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        <ManagementAndGeneralAmt>460577</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>33134162</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROVIDER ASSESSMENT TAX</Desc>
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        <ProgramServicesAmt>6150811</ProgramServicesAmt>
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        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <ExplanationTxt>THE HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE KANSAS HOSPITAL ASSOCIATION (KHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. KHA HAS NOTIFIED THE HOSPITAL THAT APPROXIMATELY $13,919 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES. THE ANNUAL DUES THE HOSPITAL PAID WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.</ExplanationTxt>
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      </FinancialAssistanceAtCostTyp>
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      <TotalOtherBenefitsGrp>
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      <TotalCommunityBenefitsGrp>
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      <BadDebtExpenseAmt>667284</BadDebtExpenseAmt>
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        <BusinessName>
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          <AddressLine1Txt>1701 E 23RD</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
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        <WebsiteAddressTxt>WWW.HUTCHREGIONAL.COM</WebsiteAddressTxt>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE SUPPLEMENTAL SECTION</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
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        <StrategyWebsiteURLTxt>SEE SUPPLEMENTAL SECTION</StrategyWebsiteURLTxt>
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        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
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        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.HUTCHREGIONAL.COM/MEDICAL-CENTER/PATIENTS-VISITORS/BILLING/FINA</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.HUTCHREGIONAL.COM/MEDICAL-CENTER/PATIENTS-VISITORS/BILLING/FINA</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.HUTCHREGIONAL.COM/MEDICAL-CENTER/PATIENTS-VISITORS/BILLING/FINA</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HUTCHINSON REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED, INCLUDING INDIVIDUALS AND ORGANIZATIONS WITH PUBLIC HEALTH EXPERTISE AND EXPERIENCE SERVING MEDICALLY UNDERSERVED POPULATIONS. THE CHNA WAS COORDINATED THROUGH THE RENO COUNTY HEALTHCARE ACCESS TASKFORCE AND INCORPORATED QUALITATIVE AND QUANTITATIVE INPUT OBTAINED THROUGH COMMUNITY SURVEYS, HOUSEHOLD SURVEYS, LISTENING SESSIONS, AND FEEDBACK FROM LOCAL PARTNER ORGANIZATIONS.COMMUNITY INPUT WAS SOLICITED FROM, AMONG OTHERS, THE RENO COUNTY HEALTH DEPARTMENT, HUTCHINSON REGIONAL MEDICAL CENTER, UNITED WAY OF RENO COUNTY, HORIZON'S MENTAL HEALTH CENTER, PRAIRIESTAR HEALTH CENTER, AND THE CITY OF HUTCHINSON. ADDITIONAL INPUT WAS PROVIDED BY COMMUNITY RESIDENTS THROUGH COUNTYWIDE AND HOUSEHOLD SURVEYS, LISTENING SESSIONS WITH COMMUNITY MEMBERS AND SERVICE PROVIDERS, AND A COMMUNITY PARTNER SURVEY COMPLETED BY NONPROFIT AND GOVERNMENTAL ORGANIZATIONS ENGAGED IN PUBLIC HEALTH, HEALTHCARE DELIVERY, SOCIAL SERVICES, AND COMMUNITY DEVELOPMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HUTCHINSON REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE RENO COUNTY HEALTH DEPARTMENT, UNITED WAY OF RENO COUNTY, HORIZON'S MENTAL HEALTH CENTER, PRAIRIESTAR HEALTH CENTER, AND THE CITY OF HUTCHINSON.