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SOUTHWEST MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SOUTHWEST MEDICAL CENTER (EIN 48-0684878)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201703179349301350
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-13T08:21:35-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP666033491ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480684878EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Southwest Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone6206241651PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1340AddressLine1Txt
CityLiberalCityNm
State AbbreviationKSStateAbbreviationCd
ZIP679011340ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAmber WilliamsPersonNm
Person TitleCFOPersonTitleTxt
Phone6206241651PhoneNum
Signature2017-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2017-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.172.114.81IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-10IPDt
IP Tm10:45:16IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC25D5B149A5DEB5B624D2ED84480DFAE7FBA67D7AtSubmissionCreationDeviceId
At Submission Filing Device IdC7F69BD11539B5342AA98FD5676A33A3D336D5E8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAmber WilliamsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1340AddressLine1Txt
CityLiberalCityNm
State AbbreviationKSStateAbbreviationCd
ZIP679011340ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,501,240GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.swmedcenter.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionThe Medical Center is a county hospital dedicated to the provision of personalized and quality care of the sick and injured at a reasonable cost.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee532TotalEmployeeCnt
Total Volunteers115TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$237,538PYContributionsGrantsAmt
CY Contributions Grants$338,182CYContributionsGrantsAmt
PY Program Service Revenue$43,714,578PYProgramServiceRevenueAmt
CY Program Service Revenue$47,610,382CYProgramServiceRevenueAmt
PY Investment Income$103,342PYInvestmentIncomeAmt
CY Investment Income$54,586CYInvestmentIncomeAmt
PY Other Revenue$419,954PYOtherRevenueAmt
CY Other Revenue$498,090CYOtherRevenueAmt
PY Total Revenue$44,475,412PYTotalRevenueAmt
CY Total Revenue$48,501,240CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,749,653PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,492,347CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,667,062PYOtherExpensesAmt
CY Other Expenses$20,767,440CYOtherExpensesAmt
PY Total Expenses$44,416,715PYTotalExpensesAmt
CY Total Expenses$46,259,787CYTotalExpensesAmt
PY Revenues Less Expenses$58,697PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,241,453CYRevenuesLessExpensesAmt
Total Assets BOY$62,142,897TotalAssetsBOYAmt
Total Assets EOY$66,930,714TotalAssetsEOYAmt
Total Liabilities BOY$35,208,201TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,754,565TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,934,696NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,176,149NetAssetsOrFundBalancesEOYAmt
MissionThe Medical Center is a county hospital dedicated to the provision of personalized and quality care of the sick and injured at a reasonable cost.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$39,900,087ExpenseAmt
Revenue$47,830,605RevenueAmt
DescSouthwest Medical Center provides necessary medical care to the community. It is the only facility in the area providing certain medical equipment and services.Desc
Total Program Service Expenses$39,900,087TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document52IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee532EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Amber Williams CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6206296680PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1340AddressLine1Txt
CityLiberalCityNm
State AbbreviationKSStateAbbreviationCd
ZIP679011340ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Mark Schepers
Chairman1.00Yes (X)Yes (X)$0$0$0
Ray E Allen MD
Vice-Chairman1.00Yes (X)Yes (X)$0$0$0
Gary Andrews
Secretary1.00Yes (X)Yes (X)$0$0$0
Frederick Miller
Treasurer1.00Yes (X)Yes (X)$0$0$0
Tammy Lenear
Asst. Secretary/Treasurer1.00Yes (X)Yes (X)$0$0$0
Thomas Willis
Trustee1.00Yes (X)$0$0$0
Dennis Sander
Trustee1.00Yes (X)$0$0$0
William Ermann
CEO40.00Yes (X)$262,207$0$44,334
Amber Williams
CFO40.00Yes (X)$137,597$0$21,535
Jose Maeda
Physician40.00$713,322$0$47,022Yes (X)
Andrey Ilyasov
Physician40.00$501,770$0$46,772Yes (X)
Rama Chanda
Physician40.00$414,821$0$46,529Yes (X)
Akshath Kamath
Physician40.00$357,354$0$46,533Yes (X)
Van Trinh
Physician40.00$219,139$0$41,982Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,606,210TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$294,707TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K21IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Kansas Emergency Room Services PA
7032 Collection Center DriveChicagoIL60693ER services$919,927
Account Recovery Specialist Inc
200 W Wyatt Earp BlvdDodge CityKS67801Collection services$550,828
Medical Information Technology
Meditech CircleWestwoodMA02090IT services$225,656
Heartland Medical Solutions
23708 W 83 TerShawneeKS66227Portable X-Ray$195,460
AMN Healthcare Allied Inc
12400 High Bluff DriveSan DiegoCA92130Staffing services$187,012
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$226,316RelatedOrganizationsAmt
All Other Contributions$111,866AllOtherContributionsAmt
Total Contributions$338,182TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient service revenue621990$47,315,629$47,315,629
Electronic health records incenti900099$294,753$294,753
FieldValueIRS element (for citing)
Total Program Service Revenue$47,610,382TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,086TotalRevenueColumnAmt
Exclusion$53,086ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$169,231RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$169,231RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$169,231TotalRevenueColumnAmt
