2015-05-15T16:36:32-05:00 2014-06-30 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2013-07-01 480774005 HUTCHINSON REGIONAL MEDICAL CENTER INC % CASSANDRA J DOLEN HUTC 6206652009 1701 E 23RD Suite HUTCHINSON KS 67502 CASSANDRA J DOLEN VP FINANCE 6205134556 2015-05-15 true ELIZABETH S HOGAN P00273248 6205134556 2013 2016-03-07 17:11:31Z CASSANDRA J DOLEN 1701 E 23RD HUTCHINSON KS 67502 134585885 false X N/A X 1969 KS ENHANCING THE QUALITY OF LIFE THROUGH INTEGRATED HEALTHCARE. 19 0 1162 270 817630 516878 372937 1400228 126973818 125672274 2263563 2055664 1322582 5209583 130932900 134337749 9300 0 0 0 51544413 47969947 0 0 0 122183281 69080469 173736994 117050416 -42804094 17287333 187558914 212210229 29741854 26901542 157817060 185308687 ENHANCING THE QUALITY OF LIFE THROUGH INTEGRATED HEALTHCARE. false false 100999804 0 126620363 HUTCHINSON REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED TO OPERATE 199 GENERAL ACUTE BEDS. ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION. 100999804 true true false true false false false false false true true true false false true true false true false false false false false false false false true true false false true false false false false false false true true false false false false false true true true false false true 46 0 true 1162 true true true false false false false false false false false false X 19 0 true false false false false false false true true false false true true true true true true true false true true X CASSANDRA J DOLEN 6205134556 1701 E 23RD HUTCHINSON KS 67502 EDWARD BERGER DIRECTOR 1.0 2.0 X 0 0 0 BRUCE BUCHANAN DIRECTOR/SECRETARY 1.0 2.0 X X 0 0 0 ANN BUSH DIRECTOR 1.0 3.0 X 0 0 0 SCOTT CLARKE DIRECTOR 1.0 2.0 X 0 0 0 TIMOTH CRATER DIRECTOR 1.0 2.0 X 0 0 0 REX DEGNER DIRECTOR 1.0 2.0 X 0 0 0 MIKE EVANS DIRECTOR 1.0 2.0 X 0 0 0 ALLEN FEE DIRECTOR 1.0 2.0 X 0 0 0 RONA GAZAWAY MD DIRECTOR 1.0 2.0 X 0 0 0 JOE GRIESHABER DIRECTOR 1.0 2.0 X 0 0 0 KEITH HUGHES DIRECTOR 1.0 2.0 X 0 0 0 DIANE LEE DIRECTOR 1.0 2.0 X 0 0 0 KEVIN MILLER DIRECTOR/PRESIDENT 36.0 9.0 X X 425338 0 30134 EVAN MOODIE DIRECTOR/TREASURER 1.0 2.0 X X 0 0 0 KIM MOORE DIRECTOR/VICE CHAIR 1.0 2.0 X X 0 0 0 DAVID NEAL DIRECTOR 1.0 2.0 X 0 0 0 CAROLYN PATTERSON DIRECTOR/CHAIR 1.0 2.0 X X 0 0 0 LIZ PEIRCE DIRECTOR 1.0 3.0 X 0 0 0 JOHN SWEARER DIRECTOR 1.0 2.0 X 0 0 0 KEITH WHITAKER DIRECTOR 1.0 2.0 X 0 0 0 KENDALL E JOHNSON COO 37.5 7.5 X 255766 0 34709 WILLIAM GIERSCH VP CLINICAL SERVICES 45.0 0.0 X 158421 0 24453 JULIE WARD VP NURSING 45.0 0.0 X 179171 0 17382 H DANIEL STAFFORD VP COMPLIANCE 45.0 0.0 X 132049 0 7874 THOMAS BORREGO VP FOUNDATION 22.5 22.5 X 76766 0 18499 THOMAS SMITH CMO 45.0 0.0 X 71158 0 0 KEVIN CHILES VP HUMAN RESOURCES 45.0 0.0 X 14094 0 0 PEGGY TUXHORN VP QUALITY 45.0 0.0 X 95660 0 11933 JONATHAN FUNK VP BUSINESS DEVELOPMENT 36.0 9.0 X 28781 0 2508 PATRICK