2019-11-13T08:56:34-06:00 2018-12-31 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2018-01-01 486005089 William Newton Memorial Hospital WILL 6202212300 1300 E 5th Avenue Winfield KS 67156 Brian Barta Chief Financial Officer 6202212300 2019-11-12 1 Eric L Otting P00298454 7852334226 2019-11-12 98.172.114.81 2019-11-12 12:51:38 CS P 844D5219E4FE41254C770A023FBFBD2CC4766A27 60014C6BFABD42C589CB804B37650122385C508E 2018 2020-03-31 21:24:44Z Brian Barta 1300 E 5th Avenue Winfield KS 67156 39001395 0 X www.wnhcares.org X 1927 KS Provide healthcare services to local area residents 5 5 366 64 0 0 416147 314152 35292420 38240645 31124 34929 358570 411669 36098261 39001395 158610 158857 0 0 18177322 19391528 6975 4380 55584 18369594 18494403 36712501 38049168 -614240 952227 26953434 29742098 16788294 19155050 10165140 10587048 X William Newton Memorial Hospital is a team of skilled individuals dedicated to meeting the ever changing health care needs of the community through advances in leadership, education, technology and continuous improvement in the delivery of quality health care. We are committed to sound financial management and ethical practices. We care for those we serve with dignity, kindness and compassion. 0 0 32009873 158857 38383869 Patient services, full range of inpatient and outpatient services. 32009873 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 83 0 1 366 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 0 X Brian Barta 6202212300 1300 E 5th Avenue Winfield KS 67156 Diane Lawrence Chairperson 1.00 X X 0 0 0 Steve McSpadden Vice Chairperson 1.00 X X 0 0 0 Joan Cales Trustee 1.00 X 0 0 0 Thomas Herlocker Trustee 1.00 X 0 0 0 Brenda Butters Trustee 1.00 X 0 0 0 J Ben Quinton CEO 40.00 1.00 X 306475 0 40080 Brian Barta CFO beginning August 2018 40.00 1.00 X 49802 0 9220 Debbie Hockenbury CFO through June 2018 40.00 1.00 X 130210 0 12573 Daisy Matias Physician 40.00 X 245605 0 29884 Angela Meyer Physician 40.00 X 198072 0 20713 Douglas Moore Physician 40.00 X 255107 0 38323 Christopher Morrissey Physician 40.00 X 389930 0 39769 Kelle Thompson Pharmacy Director 40.00 X 138834 0 25266 1714035 0 215828 16 0 1 0 Acute Care Inc 1609 N Ankeny Blvd Suite 200 Ankeny IA 50023 ER Physicians 1957288 Via Christi Hospitals Wichita 929 N Francis Street Wichita KS 67226 Radiation Contract 872064 Cascade Health Services 1045 Swift Avenue Kansas City MO 64116 Contract Nursing Services 301563 Diversified Clinical Services 28525 Network Place Chicago IL 60673 Wound Center Contract Services 230160 CPSI PO Box 850309 Mobile AL 36685 Computer Support Services 224550 15 262031 52121 314152 Net patient service revenue 622110 37075426 37075426 340b Pharmacy 446110 746693 746693 Occupational health 900099 306097 306097 Pharmacy 446110 112429 112429 38240645 34893 34893 192069 0 192069 192069 192069 36 0 36 36 36 Cafeteria and dietary 722210 61793 61793 Hospital support services 900099 20333 20333 Meals on wheels 624210 14619 14619 122855 122855 219600 39001395 38383869 0 303374 158857 158857 549382 549382 15361571 13067801 2253496 40274 1247744 1060058 184415 3271 1094777 913734 179243 1800 1138054 937802 197268 2984 44056 44056 4380 4380 224162 224162 2632 2632 541866 40315 501551 318473 171881 146592 625183 392213 231723 1247 24306 24306 192100 192100 2341166 2068824 270714 1628 227692 96599 131093 Purchased medical servi 5908615 5908615 Medical supplies 3945272 3945272 Pharmacy Drugs 1758028 1758028 Repairs and Maintenance 864934 786201 78733 1475918 487267 988651 38049168 32009873 5983711 55584 33323 11830 4266844 6918842 5141406 5917302 418838 390217 2023229 2057462 44382672 29936227 14318321 14446445 751473 0 26953434 29742098 2383952 5484028 4585638 3540164 9818704 10130858 16788294 19155050 X 10165140 10587048 10165140 10587048 26953434 29742098 X 952227 -530319 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 6900 0 0 0 6900 0 Part II-B, Line 1: William Newton Memorial Hospital is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. 