NEWTON HEALTHCARE CORPORATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NEWTON HEALTHCARE CORPORATION (EIN 48-1040759)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-08
- IRS object ID
- 202331289349302708
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-08T12:28:05-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 480764317 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNUDSEN MONROE & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 512 N MAIN ST | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 671142229 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481040759 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON HEALTHCARE CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWT | BusinessNameControlTxt |
| Phone | 3162832700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 308 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 671140308 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TODD KASITZ | PersonNm |
| Person Title | VP/CFO | PersonTitleTxt |
| Phone | 3162832700 | PhoneNum |
| Signature | 2023-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TODD | PersonFirstNm |
| Person Last | KASITZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY B ELLIOTT | PreparerPersonNm |
| PTIN | P00503103 | PTIN |
| Phone | 3162835366 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TODD KASITZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 308 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 671140308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $137,340,406 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYNMCHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | TO EXCEL IN PROVIDING HEALTHCARE BY UNDERSTANDING AND RESPONDING TO THE INDIVIDUAL NEEDS OF THOSE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1127 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $78,691 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,624,735 | PYContributionsGrantsAmt |
| CY Contributions Grants | $586,996 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $93,155,208 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $99,655,338 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,996,853 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,879,761 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,866,068 | PYOtherRevenueAmt |
| CY Other Revenue | $2,064,820 | CYOtherRevenueAmt |
| PY Total Revenue | $104,642,864 | PYTotalRevenueAmt |
| CY Total Revenue | $104,186,915 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $52,823,026 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,440,018 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,458,395 | PYOtherExpensesAmt |
| CY Other Expenses | $43,995,895 | CYOtherExpensesAmt |
| PY Total Expenses | $93,281,921 | PYTotalExpensesAmt |
| CY Total Expenses | $101,435,913 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,360,943 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,751,002 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $117,996,443 | TotalAssetsBOYAmt |
| Total Assets EOY | $113,942,138 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,660,387 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,103,516 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $90,336,056 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $85,838,622 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO EXCEL IN PROVIDING HEALTHCARE BY UNDERSTANDING AND RESPONDING TO THE INDIVIDUAL NEEDS OF THOSE WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $82,224,276 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $100,939,787 | RevenueAmt |
| Desc | PATIENT SERVICES - NEWTON HEALTHCARE CORPORATION PROVIDES QUALITY MEDICAL AND SURGICAL SERVICES REGARDLESS OF THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN FISCAL YEAR 2022, THE HOSPITAL PROVIDED 11,777 DAYS OF INPATIENT CARE TO 2,487 ACUTE PATIENTS; 2,569 DAYS OF INPATIENT REHABILITATIVE CARE TO 227 PATIENTS; 9 DAYS OF CARE TO 1 SKILLED NURSING PATIENT; 1,375 DAYS OF INPATIENT GERIATRIC PSYCH TO 82 GERIATRIC PATIENTS; AND 61,854 OUTPATIENT SERVICE VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,734,538 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $501,831 | RevenueAmt |
