2023-05-10T14:00:44-05:00 2022-06-30 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2021-07-01 480642318 PRAIRIE VIEW INC % MARCY JOHNSON PRAI 3162846310 1901 E FIRST PO BOX 467 NEWTON KS 67114 MARCY JOHNSON CEO 3162832400 2023-05-15 true MARCY JOHNSON 999009999 P01663908 3162652811 2 2021 2023-04-26 12:10:37Z MARCY JOHNSON 1901 E FIRST PO BOX 467 NEWTON KS 67114 21152865 false X WWW.PRAIRIEVIEW.ORG X 1954 KS NON-PROFIT BEHAVIORAL AND MENTAL HEALTH CENTER. 10 10 424 10 0 7701059 3637734 16122740 16856257 164341 255550 280367 90697 24268507 20840238 85897 90612 0 0 15849726 16348821 0 0 19877 5434229 5009354 21369852 21448787 2898655 -608549 15128204 13254290 2971996 2506253 12156208 10748037 TO FOSTER HEALING AND GROWTH IN INDIVIDUALS AND COMMUNITIES BY PROVIDING BEHAVIORAL AND MENTAL HEALTH SERVICES WITH COMPASSION, COMPETENCE, AND STEWARDSHIP IN THE SPIRIT OF CHRIST. false false 17841348 90612 16933077 A SPECTRUM OF SERVICES PROVIDED TO CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS - INPATIENT HOSPITALIZATION AND INTENSIVE OUTPATIENT, EMERGENCY ASSESSMENT SERVICES, PSYCHOLOGICAL TESTING, A SPECIAL RESIDENTIAL SCHOOL AND EXPERIENTIAL, ADVENTURE-BASED LEARNING. FOR THOSE WITH MORE SEVERE AND PERSISTENT MENTAL ILLNESS, SPECIAL SERVICES ARE PROVIDED WITH NURSING AND COMMUNITY-BASED SUPPORT. 17841348 true true false false false false false false false true true false false false true false true false false false false false false false false false true true false true true false false false false false false false false false false false false false true true true false false true 44 0 true 424 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true false false X MARCY JOHNSON 3162846310 1901 E FIRST PO BOX 467 NEWTON KS 67114 X GARY FAST MEDICAL DIRECTOR 40.0 0.0 X 296693 0 58051 SATINDER MAHAL PSYCHIATRIST 40.0 0.0 X 253363 0 46338 DAVID HON PSYCHIATRIST 40.0 0.0 X 214064 0 67311 MERCEDES PERALES PSYCHIATRIST 40.0 0.0 X 229350 0 40460 AVEEKSHIT TRIPATHI PSYCHIATRIST 40.0 0.0 X 225085 0 29460 TIFFANY HUXMAN NURSE PRACTITIONER 40.0 0.0 X 133260 0 12765 MARCY JOHNSON CHIEF EXECUTIVE OFFICER 39.0 1.0 X 116991 0 6941 TROY BIGGS CHIEF FINANCIAL OFFICER 40.0 0.0 X 36999 0 4354 JOHN WALTNER BOARD CHAIR 1.0 1.0 X X 0 0 0 ARLENE HETT TREASURER 1.0 1.0 X X 0 0 0 LINDA OGDEN BOARD CHAIR ELECT 1.0 1.0 X X 0 0 0 TOM KUESER MEMBER 1.0 1.0 X 0 0 0 CHRISTINE CROUSE-DICK CHAIR 1.0 1.0 X X 0 0 0 ERIC MASSANARI MEMBER 1.0 1.0 X 0 0 0 MARTY WARD MEMBER 1.0 1.0 X 0 0 0 MELISSA SCHEFFLER-HOYLE SECRETARY 1.0 1.0 X X 0 0 0 GARY HAND MEMBER 1.0 1.0 X 0 0 0 ANGELA HOLEMAN MEMBER 1.0 1.0 X 0 0 0 HEATHER KILPATRICK-O'CONNOR MEMBER 1.0 1.0 X 0 0 0 ANGELA PEREZ MEMBER 1.0 1.0 X 0 0 0 DREW SCHULTZ MEMBER 1.0 1.0 X 0 0 0 TIM HODGE MEMBER 1.0 1.0 X 0 0 0 MATT FUQUA MEMBER 1.0 1.0 X 0 0 0 MATTHEW ANKENBRANDT CHIEF FINANCIAL OFFICER 40.0 0.0 X 0 0 0 1505805 0 265680 12 false true false NETSMART TECHNOLOGIES 4950 COLLEGE BLVD OVERLAND PARK KS 66211 BILLING SERVICES 450526 SUPPLEMENTAL HEALTH CARE 1640 REDSTONE CENTER DR 200 PARK CITY UT 84098 AGENCY NURSING 110642 2 3253834 383900 3637734 NET PATIENT SERVICE REVENUE 624100 16531385 16531385 