463745 1512 465257 462938 807 463745 462938 462938 447577 15361 462938 447537 40 447577 1.00000 0 1 1 101702 101702 25939777 18527447 7412330 14825857 11092485 3733372 3515336 316295 3199041 14446445 Net pension liability 9705586 Net OPEB Liability 425272 10130858 X Part V, Line 4: The intended use of the endowment funds is to provide continuing support to the Hospital. Part X, Line 2: The Hospital is exempt from federal income taxes pursuant to Section 115 of the Internal Revenue Code. Management is unaware of any uncertainties in income tax positions. 1 1 1 X 120.000000000000 1 X 1 1 1 0 1 1 481419 71437 409982 0.01080 3893824 2305748 1588076 0.04170 4375243 2377185 1998058 0.05250 138512 3755 134757 0.00350 148108 0 148108 0.00390 7136978 4543533 2593445 0.06820 31017 31017 0.00080 7454615 4547288 2907327 0.07640 11829858 6924473 4905385 0.12890 1 1319258 232189 11914459 12276166 -361707 X 1 0 1 1 William Newton Memorial Hospital 1300 E 5th Avenue Winfield KS 67156 X X X X William Newton Memorial Hospital 1 0 0 1 X X X X X X X X X 16 1 0 1 1 X http://www.wnhcares.org/ X https://www.datacounts.net/cowley_county X X 1 16 1 http://www.wnhcares.org/ 0 1 X 120.000000000000 200.000000000000 X X X X X X 1 1 X X X X 1 X http://www.wnhcares.org/ X http://www.wnhcares.org/ X http://www.wnhcares.org/ X X X X X X 1 X 0 X X X X 1 X 0 0 William Newton Memorial Hospital Part V, Section B, Line 5: During November 2015 through February 2016, the Hospital and Cowley County Health Department co-sponsored the community health needs assessment. On December 17, 2015, these organizations conducted a Community Health Needs Assessment meeting. Prior to this meeting, the participants were provided with a Pre-Meeting Needs Assessment Survey. The results of this survery were compiled and analyzed to identify needs in the community. The persons who represented the community throught the survey and/or the meeting were as follows: hospital staff, local government officials, county health department employees, religious leaders, local businessmen, local pharmacists, fire department staff, and other health related organizations. William Newton Memorial Hospital Part V, Section B, Line 6b: The Community Health Needs Assessment was conducted with the Cowley County Health Department. William Newton Memorial Hospital Part V, Section B, Line 7d: Community Health Needs Assessment was filed with the Cowley County Extension office. William Newton Memorial Hospital Part V, Section B, Line 11: Under priority #1, promote health, wellness, and chronic disease prevention, William newton hospital has implemented the following strategies: increase breastfeeding support through mothers and families (High 5 program & provide resources), promote healthy food choices (Healthways, Kitchen on 5th, Dietician Services, and Diabetes Education), participate KHA wellness initiatives (Kansas Health Hospitals through 2017 & new population obesity focus in 2018), promote workplace wellness (Healthways, Occupational Health, WNH Wellness Committee, Team Well program), complete Community Assessment on Diabetes, coordinate existing services, and enhance/expand services based on need, have Hospital representatives engage in RISE Cowley (healthy communities coalition), add immunization information to Childbirth Classes, and coordinate chronic disease health education and communications.Under priority #2, enhance access to health service providers, William Newton Hospital has implemented the following strategies: increase infrastructure, awareness, and cultural competency for access to newcomers, continue health service provider recruitment and retention, direct those eligible and in need toward available resources and assistance, continue support access to care options for the underserved, and promote access through employers and incentivize worker health. William Newton Memorial Hospital Part V, Section B, Line 13h: Homeless 6 1 - Health Professionals of Winfield 1230 East 6th Winfield KS 67156 Rural Health Clinic 2 - Physician Pavillion 1230 East 6th Winfield KS 67156 Outpatient Clinic 3 - Tallgrass Rural Health Clinic 300 W North St Sedan KS 67361 Rural Health Clinic 4 - Moline Community Rural Health Clinic 200 N Plum Moline KS 67353 Rural Health Clinic 5 - Cedar Vale Rural Health Clinic 508 Washington Cedar Vale KS 67024 Rural Health Clinic 6 - Dexter Community Rural Health Clinic 204 N Main St Dexter KS 67038 Rural Health Clinic Part I, Line 7: Amounts for financial