| Desc | DIETARY SERVICES - NEWTON HEALTHCARE CORPORATION MAINTAINS A HOSPITAL CAFETERIA FOR THE BENEFIT OF PATIENTS AND THEIR FAMILIES AND AS A CONVENIENCE TO ITS EMPLOYEES. IN ADDITION, 27,102 MEALS WERE PREPARED AND SOLD AT COST TO NEWTON MEALS ON WHEELS, A NONPROFIT ORGANIZATION. THIS PROGRAM PROVIDES MEALS TO COMMUNITY RESIDENTS UNABLE TO PREPARE THEIR OWN MEALS DUE TO MEDICAL CONDITIONS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COMMUNITY SERVICES - NEWTON HEALTHCARE CORP OFFERS A NUMBER OF PROGRAMS AND SERVICES TO THE COMMUNITY AT MINIMAL OR NO COST IN ORDER TO PROMOTE HEALTH AND WELLNESS. ACTUAL COSTS FOR THESE SERVICES ARE NOT SPECIFICALLY IDENTIFIABLE AND ARE INCLUDED AS PART OF PATIENT SERVICES. SUCH PROGRAMS AND SERVICES INCLUDE ORGANIZING AND PARTICIPATING IN COMMUNITY HEALTH FAIRS; LOW-COST PROSTATE CANCER SCREENING PROGRAM; CHILD SAFETY SEAT CLINIC; CO-SPONSOR AND PROVIDE MEETING SPACE FOR SUPPORT GROUPS; OFFER A SEMI-WEEKLY WELL-BABY CLINIC FOR INFANTS UP TO 12 MONTHS OF AGE AT NO COST; SPONSOR VARIOUS COMMUNITY EVENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $83,958,814 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 127 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1127 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TODD KASITZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3168046096 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MEDICAL CENTER DRIVE | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 671140308 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MATTHEW SCHMIDT | |||||||
| VICE CHAIR OF THE BOARD | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARILYN WILDER | |||||||
| CHAIR OF THE BOARD | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD STINNETT | |||||||
| TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER CONRADE | |||||||
| SECRETARY | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN MORTON | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| BARTH HAGUE | |||||||
| ASSISTANT SECRETARY | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NANCY CRAIG | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| RON HARDER | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| RON LANG | |||||||
| PAST CHAIR OF THE BOARD | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CAROLYN MCGINN | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBBIE PALACIOZ | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDIE KEUKER | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGEL TECK DO | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| RACQUEL THIESEN | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT PALMER | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| COLIN WINDHAM MD | |||||||
| BOARD OF DIRECTORS | 40.00 | Yes (X) | $332,728 | $0 | $21,600 | ||
| EMILY WEBB MD | |||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| VALLERIE L GLEASON | |||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $412,655 | $0 | $19,521 | ||
| TODD R KASITZ | |||||||
| CFO | 40.00 | Yes (X) | $227,717 | $0 | $24,165 | ||
| TODD TANGEMAN | |||||||
| COO | 40.00 | Yes (X) | $184,292 | $0 | $23,061 | ||
| HEATHER PORTER | |||||||
| CHIEF CLINICAL OFFICER | 40.00 | Yes (X) | $184,425 | $0 | $23,010 | ||
| JAMES PIGG MD | |||||||
| ORTHOPEDIC SURGEON | 40.00 | $873,208 | $0 | $12,200 | Yes (X) | ||
| JOHN MCEACHERN MD | |||||||
| GENERAL SURGEON | 40.00 | $703,227 | $0 | $26,654 | Yes (X) | ||
| ABJEET KADAM MD | |||||||
| ORTHOPEDIC SURGEON | 40.00 | $563,229 | $0 | $29,695 | Yes (X) | ||
| JESSICA BROZEK MD | |||||||
| ORTHOPEDIC SURGEON | 40.00 | $562,752 | $0 | $19,306 | Yes (X) | ||
| JERED WINDORSKI MD | |||||||
| ER PHYSICIAN | 40.00 | $484,823 | $0 | $17,379 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,529,056 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $216,591 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 58 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALIVIS | |||||
| 5930 CORNERSTONE CT W 300 | SAN DIEGO | CA | 92121 | CONTRACT LABOR | $1,699,523 |
| EBY CONSTRUCTION | |||||
| 2525 E 36TH CIR N | WICHITA | KS | 67219 | CONSTRUCTION | $805,592 |
| KANSAS ELECTRIC | |||||
| 1420 NW 36TH | NEWTON | KS | 67114 | ELECTRICAL CONTRACTOR | $537,221 |
| REHABCARE | |||||
| PO BOX 502096 | ST LOUIS | MO | 631502096 | MANAGEMENT SERVICES | $462,413 |
| WRAY ROOFING | |||||
| PO BOX 420 | NORTH NEWTON | KS | 671170420 | ROOFING SERVICES | $389,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $477,751 | GovernmentGrantsAmt |
| All Other Contributions | $109,245 | AllOtherContributionsAmt |
| Total Contributions | $586,996 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $72,813,932 | $72,813,932 | ||
| MEDICARE/MEDICAID PMTS | 900099 | $26,143,549 | $26,143,549 | ||
| DIETARY SERVICES | 722210 | $501,831 | $501,831 | ||
