NEWTON HEALTHCARE CORPORATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- NEWTON HEALTHCARE CORPORATION (EIN 48-1040759)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201541339349305224
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T18:23:29-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 N MAIN SUITE 110 | AddressLine1 |
| City | NEWTON | City |
| State | KS | State |
| ZIP Code | 671143459 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | 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 | BusinessNameLine1 |
| 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 308 600 MEDICAL CENTER DRIVE | AddressLine1 |
| City | NEWTON | City |
| State | KS | State |
| ZIP Code | 671140308 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TODD KASITZ | PersonNm |
| Person Title | VP/CEO | PersonTitleTxt |
| Phone | 3168046096 | PhoneNum |
| Signature | 2015-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY B ELLIOTT | PreparerPersonNm |
| PTIN | P00503103 | PTIN |
| Phone | 3162835366 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | 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 308 600 MEDICAL CENTER DRIVE | AddressLine1 |
| City | NEWTON | City |
| State | KS | State |
| ZIP Code | 671140308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $82,947,878 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | NEWTONMEDICALCENTER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | TO BE THE COMMUNITY'S CHOICE FOR HEALTH CARE AND TO EXCEL IN PROVIDING HEALTH CARE BY UNDERSTANDING AND RESPONDING TO THE INDIVIDUAL NEEDS OF THOSE SERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 823 | TotalEmployeeCnt |
| Total Volunteers | 125 | TotalVolunteersCnt |
| Total Gross UBI | $105,683 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $262,816 | PYContributionsGrantsAmt |
| CY Contributions Grants | $872,983 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,467,059 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $69,289,107 | CYProgramServiceRevenueAmt |
| PY Investment Income | $973,383 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,121,634 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,032,017 | PYOtherRevenueAmt |
| CY Other Revenue | $1,979,016 | CYOtherRevenueAmt |
| PY Total Revenue | $68,735,275 | PYTotalRevenueAmt |
| CY Total Revenue | $73,262,740 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $97,505 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $72,973 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,014,389 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,621,154 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $106,469 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,719,974 | PYOtherExpensesAmt |
| CY Other Expenses | $32,567,668 | CYOtherExpensesAmt |
| PY Total Expenses | $67,831,868 | PYTotalExpensesAmt |
| CY Total Expenses | $70,261,795 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $903,407 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,000,945 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $85,069,901 | TotalAssetsBOYAmt |
| Total Assets EOY | $88,660,457 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,061,959 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,693,833 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $62,007,942 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $65,966,624 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BE THE COMMUNITY'S CHOICE FOR HEALTH CARE AND TO EXCEL IN PROVIDING HEALTH CARE BY UNDERSTANDING AND RESPONDING TO THE INDIVIDUAL NEEDS OF THOSE SERVED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $56,678,521 | ExpenseAmt |
| Grant | $72,973 | GrantAmt |
| Revenue | $69,354,180 | 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 2014, THE HOSPITAL PROVIDED 11,513 DAYS OF INPATIENT CARE TO 2,915 ACUTE PATIENTS; 1,663 DAYS OF INPATIENT REHABILITATIVE CARE TO 132 PATIENTS; 367 DAYS OF CARE TO 35 SKILLED NURSING PATIENTS; 2,707 DAYS OF INPATIENT GERIATRIC PSYCH TO 210 GERIATRIC PATIENTS; AND 54,352 OUTPATIENT SERVICE VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,403,697 | ExpenseAmt |
| Revenue | $572,859 | RevenueAmt |
| Desc | DIETARY SERVICES - NEWTON HEALTHCARE CORP. MAINTAINS A HOSPITAL CAFETERIA FOR THE BENEFIT OF ITS PATIENTS AND THEIR FAMILIES AND AS A CONVENIENCE TO ITS EMPLOYEES. IN ADDITION, 31,249 MEALS WERE PREPARED AND SOLD AT COST TO NEWTON MEALS ON WHEELS, A NONPROFIT ORGANIZATION, WHICH 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 | $58,082,218 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 95 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 823 | 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 |