MOWDER DIRECTOR PHARMACY 40.0 0.0 X 153373 0 23130 RAGU TIRUKONDA MEDICAL PHYSICIST 40.0 0.0 X 177268 0 29966 RONALD FENWICK PHARMACIST 40.0 0.0 X 144188 0 15525 CLINTON BOOR PHARMACIST 40.0 0.0 X 141553 0 24994 JOHN DICK PHARMACIST 40.0 X 129397 0 24599 2182983 0 265706 25 false true false CLINICAL COLLEAGUES INC ANESTHESIA PHYSICIAN 5062292 REHABCARE GROUP INC REHAB SERVICES PROV. 631266 EMCARE INC ER PHYSICIANS 577833 FLEMING CARDIOVASCULAR CARDIOVASCULAR SURG. 478430 EXEC HEALTH RESOURCES INC MEDICAL COMPLIANCE 447975 16 1246423 153805 1400228 NET PATIENT SERVICE REVENUE 621400 123754175 123699324 54851 AMBULANCE SERVICES 621910 883626 883626 NON-PATIENT LABORATORY 621500 549763 549763 PHARMACY CONSULTING 900099 484710 484710 125672274 2218391 212767 2005624 0 0 343562 343562 0 343562 343562 0 85409 133305 114831 -133305 -29422 -162727 -162727 0 0 0 INSURANCE RECOVERIES 900099 2558260 2558260 ELECTRONIC HEALTH RECORDS INCENTIVE 900099 1552703 1552703 EMPLOYEE/GUEST MEALS 900099 557929 557929 197129 249 196880 4866021 134337749 126620363 817630 5499528 0 0 0 0 1756572 1756572 81547 81547 36794801 29307379 7487422 1506929 1316899 190030 4932471 3957646 974825 2897627 2390832 506795 0 217068 217068 109429 2897 106532 0 0 209164 209164 15166623 14087280 1079343 220712 24 220688 895474 701663 193811 2432195 2432195 0 2298644 2278979 19665 183770 146749 37021 0 89856 52937 36919 116415 96054 20361 0 8468729 6987548 1481181 344768 6429 338339 MEDICAL SUPPLIES 14752473 14752473 BAD DEBTS 11125715 11125715 PHARMACEUTICALS 6457910 6430764 27146 FOOD/DIETARY SUPPLIES 1419004 1400249 18755 4572520 3443545 1128975 117050416 100999804 16050612 0 16922190 13693821 15890308 4388307 0 0 17448674 17665069 0 0 0 0 0 0 4812411 3961017 1724127 1965117 183519082 130175652 52953880 53343430 46205830 81699401 27453497 29995720 0 0 0 0 4147997 5498347 187558914 212210229 17535926 15808483 0 0 1162 952 9490087 8440087 0 0 0 0 0 0 0 0 2714679 2652020 29741854 26901542 X 130638182 154212990 27178878 31095697 0 0 157817060 185308687 187558914 212210229 X 17287333 5103964 5100330 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 20062 false false false 20062 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE ANNUAL DUES PAID TO KHA, AHA, AND RRC/SCH ARE USED FOR LOBBYING. 34513 935 6113 374 41187 28381 2950 3513 331 34513 28337 319 275 28381 23434 5169 266 28337 20495 3173 234 23434 0.00000 1.00000 0.00000 false true true 1416968 1416968 93177587 60809994 32367593 78596039 66811125 11784914 10328488 2554533 7773955 53343430 INV. IN HUTCHINSON VHA 144587 C INV. IN HHCS 480000 C INV. IN ASC 20000 C BENEFICIAL INT. IN N/A OF FDN 29351133 F 29995720 0 CAPITAL LEASE 57024 DUE TO THIRD PARTY PAYER 2594996 2652020 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE HELD BY HUTCHINSON REGIONAL MEDICAL CENTER FOUNDATION, A RELATED TAX EXEMPT ORGANIZATION. THE