| NON-PATIENT SERVICES | 621990 | $117,335 | $117,335 | ||
| NON-PATIENT LAB SERVICES | 621500 | $78,691 | $78,691 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $99,655,338 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $848,351 | TotalRevenueColumnAmt |
| Exclusion | $848,351 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $34,180,751 | SecuritiesAmt |
| Other | $4,150 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $32,933,389 | SecuritiesAmt |
| Other | $220,102 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,247,362 | SecuritiesAmt |
| Other | -$215,952 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,031,410 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,031,410 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| RENTS | 900099 | $977,954 | $977,954 | |
| REIMB & MISC | 900099 | $729,428 | $729,428 | |
| FEES | 900099 | $355,518 | $355,518 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,920 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,920 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,064,820 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,186,915 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,441,618 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $78,691 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,079,610 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,507,349 | TotalAmt |
| Program Services | $587,500 | ProgramServicesAmt |
| Management And General | $919,849 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,985,654 | TotalAmt |
| Program Services | $41,684,711 | ProgramServicesAmt |
| Management And General | $5,300,943 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,158,390 | TotalAmt |
| Program Services | $1,009,789 | ProgramServicesAmt |
| Management And General | $148,601 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,602,848 | TotalAmt |
| Program Services | $4,012,384 | ProgramServicesAmt |
| Management And General | $590,464 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,185,777 | TotalAmt |
| Program Services | $2,777,098 | ProgramServicesAmt |
| Management And General | $408,679 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,366 | TotalAmt |
| Management And General | $217,366 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,702 | TotalAmt |
| Management And General | $43,702 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,872 | TotalAmt |
| Management And General | $130,872 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,878,793 | TotalAmt |
| Program Services | $4,508,234 | ProgramServicesAmt |
| Management And General | $2,370,559 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,445 | TotalAmt |
| Program Services | $808 | ProgramServicesAmt |
| Management And General | $68,637 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $729,290 | TotalAmt |
| Program Services | $383,850 | ProgramServicesAmt |
| Management And General | $345,440 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,441,358 | TotalAmt |
| Program Services | $215,761 | ProgramServicesAmt |
| Management And General | $2,225,597 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,119,549 | TotalAmt |
| Program Services | $587,810 | ProgramServicesAmt |
| Management And General | $531,739 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,284 | TotalAmt |
| Program Services | $35,747 | ProgramServicesAmt |
| Management And General | $2,537 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,362 | TotalAmt |
| Program Services | $65,333 | ProgramServicesAmt |
| Management And General | $31,029 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $599,670 | TotalAmt |
| Program Services | $418,324 | ProgramServicesAmt |
| Management And General | $181,346 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,085,700 | TotalAmt |
| Program Services | $4,038,199 | ProgramServicesAmt |
| Management And General | $1,047,501 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,036 | TotalAmt |
| Program Services | $292,766 | ProgramServicesAmt |
| Management And General | $471,270 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $18,773,539 | $18,437,972 | $335,567 |
| MISCELLANEOUS | $3,509,837 | $2,482,984 | $1,026,853 |
| REPAIRS/MAINTENANCE | $2,006,411 | $1,550,387 | $456,024 |
| EQUIPMENT/SPACE RENTAL | $700,258 | $700,148 | $110 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $791,423 | TotalAmt |
| Program Services | $169,009 | ProgramServicesAmt |
| Management And General | $622,414 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,435,913 | TotalAmt |