| 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 | 0 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3168046096 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MEDICAL CENTER DRIVE | AddressLine1 |
| City | NEWTON | City |
| State | KS | State |
| ZIP Code | 671140308 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| NANCY CRAIG | ||||||||
| PAST CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DARRELL CONRADE | ||||||||
| CHAIR OF THE BOARD | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM HEINICKE | ||||||||
| VICE CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BONNIE SOWERS | ||||||||
| TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RAY PENNER | ||||||||
| SECRETARY | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIS HECK | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| TROY HOLDEMAN MD | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| RANDALL V GOERING MD | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| DOYLE DETWEILER MD | ||||||||
| BOARD OF DIRECTORS/HOSPITA | 40.00 | Yes (X) | $184,339 | $0 | $17,239 | |||
| JIM STUCKY | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| EVELYN GREGG | ||||||||
| ASST SECRETARY | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| TED ICE | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| JOCELYN KASITZ | ||||||||
| BOARD & INTERIM CLINIC MGR | 40.00 | Yes (X) | $50,569 | $0 | $0 | |||
| RON LANG | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBBIE PALACIOZ | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN MORTON | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM WILLIAMS | ||||||||
| BOARD OF DIRECTORS | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN G KELLY | ||||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $395,282 | $0 | $2,600 | |||
| TODD R KASITZ | ||||||||
| VICE PRESIDENT/CFO | 40.00 | Yes (X) | $177,467 | $0 | $17,202 | |||
| J MICHAEL KELLER | ||||||||
| VICE PRESIDENT/COO | 40.00 | $192,452 | $0 | $12,280 | Yes (X) | |||
| VALLERIE GLEASON | ||||||||
| VICE PRESIDENT/PHYSICIAN S | 40.00 | $186,333 | $0 | $11,171 | Yes (X) | |||
| THEODORE R COOK | ||||||||
| CHIEF MEDICAL DIRECTOR | 40.00 | $276,187 | $0 | $14,464 | Yes (X) | |||
| RYAN LIVERMORE MD | ||||||||
| ORTHOPEDIC SURGEON | 40.00 | $518,861 | $0 | $23,951 | Yes (X) | |||
| JAMES PIGG MD | ||||||||
| ORTHOPEDIC SURGEON | 40.00 | $492,749 | $0 | $12,458 | Yes (X) | |||
| CHARLES CRAIG MD | ||||||||
| ORTHOPEDIC SURGEON | 40.00 | $402,647 | $0 | $8,922 | Yes (X) | |||
| SUSAN LOVELLE MD | ||||||||
| PLASTIC SURGEON | 40.00 | $434,446 | $0 | $20,734 | Yes (X) | |||
| PAUL BOGNER MD | ||||||||
| GENERAL SURGEON | 40.00 | $303,153 | $0 | $6,412 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,614,485 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $147,433 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HUTTON CONSTRUCTION | |||||
| 2229 S WEST ST | WICHITA | KS | 67213 | BUILDING/CONSTRUCTION | $623,136 |
| ARMSTRONG CHAMBERLIN | |||||
| 7540 S SENECA | HAYSVILLE | KS | 67060 | MARKETING | $405,930 |
| AMERICAN RED CROSS | |||||
| PO BOX 730040 | DALLAS | TX | 75373 | BLOOD SERVICE | $400,800 |
| CASCADE HEALTH SERVICES | |||||
| 1045 SWIFT AVE | NORTH KANSAS CITY | MO | 64116 | CONTRACT NURSING | $385,828 |
| MEDICAL STAFFING NETWORK | |||||
| PO BOX 202996 | DALLAS | TX | 753202996 | CONTRACT NURSING | $320,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $790,069 | GovernmentGrantsAmt |
| All Other Contributions | $82,914 | AllOtherContributionsAmt |
| Total Contributions | $872,983 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $49,631,927 | $49,631,927 | ||
| MEDICARE/MEDICAID PMTS | 900099 | $18,901,395 | $18,901,395 | ||
| DIETARY SERVICES | 722210 | $572,859 | $572,859 | ||
| NON-PATIENT SERVICES | 621990 | $105,268 | $105,268 | ||
| PATIENT SERVICES | 621500 | $69,046 | $69,046 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,612 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $8,612 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $69,289,107 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,067,654 | TotalRevenueColumnAmt |
| Exclusion | $1,067,654 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,134 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,134 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,134 | TotalRevenueColumnAmt |
| Exclusion | $9,134 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,668,618 | SecuritiesAmt |
| Other | $70,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,685,138 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$16,520 | SecuritiesAmt |
| Other | $70,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,980 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,980 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| RENTS | 900099 | $982,450 | $954,425 | $28,025 | |
| REIMB & MISC | 900099 | $707,388 | $707,388 | ||
