﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-08-17T15:42:27-04:00</ReturnTs>
    <TaxPeriodEndDt>2025-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>200079326</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DZA PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>12015 E MAIN AVE</AddressLine1Txt>
        <CityNm>SPOKANE VALLEY</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>99206</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>481058737</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>PRATT REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>CORPORATION</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>PRAT</BusinessNameControlTxt>
      <PhoneNum>6206727451</PhoneNum>
      <USAddress>
        <AddressLine1Txt>200 COMMODORE ST</AddressLine1Txt>
        <CityNm>PRATT</CityNm>
        <StateAbbreviationCd>KS</StateAbbreviationCd>
        <ZIPCd>67124</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>TONYA POWELL</PersonNm>
      <PersonTitleTxt>TREASURER/VP/CFO</PersonTitleTxt>
      <PhoneNum>6206727451</PhoneNum>
      <SignatureDt>2026-08-17</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>RIKKI PATCH</PreparerPersonNm>
      <PTIN>P01472231</PTIN>
      <PhoneNum>5092420874</PhoneNum>
      <PreparationDt>2026-08-17</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc8 RetDoc2">
      <PrincipalOfficerNm>TAMMY SMITH</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>200 COMMODORE ST</AddressLine1Txt>
        <CityNm>PRATT</CityNm>
        <StateAbbreviationCd>KS</StateAbbreviationCd>
        <ZIPCd>67124</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>68935318</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.PRMC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1988</FormationYr>
      <LegalDomicileStateCd>KS</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO OPERATE A MEDICAL SYSTEM TO DIAGNOSE, TREAT, AND CARE FOR INDIVIDUALS SUFFERING FROM PHYSICAL ILLNESS, DISEASE, INJURY, OR DEFORMITY IN PRATT COUNTY AND ADJACENT AREAS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>434</TotalEmployeeCnt>
      <TotalVolunteersCnt>23</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>1309004</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>7529348</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>53138790</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>59833164</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>278611</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>766743</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>2973319</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>781143</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>57699724</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>68910398</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>100000</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>31302291</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>33523395</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>28709</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>35658763</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>32544053</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>67061054</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>66067448</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-9361330</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>2842950</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>50904374</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>51480441</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>33422763</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>32146303</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>17481611</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>19334138</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO OPERATE A MEDICAL SYSTEM TO DIAGNOSE, TREAT, AND CARE FOR INDIVIDUALS SUFFERING FROM PHYSICAL ILLNESS, DISEASE, INJURY, OR DEFORMITY IN PRATT COUNTY AND ADJACENT AREAS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>53906747</ExpenseAmt>
      <RevenueAmt>59833164</RevenueAmt>
      <Desc>PRATT REGIONAL MEDICAL CENTER CORPORATION (PRMC) IS A 35-BED ACUTE CARE HOSPITAL LOCATED IN PRATT, KANSAS, A RURAL COMMUNITY OF APPROXIMATELY 6,600 RESIDENTS. PRMC PROVIDES MEDICAL CARE AND RELATED HEALTH SERVICES TO THE GENERAL PUBLIC AND SERVES AS AN ESSENTIAL HEALTHCARE RESOURCE FOR PRATT COUNTY AND THE SURROUNDING SOUTH-CENTRAL AND WESTERN KANSAS REGION. AS A COMMUNITY-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, PRMC IS COMMITTED TO PROVIDING EXCELLENT, COMPASSIONATE, AND PATIENT-CENTERED CARE WHILE WORKING TO UNDERSTAND AND MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. (SEE CONTINUATION ON SCHEDULE O)</Desc>
      <TotalProgramServiceExpensesAmt>53906747</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc11">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc4">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc4">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc4">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc5">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc10">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc7">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc9">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc9">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc9">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc9">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>23</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>434</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>NIKI GRIFFITH</PersonNm>
        <PhoneNum>6204501432</PhoneNum>
        <USAddress>
          <AddressLine1Txt>200 COMMODORE ST</AddressLine1Txt>
          <CityNm>PRATT</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67124</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDER NEEL</PersonNm>
        <TitleTxt>ORTHOPEDIC S</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>832628</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33781</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON ZOOK</PersonNm>
        <TitleTxt>INTERNAL MED</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>849992</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13813</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER MILLER</PersonNm>