| Program Services | $83,958,814 | ProgramServicesAmt |
| Management And General | $17,477,099 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | Yes (X) | JointCostsInd |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,659,534 | BOYAmt |
| EOY | $4,781,653 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,995,420 | BOYAmt |
| EOY | $13,357,051 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,268 | BOYAmt |
| EOY | $81,618 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,152,241 | BOYAmt |
| EOY | $2,038,644 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,328,462 | BOYAmt |
| EOY | $2,480,888 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $115,968,109 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $71,417,020 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,353,538 | BOYAmt |
| EOY | $44,551,089 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,246,082 | BOYAmt |
| EOY | $45,898,340 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,959 | BOYAmt |
| EOY | $168,152 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $895,939 | BOYAmt |
| EOY | $584,703 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,996,443 | BOYAmt |
| EOY | $113,942,138 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,267,967 | BOYAmt |
| EOY | $10,042,207 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,313,150 | BOYAmt |
| EOY | $15,590,377 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $802,056 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,079,270 | BOYAmt |
| EOY | $1,668,876 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,660,387 | BOYAmt |
| EOY | $28,103,516 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,218,438 | BOYAmt |
| EOY | $85,719,964 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,618 | BOYAmt |
| EOY | $118,658 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,336,056 | BOYAmt |
| EOY | $85,838,622 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,996,443 | BOYAmt |
| EOY | $113,942,138 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,751,002 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,248,436 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $117,618 | BeginningYearBalanceAmt |
| Contributions | $1,040 | ContributionsAmt |
| End Year Balance | $118,658 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $116,093 | BeginningYearBalanceAmt |
| Contributions | $1,525 | ContributionsAmt |
| End Year Balance | $117,618 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $115,053 | BeginningYearBalanceAmt |
| Contributions | $1,040 | ContributionsAmt |
| End Year Balance | $116,093 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,428 | BeginningYearBalanceAmt |
| Contributions | $2,625 | ContributionsAmt |
| End Year Balance | $115,053 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $110,083 | BeginningYearBalanceAmt |
| Contributions | $2,345 | ContributionsAmt |
| End Year Balance | $112,428 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,238,359 | OtherCostOrOtherBasisAmt |
| Book Value | $1,238,359 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,094,041 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,437,678 | DepreciationAmt |
| Book Value | $21,656,363 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,026,196 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,095,070 | DepreciationAmt |
| Book Value | $15,931,126 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,609,513 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,884,272 | DepreciationAmt |
| Book Value | $5,725,241 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $44,551,089 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE LIABILITY | $1,039,226 |
| SPECIAL ASSESSMENTS PAYABLE | $44,947 |
| OPERATING LEASE LIABILITY | $584,703 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,668,876 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $96,807,607 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$7,248,436 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$7,248,436 | RevenueNotReportedAmt |
| Revenue Subtotal | $104,056,043 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $130,872 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $130,872 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $104,186,915 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $101,305,041 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $101,305,041 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $130,872 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $130,872 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $101,435,913 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | ENDOWMENT FUND EARNINGS WILL BE USED TO FUND NURSING SCHOLARSHIPS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2084 | PersonsServedCnt |