| FEES | 900099 | $246,402 | $246,402 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,642 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,642 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,969,882 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,262,740 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $69,927,039 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $105,683 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,357,035 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,026 | TotalAmt |
| Program Services | $70,026 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,947 | TotalAmt |
| Program Services | $2,947 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,626,550 | TotalAmt |
| Program Services | $572,964 | ProgramServicesAmt |
| Management And General | $1,053,586 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,055,131 | TotalAmt |
| Program Services | $26,193,484 | ProgramServicesAmt |
| Management And General | $3,792,000 | ManagementAndGeneralAmt |
| Fundraising | $69,647 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $579,393 | TotalAmt |
| Program Services | $489,503 | ProgramServicesAmt |
| Management And General | $88,616 | ManagementAndGeneralAmt |
| Fundraising | $1,274 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,338,160 | TotalAmt |
| Program Services | $2,820,263 | ProgramServicesAmt |
| Management And General | $510,559 | ManagementAndGeneralAmt |
| Fundraising | $7,338 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,021,920 | TotalAmt |
| Program Services | $1,708,231 | ProgramServicesAmt |
| Management And General | $309,244 | ManagementAndGeneralAmt |
| Fundraising | $4,445 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,704 | TotalAmt |
| Management And General | $207,704 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,395 | TotalAmt |
| Management And General | $41,395 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,351 | TotalAmt |
| Management And General | $95,351 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,510,149 | TotalAmt |
| Program Services | $4,089,720 | ProgramServicesAmt |
| Management And General | $1,420,271 | ManagementAndGeneralAmt |
| Fundraising | $158 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,585 | TotalAmt |
| Program Services | $101,128 | ProgramServicesAmt |
| Management And General | $295,457 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,077,530 | TotalAmt |
| Program Services | $776,654 | ProgramServicesAmt |
| Management And General | $299,772 | ManagementAndGeneralAmt |
| Fundraising | $1,104 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,977 | TotalAmt |
| Program Services | $51,421 | ProgramServicesAmt |
| Management And General | $44,169 | ManagementAndGeneralAmt |
| Fundraising | $387 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,750 | TotalAmt |
| Program Services | $69,150 | ProgramServicesAmt |
| Management And General | $32,505 | ManagementAndGeneralAmt |
| Fundraising | $95 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,643 | TotalAmt |
| Program Services | $588,039 | ProgramServicesAmt |
| Management And General | $271,868 | ManagementAndGeneralAmt |
| Fundraising | $736 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,578,052 | TotalAmt |
| Program Services | $3,361,347 | ProgramServicesAmt |
| Management And General | $1,215,127 | ManagementAndGeneralAmt |
| Fundraising | $1,578 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $615,146 | TotalAmt |
| Program Services | $315,057 | ProgramServicesAmt |
| Management And General | $300,089 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $11,765,116 | $11,366,889 | $397,972 | $255 |
| BAD DEBTS | $3,569,256 | $3,569,256 | ||
| REPAIRS/MAINTENANCE | $2,080,308 | $1,477,497 | $602,811 | |
| MEDICAID ASSESSMENT | $496,293 | $496,293 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,076,413 | TotalAmt |
| Program Services | $458,642 | ProgramServicesAmt |
| Management And General | $598,319 | ManagementAndGeneralAmt |
| Fundraising | $19,452 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,261,795 | TotalAmt |
| Program Services | $58,082,218 | ProgramServicesAmt |
| Management And General | $12,073,108 | ManagementAndGeneralAmt |
| Fundraising | $106,469 | 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 | $2,778,091 | BOYAmt |
| EOY | $3,794,058 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,169,778 | BOYAmt |
| EOY | $8,980,607 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,235,000 | BOYAmt |
| EOY | $1,132,489 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,607,664 | BOYAmt |
| EOY | $1,695,216 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,746,059 | BOYAmt |