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HUTCHINSON REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: LINE 7A: HTTPS://WWW.HUTCHREGIONAL.COM/MEDICAL-CENTER/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/LINE 10: HTTPS://WWW.HUTCHREGIONAL.COM/MEDICAL-CENTER/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HUTCHINSON REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED MULTIPLE SIGNIFICANT COMMUNITY HEALTH NEEDS, INCLUDING ACCESS TO CARE, BEHAVIORAL HEALTH AND SUBSTANCE USE, FOOD INSECURITY, TRANSPORTATION BARRIERS, HOUSING STABILITY, MENTAL HEALTH, DENTAL HEALTH, CHILD CARE ACCESS, AND ECONOMIC INSECURITY. THE HOSPITAL FACILITY IS ADDRESSING THESE NEEDS THROUGH A COMBINATION OF DIRECT SERVICES, PARTNERSHIPS, AND PARTICIPATION IN COUNTYWIDE PLANNING EFFORTS INFORMED BY THE CHNA AND THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).TO ADDRESS ACCESS TO CARE, THE HOSPITAL FACILITY IS WORKING WITH COMMUNITY PARTNERS TO IMPROVE AVAILABILITY AND COORDINATION OF MEDICAL SERVICES, INCLUDING EFFORTS TO EXPAND REFERRAL PATHWAYS FOR FREE OR SLIDINGSCALE SERVICES AND TO REDUCE GEOGRAPHIC AND TRANSPORTATION BARRIERS, PARTICULARLY FOR RESIDENTS IN HIGHVULNERABILITY AREAS. THE FACILITY SUPPORTS INITIATIVES TO EXPAND EVENING AND WEEKEND SERVICE AVAILABILITY AND IMPROVE CARE COORDINATION FOR UNINSURED AND UNDERINSURED PATIENTS.BEHAVIORAL HEALTH AND SUBSTANCE USE WERE IDENTIFIED AS URGENT PRIORITIES. THE HOSPITAL FACILITY PARTICIPATES IN COMMUNITYBASED BEHAVIORAL HEALTH AND SUBSTANCE USE INITIATIVES, INCLUDING COORDINATION WITH MENTAL HEALTH PROVIDERS, EMERGENCY RESPONSE PARTNERS, AND PEER RECOVERY ORGANIZATIONS TO IMPROVE ACCESS TO TREATMENT, RECOVERY SUPPORTS, AND POSTDISCHARGE FOLLOWUP CARE. ANTISTIGMA AND TRAUMAINFORMED APPROACHES ARE BEING EMPHASIZED THROUGH COLLABORATION WITH REGIONAL MENTAL HEALTH CENTERS AND COMMUNITY PARTNERS.FOOD INSECURITY IS BEING ADDRESSED THROUGH SCREENING, REFERRALS, AND COLLABORATION WITH FOOD ACCESS ORGANIZATIONS, INCLUDING PROGRAMS SUPPORTING SNAP ENROLLMENT, SCHOOLBASED NUTRITION, WIC PARTICIPATION, AND FOOD DISTRIBUTION SERVICES. THE HOSPITAL FACILITY SUPPORTS INTEGRATION OF FOOD INSECURITY SCREENING WITHIN HEALTHCARE SETTINGS AND REFERRAL TO COMMUNITY RESOURCES.TRANSPORTATION BARRIERS ARE ADDRESSED THROUGH COORDINATION WITH LOCAL TRANSIT PROVIDERS AND PARTNER ORGANIZATIONS THAT OFFER TRANSPORTATION ASSISTANCE OR VOUCHERS. THESE EFFORTS FOCUS ON IMPROVING ACCESS TO HEALTHCARE APPOINTMENTS, ESPECIALLY FOR HOUSEHOLDS WITHOUT RELIABLE TRANSPORTATION.HOUSING INSTABILITY AND HOMELESSNESS ARE ADDRESSED THROUGH COLLABORATION WITH HOUSING PROVIDERS, SOCIAL SERVICE AGENCIES, AND COMMUNITY COALITIONS FOCUSED ON AFFORDABLE HOUSING, RECOVERYFRIENDLY HOUSING, AND HOUSING NAVIGATION SUPPORTS FOR VULNERABLE POPULATIONS, INCLUDING INDIVIDUALS AFFECTED BY SUBSTANCE USE, MENTAL ILLNESS, OR CRIMINAL JUSTICE INVOLVEMENT.THE HOSPITAL FACILITY ALSO SUPPORTS INITIATIVES RELATED TO DENTAL HEALTH BY COORDINATING REFERRALS TO LOWCOST DENTAL PROVIDERS AND ADVOCATING FOR EXPANDED ACCESS TO AFFORDABLE DENTAL CARE. CHILD CARE CHALLENGES AND ECONOMIC INSECURITY ARE ADDRESSED INDIRECTLY THROUGH COMMUNITY PARTNERSHIPS THAT FOCUS ON WORKFORCE PARTICIPATION, FAMILY SUPPORT SERVICES, AND ACCESS TO AFFORDABLE CHILD CARE OPTIONS.SOME IDENTIFIED NEEDS, SUCH AS LARGESCALE AFFORDABLE HOUSING DEVELOPMENT, TRANSPORTATION INFRASTRUCTURE EXPANSION, AND SYSTEMIC CHILD CARE SHORTAGES, ARE NOT DIRECTLY ADDRESSED BY THE HOSPITAL FACILITY DUE TO SCOPE, REGULATORY LIMITATIONS, AND RESOURCE CONSTRAINTS. THESE NEEDS ARE BEING ADDRESSED THROUGH BROADER COUNTY AND COMMUNITY INITIATIVES LED BY GOVERNMENTAL AGENCIES, NONPROFIT ORGANIZATIONS, AND CROSSSECTOR COALITIONS IN WHICH THE HOSPITAL PARTICIPATES AS A SUPPORTING PARTNER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO FPG CONSIDERATIONS, THE HOSPITAL ALSO USES MEDICAL INDIGENCY, ASSET LEVELS, AND INSURANCE STATUS TO DETERMINE WHETHER INDIVIDUALS ARE FAP ELIGIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,267,916.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS FROM THE FINANCIAL STATEMENTS IS MULTIPLIED BY THE COST TO CHARGE RATIO FROM THE 6/30/25 MEDICARE COST REPORT IN ORDER TO ESTIMATE THE BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE A SPECIFIC FOOTNOTE DEDICATED TO BAD DEBT. ON PAGE 11 THERE IS A FOOTNOTE REFERENCING PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2024 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HUTCHINSON REGIONAL MEDICAL CENTER {HMRC) PARTNERS WITH THE RENO COUNTY HEALTH DEPARTMENT (RCHD) AND OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. FOR THE YEAR 2023, WE STARTED THE YEAR BY ANALYZING THE RESULTS OF THE SURVEY THAT WAS CONDUCTED IN THE FALL OF 2021. WE HAVE DIVIDED THE WORK INTO CLINICAL HEALTH ISSUES AND COMMUNITY HEALTH IMPACT ISSUES. HMRC IS LEADING THE DEVELOP OF WORK AROUND CLINICAL HEALTH ISSUES. THE CLINICAL HEALTH TASKFORCE INCLUDES OTHER CLINICAL PROVIDERS IN THE COMMUNITY ALONG WITH THE RCHD. THE INITIAL COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDES THREE FOCUS AREAS, CHRONIC ILLNESS, SMOKING CESSATION AND REDUCING THE OPIOID IMPACT ON RENO COUNTY. ALTHOUGH THERE WERE NUMEROUS AREAS OF IMPORTANCE, WE HAD TO NARROW THE FOCUS TO AREAS THAT WE COULD IMPACT AND STAGE THE WORK TO COVER THE NEXT THREE YEARS OF WORK. FIRST QUARTER OF 2020 WE DEVELOPED METRICS AND GOT PROGRAMS STARTED. SOME OF THAT WORK THAT IS READY TO SHARE WOULD BE THE FOLLOWING.