        <TitleTxt>ORTHOPEDIC S</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>747851</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22917</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IAN KOVACH</PersonNm>
        <TitleTxt>ORTHOPEDIC S</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>722746</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30550</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT GORDON</PersonNm>
        <TitleTxt>PHYSICIAN/ME</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>519912</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20785</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUIS ESPINOZA</PersonNm>
        <TitleTxt>PHYSICIAN/ME</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>523133</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14307</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL HAUSER</PersonNm>
        <TitleTxt>INTERNAL MED</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>527690</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6055</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY SMITH</PersonNm>
        <TitleTxt>PRESIDENT/CE</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>282259</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19929</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONYA POWELL</PersonNm>
        <TitleTxt>TREASURER/VP</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>102799</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>159</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILL KELLER</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BECCA FLOWERS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAKON FOWLER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANETTE SIEMENS</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY BARKER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAKOTA HOLTGRIEVE</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE MOORE</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSH NICOLAY</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5109010</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>162296</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>47</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO INC &amp; AFFILIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 360170</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIET./HOUSEKEEP</ServicesDesc>
        <CompensationAmt>2020839</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUND PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1222 DEMONBREUN STREET SUITE 1601</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37203</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTESIOLOGY</ServicesDesc>
        <CompensationAmt>1365375</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALIVIS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 674913</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSES</ServicesDesc>
        <CompensationAmt>1279519</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARING FOR KANSAS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24529 W LOST POINT</AddressLine1Txt>
            <CityNm>ANDALE</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSES</ServicesDesc>
        <CompensationAmt>1260590</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRATT MRI LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 269</AddressLine1Txt>
            <CityNm>PRATT</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67124</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MRI SERVICES</ServicesDesc>
        <CompensationAmt>609225</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>16</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1018783</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>6288947</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>221618</AllOtherContributionsAmt>
      <TotalContributionsAmt>7529348</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>59833164</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59833164</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>59833164</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>766743</TotalRevenueColumnAmt>
        <ExclusionAmt>766743</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>331109</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>24920</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>306189</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>306189</TotalRevenueColumnAmt>
        <ExclusionAmt>306189</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>474954</TotalRevenueColumnAmt>
        <ExclusionAmt>474954</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>474954</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>68910398</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59833164</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1547886</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1317883</TotalAmt>
        <ProgramServicesAmt>983220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>334663</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>27260003</TotalAmt>
        <ProgramServicesAmt>24313278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2946725</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>386563</TotalAmt>
        <ProgramServicesAmt>347715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38848</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2553515</TotalAmt>
        <ProgramServicesAmt>2263301</ProgramServicesAmt>
        <ManagementAndGeneralAmt>290214</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2005431</TotalAmt>
        <ProgramServicesAmt>1775705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>229726</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>231868</TotalAmt>
        <ManagementAndGeneralAmt>231868</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>73770</TotalAmt>
        <ManagementAndGeneralAmt>73770</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>11435268</TotalAmt>
        <ProgramServicesAmt>7885342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3549926</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>140592</TotalAmt>
        <ProgramServicesAmt>3911</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136681</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>966349</TotalAmt>
        <ProgramServicesAmt>821925</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134908</ManagementAndGeneralAmt>