| EOY | $1,611,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $83,216,858 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,094,044 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,059,751 | BOYAmt |
| EOY | $37,122,814 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,112,991 | BOYAmt |
| EOY | $33,902,236 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,567 | BOYAmt |
| EOY | $421,473 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,069,901 | BOYAmt |
| EOY | $88,660,457 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,311,921 | BOYAmt |
| EOY | $5,875,640 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,715,000 | BOYAmt |
| EOY | $15,805,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,115 | BOYAmt |
| EOY | $151,872 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $847,923 | BOYAmt |
| EOY | $861,321 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,061,959 | BOYAmt |
| EOY | $22,693,833 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,005,502 | BOYAmt |
| EOY | $65,957,660 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,440 | BOYAmt |
| EOY | $8,964 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,007,942 | BOYAmt |
| EOY | $65,966,624 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,069,901 | BOYAmt |
| EOY | $88,660,457 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,000,945 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $960,833 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,096 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,294,630 | OtherCostOrOtherBasisAmt |
| Book Value | $1,294,630 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,094,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,438,133 | DepreciationAmt |
| Book Value | $22,656,699 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,918,077 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,416,069 | DepreciationAmt |
| Book Value | $10,502,008 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,909,319 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,239,842 | DepreciationAmt |
| Book Value | $2,669,477 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,122,814 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE LIABILITY | $703,569 |
| SPECIAL ASSESSMENTS PAYABLE | $133,741 |
| ANNUITIES PAYABLE | $24,011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $861,321 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $70,555,870 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $960,833 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$3,096 | OtherRevenueAmt |
| Revenue Not Reported | $957,737 | RevenueNotReportedAmt |
| Revenue Subtotal | $69,598,133 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $95,351 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $3,569,256 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,664,607 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $73,262,740 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $66,597,188 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $66,597,188 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $95,351 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $3,569,256 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,664,607 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $70,261,795 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF ANNUITY OBLIGATIONS |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | 1059 | PersonsServedCnt |
| Total Community Benefit Expns | $1,238,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $694,050 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $544,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10278 | PersonsServedCnt |
| Total Community Benefit Expns | $8,724,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,088,393 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,635,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11337 | PersonsServedCnt |
| Total Community Benefit Expns | $9,962,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,782,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,180,058 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 2464 | PersonsServedCnt |
| Total Community Benefit Expns | $268,751 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $268,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $94,255 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $94,255 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 264 | PersonsServedCnt |
| Total Community Benefit Expns | $124,601 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $124,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 2728 | PersonsServedCnt |
| Total Community Benefit Expns | $487,607 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $487,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 14065 | PersonsServedCnt |