INTENDED USE OF THE FUND IS TO SUPPORT THE FOUNDATION'S CHARITABLE ACTIVITIES AND ITS RELATED ORGANIZATIONS. SCHEDULE D, PART X, LINE 2 THE MEDICAL CENTER AND ITS NOT-FOR-PROFIT AFFILIATES HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(2) OR 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HEALTHCARE SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. HHCSI IS A TAXABLE CORPORATION WHICH PAYS TAXES AT PREVAILING CORPORATE RATES. THE HEALTHCARE SYSTEM FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE HEALTHCARE SYSTEM IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES BEFORE 2011. THE HEALTHCARE SYSTEM'S POLICY IS TO EVALUATE UNCERTAIN TAX POSITIONS ANNUALLY. MANAGEMENT HAS EVALUATED THE HEALTHCARE SYSTEM'S TAX POSITIONS AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT OR DISCLOSURE IN THE FINANCIAL STATEMENTS. true true true X true X 225. true true false false 1083779 404816 678963 0.00640 10388604 13453712 -3065108 11472383 13858528 -2386145 0.00640 89511 89511 0.00080 9253678 5400477 3853201 0.02280 200260 200260 0.00190 9543449 5400477 4142972 0.02550 21015832 19259005 1756827 0.03190 true 3190399 59825037 56363913 3461124 X true true 1 1 HUTCHINSON REGIONAL MEDICAL CENTER 1701 E 23RD HUTCHINSON KS 67502 HTTP://WWW.HUTCHREGIONAL.COM H078001 X X X HUTCHINSON REGIONAL MEDICAL CNTR INC 1 true X X X X X X X X X 13 true false true X X X X X X X X true false true true 150. true 225. true X true true X X true false X X X true X false false 1 SLEEP DIAGNOSTIC CENTER 2701 N MAIN SUITE F HUTCHINSON KS 67502 SLEEP DIAGNOSTIC CENTER SCHEDULE H, PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $11,125,715. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S 6/30/14 MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES COSTS. SCHEDULE H, PART II AT THIS TIME, HUTCHINSON REGIONAL DOES NOT HAVE PROGRAMS THAT DIRECTLY ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, HOWEVER THE MANAGEMENT TEAM IS (AS A PART OF THEIR JOB DESCRIPTION) REQUIRED TO PARTICIPATE IN COMMUNITY VOLUNTEER ACTIVITIES THAT FOCUS ON THESE ISSUES. AS OF 6/30/13, MEMBERS OF THE MANAGEMENT TEAM AND EXECUTIVE STAFF WERE CURRENLTY SERVING ON THE FOLLOWING LOCAL, STATE AND NATIONAL BOARDS AND COMMITTEES: 1. RENO COUNTY CANCER COUNCIL 2. RED CROSS BOARD 3. UNITED WAY OF RENO COUNTY 4. HUTCHINSON AREA STUDENT SERVICES HEALTH CLINIC 5. AMERICAN RED CROSS, HUTCHINSON CHAPTER 6. AMERICAN HEART ASSOCIATION - FLINTHILLS DIVISION BOARD OF DIRECTORS 7. EXECUTIVE LEADERSHIP TEAM FOR HUTCHINSON HEART WALK 8. KANSAS HEALTH ETHICS BOARD 9. ARTHRITIS FOUNDATION (KANSAS/MISSOURI CHAPTER) 10. HOSPICE & HOMECARE OF RENO COUNTY 11. HUTCHINSON COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM ADVISORY COMMITTEE 12. HUTCHINSON COMMUNITY COLLEGE - RHIT ADVISORY BOARD 13. AMBUCS MANY OF THESE BOARDS AND COMMITTEES HAVE DIRECT AND/OR