HUTCHINSON REGIONAL MEDICAL CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- HUTCHINSON REGIONAL MEDICAL CENTER INC (EIN 48-0774005)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201121339349300402
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T06:31:20-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 534 S Kansas Ave Suite 1500 | AddressLine1 |
| City | Topeka | City |
| State | KS | State |
| ZIP Code | 666033491 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480774005 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Promise Regional Medical Center Hutchinson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROM | NameControl |
| Phone | 6206652000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 E 23rd | AddressLine1 |
| City | Hutchinson | City |
| State | KS | State |
| ZIP Code | 67502 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Shawnda Heimerman | Name |
| Title | Admin Dir Fin Serv | Title |
| Phone | 6206652000 | Phone |
| Date Signed | 2011-05-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gary D Knoll | Name |
| Phone | 7852334226 | Phone |
| Date Prepared | 2011-05-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Shawnda Heimerman | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 E 23rd | AddressLine1 |
| City | Hutchinson | City |
| State | KS | State |
| ZIP Code | 67502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 143748632 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.promiseregional.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1969 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | A 199 bed acute care hospital with the mission to do everything possible to deliver an exceptional experience of care for every patient and family member, everytime, in every interaction. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1491 | TotalNbrEmployees |
| Total Nbr Volunteers | 182 | TotalNbrVolunteers |
| Total Gross UBI | 2457855 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 733509 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3803017 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 775157 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 129621331 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 141582905 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1935583 | InvestmentIncomePriorYear |
| Investment Income Current Year | 782562 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5257495 | OtherRevenuePriorYear |
| Other Revenue Current Year | 572335 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 140617426 | TotalRevenuePriorYear |
| Total Revenue Current Year | 143712959 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 58457689 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 58387874 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 79003111 | OtherExpensePriorYear |
| Other Expenses Current Year | 81521042 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 137460800 | TotalExpensesPriorYear |
| Total Expenses Current Year | 139908916 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3156626 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3804043 | RevenuesLessExpensesCY |
| Total Assets BOY | 145613082 | TotalAssetsBOY |
| Total Assets EOY | 155757293 | TotalAssetsEOY |
| Total Liabilities BOY | 29648623 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30665139 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 115964459 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 125092154 | NetAssetsOrFundBalancesEOY |
| Mission Description | We must do everything possible to deliver an exceptional experience of care for every patient and family member, everytime, in every interaction. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 119092976 | Expense |
| Revenue | 138706964 | Revenue |
| Description | Promise Regional Medical Center Hutchinson is currently licensed to operate 199 general acute beds. All program service expenses were incurred in furtherance of our mission. | Description |
| Total Program Service Expense | 119092976 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 60 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1491 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shawnda Heimerman AdminDir Fin Serv | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6206652002 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 E 23rd | AddressLine1 |
| City | Hutchinson | City |
| State | KS | State |
| ZIP Code | 67502 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Ann Bush | |||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Kris Doswell | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Sue Darby | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| John Deardoff | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Annasteen Blackim | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Mike Evans | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Verlin Janzen MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John Jones | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Evan Moodie | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Gary Mundhenke | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Christine Sanders MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Mert Sellers | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John Swearer | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Kent Tyler | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Rex Degner MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Edward Hobart MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Linda Harrison | |||||||
| President | 40.00 | X | X | 370443 | 0 | 20874 | |
| David Busatti | |||||||
| Vice President of Finance | 40.00 | X | 122006 | 0 | 15273 | ||
| James McComas | |||||||
| Vice President of Operations | 40.00 | X | 160218 | 0 | 19999 | ||
| Janet Hamous | |||||||