| Total Community Benefit Expns | $10,450,108 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,782,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,667,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05500 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 31309 | PersonsServedCnt |
| Total Community Benefit Expns | $129,171 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $88,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,405 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 31309 | PersonsServedCnt |
| Total Community Benefit Expns | $132,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $88,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,576 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,243,080 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $291,564 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,505,552 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,923,451 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,417,899 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NEWTON CARDIAC SERVICES LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | OPERATION OF A CARDIAC CATHETERIZATION LAB | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.66670 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.33330 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MEDICAL CENTER DRIVE | AddressLine1 |
| City | NEWTON | City |
| State | KS | State |
| ZIP Code | 67114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | NEWTONMEDICALCENTER.COM | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | NEWTONMEDICALCENTER.COM | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| Residency | Yes (X) | ResidencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NEWTON MEDICAL CENTER | PART V, SECTION B, LINE 3: REPRESENTATIVES FROM NEWTON MEDICAL CENTER, HARVEY COUNTY HEALTH DEPARTMENT, HEALTH MINISTRIES, PRAIRIE VIEW INC, AND THE CONSULTANT/FACILITATOR CONDUCTED THREE MEETINGS; A VARIETY OF COMMUNITY MEMBERS WERE INVITED AND IN ATTENDANCE. THE GROUP WAS DIVERSE AND REPRESENTED ALL SEGMENTS OF THE COMMUNITY. MEETINGS WERE APPROXIMATELY AN HOUR AND A HALF IN LENGTH. THE TEAM MEMBERS, WITH INPUT FROM THE CONSULTANT, PREPARED AND CONDUCTED A SURVEY OF COMMUNITY ATTITUDES AND ISSUES REGARDING HEALTH AND HEALTH CARE IN THE COUNTY. PARTICIPANTS INCLUDED CONSUMERS, COMMUNITY LEADERS, PUBLIC HEALTH CARE OFFICIALS AND EXPERTS, ECONOMIC AND COMMUNITY DEVELOPMENT SPECIALISTS. THE MEETINGS WERE CONDUCTED ON OCTOBER 23, 2012, OCTOBER 30, 2012 AND NOVEMBER 6, 2012. |
| NEWTON MEDICAL CENTER | PART V, SECTION B, LINE 4: PRAIRIE VIEW, INC. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| ORTHOPEDIC PHYSICIAN CLINIC | ||||
| 800 MEDICAL CENTER DR 2ND FLOOR | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| NEWTON SURGICAL GROUP | ||||
| 800 MEDICAL CENTER DR 2ND FLOOR | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| MEDICAL PLAZA OF VALLEY CENTER | ||||
| 641 N SENECA | VALLEY CENTER | KS | 67147 | OUTPATIENT PHYSICIAN CLINIC |
| LOVELLE PLASTIC SURGERY | ||||
| 700 MEDICAL CENTER DR STE 110 | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| MEDICAL PLAZA OF PARK CITY | ||||
| 1755 E 61ST ST N | PARK CITY | KS | 67219 | OUTPATIENT PHYSICIAN CLINIC |
| ADVANCED NEUROLOGY CONSULTANTS | ||||
| 800 MEDICAL CENTER DR STE 210 | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| AREA PSYCHIATRIC SERVICES | ||||
| 700 MEDICAL CENTER DR STE 101 | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| DIABETES & ENDOCRINOLOGY SPECIALISTS | ||||
| 800 MEDICAL CENTER DR 2ND FLOOR | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| MEDICAL PLAZA OF SEDGWICK | ||||
| 520 N COMMERCIAL AVE | SEDGWICK | KS | 67135 | OUTPATIENT PHYSICIAN CLINIC |
| ALLEN EYE ASSOCIATES | ||||
| 700 MEDICAL CENTER DR STE 110 | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| MEDICAL PLAZA OF HILLSBORO | ||||
| 122 N MAIN ST | HILLSBORO | KS | 67063 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | USED THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) $3,569,256 |
| 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. |
| PART III, LINE 3: | FOR THE AMOUNT REPORTED ON LINE 3, THE ORGANIZATION LOOKED AT ALL ACCOUNTS TURNED TO BAD DEBT THAT DID NOT/WERE NOT DISCOUNTED OR WRITTEN-OFF TO CHARITY. INCLUDED ALL MEDICAID ACCOUNTS BASED ON INCOME REQUIREMENTS FOR THAT PROGRAM BEING STRICTER THAN THE ORGANIZATION'S HEALTH CARE ASSISTANCE GUIDELINES. ALSO REVIEWED MOST ALL SELF-PAY BAD DEBT ACCOUNT NOTES AND MADE THE ESTIMATE TO INCLUDE THOSE ACCOUNTS THAT A) HAD CONTACT AND DISCUSSION WITH PATIENT FINANCIAL SERVICES DEPARTMENT AND B) DID NOT RETURN PROOF OF INCOME EITHER IN PART OR ENTIRETY AND C) WERE UNEMPLOYED. |