INDIRECT IMPACT ON THE ROOT CAUSES OF HEALTH ISSUES IN OUR COUNTY AND THE SURROUNDING AREA. SCHEDULE H, PART III, LINE 2 THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS FROM THE FINANCIAL STATEMENTS IS MULTIPLIED BY THE COST TO CHARGE RATIO FROM THE 6/30/2014 MEDICARE COST REPORT IN ORDER TO ESTIMATE THE BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WILL MOST DEFINITELY BE SOME BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF WE KNOW THE PATIENT IS ELIGIBLE, THEY WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT. SCHEDULE H, PART III, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HEALTHCARE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTHCARE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTHCARE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HEALTHCARE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 100% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014 AND 2013. IN ADDITION, THE HEALTHCARE SYSTEM'S WRITE-OFFS WERE APPROXIMATELY $12,785,000 AND $10,087,000 FOR THE YEARS ENDED JUNE 30, 2014 AND 2013, RESPECTIVELY. SCHEDULE H, PART III, LINE 8B THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT ON LINE 6 IS A COST TO CHARGE RATIO. SCHEDULE H, PART III, LINE 9B WHEN A PATIENT ACCOUNT IS ASSIGNED TO A COLLECTION AGENCY, THE AGENCY WILL INFORM THE PATIENT OF HUTCHINSON REGIONAL'S CHARITY CARE POLICY AND WILL ASSIST THE PATIENT IN CONTACTING THE MEDICAL CENTER TO APPLY FOR ASSISTANCE. DURING THE PROCESS OF DETERMINING ELIGIBILITY, COLLECTION EFFORTS WILL BE SUSPENDED PROVIDING THE PATIENT COOPERATES WITH THE ELIGIBILITY PROCESS. SCHEDULE H, PART V, SECTION B, LINE 3 THE LOCAL HEALTH DEPARTMENT AND HUTCHINSON REGIONAL HEALTHCARE SYSTEM CREATED A STEERING COMMITTEE WITH MEMBERS ENCOMPASSING NEARLY 30 DIFFERENT ORGANIZATIONS AND INDIVIDUALS WHO REPRESENTED A BROAD SPECTRUM OF THE COMMUNITY AND SUBSCRIBED TO A BROAD DEFINITION OF HEALTH. INPUT FOR THE ASSESSMENT WAS GATHERED FROM RESIDENTS THROUGH COMMUNITY FORUMS, FOCUS GROUPS, AND OVER 2,000 RESPONDENTS TO AN ONLINE AND PAPER SURVEY. DATA WAS ALSO GATHERED ON THE HEALTH STATUS OF THE COMMUNITY, THE WORKINGS OF THE LOCAL PUBLIC HEALTH SYSTEM, AS WELL AS AN ASSESSMENT OF FORCES LIKELY TO IMPACT THE HEALTH OF THE PUBLIC IN THE NEAR FUTURE. SCHEDULE H, PART V, SECTION B, LINE 5 HTTP://WWW.HUTCHREGIONAL.COM/NEWS_DETAIL.ASPX?NEWS_ID=58 SCHEDULE H, PART V, SECTION B, LINE 18 THE FINANCIAL ASSISTANCE POLICY AND APPLICATION CAN BE FOUND ON THE HOSPITAL'S WEBSITE. SCHEDULE H, PART V, SECTION B, LINE 20 AS THE PURPOSE OF OUR UNINSURED DISCOUNT IS TO LEVEL THE PLAYING FIELD BETWEEN OUR SELF PAY PATIENT AND OUR INSURED PATIENT, OUR UNINSURED DISCOUNT IS BASED ON THE PERCENTAGE OF DISCOUNT WE GENERALLY GIVE OUR MANAGED CARED DISCOUNTS. THIS INCLUDES THE DISCOUNTS OFF OF CHARGES THAT ARE DICTATED BY THE FEE SCHEDULES AND THE