Related Or Exempt Func Income$169,231RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,500OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,500TotalRevenueColumnAmt
Related Or Exempt Func Income$1,500RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria & dietary722210$279,367$279,367
Miscellenous revenue900099$49,492$49,492
FieldValueIRS element (for citing)
Other Revenue Total$328,859OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,501,240TotalRevenueColumnAmt
Related Or Exempt Func Income$47,830,605RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$332,453ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$464,599TotalAmt
Management And General$464,599ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,843,655TotalAmt
Program Services$17,974,332ProgramServicesAmt
Management And General$1,869,323ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,684,913TotalAmt
Program Services$1,528,122ProgramServicesAmt
Management And General$156,791ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,035,477TotalAmt
Program Services$1,825,371ProgramServicesAmt
Management And General$210,106ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,463,703TotalAmt
Program Services$1,287,575ProgramServicesAmt
Management And General$176,128ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$42,521TotalAmt
Management And General$42,521ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,767TotalAmt
Management And General$1,767ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$754,083TotalAmt
Program Services$236,683ProgramServicesAmt
Management And General$517,400ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$56,130TotalAmt
Program Services$15,639ProgramServicesAmt
Management And General$40,491ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,059,690TotalAmt
Program Services$947,940ProgramServicesAmt
Management And General$111,750ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,224TotalAmt
Program Services$6,089ProgramServicesAmt
Management And General$21,135ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,071,466TotalAmt
Program Services$1,036,995ProgramServicesAmt
Management And General$34,471ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,570TotalAmt
Program Services$24,868ProgramServicesAmt
Management And General$29,702ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$40,448TotalAmt
Program Services$28,243ProgramServicesAmt
Management And General$12,205ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$797,807TotalAmt
Program Services$797,807ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,827,318TotalAmt
Program Services$2,829,338ProgramServicesAmt
Management And General$997,980ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$354,388TotalAmt
Program Services$192,495ProgramServicesAmt
Management And General$161,893ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$4,392,927$4,392,927
Purchased services$3,372,247$2,910,000$462,247
Repair & maintenance$1,748,981$1,087,855$661,126
Pharmacy drugs and supp$1,558,704$1,558,704

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,607,169TotalAmt
Program Services$1,219,104ProgramServicesAmt
Management And General$388,065ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,259,787TotalAmt
Program Services$39,900,087ProgramServicesAmt
Management And General$6,359,700ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,124BOYAmt
EOY$3,274EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,869,296BOYAmt
EOY$21,616,774EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,333,222BOYAmt
EOY$7,948,500EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,602,773BOYAmt
EOY$1,456,548EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,672,934BOYAmt
EOY$2,147,266EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,547,770LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,598,909LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,280,235BOYAmt
EOY$26,948,861EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,203,956BOYAmt
EOY$1,767,515EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,177,357BOYAmt
EOY$5,041,976EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$62,142,897BOYAmt
EOY$66,930,714EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,514,316BOYAmt
EOY$4,322,052EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,560,000BOYAmt
EOY$16,265,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$165,240BOYAmt
EOY$114,458EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,968,645BOYAmt
EOY$17,053,055EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,208,201BOYAmt
EOY$37,754,565EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,934,696BOYAmt
EOY$29,176,149EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,934,696BOYAmt
EOY$29,176,149EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$62,142,897BOYAmt
EOY$66,930,714EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,241,453ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$7,564GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$7,564TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationSouthwest Medical Center is a member of the Kansas Hospital Association. This organization engages in lobbying activities for hospital and general health care interests as part of the services provided to members.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,158,096BeginningYearBalanceAmt
Investment Earnings Or Losses-$16,388InvestmentEarningsOrLossesAmt
Grants Or Scholarships$11,250GrantsOrScholarshipsAmt
End Year Balance$1,130,458EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,167,152BeginningYearBalanceAmt
Contributions$897ContributionsAmt
Investment Earnings Or Losses-$4,703InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,250GrantsOrScholarshipsAmt
End Year Balance$1,158,096EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$899,659BeginningYearBalanceAmt
Contributions$143,359ContributionsAmt
Investment Earnings Or Losses$125,634InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,500GrantsOrScholarshipsAmt