| PART III, LINE 4: | FROM THE AUDITED FINANCIAL STATEMENTS, THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECITON INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICLA WRITE-OFF EXPERIENCE BY PAYER CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT EXPENSE TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE CORPORATION. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. |
| PART III, LINE 8: | USED THE F/Y 2014 MEDICARE COST REPORT COST TO CHARGE RATIO TO DETERMINE THE CURRENT YEAR MEDICARE ALLOWABLE COSTS. |
| 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL KANSAS COUMMUNITY FOUNDATION | ||||||||||
| 301 N MAIN SUITE 201 | NEWTON | KS | 67114 | 481221368 | 501(C)(3) | $20,026 | BOOK | MANAGEMENT SERVICES | PROVIDE MANAGEMENT SERVICES TO COMMUNITY FOUNDATION | |
| PRAIRIE VIEW INC | ||||||||||
| 1901 E FIRST STREET | NEWTON | KS | 67114 | 480642318 | 501(C)(3) | PINE STREET BUILDING RENOVATIONS | $50,000 | |||
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOYLE DETWEILER MD | ||||||||||||||
| BOARD OF DIRECTORS/HOSPITA | $184,339 | $0 | $0 | $0 | $0 | $0 | $4,889 | $0 | $12,350 | $0 | $201,578 | $0 | $0 | $0 |
| STEVEN G KELLY | ||||||||||||||
| PRESIDENT/CEO | $395,282 | $0 | $0 | $0 | $0 | $0 | $9,438 | $0 | $7,930 | $0 | $412,650 | $0 | $0 | $0 |
| TODD R KASITZ | ||||||||||||||
| VICE PRESIDENT/CFO | $177,467 | $0 | $0 | $0 | $0 | $0 | $4,852 | $0 | $12,350 | $0 | $194,669 | $0 | $0 | $0 |
| J MICHAEL KELLER | ||||||||||||||
| VICE PRESIDENT/COO | $192,452 | $0 | $0 | $0 | $0 | $0 | $5,174 | $0 | $7,106 | $0 | $204,732 | $0 | $0 | $0 |
| VALLERIE GLEASON | ||||||||||||||
| VICE PRESIDENT/PHYSICIAN S | $186,333 | $0 | $0 | $0 | $0 | $0 | $4,918 | $0 | $6,253 | $0 | $197,504 | $0 | $0 | $0 |
| THEODORE R COOK | ||||||||||||||
| CHIEF MEDICAL DIRECTOR | $276,187 | $0 | $0 | $0 | $0 | $0 | $2,114 | $0 | $12,350 | $0 | $290,651 | $0 | $0 | $0 |
| RYAN LIVERMORE MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $518,861 | $0 | $0 | $0 | $0 | $0 | $11,601 | $0 | $12,350 | $0 | $542,812 | $0 | $0 | $0 |
| JAMES PIGG MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $492,749 | $0 | $0 | $0 | $0 | $0 | $12,458 | $0 | $0 | $0 | $505,207 | $0 | $0 | $0 |
| CHARLES CRAIG MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $402,647 | $0 | $0 | $0 | $0 | $0 | $8,922 | $0 | $0 | $0 | $411,569 | $0 | $0 | $0 |
| SUSAN LOVELLE MD | ||||||||||||||
| PLASTIC SURGEON | $434,446 | $0 | $0 | $0 | $0 | $0 | $8,770 | $0 | $11,964 | $0 | $455,180 | $0 | $0 | $0 |
| PAUL BOGNER MD | ||||||||||||||
| GENERAL SURGEON | $303,153 | $0 | $0 | $0 | $0 | $0 | $6,412 | $0 | $0 | $0 | $309,565 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAYS TRAVEL EXPENSES FOR THE SPOUSE OF THE CEO PER HIS CONTRACT AGREEMENT. |
| 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 50% OF THE TOTAL NET COLLECTIONS OF THEIR PRACTICE |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | 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) | $1,226,075 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| STEVEN CHRISTOPHER KELLY | |||
| FAMILY MEMBER OF OFFICER | $77,249 | EMPLOYEE | 0 |
| RAY PENNER | |||
| BOARD MEMBER | PRESIDENT OF THE ORGANIZATION'S PRIMARY BANK | 0 | |
| DARRELL CONRADE | |||
| BOARD MEMBER | OWNS AGENCY THROUGH WHICH THE ORGANIZATION HAS ITS INSURANCE | 0 | |
| JOCELYN KASITZ | |||
| FAMILY MEMBER OF OFFICER | $48,001 | EMPLOYEE | 0 |
| NANCY CRAIG | |||
| BOARD MEMBER | SPOUSE OF EMPLOYED PHYSICIAN | 0 | |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBER & INTERIM CLINIC MANAGER, JOCELYN KASITZ IS THE MOTHER OF CFO, TODD KASITZ |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION 990 IS REVIEWED IN DETAIL BY THE CFO 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 | THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS 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 XI, LINE 9: | CHANGE IN VALUE OF ANNUITY OBLIGATION -3,096. |
| FORM 990, PART XII, LINE 2C | NO CHANGES TO AUDITOR OVERSIGHT OR SELECTION PROCESS |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON CARDIAC SERVICES LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MEDICAL CENTER DRIVE | AddressLine1 |
| City | NEWTON | City |
| State | KS | State |
| ZIP Code | 67114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263383510 | EIN |
| Primary Activities | CARDIAC CATH LAB | PrimaryActivitiesTxt |
| Legal Domicile State | KS | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON HEALTHCARE CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $58,870 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $244,028 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.66670 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NEWTON CARDIAC SERVICES LLC | ||
| A | $81,753 | RENT ON CARDIAC LAB FACILITIES |
| NEWTON CARDIAC SERVICES LLC | ||
| F | $12,000 | CASH RECEIVED |