PERCENT OF CHARGES DISCOUNT. IN OTHER WORDS, THE AGGREGATE OF ALL MANAGED CARE CONTRACTUAL DISCOUNTS. SCHEDULE H, PART VI, LINE 2 HUTCHINSON REGIONAL MEDICAL CENTER IS PARTNERING WITH THE RENO COUNTY HEALTH DEPARTMENT TO PARTICIPATE IN A COMMUNITY HEALTH NEEDS ASSESSMENT AND SUBSEQUENT IMPROVEMENT PLANS. PHASE 1 HAS INVOLVED THE IDENTIFICATION OF CO-CHAIRS FROM BOTH ORGANIZATIONS AND THE PRELIMINARY IDENTIFICATION OF A STEERING COMMITTEE. FURTHER REFINEMENT OF THE COMMITTEE WILL OCCUR, AS ITS IMPERATIVE TO INCLUDE CONSTITUENTS WHO HAVE SIGNIFICANT INFLUENCE AS WELL AS PEOPLE MOST AFFECTED BY HEALTH PROBLEMS. A MEMBER OF THE HUTCHINSON REGIONAL EXECUTIVE TEAM ALSO SERVES ON THE ADVISORY BOARD OF THE RENO COUNTY HEALTH DEPARTMENT. IN THE MONTHS AHEAD, THE CONSTITUENCY WILL REVIEW STATISTICS, SURVEY DATA AND OTHER FORMS OF INFORMATION ABOUT THE COMMUNITY. FROM THIS REVIEW, THE GOALS AND OBJECTIVES WILL BE IDENTIFIED. HUTCHINSON REGIONAL IS PARTNERING WITH THE RENO COUNTY HEALTH DEPARTMENT AND OTHERS TO HELP IDENTIFY RESOURCES AND SUPPORT TO MEET THESE OBJECTIVES. ADDITIONALLY, HUTCHINSON REGIONAL HAS FORMED TWO INTERNAL RESPONSE TEAMS TO FOCUS ON TOBACCO USE CESSATION AND REDUCING CHILDHOOD OBESITY. THE TOBACCO CESSATION GROUP IS COLLABORATING WITH THE LOCAL HEALTH DEPARTMENT. IN ITS EFFORTS TO REDUCE CHILDHOOD OBESITY, THE HOSPITAL IS PARTNERING WITH THE HEALTH DEPARTMENT, HEAD START, EARLY HEAD START AND SMART START OF RENO & RICE COUNTIES. SCHEDULE H, PART VI, LINE 3 THE MEDICAL CENTER POSTS NOTICES OF CHARITY CARE IN ADMISSIONS, THE EMERGENCY DEPARTMENT, FINANCIAL SERVICES, AND ON THE MEDICAL CENTER'S WEBSITE. PATIENTS ARE GIVEN A WRITTEN NOTICE INDICATING THE POLICY AT THE TIME OF THEIR ADMISSION VIA THE CONDITIONS OF ADMISSION FORM. IN CASE OF AN EMERGENCY, THE PATIENT WILL BE NOTIFIED AS SOON AS POSSIBLE OF THE EXISTENCE OF CHARITY CARE. ENGLISH TRANSLATION OF THIS NOTICE WILL BE MADE AVAILABLE TO SPANISH-SPEAKING PATIENTS. THE MEDICAL CENTER HAS TRAINED FRONT LINE STAFF TO ANSWER CHARITY CARE QUESTIONS OR DIRECT SUCH QUESTIONS TO THE APPROPRIATE PARTY. WRITTEN INFORMATION REGARDING THE MEDICAL CENTER'S CHARITY CARE POLICY AS WELL AS OTHER PAYMENT OPTIONS WILL BE MADE AVAILABLE TO ANY PERSON WHO REQUESTS SUCH INFORMATION VIA MAIL, PHONE OR IN PERSON. WE INFORM OUR PATIENTS OF OUR CHARITY CARE POLICY DURING ANY CONTACT OUR PATIENT ACCOUNTS REPRESENTATIVES HAVE WITH THE PATIENT IN WHICH THE PATIENT EXPRESSES AN INABILITY TO PAY. WE HAVE A FINANCIAL COUNSELOR WHO REVIEWS ALL OUR SELF PAY INPATIENTS AND OUTPATIENTS OVER $2,000 AND PART OF THAT REVIEW IS A SCREENING FOR CHARITY ELIGIBILITY. WE HAVE ALSO INSTRUCTED OUR COLLECTION AGENCY TO PRESENT/OFFER A CHARITY CARE APPLICATION TO ANY PATIENT WHO EXPRESSES AN INTEREST. ADDITIONALLY, OUR CHARITY CARE POLICY IS ON OUR WEBSITE. SCHEDULE H, PART VI, LINE 4 HUTCHINSON REGIONAL MEDICAL