End Year Balance$1,167,152EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$808,522BeginningYearBalanceAmt
Investment Earnings Or Losses$97,137InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,000GrantsOrScholarshipsAmt
End Year Balance$899,659EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$814,027BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,005InvestmentEarningsOrLossesAmt
Grants Or Scholarships$4,500GrantsOrScholarshipsAmt
End Year Balance$808,522EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.58450PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.41550TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$104,046OtherCostOrOtherBasisAmt
Book Value$104,046BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,548,572OtherCostOrOtherBasisAmt
Depreciation$26,194,294DepreciationAmt
Book Value$19,354,278BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,842,635OtherCostOrOtherBasisAmt
Depreciation$28,103,904DepreciationAmt
Book Value$5,738,731BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,052,517OtherCostOrOtherBasisAmt
Depreciation$1,300,711DepreciationAmt
Book Value$1,751,806BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,948,861TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Interest receivable$2,362
Other receivables$308,414
Deferred outflows of resources - pension$3,616,678
Deferred outflow on advance refunding$1,114,522
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,041,976TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Unamortized premium$574,248
Deferred inflows of resources - Pension$439,530
Net pension liability$16,039,277
FieldValueIRS element (for citing)
Total Liability$17,053,055TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$48,501,240TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$48,501,240RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$48,501,240TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,259,787TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$46,259,787ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$46,259,787TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Southwest Medical Center Foundation, Inc.'s endowment consists of approximately six individual funds established for scholarships and general support of Southwest Medical Center.
Part X, Line 2:Management is not aware of any uncertainties in income tax positions.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$456,361TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$125,297DirectOffsettingRevenueAmt
Net Community Benefit Expns$331,064NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,022,913TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,554,447DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,468,466NetCommunityBenefitExpnsAmt
Total Expense0.05340TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,479,274TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,679,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,799,530NetCommunityBenefitExpnsAmt
Total Expense0.06060TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,761TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,683DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,078NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,477,630TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,342,863DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,134,767NetCommunityBenefitExpnsAmt
Total Expense0.08940TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,675TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,675NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,540,066TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,372,546DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,167,520NetCommunityBenefitExpnsAmt
Total Expense0.09010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,019,340TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,052,290DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,967,050NetCommunityBenefitExpnsAmt
Total Expense0.15070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,476,208BadDebtExpenseAmt
Bad Debt Expense Attributable$389,269BadDebtExpenseAttributableAmt
Reimbursed By Medicare$10,063,243ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,647,223CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,583,980MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Southwest Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 W 15th StreetAddressLine1Txt
CityLiberalCityNm
State AbbreviationKSStateAbbreviationCd
ZIP679011304ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSkilled nursing facilityOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Southwest Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.swmedcenter.comOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.swmedcenter.comFAPAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.swmedcenter.comFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Southwest Medical CenterPart V, Section B, Line 5: SWMC conducted phone interviews with community leaders. Interviewers followed the same process for each interview, which included documenting the interviewee's expertise and experience related to the community. Additionally, the following community-focused questions were used as the basis for discussion:-What are the top three strenghts of the community?-What are the top three health concerns of the community?-What are the health assets and resources available in the community?-What are the health assets or resources that the community lacks?-What are the barriers to obtaining health services in the community?-What is the single most important thing that could be done to improve the health in the community?-What other information can be provided about the community that has not already been discussed?Persons interviewed for the CHNA included members from organizations that collectively represent the community's various interests, including public service, faith-based organizations, public health and medical professionals, and other community leaders.