| Vice President of Human Resources | 40.00 | X | 146008 | 0 | 15654 | ||
| Patricia Edwards | |||||||
| Vice President of Nursing | 40.00 | X | 90166 | 0 | 14260 | ||
| Ragu Tirukonda | |||||||
| Senior Medical Physicist | 40.00 | 161001 | 0 | 20225 | X | ||
| Ronald Fenwick | |||||||
| Pharmacist | 40.00 | 144394 | 0 | 12810 | X | ||
| William Giersch | |||||||
| Director of Clinical Services | 40.00 | 142387 | 0 | 16499 | X | ||
| Patrick Mowder | |||||||
| Director of Pharmacy | 40.00 | 141824 | 0 | 18487 | X | ||
| Clint Boor | |||||||
| Pharmacist | 40.00 | 130819 | 0 | 17626 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1609266 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 171707 | TotalOtherCompensation |
| Number Individuals GT100 K | 26 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rees Associates | |||||
| 9211 Lake Heffner Pkwy | Oklahoma City | OK | 73120 | Architects | 812209 |
| The Strategy Group | |||||
| 8415 East 21st St 200 | Wichita | KS | 67206 | Marketing | 581648 |
| Scott Sellers | |||||
| 2510 Linksland | Hutchinson | KS | 67502 | ER Physician | 472950 |
| Mark Ohlde | |||||
| 1300 Bristol Rd | Hutchinson | KS | 67502 | ER Physician | 421163 |
| Bryan K Henderson | |||||
| 2515 Lundman | Hutchinson | KS | 67502 | ER Physician | 403040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Related Organizations | 153067 | RelatedOrganizations |
| Government Grants | 558618 | GovernmentGrants |
| All Other Contributions | 63472 | AllOtherContributions |
| Total Contributions | 775157 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Revenue | 900099 | 137739745 | 137739745 | ||
| Non-Patient Lab | 621500 | 1243229 | 1243229 | ||
| Ambulance Services | 621910 | 967219 | 967219 | ||
| Pharmacy consulting an | 900099 | 910295 | 910295 | ||
| Cafeteria & dietary | 900099 | 418086 | $418,086 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 304331 | TotalRevenueColumn |
| Unrelated Business Revenue | 304331 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 141582905 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 800936 | TotalRevenueColumn |
| Exclusion | $800,936 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | 472519 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | 472519 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 472519 | TotalRevenueColumn |
| Exclusion | $472,519 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 17299 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 33310 | Securities |
| Other | 2363 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -33310 | Securities |
| Other | 14936 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -18374 | TotalRevenueColumn |
| Exclusion | -$18,374 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 99816 | TotalRevenueColumn |
| Exclusion | $99,816 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 99816 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 143712959 | TotalRevenueColumn |
| Related Or Exempt Function Income | 138706964 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2457855 | UnrelatedBusinessRevenue |
| Exclusion | $1,772,983 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1178875 | Total |
| Management And General | 1178875 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45687092 | Total |
| Program Services | 36745604 | ProgramServices |
| Management And General | 8941488 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1829101 | Total |
| Program Services | 1431422 | ProgramServices |
| Management And General | 397679 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6022304 | Total |
| Program Services | 5008629 | ProgramServices |
| Management And General | 1013675 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3670502 | Total |
| Program Services | 2899308 | ProgramServices |
| Management And General | 771194 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 282363 | Total |
| Program Services | 138133 | ProgramServices |
| Management And General | 144230 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 266825 | Total |
| Management And General | 266825 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 572086 | Total |
| Program Services | 51 | ProgramServices |
| Management And General | 572035 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 596853 | Total |
| Program Services | 208099 | ProgramServices |
| Management And General | 388754 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2395681 | Total |
| Program Services | 10444 | ProgramServices |
| Management And General | 2385237 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2265904 | Total |
| Program Services | 2181176 | ProgramServices |
| Management And General | 84728 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71929 | Total |
| Program Services | 35493 | ProgramServices |
| Management And General | 36436 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252940 | Total |
| Management And General | 252940 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9691746 | Total |
| Program Services | 9691746 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1123129 | Total |
| Program Services | 1102124 | ProgramServices |
| Management And General | 21005 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| Federal income tax paym | 135000 | 135000 | |
| Medical supplies | 19370308 | 19370308 | |
| Bad debts | 14374247 | 14374247 | |
| Physician fees | 8226682 | 397697 | 7828985 |
| Pharmaceuticals | 7933647 | 7933647 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13961702 | Total |
| Program Services | 10133560 | ProgramServices |
| Management And General | 3828142 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139908916 | Total |
| Program Services | 119092976 | ProgramServices |
| Management And General | 20815940 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14456 | BOY |