| Total Community Benefit Expns | $1,353,876 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $699,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $654,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15850 | PersonsServedCnt |
| Total Community Benefit Expns | $7,526,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,409,910 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,116,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17934 | PersonsServedCnt |
| Total Community Benefit Expns | $8,880,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,109,674 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,770,814 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30744 | PersonsServedCnt |
| Total Community Benefit Expns | $368,749 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $368,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $510,462 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $510,462 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $122,466 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $122,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30744 | PersonsServedCnt |
| Total Community Benefit Expns | $1,001,677 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,001,677 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 48678 | PersonsServedCnt |
| Total Community Benefit Expns | $9,882,165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,109,674 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,772,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03710 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 29622 | PersonsServedCnt |
| Total Community Benefit Expns | $245,915 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $138,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $107,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 68 | PersonsServedCnt |
| Total Community Benefit Expns | $19,898 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,898 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 29690 | PersonsServedCnt |
| Total Community Benefit Expns | $265,813 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $138,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $127,813 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,627,783 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,807,501 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $28,109,461 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,301,960 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MEDICAL CENTER DRIVE | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MYNMCHEALTH.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MYNMCHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.MYNMCHEALTH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MYNMCHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MYNMCHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MYNMCHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NEWTON MEDICAL CENTER | PART V, SECTION B, LINE 5: TWO PHASES OF DATA COLLECTION WERE USED WITHIN THE CHNA: SECONDARY AND PRIMARY DATA ANALYSIS. PRIMARY DATA IS QUALITATIVE DATA THAT HAS BEEN COLLECTED BY A RESEARCHER USING FIRST-HAND, PRIMARY SOURCES. SOURCES INCLUDE SURVEYS AND FOCUS GROUPS. SECONDARY DATA IS QUANTITATIVE DATA THAT HAS BEEN COLLECTED FROM OTHER INDIVIDUALS AND INSTITUTIONS. SOURCES INCLUDE OBJECTIVE STUDIES OR SURVEYS. THE FINAL STEP IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IS ESTABLISHING A TEAM WITH DIVERSE BACKGROUNDS AND EXPERTISE TO MAKE EVIDENCE-BASED DECISIONS IN SELECTING APPROPRIATE HEALTH PRIORITIES, USING ABOVE DATA, THAT WILL DRIVE FORWARD THE HEALTH PRIORITY EFFORTS OF THE COMMUNITY, THUS CREATING A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).TO UNDERSTAND THE UNIQUE CHARACTERISTICS AND NEEDS OF A COMMUNITY, ALL POPULATIONS MUST BE RECOGNIZED AND REPRESENTED. THESE POPULATIONS MAY INCLUDE THOSE OF A PARTICULAR AGE, ETHNICITY, RACE, THOSE WITHOUT HEALTH INSURANCE COVERAGE AND MANY MORE. EVERY POPULATION ADDS TO THE TRUE DIVERSITY OF THE COMMUNITY IN WHICH THEY LIVE AND WORK. BY ADDRESSING THE POPULATIONS WITHIN HARVEY COUNTY, ALL BACKGROUNDS ARE REPRESENTED AND HEARD IN ORDER TO PORTRAY A MORE ACCURATE REPORT.THE HEALTHY PEOPLE 2030 ACTION MODEL WAS ADOPTED BY THE CORE TEAM