-INCREASE RESOURCES FOR THOSE WITH CHRONIC ILLNESSES. RENO COUNTY HAS FOUR TO FIVE HEALTH FAIR EACH YEAR. HRMC IS ACTIVE AT ALL THE HEALTH FAIRS. THIS YEAR WE WILL HAVE A FOCUS ON IDENTIFYING RESOURCES THAT ARE AVAILABLE IN THE COMMUNITY FOR RESIDENTS WITH CHRONIC ILLNESSES. THE TASKFORCE IS WORKING ON VACCINATING PATIENT WITH CHRONIC ILLNESSES TO ENSURE THEY HAVE AS MUCH PROTECTION AS POSSIBLE. HRMC IS DEVELOPING A PILOT PROJECT FOR THOSE THAT ARE DIAGNOSED WITH CONGESTIVE HEART FAILURE. THE FOCUS OF THE PROJECT IS TO INTENSIFY THE EDUCATION TO INCREASE UNDERSTANDING OF THE DISEASE PROCESS FOR THOSE PATIENTS.-SMOKING CESSATION IS A GLOBAL ISSUE IN THE COUNTY. THE CLINICAL TASKFORCE IS WORKING ON STANDARDIZING THE EDUCATION THAT IS PROVIDED IN EACH FACILITY. WORK IS IN PLACE TO GATHER INFORMATION FOR APPLICATION TO A PROGRAM TO- FINANCIALLY SUPPORT THE UNDER INSURED FOR MEDICATION SUPPORT FOR CESSATION. HRMC IS WORKING ON A PILOT PROGRAM TO SUPPORT EMPLOYEE SMOKING CESSATION. AS THE LARGEST EMPLOYER IN THE COUNTY WE WILL DEVELOP A PROGRAM THAT CAN BE SHARED WITH OTHER BUSINESSES. - OPIOID IMPACT IN RENO COUNTY IS A JOINT PROJECT BETWEEN THE CLINICAL AND NON-CLINICAL GROUPS. THE CLINICAL TASKFORCE IS WORKING ON PROCESSES TO REDUCE THE PRESCRIBING OF OPIOIDS AND OTHER NARCOTICS IN THE CLINICAL SETTING IN A HOPE TO REDUCE THE ADDICTION ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 THE PLAIN LANGUAGE SUMMARY 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. SPANISH 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 INFORMATIONREGARDING THE MEDICAL CENTER'S CHARITY CARE POLI.CY 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>HUTCHINSON REGIONAL MEDICAL CENTER (HRMC) IS A COMMUNITY HOSPITAL IN RURAL KANSAS. THE FACILITY IS LICENSED FOR 190 BEDS. HRMC SERVES RENO COUNTY AS THE ONLY ACUTE CARE FULL SERVICE HOSPITAL IN THE COUNTY. WE ARE THE LARGEST ACUTE CARE FACILITY IN THE AREA TO THE WEST OF RENO COUNTY AS WELL. THE COMMUNITY SUPPORTS A STATE PRISON, MANUFACTURING, VARIOUS TYPES OF SHOPPING AND ADVANCED EDUCATION FOR THE COUNTY. THE COMMUNITY IS ALSO THE HOST FOR THE STATE FAIR, AND TOURIST ATTRACTIONS THAT DRAW VISITORS FROM WELL BEYOND THE COUNTY LINES. RENO COUNTY HAS A MEDIAN AGE OF 39.7 WITH 17.2% OVER THE AGE OF 65. RENO COUNTY IS THE 9TH MOST POPULATED COUNTY IN KANSAS, WITH A RACIAL MIX OF 86 WHITE, 9% HISPANIC AND 3% BLACK. THE MEDIAN INCOME IS $44,673.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AND ENLARGE THE INTENSIVE CARE UNIT. AT COMPLETION IT WILL HAVE STATE OF THE ART FEATURES. THIS WILL ALLOW FOR INCREASING THE QUALITY OF CARE PROVIDED.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 REPRESENTED BY OUR MISSION AND VISION STATEMENTS.- 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- INTEGRITY- COMPASSION- ACCOUNTABILITY- RESPECT- EXCELLENCEHUTCHINSON 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>HUTCHINSON REGIONAL MEDICAL CENTER, INC - A 501(C)(3) HOSPITAL ORGANIZATION THAT ENHANCES THE QUALITY OF LIFE THROUGH INTEGRATED CARE. HORIZONS MENTAL HEALTH CENTER, INC - A 501(C)(3) ORGANIZATION THAT PROVIDES EXCEPTIONAL, COMPREHENSIVE REHABILITATIVE AND PREVENTATIVE MENTAL HEALTH SERVICES THAT ARE AFFORDABLE, THERAPEUTIC, EDUCATIONAL AND PERSONALIZED CARE.MAIN LINE, INC - A 501(C)(3) ORGANIZATION THAT LEASES PERSONAL AND REAL PROPERTY TO HEALTHCARE PROVIDERS LOCATED IN HUTCHINSON, KS.HOSPICE OF RENO COUNTY, INC - A 501(C)(3) ORGANIZATION THAT ENHANCES THE QUALITY OF LIFE THROUGH INTEGRATED HEALTHCARE.HUTCHINSON REGIONAL MEDICAL FOUNDATION - A 501(C)(3) ORGANIZATION THAT RAISES FUNDS TO FACILITATE THE ACCOMPLISHMENT OF THE HEALTH CARE MISSIONS OF HUTCHINSON REGIONAL MEDICAL CENTER, INC. AND ITS RELATED EXEMPT AFFILIATE CORPORATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KANSAS STATE FAIR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2000 N POPLAR</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <RecipientEIN>486015828</RecipientEIN>
        <IRCSectionDesc>GOV'T</IRCSectionDesc>
        <CashGrantAmt>16000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HUTCHINSON COMMUNITY COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1300 N PLUM ST</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <RecipientEIN>480688383</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL JUNIOR COLLEGE ATHLETIC ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8801 J M KEYNES DR SUITE 450</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28262</ZIPCd>
        </USAddress>
        <RecipientEIN>416023833</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8250</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HUTCHINSONRENO COUNTY CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 519</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67504</ZIPCd>
        </USAddress>
        <RecipientEIN>480273250</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HUTCHINSON RECREATION COMMISSION FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>17 E 1ST AVE</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67501</ZIPCd>
        </USAddress>
        <RecipientEIN>481126138</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CANCER COUNCIL OF RENO COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 633</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>675040633</ZIPCd>
        </USAddress>
        <RecipientEIN>481196493</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CRUSADERS FOOTBALL CLUB ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1423 N BAKER ST</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67501</ZIPCd>
        </USAddress>
        <RecipientEIN>994274167</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>7</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS TO WHOM THE GRANTS WERE MADE WILL MONITOR ALL USES OF THE FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENJAMIN ANDERSON</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>600127</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>50000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9318</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20700</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32453</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>712598</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MOH'D AL-HALAWANI</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25308</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>669098</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THAMER SARTAWI</PersonNm>
        <TitleTxt>PULMONOLOGIST</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17700</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>609935</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAWSAN AMIREH</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>20700</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>529756</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>730</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>14101</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>476963</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsFilingOrgAmt>16872</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>419400</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAUL ARBER</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>3700</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>411782</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRYAN HENDERSON MD</PersonNm>
        <TitleTxt>CHIEF OF STAFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>160809</BaseCompensationFilingOrgAmt>
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        <OtherCompensationFilingOrgAmt>990</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>236013</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
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        <IssuerName>
          <BusinessNameLine1Txt>CITY OF HUTCHINSON KANSAS</BusinessNameLine1Txt>