CENTER IS LOCATED IN RENO COUNTY, KANSAS IN THE CITY OF HUTCHINSON. RENO COUNTY HAS AN APPROXIMATE POPULATION OF 64,500 RESIDENTS WITH THE POPULATION BEING 68% URBAN RESIDENTS AND 32% RURAL RESIDENTS. THE ESTIMATED AVERAGE ANNUAL HOUSEHOLD INCOME IS $39,000. APPROXIMATELY 11% OF THE POPULATION IS BELOW THE FEDERAL POVERTY ANNUAL INCOME LEVEL. OF THOSE INDIVIDUALS, APPROXIMATELY 14% ARE UNDER THE AGE OF 18 AND 9% ARE 65 OR OVER. MEDICARE SERVICES ACCOUNT FOR APPROXIMATELY 55% OF ALL OF THE MEDICAL CENTER'S GROSS REVENUE, WHILE MEDICAID AND SELF-PAY SERVICES ACCOUNT FOR APPROXIMATELY 12% OF THE MEDICAL CENTER'S GROSS REVENUE. HUTCHINSON REGIONAL MEDICAL CENTER IS THE ONLY COMMUNITY BASED HOSPITAL IN RENO COUNTY AND IS GOVERNED BY A BOARD OF DIRECTORS IN WHICH NEW MEMBERS ARE NOMINATED AND SELECTED FROM THE COMMUNITY AT LARGE. THE MEDICAL CENTER IS DEEPLY INVESTED IN THE QUALITY OF HEALTH CARE DELIVERED AND COMMUNITY WELL-BEING. HUTCHINSON REGIONAL MEDICAL CENTER AIMS TO BE THE FIRST AND BEST CHOICE FOR HEALTH CARE IN THE SURROUNDING REGION. OTHER MEDICAL FACILITIES SURROUNDING THE MEDICAL CENTER ARE LOCATED IN HALSTEAD, MOUNDRIDGE, AND MCPHERSON. THE DISTANCES BETWEEN THE MEDICAL CENTER AND THESE FACILITIES ARE 23, 24, AND 26 MILES RESPECTIVELY. THERE ARE ALSO TWO LARGE MEDICAL FACILITIES LOCATED IN WICHITA AND BOTH ARE APPROXIMATELY 50 MILES AWAY. SCHEDULE H, PART VI, LINE 5 HUTCHINSON REGIONAL IS THE ONLY COMMUNITY BASED HOSPITAL IN RENO COUNTY AND IS GOVERNED BY A BOARD OF DIRECTORS IN WHICH NEW MEMBERS ARE NOMINATED AND SELECTED FROM THE COMMUNITY AT LARGE. CORPORATION BY-LAWS STATE: "IT IS THE INTENT AND PURPOSE OF THESE BY-LAWS THAT THE MEMBERS OF THE BOARD SHALL CONSTITUTE A BALANCED REPRESENTATION OF THE COMMUNITY AND THE MEDICAL STAFF." THE BOARD MEETS MONTHLY WITH THE PURPOSE OF GUIDING THE HOSPITAL AND ASSURING QUALITY MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. MEDICAL STAFF PRIVILEGES ARE GRANTED BY A COMBINED VOTE OF THE MEDICAL EXECUTIVE COMMITTEE AND HUTCHINSON REGIONAL BOARD OF DIRECTORS. QUALIFIED PHYSICIANS FROM RENO COUNTY AND THE SURROUNDING AREA ARE ENCOURAGED TO APPLY FOR PRIVILEGES AND ARE ONLY REJECTED FOR LICENSURE OR OTHER ISSUES RELATED TO QUALITY OF CARE OR MORAL CHARACTER. ALL SURPLUS FUNDS ARE APPLIED TOWARDS INVESTMENTS IN PLANT OR EQUIPMENT TO PROVIDE STATE OF THE ART CARE IN THE MOST MODERN, PATIENT FRIENDLY ENVIRONMENT POSSIBLE. CONSTRUCTION IS CURRENTLY UNDERWAY TO COMPLETELY REMODEL OUR EMERGENCY DEPARTMENT. HUTCHINSON REGIONAL HAS A STRONG VISION FOR THE FUTURE. WE'RE DEEPLY INVESTED IN THE QUALITY OF HEALTH CARE DELIVERY AND COMMUNITY WELL-BEING. OUR STANDARD FOR AND COMMITMENT TO EXCELLENCE IS NOTHING LESS THAN A PROMISE: TO BE THE FIRST AND BEST CHOICE FOR HEALTH CARE IN THE SURROUNDING REGION. OUR MISSION STATEMENT AND CORE VALUES REFLECT OUR COMMUNITY MINDED FOCUS: HUTCHINSON REGIONAL MEDICAL CENTER MISSION STATEMENT ENHANCING THE QUALITY OF LIFE THROUGH INTEGRATED HEALTHCARE. OUR VISION BECOMING THE LEADING WELLNESS-FOCUSED MEDICAL CENTER THROUGH COLLABORATION, EFFICIENCY AND OUTCOMES. CORE VALUES o INTEGRITY o COMPASSION o ACCOUNTABLILTY o RESPECT o EXCELLENCE HUTCHINSON REGIONAL PROUDLY SERVES THE NEEDS OF OUR COMMUNITY AND MAKES EVERY EFFORT TO DELIVER THE BEST CARE POSSIBLE. AS AN EXEMPT ENTITY, WE UNDERSTAND OUR OBLIGATION AND DUTY TO THE PEOPLE WE SERVE. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 N/A SCHEDULE H, PART VI, LINE 8 X true true X X X X X X false false false false false false false false false KENDALL E JOHNSON COO 234825 0 20941 0 0 0 16754 0 17955 0 290475 0 0 0 KEVIN MILLER DIRECTOR/PRESIDENT 379483 0 45855 0 0 0 16754 0 13380 0 455472 0 0 0 WILLIAM GIERSCH VP CLINICAL SERVICES 149742 0 8679 0 0 0 10444 0 14009 0 182874 0 0 0 JULIE WARD VP NURSING 163786 0 15385 0 0 0 11589 0 5793 0 196553 0 0 0 PATRICK MOWDER DIRECTOR PHARMACY 153373 0 0 0 0 0 10029 0 13101 0 176503 0 0 0 RAGU TIRUKONDA MEDICAL PHYSICIST 177268 0 0 0 0 0 11790 0 18176 0 207234 0 0 0 RONALD FENWICK PHARMACIST 144188 0 0 0 0 0 9177 0 6348 0 159713 0 0 0 CLINTON BOOR PHARMACIST 141553 0 0 0 0 0 9138 0 15856 0 166547 0 0 0 JOHN DICK PHARMACIST 129397 0 0 0 0 0 8317 0 16282 0 153996 0 0 0 SCHEDULE J, PART I, LINE 1A HUTCHINSON REGIONAL MEDICAL CENTER, INC. PROVIDED COUNTRY CLUB AND SOCIAL CLUB DUES TO KEVIN MILLER, KENDALL JOHNSON, AND THOMAS BORREGO AND DID INCLUDE THE FAIR MARKET VALUE OF THE DUES IN THEIR W-2'S. RENO PATHOLOGY ASSOCIATES SEE PART V 325007 INDEPENDENT CONTRACTOR false AMY CHASE SEE PART V 81547 EMPLOYMENT false HUTCHINSON HEALTH CARE SERV INC SEE PART V 244159 SHARED EMPLOYEES/EXPENSES false FEE INSURANCE GROUP SEE PART V 567281 INSURANCE PROVIDER false SCHEDULE L, PART IV, COLUMN B 1) PROFESSIONAL CORPORATION MORE THAN 5% OWNED BY REX DEGNER, DIRECTOR 2) FAMILY MEMBER OF WILLIAM GIERSCH, OFFICER 3) RELATED FOR PROFIT ENTITY OF WHICH CURRENT OFFICERS SERVE AS OFFICERS 4) ENTITY MORE THAN 35% OWNED BY ALLEN FEE, DIRECTOR FORM 990, PART VI, SECTION A, LINE 2 EDWARD BERGER, BRUCE BUCHANAN, ANN BUSH, SCOTT CLARKE, TIMOTHY CRATER, REX DEGNER, MIKE EVANS, ALLEN FEE, RONA GAZAWAY, JOE GRIESHABER, KEITH HUGHES, KENDALL E. JOHNSON, DIANE LEE, KEVIN MILLER, EVAN MOODIE, KIM MOORE, DAVID NEAL, LIZ PEIRCE, JOHN SWEARER, AND KEITH WHITAKER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN PROVIDED TO THE CFO. ANY QUESTIONS AND CONCERNS THE CFO HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTORS AND OFFICERS ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. AFTER DISCLOSURE AND DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON LEAVES THE MEETING WHILE THE REMAINING BOARD MEMBERS DISCUSS AND VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE, THE DISINTERESTED DIRECTORS