        <FundraisingAmt>9516</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1554087</TotalAmt>
        <ProgramServicesAmt>1102361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>451726</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>170376</TotalAmt>
        <ProgramServicesAmt>159914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10462</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>120880</TotalAmt>
        <ProgramServicesAmt>50182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70698</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>938632</TotalAmt>
        <ProgramServicesAmt>154535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>784097</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3501703</TotalAmt>
        <ProgramServicesAmt>2421778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1079925</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>851924</TotalAmt>
        <ProgramServicesAmt>236650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>615274</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>11093237</TotalAmt>
        <ProgramServicesAmt>11093237</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>842546</TotalAmt>
        <ProgramServicesAmt>83587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>739766</ManagementAndGeneralAmt>
        <FundraisingAmt>19193</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINTENANCE</Desc>
        <TotalAmt>281623</TotalAmt>
        <ProgramServicesAmt>208378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73245</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>341198</TotalAmt>
        <ProgramServicesAmt>1728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>339470</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>66067448</TotalAmt>
        <ProgramServicesAmt>53906747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12131992</ManagementAndGeneralAmt>
        <FundraisingAmt>28709</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>590965</BOYAmt>
        <EOYAmt>175577</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>25538</BOYAmt>
        <EOYAmt>26359</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>8970125</BOYAmt>
        <EOYAmt>13632352</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>417000</BOYAmt>
        <EOYAmt>311000</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>3536638</BOYAmt>
        <EOYAmt>2019020</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>817480</BOYAmt>
        <EOYAmt>338818</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>89214277</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>63315911</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>27016180</BOYAmt>
        <EOYAmt>25898366</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>9530448</BOYAmt>
        <EOYAmt>9078949</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>50904374</BOYAmt>
        <EOYAmt>51480441</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>11726896</BOYAmt>
        <EOYAmt>12401542</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>13898722</BOYAmt>
        <EOYAmt>11895415</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>7797145</BOYAmt>
        <EOYAmt>7849346</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>33422763</BOYAmt>
        <EOYAmt>32146303</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>17383313</BOYAmt>
        <EOYAmt>19235840</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>98298</BOYAmt>
        <EOYAmt>98298</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>17481611</BOYAmt>
        <EOYAmt>19334138</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>50904374</BOYAmt>
        <EOYAmt>51480441</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2842950</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>92647</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-692329</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-390741</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc11">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>10588</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>10588</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO STATE AND NATIONAL HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. THE PERCENTAGES OF DUES PAID THAT RELATED TO LOBBYING ACTIVITIES WERE 13.9% FOR KHA AND 39.0% FOR AHA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>88623</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>88623</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>88623</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>88623</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>88623</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>88623</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>88623</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>88623</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>88623</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>88623</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>56885818</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>37038073</DepreciationAmt>
        <BookValueAmt>19847745</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>29209171</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23591389</DepreciationAmt>
        <BookValueAmt>5617782</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3119288</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2686449</DepreciationAmt>
        <BookValueAmt>432839</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>25898366</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>FUNDS HELD BY FISCAL AGENT</Desc>
        <BookValueAmt>6505882</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INV. IN PRATT HEALTH FOUNDATION</Desc>
        <BookValueAmt>2287179</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTY PAYORS</Desc>