| EOY | 8112932 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15105329 | BOY |
| EOY | 15045159 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21026298 | BOY |
| EOY | 18025194 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4462721 | BOY |
| EOY | 4543347 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1365101 | BOY |
| EOY | 1679261 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 165899025 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 95432344 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65558752 | BOY |
| EOY | 70466681 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 700000 | BOY |
| EOY | 34873425 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37344046 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36379 | BOY |
| EOY | 3011294 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145613082 | BOY |
| EOY | 155757293 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14807298 | BOY |
| EOY | 16194588 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3634 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14635087 | BOY |
| EOY | 13551992 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206238 | BOY |
| EOY | 914925 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29648623 | BOY |
| EOY | 30665139 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97390162 | BOY |
| EOY | 104401492 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18574297 | BOY |
| EOY | 20690662 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115964459 | BOY |
| EOY | 125092154 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145613082 | BOY |
| EOY | 155757293 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1420204 | OtherCostOrOtherBasis |
| Book Value | 1420204 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55147132 | OtherCostOrOtherBasis |
| Depreciation | 24480951 | Depreciation |
| Book Value | 30666181 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26521310 | OtherCostOrOtherBasis |
| Depreciation | 17397814 | Depreciation |
| Book Value | 9123496 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71081070 | OtherCostOrOtherBasis |
| Depreciation | 46518917 | Depreciation |
| Book Value | 24562153 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11729309 | OtherCostOrOtherBasis |
| Depreciation | 7034662 | Depreciation |
| Book Value | 4694647 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 70466681 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (6 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Investment in Hutchinson VHA | 118525 | F |
| Investment in Hutchinson Health Care Services | 480000 | C |
| Investment in Hutchinson Ambulatory Surgery | 20000 | C |
| Beneficial interest in net assets of Foundation | 20516171 | C |
| Vanguard Index 500 Fund | 4080567 | F |
| PIMCO Fund | 9658162 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 34873425 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Investment in Dialysis Center of Hutchinson | $73,749 |
| Agency funds | $774,124 |
| Capital Lease | $67,052 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 914925 | TotalOfAmounts |
| Total Revenue | 143712959 | TotalRevenue |
| Total Expenses | 139908916 | TotalExpenses |
| Excess Or Deficit For Year | 3804043 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1035063 | NetUnrealizedGLOnInvestments |
| Other | $4,288,589 | OtherAmount |
| Total Adjustments | 5323652 | TotalAdjustments |
| Excess Or Deficit Per FS | 9127695 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 146920246 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1035063 | NetUnrealizedGainsInvestments |
| Other Revenues | 2172224 | OtherRevenues |
| Revenue Not Rptd F990 | 3207287 | RevenueNotRptdF990 |
| Revenue Subtotal | 143712959 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 143712959 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 139908916 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 139908916 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 139908916 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | N/A |
| Part XI, Line 8 - Other Adjustments: | Net assets released from restrictions for purchase of property and equipment: 432905. Transfers between affiliates: 1739319. Contributions and grants received: 642984. Investment income: 497. Repayment of contribution restricted for property and equipment: -83499. Change in beneficial interest in net assets of foundations: 2210069. Net assets released from restrictions used for operations: -220781. Net assets released from restrictions for purchase of property and equipment: -432905. | |
| Part XII, Line 2d - Other Adjustments: | Transfer from affiliate: 1739319. Net assets released from restrictions used for property & equipment: 432905. | |
| Schedule D, Part X Dialysis Center of Hutchinson Schedule D, Part XI, Line 8 Change in beneficial interest in net assets of foundation. Schedule D, Part XII, Line 4b Transfer from Affiliate Schedule D, Part XIII, Line 4b Transfer to Affiliates |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 225.