Southwest Medical CenterPart V, Section B, Line 11: The Medical Center continues to discuss transition plans with providers nearing retirement to prevent a future gap in coverage. The Medical Center is also working to continue the expansion of services available throughout Seward County. To reduce cardiovascular disease, which is one of the leading chronic health issues in the community, the employees of the Medical Center attended a variety of community events and conducted free blood pressure screenings. The Medical Center is also in the process of increasing the cardiology outreach clinic to a five days a week clinic. To continue increased maternal and child health, an employee of the Medical Center is still working with the Liberal Coalition for Families to help reduce teenage pregnancies as well as working to identify a pregnancy prevention program to implement in at risk schools. The Medical Center is also working to partner with the Seward County Health Department to provide maternal and child health. To address mental health needs, the Medical Center is working to partner with several local partners to coordinate mental health care for individuals in need. The Medical Center is also working at addressing sexual assault by partnering with LARC DVS to provide safety and support to victims of these crimes. The Medical Center is also working to partner with the Seward County Health Department and Genesis Family Health to provide resources to the community related to contraceptives and sexually transmitted disease testing, education, and counseling.
Southwest Medical CenterPart V, Section B, Line 15e: A presumptive eligibility determination in unusual or extenuating circumstances when a patient is unable to submit a complete application. Presumptive eligibility may be determined on the basis of individual life circumstances which may include, but is not limited to:-Homelessness or receipt of care from a homeless shelter;-Eligibility for out of state or out of area medical assistance programs;-Patient is deceased with no known estate;-Patient who has filed bankruptcy and whose bill has been fully discharged by the court
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Family Practice
305 W 15th Street Suite 102LiberalKS67901Family practice
2 - General SurgeryUrology Clinic
305 W 15th Street Suite 204LiberalKS67901General Surgery/Urology
3 - Women's Specialy Center of Liberal Kans
305 W 15th Street Suite 104LiberalKS67901OB/GYN Services
4 - Sleep Disorders Laboratory
101 E 11th StreetLiberalKS67901Sleep Studies

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Amounts for Financial Assistance and Certain Other Community Benefits programs were obtained using known related charges and several cost to charge ratios. The cost to charge ratios used include the overall cost to charge ratio derived from Worksheet 2 as well as individual department cost to charge ratios identified for the calculation of subsidized health services information.
Part I, Line 7g:Subsidized Health Services are made up of services that the Medical Center provides despite a financial loss to the organization. These services include skilled nursing services, physical therapy, and physician clinics. Of the $7,477,630 in total costs associated with subsidized health services, $5,336,965 were due to physician clinics.
Part III, Line 4:The Medical Center provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. The Medical Center estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each type of payor.Part III, Line 2Provisions for bad debts are related to accounts that have been deemed uncollectible during the year. The uncollectible amount is then written off pursuant with Medical Center policy. The cost of the bad debts reported was determined using the cost to charge ratio and total bad debt expense.Part III, Line 3The estimate of provisions for bad debts attributable to patients eligible under the organization's financial assistance policy was determined using the amount of charges included in incomplete charity care applications multiplied by the Medical Center's cost to charge ratio. It is our belief that the portion of the Medical Center's bad debt expense attributable to patients eligible under the Medical Center's financial assistance policy should be included as community benefit. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit.
Part III, Line 8:Amounts were obtained from the cost report filed with Medicare for the period ending December 31, 2016. The Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patients, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients. Tax-exempt hospitals are expected to participate in the Medicare program.
Part III, Line 9b:The Medical Center's collection policy does not contain a provision on the collection practices for patients who are known to qualify for charity care or financial assistance. To be considered for charity care, however, the charity care policy states that the patient must cooperate with the Medical Center to provide the information and documentation necessary to apply for other existing financial resources that may be available to pay for health care services, such as Medicaid. Then the information is gathered and assessed in order to determine eligibility for charity care. Whenever possible, prior to admission, the Medical Center will conduct a pre-admission interview with the patient, the guarantor, and/or legal representative. Those patients who may qualify for financial assistance from a governmental program will be referred to the appropriate program, prior to the consideration for charity care.