        <BookValueAmt>272000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>13888</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>9078949</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>68612304</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>92647</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>92647</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>68519657</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>390741</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>390741</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>68910398</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>66067448</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>66067448</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>66067448</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS ARE HELD BY PRATT HEALTH FOUNDATION, A RELATED TAX EXEMPT ORGANIZATION. INCOME FROM THE ENDOWMENT IS TO BE USED 100% FOR THE SUPPORT AND PROGRAMS OF PRATT REGIONAL MEDICAL CENTER, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE MEDICAL CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WERE CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF SEPTEMBER 30, 2025 AND 2024, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NET ASSETS PHF 390,741</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc10">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>163627</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>163627</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00250</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>3622238</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>795192</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2827046</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04280</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>3785865</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>795192</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2990673</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04530</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>13093</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>430</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>12663</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>9558</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>9558</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>2500651</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2453570</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>47081</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00070</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>14874</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>14874</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>2538176</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2454000</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>84176</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00130</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>6324041</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3249192</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3074849</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04650</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>1545883</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>15041046</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>17378156</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-2337110</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PRATT REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>200 COMMODORE ST</AddressLine1Txt>
          <CityNm>PRATT</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67124</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PRMC.ORG</WebsiteAddressTxt>
        <StateLicenseNum>H076001</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>PRATT REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.PRMC.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.PRMC.ORG/ABOUT/COMMUNITY-HEALTH</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://PRMC.ORG/PATIENTS-VISITORS</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://PRMC.ORG/PATIENTS-VISITORS</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://PRMC.ORG/PATIENTS-VISITORS</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PRATT REGIONAL MEDICAL CENTER - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY PRATT REGIONAL MEDICAL CENTER ARE: 1. HOUSING - SAFE, ACCESSIBLE, AND AFFORDABLE HOUSING 2. ACCESS TO PRIMARY CARE PROVIDERS FOR NEW PATIENTS 3. ECONOMIC VIABILITY / HIGH COST OF LIVING 4. UNDERSTANDING AVAILABLE COMMUNITY RESOURCES AND AREA HEALTHCARE SERVICES 5. RADIATION THERAPY AND DIALYSIS SERVICES 6. SUICIDE PREVENTION 7. UNINSURED / UNDERINSURED RESIDENTS 8. CHILDCARE - ACCESSIBLE AND AFFORDABLE 9. MENTAL HEALTH SERVICES - DIAGNOSIS, PLACEMENT, AFTERCARE, AND PROVIDER ACCESS THE CHNA ALSO NOTED ADDITIONAL NEEDS THAT RECEIVED COMMUNITY VOTES, INCLUDING AFFORDABLE HEALTHCARE, PARENTING/DOMESTIC VIOLENCE, ACCESS TO HEALTHY FOODS, AND SUBSTANCE ABUSE INVOLVING DRUGS AND ALCOHOL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PRATT REGIONAL MEDICAL CENTER - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PRATT REGIONAL MEDICAL CENTER SOLICITED COMMUNITY INPUT THROUGH A STRUCTURED COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FACILITATED BY VVV CONSULTANTS, LLC. INPUT WAS OBTAINED FROM RESIDENTS, COMMUNITY LEADERS, HEALTHCARE PROVIDERS, AND OTHER LOCAL STAKEHOLDERS THROUGH AN ONLINE COMMUNITY PERCEPTION SURVEY AND A COMMUNITY TOWN HALL MEETING. THE ONLINE SURVEY COLLECTED FEEDBACK FROM 452 PARTICIPANTS REGARDING HEALTHCARE ACCESS, COMMUNITY STRENGTHS, SOCIAL DETERMINANTS OF HEALTH, AND ONGOING UNMET NEEDS. IN ADDITION, PRMC HELD A TOWN HALL ON APRIL 5, 2024, WHERE 32 STAKEHOLDERS REVIEWED THE PRIMARY SURVEY RESULTS AND SECONDARY HEALTH DATA, DISCUSSED COMMUNITY HEALTH CONCERNS, AND PARTICIPATED IN A VOTING PROCESS TO PRIORITIZE THE MOST SIGNIFICANT UNMET NEEDS. PRMC CONSIDERED THIS INPUT ALONGSIDE COUNTY HEALTH INDICATORS, PATIENT ORIGIN DATA, AND AVAILABLE COMMUNITY RESOURCES TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY SERVED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PRATT REGIONAL MEDICAL CENTER - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>VVV CONSULTANTS, LLC</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PRATT REGIONAL MEDICAL CENTER - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>PRMC CONSIDERED ALL SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. HOWEVER, NOT ALL IDENTIFIED NEEDS WERE SELECTED FOR DIRECT HOSPITAL-LED IMPLEMENTATION BECAUSE CERTAIN NEEDS EXTEND BEYOND THE HOSPITAL'S PRIMARY ROLE, AUTHORITY, OR AVAILABLE RESOURCES. NEEDS SUCH AS AFFORDABLE HOUSING, ECONOMIC VIABILITY/HIGH COST OF LIVING, CHILDCARE AVAILABILITY, AND CERTAIN SOCIAL SERVICE NEEDS ARE BROAD COMMUNITY AND SOCIAL DETERMINANTS OF HEALTH THAT REQUIRE COORDINATED ACTION