HEALTH MINISTRIES 900099 324872 324872 16856257 237000 237000 0 0 120325 106448 13877 0 13877 13877 224519 210 206179 18340 210 18550 18550 0 0 0 0 0 0 0 0 0 All Other Misc Revenue 900099 76820 76820 76820 76820 76820 20840238 16933077 269427 0 90612 90612 0 0 523408 523408 0 13351580 11060256 2287203 4121 237990 188012 47598 2380 1194747 1162024 31165 1558 1041096 822466 208219 10411 0 51300 51300 51180 51180 0 0 14417 14417 1890482 1834656 55264 563 12334 12334 675137 613099 61856 181 1859 1859 0 471339 470196 1089 54 104145 102858 1243 44 0 0 2413 2413 0 633504 405604 227900 274233 274098 135 REPAIRS & MAINTENANCE 205003 205003 Drugs & Pharmaceuticals 133623 133623 Dues & Subscriptions 80282 80042 232 8 Equipment Rental 240308 231748 8526 34 167796 152858 14414 523 21448787 17841348 3587562 19877 -120170 -141646 3058839 2588154 0 0 2038333 1875005 0 0 0 0 0 0 0 0 222141 241462 20723227 16058017 5239626 4665210 3878174 3740976 811261 285129 0 0 0 0 0 0 15128204 13254290 2757727 2370791 0 0 15424 12177 0 0 0 0 0 0 38776 24129 0 0 160069 99156 2971996 2506253 X 7860750 7092697 4295458 3655340 12156208 10748037 15128204 13254290 -608549 -799622 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4229262 523 -564694 129750 3535341 3496289 6615 861341 134983 4229262 3795209 3646 155604 458170 3496289 3642352 3819 251956 102918 3795209 3388469 6015 298219 50351 3642352 0.03170 0.57980 0.38850 false false 588359 588359 14372404 10571896 3800508 809808 771725 38083 4892832 4714396 178436 59824 0 59824 4665210 0 SELF-INSURANCE LIABILITY 21990 ANNUITIES PAYABLE 2166 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 75000 99156 20025989 -799622 -799622 20825611 14417 210 14627 20840238 21434160 -210 -210 21434370 14417 14417 21448787 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE INTENDED TO SUPPORT PROGRAMS FOR THE ORGANIZATION. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 4B GAIN/LOSS ON DISPOSAL 210 SCHEDULE D, PART XII, LINE 2D GAIN/LOSS ON DISPOSAL (210) true true X false true X true true true false true true 279490 279490 0.01570 11189369 6461113 4728257 0.26500 11468859 6461113 5007747 0.28070 25694 25694 0.00140 25694 25694 0.00140 11494553 6461113 5033441 0.28210 true 896009 1184403 1841036 -656633 X true true 1 1 PRAIRIE VIEW INC 1901 E FIRST ST NEWTON KS 67114 WWW.PRAIRIEVIEW.ORG M040001 X PSYCHIATRIC HOSPITAL WITH OUTPATIENT SERVICES PRAIRIE VIEW INC 1 false false true X X X X X X X X X 19 true true true true X https://prairieview.org/resources X true 19 true https://prairieview.org/resources false true X 0. 200. X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 STAKEHOLDERS FROM OUR CATCHMENT AREA WERE REPRESENTED THROUGH THE MEMBERS OF OUR THREE COUNTY COMMUNITY ADVISORY COMMITTEES. REPRESENTATIVES TO THE COMMUNITY HEALTH ASSESSMENT CORE COMMITTEE OFFERED INPUT. INFORMATION WAS ALSO GATHERED FROM THE LOCAL UNITED WAY OFFICE. SCHEDULE H, PART V, SECTION B, LINE 6A NEWTON MEDICAL CENTER SCHEDULE H, PART V, SECTION B, LINE 6B NEWTON FIRE/EMS, HARVEY COUNTY HEALTH DEPARTMENT, HEALTH MINISTRIES CLINIC INC., HEALTHY HARVEY COALITION SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS OUTSIDE THE SCOPE OF SERVICES PROVIDED BY PRAIRIE VIEW ARE BEING PROVIDED BY NEWTON MEDICAL CENTER, THE LOCAL COUNTY HEALTH DEPARTMENT AND FQHC - HEALTH MINISTRIES CLINIC, INC. THESE IDENTIFIED NEEDS INCLUDE COMMUNITY HOUSING, SERVICES FOR HOMELESS PERSONS, CHILD CARE SERVICES, DENTAL SERVICES, ETC. SCHEDULE H, PART V, SECTION B, LINE 13H IN ADDITION TO MEETING THE INCOME ELIGIBILITY LIMITS AND PROOF OF RESIDENCY, THE FINANCIAL ASSISTANCE POLICY EXPLAINS SUPPORTING DOCUMENTS THAT MUST BE SUPPLIED WITH THE APPLICATION TO DEMONSTRATE FINANCIAL NEED. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, AND 16C https://prairieview.org/admissions/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16J FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION, DISCHARGE, AND THROUGHOUT THE COURSE OF TREATMENT TO REVIEW FINANCIAL STATUS. IF IT IS SUSPECTED THE PATIENT WOULD QUALIFY FOR DISCOUNTED CHARGES THROUGH THE FAP, THE PATIENT IS ENCOURAGED TO APPLY. 6 NEWTON OUTPATIENT CLINIC 1901 E FIRST ST NEWTON KS 67114 OUTPATIENT CLINIC WICHITA EAST OUTPATIENT CLINIC 9333 E 21ST ST N WICHITA KS 672062927 OUTPATIENT CLINIC TURNING POINT 1901 E FIRST ST NEWTON KS 67114 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY MCPHERSON OUTPATIENT CLINIC 1102 HOSPITAL DR MCPHERSON KS 674602318 OUTPATIENT CLINIC WICHITA WEST OUTPATIENT CLINIC 7570 W 21ST ST N STE 1026-D WICHITA KS 672051734 OUTPATIENT CLINIC HILLSBORO OUTPATIENT CLINIC 508 S ASH ST HILLSBORO KS 670630185 OUTPATIENT CLINIC SCHEDULE H, PART I, LINE 3C IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE, THE PATIENT IS EXPECTED TO PROVIDE ALL PERSONAL AND FAMILY FINANCIAL INFORMATION REQUESTED BY THE ADMITTING DEPARTMENT AND/OR THE FINANCIAL COUNSELOR, AS WELL AS ALL INSURANCE INFORMATION. REFUSAL TO PROVIDE THIS INFORMATION AND/OR AUTHORIZE ASSIGNMENT OF INSURANCE BENEFITS RESULTS IN AN EXPECTATION THAT THE RESPONSIBLE PARTY WILL PAY THE FULL CHARGE AT THE TIME OF SERVICE FOR THE SERVICES RENDERED. FINANCIAL ASSISTANCE BECOMES AVAILABLE WHEN THE DOCUMENATION IS RECEIVED. SUBSEQUENT RETROACTIVE ADJUSTMENTS MAY BE MADE UP TO, BUT NOT EXCEEDING 30 DAYS PRIOR TO THE DATE THE INFORMATION IS PROVIDED. RESPONSIBLE PARTY IS DEFINED AS EITHER THE PATIENT AND/OR ALL OTHER PARTIES THAT HAVE LEGAL FINANCIAL RESPONSIBILITY FOR THE PATIENT. DOCUMENTS THAT MAY VALIDATE NEED FOR FINANCIAL ASSISTANCE ARE PRIOR YEAR INCOME TAX RETURNS, MOST CURRENT PAY STUB, OR A CERTIFIED STATEMENT FROM THE PATIENT OR GUARDIAN. SCHEDULE H, PART I, LINE 7 CALCULATION OF COST BASED ON WORKSHEET 2, RATIO OF PATIENT CARE COSTS TO CHARGES. SCHEDULE H, PART I, LINE 7, COLUMN F NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTIONS WITH CUSTOMERS. SCHEDULE H, PART III, SECTION A, LINE 2 THE AMOUNT OF BAD DEBT EXPENSE REPORTED WAS CALCULATED BY DETERMINING THE AMOUNT OF CHARGES WRITTEN OFF IN THE SYSTEM AS BAD DEBT FOR THE YEAR. 