER OF EVAN MOODIE, DIRECTOR 8) FAMILY MEMBER OF JAMES SILER, DIRECTOR 9) RELATED FOR PROFIT ENTITY OF WHICH CURRENT OFFICERS SERVES AS OFFICERS</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>TIMOTHY CRATER, JAMES SILER AND VERLIN JANZEN HAVE A BUSINESS RELATIONSHIP. KENDALL E. JOHNSON AND KEVIN MILLER HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN PROVIDED TO THE TREASURER. ANY QUESTIONS AND CONCERNS THE TREASURER 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT CURRENTLY PROVIDE ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>TRANSFERS TO AFFILIATES (76,558) CHANGE IN BENEFICIAL INTEREST IN FOUNDATIONS (594,450) UNREALIZED GAINS ON INVESTMENTS 480,102 ------------ (190,906)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ANN BUSH TITLE:DIRECTOR/SECRETARY HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN JONES TITLE:DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KEVIN MILLER TITLE:DIRECTOR/PRESIDENT HOURS:5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MERT SELLERS TITLE:DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KENDALL E. JOHNSON TITLE:VP FINANCE HOURS:4</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPICE OF RENO COUNTY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1701 E 23RD</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67502</ZIPCode>
        </AddressUS>
        <EIN>480927101</EIN>
        <PrimaryActivities>HOSPICE CARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HORIZONS MENTAL HEALTH CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1600 N LORRAINE</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67051</ZIPCode>
        </AddressUS>
        <EIN>480970362</EIN>
        <PrimaryActivities>MENTAL HEALTH</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MAIN LINE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1701 E 23RD</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67502</ZIPCode>
        </AddressUS>
        <EIN>486111813</EIN>
        <PrimaryActivities>LEASING</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LIVING CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1701 E 23RD</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67502</ZIPCode>
        </AddressUS>
        <EIN>481066643</EIN>
        <PrimaryActivities>LTC FACILITY</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HUTCHINSON REGIONAL MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1701 E 23RD</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67502</ZIPCode>
        </AddressUS>
        <EIN>480891435</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HUTCHINSON HEALTH CARE SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>803 E 30TH</AddressLine1>
          <City>HUTCHINSON</City>
          <State>KS</State>
          <ZIPCode>67502</ZIPCode>
        </AddressUS>
        <EIN>480970364</EIN>
        <PrimaryActivity>MEDICAL EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>KS</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>2935326</ShareOfTotalIncome>
        <ShareOfEOYAssets>2249151</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HORIZONS MENTAL HEALTH CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>125290</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HORIZONS MENTAL HEALTH CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>226164</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF RENO COUNTY INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>206646</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF RENO COUNTY INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>191612</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HUTCHINSON HEALTH CARE SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>108247</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HUTCHINSON HEALTH CARE SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>107161</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HUTCHINSON REGIONAL MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>129780</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HUTCHINSON REGIONAL MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>298256</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LIVING CENTER INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>206338</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LIVING CENTER INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>973059</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LIVING CENTER INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>237813</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MAIN LINE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>4500000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MAIN LINE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>102319</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MAIN LINE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>95686</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>