BY LOCAL GOVERNMENT, SCHOOLS, EMPLOYERS, HOUSING PARTNERS, NONPROFIT ORGANIZATIONS, AND OTHER COMMUNITY STAKEHOLDERS. WHILE PRMC MAY SUPPORT THESE EFFORTS THROUGH COLLABORATION, REFERRALS, EDUCATION, AND PARTICIPATION IN COMMUNITY PLANNING, THE HOSPITAL IS NOT POSITIONED TO INDEPENDENTLY RESOLVE THESE NEEDS. OTHER NEEDS, SUCH AS RADIATION THERAPY AND DIALYSIS SERVICES, REQUIRE SIGNIFICANT CAPITAL INVESTMENT, SPECIALIZED STAFFING, REGULATORY CONSIDERATIONS, PAYER/REIMBURSEMENT FEASIBILITY, AND SUFFICIENT PATIENT VOLUME TO SUPPORT SUSTAINABLE OPERATIONS IN A RURAL MARKET. PRMC MAY CONTINUE TO EVALUATE OPPORTUNITIES, PARTNERSHIPS, VISITING SPECIALIST ARRANGEMENTS, AND REFERRAL PATHWAYS, BUT THESE SERVICES MAY NOT BE IMMEDIATELY FEASIBLE FOR DIRECT IMPLEMENTATION. FOR BEHAVIORAL HEALTH-RELATED NEEDS, INCLUDING MENTAL HEALTH SERVICES, SUICIDE PREVENTION, SUBSTANCE ABUSE, AND DOMESTIC VIOLENCE CONCERNS, PRMC RECOGNIZES THE IMPORTANCE OF THESE ISSUES AND MAY ADDRESS THEM THROUGH EMERGENCY CARE, SCREENING, REFERRAL, CARE COORDINATION, AND COLLABORATION WITH BEHAVIORAL HEALTH AND COMMUNITY SERVICE PROVIDERS. HOWEVER, EXPANSION OF COMPREHENSIVE BEHAVIORAL HEALTH TREATMENT CAPACITY IS LIMITED BY REGIONAL PROVIDER AVAILABILITY, WORKFORCE SHORTAGES, AND THE NEED FOR SPECIALIZED COMMUNITY-BASED RESOURCES. ACCORDINGLY, PRMC PRIORITIZED NEEDS WHERE THE HOSPITAL COULD HAVE THE MOST MEANINGFUL AND SUSTAINABLE IMPACT WITHIN ITS MISSIONS, RESOURCES, CLINICAL CAPABILITIES, AND COMMUNITY PARTNERSHIPS, WHILE CONTINUING TO SUPPORT BROADER COMMUNITY EFFORTS FOR NEEDS THAT REQUIRE MULTI-SECTOR SOLUTIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>3</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRATT INTERNAL MEDICINE GROUP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>420 COUNTRY CLUB ROAD</AddressLine1Txt>
            <CityNm>PRATT</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67124</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRMC URGENT CARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1600 E 1ST ST</AddressLine1Txt>
            <CityNm>PRATT</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67124</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PRMC INFUSION WOUND CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1600 E 1ST ST</AddressLine1Txt>
            <CityNm>PRATT</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67124</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT INFUSION AND WOUND CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CRITERIA USED BY THE MEDICAL CENTER FOR DETERMINING ELIGIBILITY FOR FREE CARE, OTHER THAN FPG, WERE ASSET LEVELS, MEDICAL INDIGENCY, AND INSURANCE STATUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR FIGURES REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES, TOTAL COMMUNITY BENEFIT, AND TOTAL COMMUNITY BUILDING EXPENSES).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CIRCLES PROGRAM OFFERS KNOWLEDGE AND SUPPORT TO THOSE TRYING TO OVERCOME POVERTY. THIS PROGRAM OFFERS SUPPORT AND GUIDANCE TO THOSE WHO WANT TO MAKE A POSITIVE CHANGE IN THEIR LIVES, WHICH CAN LEAD TO HEALTHIER INDIVIDUALS, FAMILIES, AND COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE (AT COST) IDENTIFIED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS FROM 9/30/25 AUDITED STATEMENT OF OPERATIONS. MULTIPLIED THAT AMOUNT BY THE COST-TO-CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO REASONABLE BASIS FOR THE HOSPITAL TO ESTIMATE THIS FIGURE. IF FINANCIAL ASSISTANCE ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 7, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNMENT PROGRAMS SUCH AS MEDICAID OFFER FIXED REIMBURSEMENTS BASED ON A PATIENT'S DIAGNOSIS. THIS OFTEN DOES NOT ACCOUNT FOR THE COST OF THE LATEST TECHNOLOGY AND TREATMENT OPTIONS THAT ARE AVAILABLE TO GIVE PATIENTS THE BEST CHANCES FOR RECOVERY FROM AN ILLNESS. PRMC OFFERS PATIENTS THE BEST INTERVENTIONS AVAILABLE NO MATTER WHAT REIMBURSEMENT FOR THE SERVICE MIGHT BE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN A RESPONSIBLE PARTY IS UNABLE TO MEET THE FINANCIAL OBLIGATION GUIDELINES AS DESCRIBED IN THE HOSPITAL'S FINANCIAL POLICY, THE PARTY IS ADVISED OF THE AVAILABILITY OF CHARITY CARE OR FINANCIAL ASSISTANCE. CLARIFICATION IS MADE AS TO WHETHER THE PATIENT HAS PRIMARY INSURANCE. THE RESPONSIBLE PARTY IS REQUIRED TO COMPLETE A CHARITY CARE APPLICATION AND SUBMIT ALL DOCUMENTATION INDICATED (AS OUTLINED ON APPLICATION) IN ORDER FOR THE HOSPITAL TO DETERMINE CHARITY CARE ELIGIBILITY. THE HOSPITAL WILL PURSUE COLLECTION UNTIL THE RESPONSIBLE PARTY CONTACTS A PATIENT FINANCIAL COUNSELOR OR RETURNS THE APPLICATION WITH REQUIRED DOCUMENTATION. ONCE A CHARITY CARE APPLICATION IS RECEIVED, IF NOT ALL OF THE REQUIRED FINANCIAL INFORMATION (AS OUTLINED ON THE APPLICATION) IS SUBMITTED, A COURTESY LETTER IS SENT TO THE RESPONSIBLE PARTY REQUESTING THE INFORMATION BE RETURNED IN ORDER TO BE CONSIDERED. IF THE REQUIRED DOCUMENTATION IS SUBSEQUENTLY NOT RECEIVED AND NO CONTACT WITH THE PATIENT FINANCIAL COUNSELOR IS MADE, THE CHARITY CARE APPLICATION IS DENIED AND FURTHER COLLECTION ACTION IS TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MEETING THE HEALTH CARE NEEDS OF OUR REGION CANNOT BE ACHIEVED THROUGH ANY ONE EMPLOYEE, DEPARTMENT, OR FACILITY. PRMC PHYSICIANS, NURSES, STAFF, AND VOLUNTEERS WORK TOGETHER SO THAT WE CAN BETTER MEET SPECIFIC COMMUNITY NEEDS AND ACHIEVE OUR MISSION OF PROVIDING EXCELLENT AND COMPASSIONATE HEALTH CARE SERVICES. AS A RURAL HOSPITAL IN SOUTH CENTRAL KANSAS, PRATT REGIONAL MEDICAL CENTER CONSIDERS ITSELF A REGIONAL HOSPITAL, SERVING THE RESIDENTS OF PRATT, STAFFORD, BARBER, EDWARDS, KIOWA, KINGMAN, CLARK, AND COMANCHE COUNTIES. OUR EXPANDED FACILITIES ALLOW US TO PROVIDE A BROAD RANGE OF HEALTH CARE SERVICES TO ALL MEMBERS OF OUR COMMUNITY WITHOUT REGARD TO AGE, RACE, SEX, OR FINANCIAL CONSTRAINTS. OUR REHABILITATION SERVICES DEPARTMENT PROVIDES A FULL COMPLIMENT OF OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPIES. OUR SURGICAL DEPARTMENT PROVIDES 24/7 SURGICAL SERVICES. WE HAVE A LARGE VARIETY OF SPECIALTY PHYSICIANS WHO SEE AND TREAT PATIENTS IN OUR FACILITY AS WELL AS PERFORM MANY SURGICAL PROCEDURES. OUR RADIOLOGY DEPARTMENT PROVIDES NUCLEAR MEDICINE AND MRI TESTING ON SITE. WE ALSO HAVE A 32-SLICE CT SCANNER WHICH PROVIDES HIGH-RESOLUTION IMAGES. OUR HOSPITAL OFFERS A FULL-SERVICE, 24/7 EMERGENCY DEPARTMENT. OUR INPATIENT SERVICES PROVIDE CARE TO MEDICAL-SURGICAL PATIENTS, SUBACUTE PATIENTS, PEDIATRICS, AND GERIATRICS. WE PROVIDE OBSTETRICAL AND NEWBORN CARE, PATIENT SERVICES THAT ARE BECOMING INCREASINGLY RARE AMONG RURAL HOSPITALS. PRMC OFFERS A FULL-SERVICE HOME HEALTH PROGRAM. WE ARE COMMITTED TO PROVIDING QUALITY HEALTH CARE TO ALL MEMBERS OF OUR COMMUNITY. BECAUSE WE ARE A SMALL-TOWN HOSPITAL, A MAJORITY OF OUR PATIENTS HAVE A STRONG BOND WITH OUR STAFF. THIS ALLOWS US TO PROVIDE CARE THAT EXTENDS BEYOND JUST MEDICAL NEEDS. THE COST AND DIFFICULTY IN SEEKING CARE IN OTHER AREAS FOR OUR ELDERLY AND POOR POPULATION REINFORCES THE NEED FOR A STRONG COMMUNITY HOSPITAL. WE STRIVE TO MEET THIS NEED BY PROVIDING ALL SERVICES POSSIBLE. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTPS://PRMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PRMC POSTS SIGNS AT ITS REGISTRATION LOCATIONS AND OFFERS BROCHURES REGARDING THE AVAILABILITY OF CHARITY CARE. THE AVAILABILITY OF THE CHARITY CARE PROGRAM IS ALSO IDENTIFIED ON ALL HOSPITAL PATIENT SERVICERELATED LETTERS AND GUARANTOR STATEMENTS. ONCE A PATIENT CALLS TO INQUIRE ABOUT THE CHARITY CARE PROGRAM, THE PATIENT FINANCIAL COUNSELOR OUTLINES THE REQUIREMENTS, DOCUMENTS NEEDED, AND EXPLAINS THE CHARITY CARE POLICY IN DETAIL. IN ADDITION, THE HOSPITAL CONTRACTS WITH AN OUTSIDE COMPANY TO CONTACT AND REVIEW WITH EACH PRIVATE-PAY PATIENT OUR CHARITY CARE POLICY AS WELL AS OTHER ASSISTANCE THAT MIGHT BE AVAILABLE. A COPY OF THE LATEST FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://PRMC.ORG/PATIENTS-VISITORS/PAYMENT-INFORMATION/PAY-MY-BILL/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITY SERVES A PREDOMINANTLY RURAL, MULTI-COUNTY POPULATION IN SOUTH-CENTRAL AND SOUTHWEST KANSAS. WHILE THE PRIMARY CONCENTRATION OF PATIENTS RESIDES IN PRATT AND SURROUNDING PRATT COUNTY COMMUNITIES, THE FACILITY ALSO FUNCTIONS AS A REGIONAL ACCESS POINT FOR PATIENTS FROM NEIGHBORING COUNTIES AND SMALLER RURAL COMMUNITIES. THE SERVICE AREA INCLUDES BOTH LOCAL RESIDENTS AND INDIVIDUALS TRAVELING FROM SURROUNDING TOWNS FOR INPATIENT, EMERGENCY, OUTPATIENT, AND PRIMARY CARE SERVICES. BASED ON THE THREE-YEAR UTILIZATION DATA FROM THE MOST RECENT CHNA, APPROXIMATELY 37% OF THE TOTAL VISITS ORIGINATED FROM PRATT, WITH THE BROADER PRIMARY SERVICE AREA EXTENDING ACROSS MULTIPLE COUNTIES AND ACCOUNTING FOR APPROXIMATELY 76% OF TOTAL HOSPITAL UTILIZATION. THIS DEMONSTRATES THE HOSPITAL'S ROLE AS AN IMPORTANT RURAL HEALTHCARE PROVIDER FOR PRATT COUNTY AND THE SURROUNDING REGIONAL POPULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDING ADVOCACY FOR OUR PATIENTS: PRATT REGIONAL MEDICAL CENTER PARTNERS WITH THE MEDICAL ASSISTANCE PROGRAM. IF PATIENTS ARE UNINSURED, THE MEDICAL ASSISTANCE PROGRAM IS AVAILABLE TO HELP THEM OBTAIN BENEFITS TO PAY FOR ALL OR PART OF THEIR SERVICES. THIS SERVICE IS PROVIDED FREE OF CHARGE TO PRATT REGIONAL MEDICAL CENTER PATIENTS. PATIENTS MAY CONTACT THE MEDICAL ASSISTANCE PROGRAM TOLL-FREE AT (888) 843-5817. MEETING THE NEEDS OF OUR COMMUNITY, IN THE COMMUNITY: PRMC'S MISSION IS TO PROVIDE EXCELLENT AND COMPASSIONATE HEALTH CARE SERVICES, WHICH CANNOT BE ACHIEVED SOLELY THROUGH THE CARE WE PROVIDE WITHIN OUR FACILITIES. THEREFORE, WE FIND IT NECESSARY TO DEDICATE OUR SUPPORT TO VARIOUS COMMUNITY OUTREACH PROGRAMS. DENTAL SCREENINGS FOR ELEMENTARY STUDENTS PROGRAM: THE PRATT HEALTH FOUNDATION (PHF) COLLABORATES WITH PRATT DENTISTS AND SCHOOLS TO PROVIDE A DENTAL SCREENING PROGRAM TO PRATT ELEMENTARY STUDENTS. KANSAS STATUTES REQUIRE AN ANNUAL DENTAL SCREENING PROGRAM FOR ELEMENTARY STUDENTS. THE PROGRAM WAS STARTED WITH A UNITED METHODIST HEALTH MINISTRY GRANT FIVE YEARS AGO, AND THE GRANT MONEY HAS BEEN DEPLETED. THE PHF NOW COVERS MOST OF THE COSTS ASSOCIATED WITH THE SCREENING ACTIVITIES. THE PRATT HEALTH FOUNDATION HELPS COORDINATE THE EFFORT AND SUPPLIES THE DENTAL SCREENING EQUIPMENT. PRATT REGIONAL MEDICAL CENTER EMPLOYEES VOLUNTEER TO STERILIZE THE SCREENING UTENSILS FOR THE PROGRAM. IT IS A GREAT DEMONSTRATION OF WHAT A COMMUNITY CAN DO WHEN EVERYONE WORKS TOGETHER. HERE IS A GLIMPSE AT OTHER PRMC COMMUNITY BENEFIT PROGRAMS AND PROJECTS: FAMILY BIRTH SUITES: NURSING STAFF PROVIDES NEWBORN BABIES AND MOTHERS WITH A WELL-BABY CHECK. DURING THE VISIT, MOTHERS ARE ABLE TO ASK QUESTIONS, AND NURSES PROVIDE EDUCATION TO NEW MOMS, AS WELL AS EVALUATE THE NEWBORN AND MAKE SURE THEY ARE DOING WELL PHYSICALLY. IN FY24, PRMC DELIVERED 225 BABIES. BECAUSE PRMC IS THE ONLY HOSPITAL WHERE BABIES ARE DELIVERED IN OUR AREA, PATIENTS TRAVEL FROM SURROUNDING COUNTIES TO DELIVER THEIR BABIES AT PRMC. BOOKS FOR BABES: PRMC VOLUNTEERS PURCHASE BOOKS AND PRESENT NEW PARENTS WITH INFORMATION ABOUT THE IMPORTANCE OF READING TO CHILDREN. SENIOR ADVISORY SERVICES: A GROUP OF VOLUNTEERS EVERY YEAR HELPS PROVIDE ADVISORY SERVICES TO SENIORS TO HELP THEM BETTER UNDERSTAND THEIR HEALTH PLAN COVERAGE OPTIONS. PRMC PROVIDES SPACE AND MATERIALS TO RUN THE PROGRAM, AND VOLUNTEERS PROVIDE THE MANPOWER. SOCIAL SERVICE DEPARTMENT SUPPORT: PRMCS SOCIAL SERVICE DEPARTMENT WORKS CLOSELY WITH PROGRAM VOLUNTEERS TO ENSURE THEY HAVE THE TOOLS AND SUPPORT THEY NEED TO PROVIDE SERVICES. JOB SHADOWING: JOB SHADOWING IS POPULAR AMONG STUDENTS INTERESTED IN BECOMING HEALTH CARE PROFESSIONALS. THE PROGRAM IS SUCCESSFUL, AND MOST STUDENTS WHO SHADOW ARE VERY IMPRESSED WITH THEIR EXPERIENCE. TOURS ARE ALSO POPULAR AMONG STUDENTS. SEVERAL SCHOOLS WILL BRING STUDENTS TO PRMC ANNUALLY FOR A TOUR. SOME OF THESE SCHOOLS INCLUDE PRATT ELEMENTARY AND HIGH SCHOOL, MACKSVILLE HIGH SCHOOL, STAFFORD HIGH SCHOOL, FAIRFIELD ELEMENTARY, SKYLINE ELEMENTARY, HASKINS ELEMENTARY, AND GREENSBURG. PRATT REGIONAL MEDICAL CENTER (PRMC) HOSTS BLOOD DRIVES FOR THE AMERICAN RED CROSS. IN FY25, PRMC HOSTED A TOTAL OF FOUR BLOOD DRIVES. EDUCATION FOR A HEALTHY FUTURE: PRMC CONSIDERS EDUCATION TO BE PART OF ITS MISSION. IT IS IMPORTANT TO HELP PREPARE THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS TO MEET NEW HEALTH CARE DEMANDS. TO ENSURE A QUALITY WORKFORCE IS AVAILABLE TO PROVIDE CARE FOR OUR FRIENDS AND NEIGHBORS IN THE FUTURE, PRMC IS COMMITTED TO THE EDUCATION OF CURRENT AND FUTURE CAREGIVERS AND HAS PARTNERED WITH LOCAL HIGH SCHOOLS AND AREA COMMUNITY COLLEGES TO PROVIDE INSTRUCTORS, CLASSROOM SPACE, AND PRACTICUM TRAINING. IN FY24, PRMC CONTRIBUTED OVER 68K IN CONTINUING EDUCATION SUPPORT. THIS INCLUDED SCHOLARSHIPS, TUITION REIMBURSEMENT, AND