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 would be some bad debt expense attributable to patients eligible under the organization's charity care policy, we have no reasonable basis for estimating this figure. If eligibility is known, the amount would fall under charity care and not bad debt. SCHEDULE H, PART III, SECTION A, LINE 4 SEE PAGE 21 OF THE AUDITED FINANCIALS. SCHEDULE H, PART III, SECTION B, LINE 8 THE CURRENT FISCAL YEAR MEDICARE COST REPORT WAS USED TO DETERMINE THE CURRENT YEAR MEDICARE ALLOWABLE COSTS. THE SHORTFALL SHOWN HERE IS NOT USED FOR COMMUNITY BENEFIT EXPENSE CALCULATIONS. SCHEDULE H, PART III, SECTION C, LINE 9B PATIENTS WHO ARE KNOWN OR SUSPECTED TO QUALIFY FOR FINANCIAL ASSISTANCE ARE ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE THROUGH THE FINANCIAL ASSISTANCE POLICY. THIS ENCOURAGEMENT AND REFERENCE IS MADE MULTIPLE TIMES IN OUR COLLECTION POLICY. IF THE PATIENT CHOOSES NOT TO APPLY FOR FINANCIAL ASSISTANCE THEY ARE SUSCEPTIBLE TO NORMAL COLLECTION PROCEDURES. 30 DAYS PRIOR TO THE INITIATION OF ANY EXTRAORDINARY COLLECTION ACTIONS (ECA), ALL PATIENTS (REGARDLESS OF WHETHER THEY ARE SUSPECTED TO QUALIFY FOR FINANCIAL ASSISTANCE OR NOT) RECEIVE: 1) WRITTEN NOTICE THAT A FINANCIAL ASSISTANCE POLICY EXISTS, 2) A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FAP, AND 3) NOTICE THAT IF PAYMENT ARRANGEMENTS OR AN APPLICATION FOR FINANCIAL ASSISTANCE IS NOT RECEIVED WITHIN 30 DAYS THEIR BALANCE MAY GO TO COLLECTIONS. IF ECA ARE IN PLACE, AND A COMPLETED FAP APPLICATION IS RECEIVED, ECA IN PROGRESS IS SUSPENDED UNTIL A DETERMINATION IS MADE REGARDING FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 2 PRAIRIE VIEW PARTICIPATES IN THE COMMUNITY NEEDS ASSESSMENT COMPLETED BY THE UNITED WAY, HEALTH DEPARTMENT, AND THE CHAMBERS OF COMMERCE. IN ADDITION, PRAIRIE VIEW CONDUCTS ITS OWN LARGER ASSESSMENT ONCE EVERY THREE YEARS AS PART OF THE STRATEGIC PLANNING PROCESS. STAKEHOLDER INPUT SESSIONS IN THE THREE COUNTY COMMUNITY ADVISORY COMMITTEES (COMMUNITY MENTAL HEALTH CLINICS) ALSO INFORM AND ENHANCE THIS ACTIVITY. SCHEDULE H, PART VI, LINE 3 UPON ADMISSION TO PRAIRIE VIEW, PATIENTS AND/OR RESPONSIBLE PARTIES MEET WITH THEIR ASSIGNED FINANCIAL COUNSELOR. AT THIS TIME THE PATIENT OR GUARANTOR WILL RECEIVE ORAL AND WRITTEN INFORMATION REGARDING THE PATIENT'S FINANCIAL RESPONSIBILITY. AT THIS TIME THE PATIENT OR GUARANTOR WILL ALSO RECEIVE ORAL AND WRITTEN INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY IF IT IS SUSPECTED THAT THEY WILL QUALIFY, AND/OR IF ABILITY TO PAY IS NOTED AS A CONCERN. PATIENTS ARE ALSO EDUCATED AT THIS TIME ON THEIR ABILITY TO APPLY FOR GOVERNMENTAL PROGRAMS IF IT IS DETERMINED THAT THEY MAY MEET THE QUALIFICATIONS (I.E. PRIMARILY MEDICAID). PRAIRIE VIEW STAFF WILL ASSIST THEM WITH THESE APPLICATIONS IF NECESSARY. SCHEDULE H, PART VI, LINE 4 PRAIRIE VIEW'S INPATIENT PSYCHIATRIC HOSPITAL IS A 20-BED FACILITY LOCATED IN NEWTON, KANSAS. NEWTON IS THE COUNTY SEAT AND MOST POPULOUS CITY IN HARVEY COUNTY. ACCORDING TO 2018 DEMOGRAPHIC DATA, HARVEY COUNTY HAD A POPULATION OF 34,210. IN THAT YEAR, THE MEDIAN INCOME WAS $55,687, 6.2% OF RESIDENTS HAD NO INSURANCE, AND 11.2% WERE LIVING BELOW THE POVERTY LINE. THE RAILROAD, AGRICULTURE MANUFACTURERS, AND FARMING HAVE A LONG HISTORY IN HARVEY COUNTY AND MAKE UP MOST OF THE WORKFORCE. HARVEY COUNTY HAS A HOSPITAL SYSTEM, A FEDERALLY QUALIFIED HEALTHCARE CENTER, AND SEVERAL PRIVATE