AS A COMPREHENSIVE MODEL FOR OUR ASSESSMENT. CULTIVATING HEALTHIER ENVIRONMENTS, INCREASING KNOWLEDGE AND ACTION, AND CLOSING GAPS WILL LEAD TO IMPROVED HEALTH AND WELL-BEING ACROSS THE LIFESPANS. ACTIONABLE DATA (AS IN THIS REPORT), EVIDENCE-BASED INTERVENTIONS, AND STRATEGIC RESOURCES MUST BE GARNERED, IDENTIFIED, AND APPROPRIATELY EMPLOYED TO MELD THE ELEMENTS FOR INCLUSIVITY AND SUCCESS.AS A PRODUCT OF THE 2020 HARVEY COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, CONDUCTED BY THE CORE TEAM IN COLLABORATION WITH LOCAL STAKEHOLDERS, COMMUNITY LEADERS, AND OTHER COUNTY RESIDENTS, THREE HEALTH PRIORITIES WERE IDENTIFIED AS THE FOCUS FOR HARVEY COUNTY'S HEALTH INITIATIVES FOR THE TIMEFRAME JULY 2020- JUNE 2023. THE DATA COLLECTED IN THIS REPORT, ALONG WITH THE HEALTH PRIORITIES, WILL BE USED FOR SELECTING SMART (SPECIFIC, MEASURABLE, ACHIEVABLE, RELEVANT, AND TIME-BOUND) GOALS. THESE GOALS WILL DRIVE THE HARVEY COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) DEVELOPMENT. TO ADDRESS THESE COMMUNITY HEALTH PRIORITIES, THE STAKEHOLDERS WILL IDENTIFY LEAD AGENCIES TO GUIDE THE PLANNING AND IMPLEMENTATION OF EVIDENCE-BASED POLICY, SYSTEMS, PROGRAMS, AND ENVIRONMENTAL CHANGES DESIGNED TO PRODUCE SUCCESSFUL HEALTH-CHANGING OUTCOMES WITHIN THREE YEARS. |
| NEWTON MEDICAL CENTER | PART V, SECTION B, LINE 6A: PRAIRIE VIEW, INC. |
| NEWTON MEDICAL CENTER | PART V, SECTION B, LINE 6B: NEWTON FIRE/EMSHARVEY COUNTY HEALTH DEPARTMENTHEALTH MINISTRIES CLINIC, INC.HEALTHY HARVEY COALITIONHARVEY COUNTYMIRROR, INC. |
| NEWTON MEDICAL CENTER | PART V, SECTION B, LINE 11: NEEDS OUTSIDE THE SCOPE OF SERVICES PROVIDED BY NEWTON HEALTHCARE CORPORATION ARE BEING PROVIDED BY PRAIRIE VIEW, THE LOCAL COUNTY HEALTH DEPARTMENT AND HEALTH MINISTRIES CLINIC, INC. THESE IDENTIFIED NEEDS INCLUDE MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES AND EDUCATION, AND ECONOMIC STABILITY INCLUDING EMPLOYMENT AND HOUSING. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ORTHOPEDIC PHYSICIAN CLINIC | ||||
| 800 MEDICAL CENTER DR 2ND FLOOR | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| 2 - NEWTON SURGICAL GROUP | ||||
| 800 MEDICAL CENTER DR 2ND FLOOR | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| 3 - MID KANSAS FAMILY PRACTICE | ||||
| 705 E RANDALL ST | HESSTON | KS | 67062 | OUTPATIENT PHYSICIAN CLINIC |
| 4 - MEDICAL PLAZA OF VALLEY CENTER | ||||
| 641 N SENECA | VALLEY CENTER | KS | 67147 | OUTPATIENT PHYSICIAN CLINIC |
| 5 - NORTH AMIDON FAMILY PHYSICIANS | ||||
| 3443 N AMIDON AVE | WICHITA | KS | 67204 | OUTPATIENT PHYSICIAN CLINIC |
| 6 - ADVANCED NEUROLOGY CONSULTANTS | ||||
| 800 MEDICAL CENTER DR STE 210 | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| 7 - CONVENIENT CARE | ||||
| 118 E 12TH ST | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| 8 - MIDWEST OCCUPATIONAL MEDICINE | ||||
| 3343 W CENTRAL | WICHITA | KS | 67203 | OCCUPATIONAL MEDICINE CLINIC |
| 9 - MEDICAL PLAZA OF PARK CITY | ||||
| 1755 E 61ST ST N | PARK CITY | KS | 67219 | OUTPATIENT PHYSICIAN CLINIC |
| 10 - DIABETES & ENDOCRINOLOGY SPECIALISTS | ||||
| 800 MEDICAL CENTER DR 2ND FLOOR | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | USED THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 |
| PART III, LINE 2: | THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS REPORTED ON LINE 2, WAS CALCULATED USING WORKSHEET A. ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. |
| PART III, LINE 4: | SEE EXPLANATION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #3 STARTING ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARG RATIO. THE SHORTFALL AS REPORTED ON PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THE SHORTFALL, OR SUBSIDY, REDUCES THE FEDERAL GOVERNMENT'S BURDEN IN PROVIDING HEALTH CARE TO MEDICARE BENEFICIARIES. |
| PART III, LINE 9B: | PATIENTS WHO DO NOT HAVE INSURANCE OR DO NOT QUALIFY FOR MEDICAID MAY APPLY FOR FINANCIAL ASSISTANCE THROUGH THE HEALTHCARE ASSISTANCE PROGRAM. PATIENTS WITH OUTSTANDING BILLS AFTER ALL INSURANCE PAYMENTS HAVE BEEN RECEIVED MAY APPLY FOR ASSISTANCE FOR THE REMAINING BALANCE ON THEIR ACCOUNT THROUGH THIS PROGRAM, WITHIN 240 DAYS OF THE DATE OF THEIR FIRST BILL. PATIENTS ARE NOTIFIED OF THE PROGRAM THROUGH THE BROCHURE "PAYING FOR YOUR CARE", AS WELL AS VERBAL NOTIFICATION EACH TIME THEY ARE CONTACTED REGARDING THEIR BILL. ON THE BACK OF EACH STATEMENT IS THE ONE PAGE "PLAIN LANGUAGE SUMMARY" WHICH IS ALSO AVAILABLE ON THE ORGANIZATION WEBSITE. THIS IS PROVIDED IN ENGLISH AND SPANISH. ALL PATIENTS/ GUARANTORS QUALIFYING FOR PARTIAL WRITE-OFF OF THE BILL MUST AGREE TO A MINIMUM PAYMENT PLAN AS SET UP BY THE FINANCIAL COUNSELOR. ACCOUNTS TURNED TO COLLECTION CAN APPLY FOR THE HEALTHCARE ASSISTANCE PROGRAM IF DONE SO WITHIN 240 DAYS OF THE FIRST STATEMENT DATE, IN COMPLIANCE WITH 501(R) REGULATIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES PIGG MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $873,208 | $0 | $0 | $0 | $0 | $0 | $12,200 | $0 | $0 | $0 | $885,408 | $0 | $0 | $0 |