OFFSITE EDUCATION CLASSES.PRMC'S RADIOLOGY DEPARTMENT TRAINS TWO STUDENTS FROM HUTCHINSON COMMUNITY COLLEGE EVERY YEAR. BOTH STUDENTS WORK 40-HOUR WEEKS. STUDENTS RECEIVE ALL HOLIDAYS OFF, 10 PERSONAL DAYS, A WEEKS VACATION AT SPRING BREAK, AND A WEEKS VACATION OVER CHRISTMAS BREAK. PRMC DOES NOT RECEIVE ANY COMPENSATION FROM HCC, AND THE STUDENTS ALSO DO NOT RECEIVE COMPENSATION FROM PRMC. THEY LEARN THROUGH HANDS-ON EXPERIENCE WITH OVERSIGHT FROM RADIOLOGY TECHNOLOGISTS AND HCC INSTRUCTORS WHO VISIT THE STUDENTS ON PRMCS CAMPUS WEEKLY. OPENING OUR FACILITIES FOR LOCAL MEETINGS: PRATT REGIONAL MEDICAL CENTER HOSTS ACTIVE, COLLABORATIVE COMMUNITY GROUPS SUCH AS THE PRATT COMMUNITY HEALTH AND RESOURCE COUNCIL AND THE PRATT MINISTERIAL ALLIANCE. THESE GROUPS HAVE MET MONTHLY AT PRMC FOR YEARS TO DISCUSS, SHARE, AND STRATEGIZE FOR SOLUTIONS TO COMMUNITY HEALTH AND RESOURCE-RELATED TOPICS. ALL REGULAR MEETINGS TAKE PLACE AT PRATT REGIONAL MEDICAL CENTER, AND PRMC EMPLOYEES ARE ACTIVE PARTICIPANTS AND LEADERS WITHIN THESE GROUPS. EMPLOYEES IN THE COMMUNITY: EVERY YEAR, PRMC EMPLOYEES UNITE TO VOLUNTEER AND PARTICIPATE IN COMMUNITY ACTIVITIES. SOME HELP IN THEIR CHURCHES OR THEIR CHILDRENS SCHOOLS, OTHERS VOLUNTEER TO COACH LITTLE LEAGUE TEAMS, AND SOME GET INVOLVED IN LOCAL CLUBS AND ORGANIZATIONS. ALL OF THESE ACTIVITIES BENEFIT THE QUALITY OF LIFE FOR RESIDENTS OF PRATT COUNTY. AT PRMC, ITS IMPORTANT TO GIVE BACK TO OUR COMMUNITY. IN FY2024, PRMC EMPLOYEES DONATED OVER 4,000 HOURS TOWARD COMMUNITY SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc6">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEXANDER NEEL</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>832628</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18531</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>866409</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AARON ZOOK</PersonNm>
        <TitleTxt>INTERNAL MEDICINE DR</TitleTxt>
        <BaseCompensationFilingOrgAmt>849992</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13813</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>863805</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER MILLER</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>747851</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7617</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15300</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>770768</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IAN KOVACH</PersonNm>
        <TitleTxt>ORTHOPEDIC SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>722746</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15300</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>753296</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT GORDON</PersonNm>
        <TitleTxt>PHYSICIAN/MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>519912</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6662</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14123</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>540697</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUIS ESPINOZA</PersonNm>
        <TitleTxt>PHYSICIAN/MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>523133</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14307</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>537440</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RACHEL HAUSER</PersonNm>
        <TitleTxt>INTERNAL MEDICINE DR</TitleTxt>
        <BaseCompensationFilingOrgAmt>527690</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5824</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>231</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>533745</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMMY SMITH</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>282259</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5806</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14123</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>302188</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS COMPENSATION IS BASED ON INDIVIDUAL PRODUCTIVITY AND IS MEASURED USING EACH INDIVIDUAL'S WORKED RVUS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc7">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>PRATT COUNTY KA PUBLIC BUILD COMM</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>261249655</BondIssuerEIN>
        <CUSIPNum>739762CE0</CUSIPNum>
        <BondIssuedDt>2016-09-15</BondIssuedDt>
        <IssuePriceAmt>9784984</IssuePriceAmt>
        <PurposeDesc>REFUND A PORTION OF THE SERIES 2012 BONDS.</PurposeDesc>
        <DefeasedInd>true</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>PRATT COUNTY KA PUBLIC BUILD COMM</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>261249655</BondIssuerEIN>
        <CUSIPNum>739762CQ3</CUSIPNum>
        <BondIssuedDt>2021-09-15</BondIssuedDt>
        <IssuePriceAmt>9781000</IssuePriceAmt>
        <PurposeDesc>REFUND A PORTION OF THE SERIES 2012 BONDS AND REFUND A PORTION OF THE SERIES 2015 BONDS.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>490000</RetiredAmt>
        <BondDefeasedAmt>2535000</BondDefeasedAmt>
        <TotalProceedsAmt>9784984</TotalProceedsAmt>
        <InReserveFundAmt>728777</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>160521</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>9624463</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>5725000</RetiredAmt>
        <TotalProceedsAmt>9178100</TotalProceedsAmt>