PRIMARY CARE PHYSICIAN OFFICES. THERE ARE SEVENTY-SIX CHURCHES, EIGHT LONG-TERM CARE FACILITIES, AND TWO LOCAL COLLEGES THAT ARE ALSO PRESENT IN THE COMMUNITY. THE HOSPITAL'S TREATMENT PROGRAM IS FOCUSED ON PROVIDING A SAFE ENVIRONMENT WITH A VARIETY OF TREATMENT MODALITIES DESIGNED TO MEET THE INDIVIDUAL NEEDS OF THE CLIENTS REFERRED. PRAIRIE VIEW HOSPITAL ACCEPTS ADMISSIONS 24 HOURS/DAY, 7 DAYS A WEEK. SCHEDULE H, PART VI, LINE 5 PRAIRIE VIEW'S MISSION IS "TO FOSTER HEALING AND GROWTH IN INDIVIDUALS AND COMMUNITIES BY PROVIDING BEHAVIORAL AND MENTAL HEALTH CARE SERVICES WITH COMPASSION, COMPETENCE, AND STEWARDSHIP IN THE SPIRIT OF CHRIST." OUR MISSION IS TO BRING MENTAL HEALTH SERVICES AND MENTAL HEALTH EDUCATION TO THE COMMUNITIES WE SERVE. PRAIRIE VIEW IS A LEADER IN PROVIDING RESOURCES AND TALENT TO DECREASE THE STIGMA AND INCREASE UNDERSTANDING. PRAIRIE VIEW PROFESSIONALS PROVIDE TRAINING TO COMMUNITY PARTNERS, INCLUDING LAW ENFORCEMENT, EDUCATION, AND HEALTH CARE PROVIDERS. true SHP ASSISTANCE 12 87668 FMV YLINK GRANT 1 2944 FMV SCHEDULE I, PART I, LINE 2 THE USE OF GRANT FUNDS ARE MONITORED THROUGH THE PRACTICE OF DIRECTLY APPLYING FUNDS TO THE PATIENT ACCOUNTS FOR MEDICAL EXPENSES AND OTHER EXPENSES FOR THE HOMELESS. X false false false false false false false false false GARY FAST MEDICAL DIRECTOR 293978 0 1725 0 990 0 34987 0 23064 0 354744 0 0 0 SATINDER MAHAL PSYCHIATRIST 234739 0 18474 0 150 0 27683 0 18655 0 299701 0 0 0 MERCEDES PERALES PSYCHIATRIST 206283 0 22077 0 990 0 19631 0 20829 0 269810 0 0 0 AVEEKSHIT TRIPATHI PSYCHIATRIST 180153 0 44782 0 150 0 28453 0 1007 0 254545 0 0 0 DAVID HON PSYCHIATRIST 209049 0 4025 0 990 0 35825 0 31486 0 281375 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF FINANCIAL OFFICER AND THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD PRIOR TO FILING THE 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MANAGEMENT AND THE BOARD REVIEW ACTIVITY THAT MAY CREATE A CONFLICT OF INTEREST. Actual or potential conflicts of interest must be disclosed to the board. After disclosure and discussion of the conflict, the interested person must leave the meeting while the remaining board members discuss and vote on whether a conflict exists. If a conflict does exist, the board will determine whether they can obtain a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If that is not reasonably possible, the disinterested members will vote to determine whether the transaction or arrangement is fair and reasonable, in the organization's best interest, and to the organization's benefit. FORM 990, PART VI, SECTION B, LINE 15A VICE PRESIDENT OF HUMAN RESOURCES COLLECTS AND DISSEMINATES THIRD-PARTY SALARY SURVEY INFORMATION TO THE EXECUTIVE COMMITTEE FOR CONSIDERATION DURING THE ANNUAL CEO REVIEW, THEN MEETS WITH BOARD CHAIR AND BOARD EXECUTIVE COMMITTEE TO DETERMINE CEO COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THIS INFORMATION IS NOT NORMALLY AVAILABLE TO THE PUBLIC. MEADOWLARK HOUSING INC PO BOX 467 NEWTON KS 67114 481079169 HOUSING KS 501(C)(3) 10 PVI true false false false false false false false false false false false false false true false true true false