| JOHN MCEACHERN MD | ||||||||||||||
| GENERAL SURGEON | $703,227 | $0 | $0 | $0 | $0 | $0 | $11,558 | $0 | $15,096 | $0 | $729,881 | $0 | $0 | $0 |
| ABJEET KADAM MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $563,229 | $0 | $0 | $0 | $0 | $0 | $15,095 | $0 | $14,600 | $0 | $592,924 | $0 | $0 | $0 |
| JESSICA BROZEK MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $562,752 | $0 | $0 | $0 | $0 | $0 | $11,808 | $0 | $7,498 | $0 | $582,058 | $0 | $0 | $0 |
| JERED WINDORSKI MD | ||||||||||||||
| ER PHYSICIAN | $484,823 | $0 | $0 | $0 | $0 | $0 | $10,669 | $0 | $6,710 | $0 | $502,202 | $0 | $0 | $0 |
| VALLERIE L GLEASON | ||||||||||||||
| PRESIDENT/CEO | $412,655 | $0 | $0 | $0 | $0 | $0 | $12,023 | $0 | $7,498 | $0 | $432,176 | $0 | $0 | $0 |
| COLIN WINDHAM MD | ||||||||||||||
| BOARD OF DIRECTORS | $332,728 | $0 | $0 | $0 | $0 | $0 | $11,890 | $0 | $9,710 | $0 | $354,328 | $0 | $0 | $0 |
| TODD R KASITZ | ||||||||||||||
| CFO | $227,717 | $0 | $0 | $0 | $0 | $0 | $9,069 | $0 | $15,096 | $0 | $251,882 | $0 | $0 | $0 |
| HEATHER PORTER | ||||||||||||||
| CHIEF CLINICAL OFFICER | $184,425 | $0 | $0 | $0 | $0 | $0 | $7,914 | $0 | $15,096 | $0 | $207,435 | $0 | $0 | $0 |
| TODD TANGEMAN | ||||||||||||||
| COO | $184,292 | $0 | $0 | $0 | $0 | $0 | $7,965 | $0 | $15,096 | $0 | $207,353 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | EXECUTIVES AND EMPLOYED PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN THE ORGANIZATION'S 457(B) PLAN WHICH IS FUNDED THROUGH ELECTIVE DEFERRALS ONLY. |
| PART I, LINE 5 | VARIOUS PHYSICIANS ARE ELIGIBLE FOR ADDITIONAL COMPENSATION BASED ON THE DIFFERENCE IN THEIR ANNUAL SALARY AND A COMBINATION OF WORKED RVU'S AND NET COLLECTIONS OF THEIR PRACTICE. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| TAX-EXEMPT ECONOMIC DEVELOPMENT REVENUE BONDS SERIES 2007A | ||||||||
| A | 486004391 | 652872AB8 | 2007-03-08 | $7,500,000 | BUILDINGS AND STRUCTURES | 0 | 0 | 0 |
| VARIABLE RATE DEMAND HOSPITAL REFUNDING REVENUE BONDS SERIES 2008 | ||||||||
| B | 486004391 | 652874BP2 | 2008-08-21 | $11,385,000 | REFUNDING | 0 | 0 | 0 |
| HOSPITAL REVENUE BONDS SERIES 2019 | ||||||||
| C | 486004391 | 2019-12-18 | $12,000,000 | BUILDING IMPROVEMENTS AND EQUIPMENT | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $7,500,000 | $121,912 | $7,378,088 | 2007 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $11,385,000 | $158,925 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | $11,226,075 | |
| C | $12,000,000 | $12,000,000 | 2020 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd | TransactionTransactionAmt |
|---|---|---|---|
| MATTHEW SCHMIDT | |||
| BOARD MEMBER | CEO OF HEALTH MINISTRIES CLINIC, INC. TO WHICH ORGANIZATION LEASED CLINIC FACILITIES AT NO COST | 0 | |
| CHARLES CRAIG | |||
| SPOUSE OF BOARD MEMBER | EMPLOYED AS ORGANIZATION'S CHIEF MEDICAL OFFICER | 0 | |
| RUSSELL HORN MD | |||
| BUILDING RENTAL BY EMPLOYED PHYSICIAN | EMPLOYED PHYSICIAN IS SOLE MEMBER OF LLC WHICH RENTS CLINIC BUILDING TO ORGANIZATION | 0 | $92,357 |
| CHRISTOPHER CONRADE | |||
| BOARD MEMBER | OFFICER OF AGENCY THROUGH WHICH THE ORGANIZATION HAS ITS INSURANCE | 0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | SEE SCHEDULE L, PART IV FOR DETAILS |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION 990 IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE AND FORWARDED TO THE FULL BOARD FOR APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CORPORATE COMPLIANCE COMMITTEE REVIEWS CONFLICTS OF INTEREST ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN INDEPENDENT COMPENSATION CONSULTANT PERFORMS A COMPENSATION ANALYSIS OF THE CEO SALARY. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE INDEPENDENT COMPENSATION ANALYSIS AND COMPENSATION INFORMATION OBTAINED FROM THE KANSAS HOSPITAL ASSOCIATION AND OTHER SOURCES TO DETERMINE THE APPROPRIATENESS OF THE CEO SALARY AND OTHER OFFICERS' COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THIS INFORMATION IS TYPICALLY NOT AVAILABLE TO THE PUBLIC |
| FORM 990, PART XII, LINE 2C | NO CHANGES TO AUDITOR OVERSIGHT OR SELECTION PROCESS |