        <InReserveFundAmt>671451</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>104750</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>9073350</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>PRATT COUNTY, KA PUBLIC BUILD COMM. REFUND A PORTION OF THE SERIES 2012 BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>PRATT COUNTY, KA PUBLIC BUILD COMM. REFUND A PORTION OF THE SERIES 2012 BONDS AND REFUND A PORTION OF THE SERIES 2015 BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>PRATT COUNTY, KA PUBLIC BUILD COMM. 09/01/21</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PRMC RECOGNIZES ITS RESPONSIBILITY TO ENSURE ACCESS TO MEDICALLY NECESSARY CARE, INCLUDING CARE FOR PATIENTS WHO ARE UNABLE TO PAY. DURING FY 2025, PRMC PROVIDED MORE THAN 300,000 IN CHARITY CARE TO PATIENTS IN NEED. PRMC ALSO CONTINUED ITS FINANCIAL SUPPORT OF AGAPE CLINIC, CONTRIBUTING APPROXIMATELY 6,000 DURING THE YEAR TO EXPAND ACCESS TO CARE FOR UNDERSERVED INDIVIDUALS IN THE COMMUNITY. PRMC REMAINS COMMITTED TO MAINTAINING A STRONG LOCAL HEALTHCARE WORKFORCE THROUGH RECRUITMENT, RETENTION, AND PROFESSIONAL DEVELOPMENT EFFORTS. DURING FY 2025, PRMC AWARDED MORE THAN 76,000 IN CONTINUING EDUCATION SUPPORT, INCLUDING CME, CEUS, AND TUITION REIMBURSEMENT TO EMPLOYEES. PRMC EMPLOYS MORE THAN 300 INDIVIDUALS IN FULL-TIME AND PART-TIME POSITIONS AND IS THE LARGEST ECONOMIC DRIVERS IN PRATT COUNTY. IN ADDITION TO PROVIDING ESSENTIAL MEDICAL SERVICES CLOSE TO HOME, PRMC HAS A SIGNIFICANT ECONOMIC IMPACT ON THE REGION. DURING FY 2025, PRMC CONTRIBUTED MORE THAN 33 MILLION IN SALARIES AND EMPLOYEE BENEFITS AND INCURRED APPROXIMATELY 1.5 MILLION IN UTILITY COSTS NECESSARY TO OPERATE THE HOSPITAL FACILITY. THROUGH EMPLOYMENT, LOCAL SPENDING, AND THE DELIVERY OF HIGH-QUALITY HEALTHCARE SERVICES, PRMC PROVIDES SUBSTANTIAL VALUE TO PRATT COUNTY AND THE SURROUNDING RURAL COMMUNITIES. PRMC'S MEDICAL STAFF PROVIDES CARE ACROSS A BROAD RANGE OF SPECIALTIES. THE MEDICAL STAFF INCLUDES FIVE FAMILY PRACTICE PHYSICIANS, TWO INTERNISTS, THREE ORTHOPEDIC SURGEONS, TWO GENERAL SURGEONS, ONE GYNECOLOGY SURGEON, AND ONE PODIATRY SURGEON. THESE PROVIDERS, TOGETHER WITH PRMC'S EMPLOYEES AND CLINICAL TEAMS, SUPPORT THE ORGANIZATION'S MISSION OF DELIVERY EXCELLENT, COMPASSIONATE HEALTHCARE CLOSE TO HOME. FOR MORE THAN 76 YEARS, PRMC HAS SERVED AS AN IMPORTANT HEALTHCARE RESOURCE FOR THE REGION. PRMC'S VISION IS TO CONTINUE MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY AND TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR SOUTH- CENTRAL AND WESTERN KANSAS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PRATT HEALTH FOUNDATION (PHF), A KANSAS NONPROFIT CORPORATION, IS THE SOLE MEMBER OF PRATT REGIONAL MEDICAL CENTER CORPORATION (PRMC). THE FOUNDATION IS DESIGNATED AS THE SOLE MEMBER SO LONG AS IT SHALL CONTINUE TO QUALIFY AS A TAX-EXEMPT, NONPROFIT ENTITY RECOGNIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY OF PRATT REGIONAL MEDICAL CENTER CORPORATION (PRMC) IS ABLE TO NOMINATE NEW MEMBERS TO ITS GOVERNING BODY. PRATT HEALTH FOUNDATION, BEING THE SOLE MEMBER OF PRMC, RETAINS THE RIGHT TO APPROVE SUCH NEW MEMBERS OF THE GOVERNING BODY OF PRMC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>PHF, BEING THE SOLE MEMBER OF PRMC, HAS THE RIGHT TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, AND THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS FORM 990. THE FORM 990 IS THEN PROVIDED TO THE CFO AND ACCOUNTING PERSONNEL FOR REVIEW. ANY QUESTIONS OR CONCERNS THE CFO AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED, AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE IF NEEDED. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD BEFORE FILING THE FORM 990 WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE TIME OF HIRE (OR ELECTION IN THE CASE OF BOARD MEMBERS) AND ANNUALLY AFTER THAT, THE CFO OR HIS/HER DESIGNEE SHALL PROVIDE THE BOARD AND ALL EXECUTIVE OFFICERS A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES FOR WHICH IT IS BELIEVED A CONFLICT MAY ARISE. EACH MEMBER SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OF DUALITY OR INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL, OR BUSINESS, WHICH MAY EXIST OR APPEAR AS TO THE ORGANIZATION OR ANY SYSTEM ENTITY OR ANY MATTER OF BUSINESS THAT MAY COME BEFORE THE BOARD. THE BOARD CHAIRMAN REVIEWS ANY POTENTIAL CONFLICTS AND DETERMINES WHETHER A CONFLICT IS PRESENT. A CONFLICTED INDIVIDUAL MUST ABSTAIN FROM VOTING IN THE MATTER OF WHICH A CONFLICT HAS BEEN IDENTIFIED BY THE BOARD CHAIRMAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSISTENT WITH THE POLICY AND COMPENSATION PRACTICE WITHIN PRATT REGIONAL MEDICAL CENTER (PRMC), THE PRESIDENT AND CEO IS SUBJECT TO AN ANNUAL REVIEW BY THE PRMC BOARD OF DIRECTORS. REASONABLE COMPENSATION: IT IS THE OBLIGATION OF THE PRMC BOARD OF DIRECTORS TO SEE THAT ITS PRESIDENT AND CEO ARE PAID A REASONABLE LEVEL OF COMPENSATION. THE FULL AMOUNT OF ALL DIRECT AND INDIRECT COMPENSATION IS CONSIDERED. COMPENSATION LEVELS ARE REVIEWED AND APPROVED EITHER BY THE BOARD OF DIRECTORS OF PRMC OR A COMPENSATION COMMITTEE MADE UP OF BOARD MEMBERS. APPROVAL PROCESS: A SPECIFIC COMPENSATION ARRANGEMENT MUST BE APPROVED EITHER BY THE BOARD OF DIRECTORS OR BY A COMPENSATION COMMITTEE TO WHICH COMPENSATION DECISION(S) HAVE BEEN DELEGATED BY ACTION OF THE BOARD OF DIRECTORS. IF A COMMITTEE IS USED, IT IS TO BE COMPRISED OF DISINTERESTED BOARD MEMBERS. COMPARISONS: THE BOARD OR COMMITTEE USES COMPARATIVE DATA THAT LOOKS AT COMPARABLE SOURCES TO DETERMINE THE REASONABLENESS OF COMPENSATION. COMPARATIVE DATA INCLUDES COMPENSATION PAID BY SIMILAR ORGANIZATIONS, AVAILABILITY OF SIMILAR SERVICES WITHIN THE GEOGRAPHIC AREA, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE PRESIDENT AND CEO. DOCUMENTATION: THE BOARD OR COMMITTEE ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION THAT THE COMPENSATION ARRANGEMENT IS REASONABLE AT THE TIME THE DECISION IS MADE. RECORDS INCLUDE THE TERMS OF THE ARRANGEMENT THAT WAS APPROVED, THE DATE IT WAS APPROVED, THE BOARD OR COMMITTEE MEMBERS PRESENT DURING THE DECISION OF THE ARRANGEMENT AND THOSE WHO VOTED IN FAVOR OF IT, COMPARABILITY DATA RELIED UPON AND HOW IT WAS OBTAINED, AND THE ACTIONS TAKEN CONCERNING CONSIDERATION OF THE TRANSACTION OR ARRANGEMENT BY ANY MEMBER OF THE BOARD OR COMMITTEE THAT HAD A CONFLICT OF INTEREST. IT IS THE RESPONSIBILITY OF THE PRESIDENT AND CEO TO ASSURE THE BOARD THIS SAME PROCESS IS FOLLOWED AND DOCUMENTED REGARDING COMPENSATION OF THE CFO AND VICE PRESIDENTS OF THE MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FORM 990, PART VI, LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. BOARD MEMBERS WITH COMPENSATION LISTED ON PART VII ARE EMPLOYEES OF PRMC AND ARE COMPENSATED FOR THEIR DUTIES IN THAT CAPACITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES 7,885,342 3,549,926 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NET ASSETS PHF -390,741</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc9">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRATT HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 COMMODORE ST</AddressLine1Txt>
          <CityNm>PRATT</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67124</ZIPCd>
        </USAddress>
        <EIN>481088881</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>