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 497429 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 497429 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8066336 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3579378 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4486958 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03570 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8563765 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3579378 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4984387 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 133265 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7955 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 125310 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8916995 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4515444 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4401551 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03510 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30628 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 30628 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9080888 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4523399 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4557489 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03630 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17644653 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8102777 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9541876 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07600 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1297 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1297 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1297 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1297 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,344,836 | BadDebtExpenseAmount |
| Amount Attributable To | 37412 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 54237188 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 57100145 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2862957 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Promise Regional Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 E 23rd | AddressLine1 |
| City | Hutchinson | City |
| State | KS | State |
| ZIP Code | 67502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | Part III, Line 4: Provisions are made for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. This allowance is estimated based on the aging of accounts receivable and historical collection experience for each type of payor. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Amounts were obtained from the cost report filed with Medicare for the period ending June 30, 2010. The shortfall is a result of unreimbursed costs incurred while providing care for Medicare patients. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: When a patient account is assigned to a collection agency, the agency will inform the patient of the Promise 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. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: The Medical Center was a funding sponsor of the 2009-2010 Health Risk Behaviors-Reno County survey in collaboration with the Kansas Health Foundation, Hutchinson Community Foundation, and the Reno County Health Department and Home Health Agency. The survey measures and sets target goals for seven leading health indicators for the county the Medical Center serves. A member of the Medical Center's Executive Team serves on the Advisory Board of the Reno County Health Department. This board is currently forming sub-committees and an action plan for response to the survey and Methodology to obtain the specified goals.Additionally, the Medical Center formed two internal response teams to focus on tobacco use cessation and reducing childhood obesity. Both of these teams are collaborating with several local organizations such as the Boys and Girls Club and the Health Department. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: The Medical Center posts notices of charity care in Admissions, the Emergency Department, Financial Services, and on the Promise Regional 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. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Promise 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 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 Centers gross revenue. Promise 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 deliver and community well-being. Promise 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 are approximately 53 and 54 miles away. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: At this time, Promise Regional Medical Center does not have programs that directly address the root causes of health problems, however the management team is (as a part of their job description) required to participate in community volunteer activities that focus on these issues. As of this writing, members of the management team currently serve on the following notable local, state, and national boards and committees: Reno County Cancer Council Red Cross Board Hutchinson Area Student Services Health Clinic American Red Cross, Hutchinson Chapter American Heart Association-Flint Hills Division Board of Directors Executive Leadership Team for Hutchinson Heart Walk Health Strategies/Life Strategies Foundation Board of Directors Kansas Health Ethics Board Arthritis Foundation (Kansas/Missouri chapter) Hospice & Home Care of Reno County Reno County Transportation Committee Hutchinson Community College Associate Degree Nursing Program Advisory Committee Hutchinson Community College-RHIT Advisory Board AmbucsMany of these boards and committees have a direct and/or indirect impact on the root causes of health issues in our county and surrounding area. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Promise Regional Medical Center is the only community based hospital in Reno County and is governed by a Board of Directors 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 balance representation of the community and the Medical Staff". The board meets monthly with the purpose of guiding the Medical Center 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 Promise Regional Medical Center's 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. Our latest investments include a 64-slice Dual Source CT Scanner, a Tomotherapy Radiation Oncology Unit, and a complete remodel of our Cardiovascular pre- and post-procedure area.Promise Regional Medical Center 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:Promise Regional Medical Center Mission Statement:We must do everything possible to deliver an exceptional experience of care for every patient and family member, every time, in ever interaction.Core Values: Commitment to love our patients "First, Best, Most." Exceptional Care Excellence Highest Integrity Regional Leader in Care Community Minded Employer of Choice Legacy BuildersPromise Regional Medical Center 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. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Linda Harrison | |||||||||||||