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        <PurposeDesc>CONSTRUCT AND EQUIP IMPROVEMENTS TO HOSPITAL FACILITIES</PurposeDesc>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
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        <VariableRateIssueInd>0</VariableRateIssueInd>
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        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>FEE INSURANCE GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY MORE THAN 35% OWNED BY ALLEN FEE, DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1308306</TransactionAmt>
        <TransactionDesc>INSURANCE PROVIDER</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 INTEREST 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION IS HANDLED WITH THE ASSISTANCE OF ESTABLISHED REPUTABLE AND INDEPENDENT THIRD PARTY COMPENSATION FIRMS, SURVEYS ARE PURCHASES AND PROVIDE WAGE INFORMATION TO THE VICE PRESIDENT OF HUMAN RESOURCES WHO WORKS WITH THE BOARD OF DIRECTORS TO ESTABLISH EXECUTIVE PAY AND BENEFITS. THE NATIONAL COMPENSATION FIRMS CONDUCT COMPREHENSIVE WAGE STUDIES WHICH INCLUDE EXECUTIVE LEVEL POSITIONS. THIS INFORMATION IS ANALYZED BY THE VICE PRESIDENT OF HUMAN RESOURCES AND A RECOMMENDATION IS MADE 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 DATE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST, SUBJECT TO THE APPROVAL OF THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,657,982. MANAGEMENT AND GENERAL EXPENSES 11,148,499. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,806,481. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 16,154,248. MANAGEMENT AND GENERAL EXPENSES 1,374,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,528,470.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUTCHINSON REGIONAL MEDICAL CENTER AUXILIARY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 E 23RD</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <EIN>237224491</EIN>
        <PrimaryActivitiesTxt>GIFT SHOP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HRMC INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUTCHINSON REGIONAL MEDICAL CENTER FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 E 23RD</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <EIN>480891435</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HRMC INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOPSICE OF RENO COUNTY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 E 23RD</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <EIN>480927101</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HRMC INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HORIZONS MENTAL HEALTH CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 NORTH LORRAINE SUITE 202</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <EIN>480970362</EIN>
        <PrimaryActivitiesTxt>BEHAVIORAL HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HRMC INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MAIN LINE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 E 23RD</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <EIN>486111813</EIN>
        <PrimaryActivitiesTxt>HOLDING CO. &amp; PROPERTY LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HRMC INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HUTCHINSON HEALTH CARE SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>803 E 30TH</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <EIN>480970364</EIN>
        <PrimaryActivitiesTxt>MEDICAL EQUIPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HRMC INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>611776</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>7608013</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TRADE CENTER OWNERS ASSOCIATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1701 E 23RD</AddressLine1Txt>
          <CityNm>HUTCHINSON</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67502</ZIPCd>
        </USAddress>
        <EIN>463422807</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HRMC INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HUTCHINSON REGIONAL MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1202658</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>