Part VI, Line 2:SWMC conducts a community needs assessment approximately every 3 years. The analysis includes community focus group meetings to hear directly from citizens what they believe are the needs. Additionally, SWMC monitors Kansas Hospital Association patient origin and destination data to look for patterns of migration for services that might be made available locally as a new service.
Part VI, Line 3:PFS refers self pay patients to Midland Professionals and Midland assists them in seeing if they are eligible for any federal, state, or local programs. The collectors send out charity care paperwork to patients as they are calling and collecting or if a patient calls for the packet.
Part VI, Line 4:SWMC's total service area is rural and is made up of southwest Kansas and the neighboring areas of Oklahoma, Colorado and New Mexico. SWMC's primary service area, however, is Seward County, KS, which has a population of approximately 22,709. According to the U.S. Census Bureau this population is 61% Hispanic, has a median household income of $47,134, and 15.0% of all people in Seward County are below the Federal poverty level.SWMC is a County owned hospital and is the only hospital in the county. It therefore provides care to all patients regardless of their ability to pay. 6.2% of services provided by SWMC are provided to Uninsured patients while an additional 12.7% is provided to Medicaid patients.
Part VI, Line 5:SWMC's seven Board of Trustees members are appointed by the Seward County Board of County Commissioners. Trustees are required to reside in Seward County, KS, and cannot be employed by the Hospital. SWMC extends medical staff privileges to all qualified physicians in the community who so desire to have such privileges.All surplus funds are reinvested back into the Hospital to fund capital needs and additional services that are identified as needed to continue to provide high quality services to the community. SWMC works with other community agencies, including the Seward County Health Department, to provide educational programs to the public throughout the year and an annual Health Fair that provides laboratory testing and health screening to over 720 participants. SWMC provides clinical training facilities for many area educational institutions' nursing, respiratory therapy, and radiology students. This includes Seward County Community College, Fort Hays State University, the University of Kansas, Oklahoma State University, Texas Tech University and others, all without any financial compensation.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William Ermann
CEO$261,015$0$1,192$0$0$0$23,024$0$21,310$0$306,541$0$0$0
Amber Williams
CFO$136,405$0$1,192$0$0$0$11,934$0$9,601$0$159,132$0$0$0
Jose Maeda
Physician$535,865$0$177,457$0$0$0$25,683$0$21,339$0$760,344$0$0$0
Andrey Ilyasov
Physician$324,123$0$177,647$0$0$0$25,482$0$21,290$0$548,542$0$0$0
Rama Chanda
Physician$373,455$0$41,366$0$0$0$25,223$0$21,306$0$461,350$0$0$0
Akshath Kamath
Physician$320,406$0$36,948$0$0$0$25,198$0$21,335$0$403,887$0$0$0
Van Trinh
Physician$219,139$0$0$0$0$0$21,105$0$20,877$0$261,121$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Seward County Kansas
A486009370818427ER32010-05-27$18,167,463Expand and renovate facilities, purchase equipment, and fund debt.000
Seward County Kansas
B486009370818427FR22016-03-30$9,921,376Partially refund 2010 bond issue000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$2,480,000$8,335,000$18,178,773$1,086,100$213,247$148,667$16,584,138$1,005,550$227,17120120Yes (1)Yes (1)Yes (1)
B$70,000$9,921,376$150,676$208,375$15,00020160Yes (1)Yes (1)Yes (1)$9,365,144

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: Seward County, Kansas Date the Rebate Computation was Performed: 05/01/2015
Schedule K, Part IIThe difference between Part I, column (e) and Part II, line 3 is due to the accumulation of investment income.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bThe Form 990 is reviewed by the CFO and Controller.
Form 990, Part VI, Section B, line 12cA conflict of interest policy disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each Trustee upon election and annually thereafter.
Form 990, Part VI, Section B, line 15The Board of Trustees is responsible for deteriming the job performance standards for the Administrator/CEO and determining compensation according to the organizations policies.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XI, Line 2CThe organization has an audit committee that is responsible for the oversight of the financial statement audit and selection of the independent accountant.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Southwest Medical Center FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1340AddressLine1Txt
CityLiberalCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67901ZIPCd
FieldValueIRS element (for citing)
EIN480908781EIN
Primary ActivitiesFundraising for the benefit of Southwest Medical CenterPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12d, III-OPublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd