Wesley Medical Center's charity care costs and bad debt increased $15 million in 2010.
Officials released the HCA-owned for-profit hospital's annual community report Thursday.
"High unemployment has allowed that to grow from 2009 to 2010," said Hugh Tappan, Wesley president and CEO.
Tappan said the $109.7 million in charity care and related expense doesn't include any losses the hospital took from Medicare and Medicaid reimbursements.
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Each year Wesley reports how much it spent on the cost of charity care, care for the uninsured and bad debt, which is from patients who have insurance but don't pay the deductibles or co-pays.
Because it's a for-profit entity, Wesley also includes in its report how much it paid in taxes.
In 2010, it paid $24.7 million in income tax — $20 million in federal and $4.7 million in state — and $4.2 million in real estate and property taxes.
"It's significant," Tappan said.
Wesley also donated more than $370,000 in 2010 to local nonprofits and schools, including to the United Way of the Plains, YMCA Strong Kids and $100,000 to the University of Kansas School of Medicine-Wichita's expansion to a four-year medical school.
Tappan said he and other Wesley executives think the costs of charity care won't grow this year.
"What we're expecting is that we've hit the bottom," Tappan said. "We hope... that number won't worsen."
The report also said that in 2010:
* More than 75 percent of hospital births in Sedgwick County were at Wesley
* The hospital had more than 2,200 full-time employees and it paid $162 million in wages and benefits. That's a $1.5 million increase from 2009, said chief financial officer Matt Leary.