Community Benefit Insight - Tax-exempt hospital

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Hutchinson Regional Medical Center Inc

Hutchinson Regional Medical Center

1701 East 23rd
Hutchinson, KS 67502

Bed count	199	Medicare provider number	170020	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 480774005

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

9.77%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 5,138,178 3.11 %
Medicaid as % of operating expenses	$ 7,320,192 4.43 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 3,646,540 2.21 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 32,917 0.02 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 7,395,734 4.48 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 140676400 including grants of $ 32917) (Revenue $ 141754355)
HUTCHINSON REGIONAL MEDICAL CENTER IS CURRENTLY LICENSED TO OPERATE 190 GENERAL ACUTE BEDS. ALL PROGRAM SERVICE EXPENSES WERE INCURRED IN FURTHERANCE OF OUR MISSION.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

SCHEDULE H, PART V, SECTION B, LINE 5
MANY OF THE USUAL PROCESSES HUTCHINSON REGIONAL MEDICAL CENTER (HRMC) UNDERTAKES TO ASCERTAIN THE NEEDS OF THE COMMUNITY HAVE BEEN DISRUPTED BY THE CORONAVIRUS PANDEMIC. THIS INCLUDES THE USUAL QUARTERLY EFFORTS TO BOTH GATHER AND TRACK INFORMATION. EVEN SO, HRMC PARTNERED WITH PEOPLE FROM ALL OVER THE COMMUNITY TO BEST MEET HEALTHCARE NEEDS RESULTING FROM THE VIRUS CRISIS. HRMC CREATED A RENO COUNTY MEDICAL SOCIETY SO ALL MEDICAL PROVIDERS IN THE AREA HAD A WAY TO MEET REGULARLY AND VIRTUALLY TO SHARE INFORMATION AND RESOURCES. THIS GROUP INCLUDES THE HUTCHINSON CLINIC, SUMMIT HEALTHCARE, PRARIESTAR, HORIZONS MENTAL HEALTH, HOSPICE AND HOMECARE OF RENO COUNTY AND KINDRED HOSPICE AND HOMECARE. WE HAVE BEEN ABLE TO TRACK PPE, MEDICATION, STAFFING AND OTHER NEEDS COMMUNITY-WIDE THROUGH THIS GROUP. WE HAVE WORKED WITH THE RENO COUNTY HEALTH DEPARTMENT, THE CITY OF HUTCHINSON AND RENO COUNTY GOVERNMENT TO HELP TRACK OUTBREAKS AND RESPOND TO NEEDS. WE HAVE STAYED IN TOUCH WITH NURSING HOMES AND OTHER LONG-TERM CARE PROVIDERS TO HELP THEM UNDERSTAND THE CHANGING RULES FOR SAFETY, AS WELL AS TO HELP THEM FULFILL THOSE NEEDS. WE HAVE PARTICIPATED IN THE NONPROFIT COALITION WITH WEEKLY ZOOM CALLS TO HELP NONPROFITS IN THE AREA RESPOND TO THE PANDEMIC, INCLUDING PROVIDING THEM WITH BADLY NEEDED MASKS FROM A LARGE DONATION THAT DID NOT MEET MEDICAL NEEDS, BUT WERE ACCEPTABLE FOR SHELTERS AND OTHER NONPROFITS. WE HAVE INCREASED DONATIONS OF FOOD TO LOCAL SOUP KITCHENS TO HELP WITH INCREASED NEEDS. WE HAVE WORKED WITH AREA SCHOOL DISTRICTS, INCLUDING DISTRICT 308, TO HELP THEM UNDERSTAND THE BEST WAYS TO SERVE THEIR STUDENTS EDUCATIONAL AND HEALTH NEEDS, AS WELL AS THE BEST WAYS TO PROTECT THE HEALTH OF TEACHERS AND STAFF. THE WORK ALREADY PERFORMED WITH THE COMMUNITY HEALTH ASSESSMENT COMMITTEE (CHAC) GAVE US THE FOUNDATION TO QUICKLY CREATE THESE PARTNERSHIPS. SCHEDULE H, PART V, SECTION B, LINE 6B REPRESENTATIVES INCLUDED MEMBERS OF THE USD 308, VETERAN ASSOCIATION OUTPATIENT CLINIC, PRAIRIE STAR HEALTH FACILITY, HUTCHINSON CLINIC, HORIZONS MENTAL HEALTH CENTER, HOSPICE AND HOME HEALTH OF RENO COUNTY, AND UNITED WAY OF RENO COUNTY SCHEDULE H, PART V, SECTION B, LINE 7A https://www.hutchregional.com/medical-center/about-us/community-health-nee ds-assessment/

SCHEDULE H, PART V, SECTION B, LINE 10A
https://www.hutchregional.com/medical-center/about-us/community-health-nee ds-assessment/

SCHEDULE H, PART V, SECTION B, LINE 11
HUTCHINSON REGIONAL MEDICAL CENTER (HRMC) 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 2021 WE STARTED THE YEAR BY ANALYZING THE RESULTS OF THE SURVEY THAT WAS CONDUCTED IN THE SUMMER OF 2020. WE HAVE DIVIDED THE WORK INTO CLINICAL HEALTH ISSUES AND COMMUNITY HEALTH IMPACT ISSUES. HRMC 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. 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.

SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, AND 16C
https://www.hutchregional.com/medical-center/patients-visitors/billing/fin ancial-assistance-policy/

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 3C
IN ADDITION TO FPG CONSIDERATIONS, THE HOSPITAL ALSO USES MEDICAL INDIGENCY AND INSURANCE STATUS TO DETERMINE WHETHER INDIVIDUALS ARE FAP ELIGIBLE. SCHEDULE H, PART I, LINE 7, COLUMN F NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTIONS WITH CUSTOMERS.

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 6/30/2022 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 III, LINE 2
THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS FROM THE FINANCIAL STATEMENTS IS MULTIPLIED BY THE COST TO CHARGE RATIO FROM THE 6/30/22 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 SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.

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 VI, LINE 2
HUTCHINSON REGIONAL MEDICAL CENTER (HRMC) 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 2022 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. HRMC 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.

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 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 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 (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.

SCHEDULE H, PART VI, LINE 6
N/A

SCHEDULE H, PART VI, LINE 7
N/A

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 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 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."

Operating expenses	$ 165,212,414
Total amount spent on community benefits as % of operating expenses	$ 16,137,827 9.77 %