| 320440 | 0 | 50003 | 0 | 0 | 0 | 17354 | 0 | 3520 | 0 | 391317 | 0 | 152361 | 0 |
| James McComas | |||||||||||||
| 160218 | 0 | 0 | 0 | 0 | 0 | 10903 | 0 | 9096 | 0 | 180217 | 0 | 83194 | 0 |
| Janet Hamous | |||||||||||||
| 146008 | 0 | 0 | 0 | 0 | 0 | 6558 | 0 | 9096 | 0 | 161662 | 0 | 71500 | 0 |
| Ragu Tirukonda | |||||||||||||
| 158739 | 0 | 2262 | 0 | 0 | 0 | 11129 | 0 | 9096 | 0 | 181226 | 0 | 84001 | 0 |
| Ronald Fenwick | |||||||||||||
| 144394 | 0 | 0 | 0 | 0 | 0 | 9290 | 0 | 3520 | 0 | 157204 | 0 | 74632 | 0 |
| William Giersch | |||||||||||||
| 134219 | 0 | 8168 | 0 | 0 | 0 | 10143 | 0 | 6356 | 0 | 158886 | 0 | 63140 | 0 |
| Patrick Mowder | |||||||||||||
| 140365 | 0 | 1459 | 0 | 0 | 0 | 9391 | 0 | 9096 | 0 | 160311 | 0 | 71406 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 1a | ReturnReference |
| Explanation | Country club and social club dues are paid for Linda Harrison, CEO. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Mert Sellers | |||
| Owner of 5% of Luminous Neon, Supplier | 39910 | Purchase of signs and services | 0 |
| Rex Degner MD | |||
| Member of reno Pathology Assoc. P. A. | 300000 | Physicians fees lab work | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | A copy of Form 990 is made available to the governing board prior to it being filed. | |
| Form 990, Part VI, Section B, line 12c | All employees are required to sign a compliance certification at least annually stating that they acknowledge that the Corporate Compliance Program and Corporate Code of Conduct have been explained and that they are in compliance with its requirements - which include conflict of interest. Board of Directors are also required annually to sign a Form 990 Board questionnaire. | |
| Form 990, Part VI, Section B, line 15 | 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 executieve board, which serves as the compensation committee. The CEO base pay is determined by the Board based on market data and executive performance. The CEO bonus is determined by the Board based on hospital and CEO performance, in accordance with the guidelines outlined in the employment agreement. | |
| Form 990, Part VI, Section C, line 19 | The Organization provides Form 990 to the public upon request. The Organization does not currently provide access to governing documents, conflict of interest policy or financial statements. | |
| Form 990, part XI, line 2c | The Finance Committee is responsible for oversight of the financial statement audit and approval of the accounting firm performing the audit. | FINANCIAL STATEMENT REPORTING |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Hospice of Reno County | |||||||||
| 1701 E 23rd | Hutchinson | KS | 67502 | 480927101 | Hospice and Home Care | KS | 501(c)(3) | 7 | Promise Regional Medical Center Hutchinson Inc |
| Horizons Mental Health Center | |||||||||
| 1600 N Lorraine | Hutchinson | KS | 67501 | 480970362 | Licensed community mental health center | KS | 501(c)(3) | 3 | Promise Regional Medical Center Hutchinson Inc |
| Main Line Inc | |||||||||
| 1701 E 23rd | Hutchinson | KS | 67502 | 486111813 | Leases personal and real property to 501(c)(3) organization | KS | 501(c)(3) | 11b | Promise Regional Medical Center Hutchinson Inc |
| Living Center Inc | |||||||||
| 1901 E 23rd | Hutchinson | KS | 67502 | 481066643 | Long term care facility | KS | 501(c)(3) | 9 | Promise Regional Medical Center Hutchinson Inc |
| Promise Regional Medical Center Hutchinson Foundation | |||||||||
| 1701 E 23rd | Hutchinson | KS | 67502 | 480891435 | To raise funds to facilitate the accomplishment of the health care mission | KS | 501(c)(3) | 11b | Promise Regional Medical Center Hutchinson Inc |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hutchinson Health Care Services Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 803 E 30th | AddressLine1 |
| City | Hutchinson | City |
| State | KS | State |
| ZIP Code | 67502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480970364 | EIN |
| Primary Activity | Durable Medical Equipment | PrimaryActivity |
| Legal Domicile State | KS | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Promise Regional Medical Center Hutchinson Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | -487767 | ShareOfTotalIncome |
| Share Of EOY Assets | 2181345 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Horizons Mental Health Center | |
| N | 130531 |
| Horizons Mental Health Center | |
| O | 28670 |
| Hutchinson Health Care Services Inc | |
| N | 109878 |
| Hutchinson Health Care Services Inc | |
| M | 2789 |
| Hutchinson Health Care Services Inc | |
| O | 12120 |
| Hospice of Reno County | |
| N | 169971 |
| Hospice of Reno County | |
| O | 16108 |
| Living Center Inc | |
| N | 540697 |
| Living Center Inc | |
| O | 28156 |
| Living Center Inc | |
| I | 260681 |
| Main Line Inc | |
| N | 74178 |
| Main Line Inc | |
| M | 507 |
| Main Line Inc | |
| O | 4709 |
| Promise Regional Medical Center Hutchinson Foundation | |
| N | 48157 |
| Promise Regional Medical Center Hutchinson Foundation | |
| M | 253 |
| Promise Regional Medical Center Hutchinson Foundation | |
| O | 88 |
| Main Line Inc | |
| R | 2000000 |
| Promise Regional Medical Center Hutchinson Foundation | |
| R | 54972 |
| Hutchinson Health Care Services Inc | |
| G | 67640 |
| Promise Regional Medical Center Hutchinson Foundation | |
| Q | 305738 |
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