assistance and certain other community benefit 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 represent services that the hospital provides despite a financial loss to the organization. These services include cardiac rehab, home health, rural health clinics, physical therapy, speech therapy, physician clinic, respiratory therapy, wound care, and audiology. Total community benefit expense attributed to physician clinics is $3,404,288. Part III, Line 4: The Hospital 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 Hospital estimates this allowance based on the aging of its accounts receivable and its historical collection experience.Part III, Line 2:The provision for bad debts are related to accounts that have been deemed uncollectible during the year. The uncollectible amount is then written off pursuant with Hospital policy. The cost of bad debts reported was determined using an overall cost to charge ratio multiplied by total bad debt expense.Part III, Line 3:The provision for bad debts attributable to patients eligible under the organization's financial assistance policy was determined using an estimation of 17.6% of total bad debts. The US Census Bureau reports the persons below the federal poverty level in 2018 for Cowley County was 17.6%. William Newton Memorial Hospital takes steps to assist individuals who are believed to qualify for financial assistance prior to writing accounts off as uncollectible.The Hospital considers the bad debt expense attributed to patients eligible under the Hospital's financial assistance policy as community benefit. As a governmental hospital, we must provide necessary services regardless of the patient's 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: The Hospital used the 2018 Medicare Cost Report to determine the Medicare revenue and related cost.The shortfall is a benefit to the Hospital's community since it represents health care provided at less than cost to elderly and needy residents of the Hospital's service area. Part III, Line 9b: The Hospital's collection policy and collection practices are the same for all patients. The Hospital does not pursue collection of balances for patients who qualify for charity care or financial assistance. To be considered for charity care, the charity care policy states that the patient must cooperate with the Hospital 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. The information gathered is reviewed to determine eligibility for charity care. Whenever possible, prior to admission, the Hospital 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 consideration for charity care. Part VI, Line 2: The Hospital conducts a community needs assessment once every 3 years as required by law. The analysis includes community surveys and community focus group meetings to hear directly from citizens what they believe are the needs. Additionally, the Hospital works in conjunction with the Cowley County Health Department to identify patterns of migration for services that might be in need for potential new services. Part VI, Line 3: William Newton Memorial Hospital educates patients about its charity care policies by signage at the registration desk and business office counter. When possible, the Hospital will conduct a pre-admission interview with the patient, the guarantor, and/or his/her legal representative to determine eligibility for charity care. If a pre-admission interview is not possible, the interview is conducted upon admission or as soon as possible thereafter. In the case of an emergency admission, the Hospital's evaluation of charity care qualification, or payment alternatives does not take place until the required medical care has been provided. Identification of potential eligible patients can take place at any time during the rendering of services or during the collection process. Patients who may qualify for financial assistance from a governmental program are referred to the appropriate program, such as Medicaid, prior to consideration for charity care. All patients who inquire about assistance are referred to the credit/collections manager for complete explanation of options. Part VI, Line 4: The Hospital's primary service area is Cowley County, Kansas. Cowley County is a rural community located 135 miles west of the Missouri state line and touches the Oklahoma border. The US Census Bureau estimates the 2018 population of Cowley County, Kansas to be 35,218. 