SHALL DETERMINE BY A MAJORITY VOTE WHETHER THE ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND IF SO, WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINES 15A & 15B EXECUTIVE COMPENSATION IS HANDLED WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT WHO WORKS WITH THE BOARD OF DIRECTORS TO ESTABLISH EXECUTIVE PAY AND BENEFITS. A NATIONAL CONSULTING FIRM WAS ENGAGED TO CONDUCT A COMPREHENSIVE WAGE STUDY, WHICH INCLUDED EXECUTIVE LEVEL POSITIONS. THEY GATHERED AND ANALYZED COMPARATIVE COMPENSATION DATA AND MADE A RECOMMENDATION TO THE CHAIRPERSON OF THE BOARD FOR USE WITH THE EXECUTIVE BOARD, WHICH SERVES AS THE COMPENSATION COMMITTEE. THE CEO BASE PAY IS DETERMINED BY THE BOARD BASED ON MARKET DATA AND EXECUTIVE PERFORMANCE. THE CEO BONUS IS DETERMINED BY THE BOARD BASED ON HOSPITAL AND CEO PERFORMANCE, IN ACCORDANCE WITH THE GUIDELINES OUTLINED IN THE EMPLOYMENT AGREEMENT. THE CEO DETERMINED COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES BY A REVIEW OF HEALTHCARE SALARY MARKET SURVEYS, BOTH REGIONAL AND NATIONAL. HIS DECISION WAS MADE IN CONSULTATION WITH THE HUMAN RESOURCES DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT CURRENTLY PROVIDE ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9 TRANSFERS TO AFFILIATES 2,565,116 CHANGE IN BENEFICIAL INTEREST IN FOUNDATIONS 2,535,214 ---------- 5,100,330 HOSPICE OF RENO COUNTY INC 1701 E 23RD HUTCHINSON KS 67502 480927101 HOSPICE CARE KS 501(C)(3) 9 HRMC INC true HORIZONS MENTAL HEALTH CENTER INC 1600 N LORRAINE HUTCHINSON KS 67501 480970362 MENTAL HEALTH KS 501(C)(3) 3 HRMC INC true MAIN LINE INC 1701 E 23RD HUTCHINSON KS 67502 486111813 LEASING KS 501(C)(3) 11B HRMC INC true LIVING CENTER INC 1901 E 23RD HUTCHINSON KS 67502 481066643 LTC FACILITY KS 501(C)(3) 9 HRMC INC true HUTCHINSON REGIONAL MEDICAL FOUNDATION 1701 E 23RD HUTCHINSON KS 67502 480891435 SUPPORT KS 501(C)(3) 11B NA false HUTCHINSON REGIONAL MED CENTER AUXILIARY 1701 E 23RD HUTCHINSON KS 67502 237224491 GIFT SHOP KS 501(C)(3) 9 HRMC INC true HUTCHINSON HEALTH CARE SERVICES INC 803 E 30TH HUTCHINSON KS 67502 480970364 MEDICAL EQUIPMENT KS HRMC INC C-CORPORATION 1.00000 true TRADE CENTER OWNERS ASSOCIATION 1701 E 23RD HUTCHINSON KS 67502 463422807 PROPERTY MGMT KS HRMC INC C-CORPORATION 0 0 1.00000 true false true true false false false false false false true false false false true true false true false false HORIZONS MENTAL HEALTH CENTER INC O 238115 FMV HORIZONS MENTAL HEALTH CENTER INC Q 234066 FMV HUTCHINSON HEALTH CARE SERVICES INC O 153562 FMV HUTCHINSON HEALTH CARE SERVICES INC Q 90597 FMV HOSPICE OF RENO COUNTY INC O 165845 FMV HOSPICE OF RENO COUNTY INC Q 377030 FMV LIVING CENTER INC J 184884 FMV LIVING CENTER INC O 978512 FMV LIVING CENTER INC Q 587766 FMV MAIN LINE INC O 108607 FMV MAIN LINE INC C 2750000 FMV HUTCHINSON REGIONAL MEDICAL FOUNDATION O 197277 FMV