18.2% of the population is 65 years of age or older, median household income is $46,624, and 17.6% of the population is below poverty level compared to the State of Kansas average of 11.9%. There is one other acute care hospital located in Cowley County. William Newton has four rural health clinics in both Elk and Chautauque Counties. These counties neighbor Cowley County on the east and northeast side. According to the 2018 US Census Bureau estimates, Elk County's population was 2,508. 29.1% of the population is 65 years of age or older, median household income is $39,405, and 15.8% of the population is below poverty level. According to the 2018 US Census Bureau estimates, Chautauque County's population was 3,309. 26.7% of the population is 65 years of age or older, median household income is $39,531, and 16.8% of the population is below poverty level. Part VI, Line 5: The administration of William Newton Hospital conducts extensive physician recruitment for the greater good of the broader community. Ongoing recruitment is vital for the health of the community. Recruitment expense for 2018 was approximately $876,000. Community Health Fair, outreach programs, public education and newsletters are some examples of other activities the Hospital does to support health in the community. The Hospital also operates four rural health clinics in Elk and Chautauqua Counties in Kansas. These clinics provide the primary source of health care to these communities. The Hospital provides access to health information to the community through the Hospital's web page. The Hospital's governing body is comprised of persons who reside in the primary service area who are neither employees nor contractors of the Hospital, nor family members thereof. Part VI, Line 6: The Hospital is not part of an affiliated health care system. 1 William Newton Healthcare Foundation Inc 1300 E 5th Street Winfield KS 67156 205069172 501(c)(3) 158857 Amounts paid Capital campaign consultants services Payments for services to help with capital campaign 1 Part I, Line 2: The Hospital monitors the use of grant funds by paying amounts directly to vendors approved by management for properly approved cash expenditures. X X X 1 0 0 0 0 0 0 0 0 J Ben Quinton CEO 306475 0 0 0 0 0 23072 0 17008 0 346555 0 0 0 Daisy Matias Physician 245605 0 0 0 0 0 21410 0 8474 0 275489 0 0 0 Angela Meyer Physician 198072 0 0 0 0 0 16801 0 3912 0 218785 0 0 0 Douglas Moore Physician 255107 0 0 0 0 0 21834 0 16489 0 293430 0 0 0 Christopher Morrissey Physician 389930 0 0 0 0 0 23072 0 16697 0 429699 0 0 0 Kelle Thompson Pharmacy Director 138834 0 0 0 0 0 12094 0 13172 0 164100 0 0 0 Part I, Line 4a Debbie Hockenbury, CFO thru June 2018, received $35,000 in severance. Form 990, Part VI, Section A, line 8b All business takes place during board meetings, and due to the size of the organization, it is not necessary to establish standing committees. Form 990, Part VI, Section B, line 11b A copy of the Form 990 is made available to board members upon request. Form 990, Part VI, Section B, line 12c A conflict of interest disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each Member upon election and annually thereafter. Form 990, Part VI, Section B, line 15 The Board of Trustees is responsible for determining the job performance standards for the CEO and determining compensation according to the organization's policies. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, line 9: Prior period adjustment to adopt GASB 75 -530,319. Form 990, Part XII, line 2C, Financial Statement Reporting The Hospital's Board of Trustees meets with the auditor and approves the audited financial statements. William Newton Healthcare Foundation Inc 1300 E 5th Street Winfield KS 67156 205069172 Fundraising for the benefit of William Newton Hospital KS 501(c)(3) Line 12b, II William Newton Memorial Hospital 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 William Newton Healthcare Foundation Inc C 262301 Cash paid William Newton Healthcare Foundation Inc B 158857 Cash paid