2017-05-12T15:07:47-05:00 2016-06-30 480764317 KNUDSEN MONROE & COMPANY LLC 301 N MAIN SUITE 110 NEWTON KS 671143459 990 2015-07-01 481040759 NEWTON HEALTHCARE CORPORATION NEWT 3162832700 PO BOX 308 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 TODD KASITZ VP/CFO 3168046096 2017-05-11 1 AMY B ELLIOTT P00503103 3162835366 2015 2021-01-29 14:40:06Z TODD KASITZ PO BOX 308 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 90638538 0 X WWW.NEWTONMED.COM X 1988 KS 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. 17 16 936 96 224386 0 1181203 969607 71200736 74516907 1028859 1470002 1926363 2546675 75337161 79503191 1065510 83164 0 0 38971343 41573269 0 0 111121 33754394 36027933 73791247 77684366 1545914 1818825 89665018 90124180 22374511 21500699 67290507 68623481 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. 0 0 62478039 83164 75677130 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 2016, THE HOSPITAL PROVIDED 9,977 DAYS OF INPATIENT CARE TO 2,820 ACUTE PATIENTS; 1,685 DAYS OF INPATIENT REHABILITATIVE CARE TO 155 PATIENTS; 123 DAYS OF CARE TO 16 SKILLED NURSING PATIENTS; 2,290 DAYS OF INPATIENT GERIATRIC PSYCH TO 221 GERIATRIC PATIENTS; AND 55,622 OUTPATIENT SERVICE VISITS. 1311151 579118 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, 28,375 MEALS WERE PREPARED AND SOLD AT COST TO NEWTON MEALS ON WHEELS, A NONPROFIT ORGANIZATION. THIS PROGRAM PROVIDES MEALS TO COMMUNITY RESIDENTS UNABLE TO PREPARE THEIR OWN MEALS DUE TO MEDICAL CONDITIONS. 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. 63789190 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 92 0 1 936 1 1 1 0 0 0 0 0 0 0 0 0 X 17 16 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X TODD KASITZ 3168046096 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 NANCY CRAIG BOARD OF DIRECTORS 5.00 X 0 0 0 DARRELL CONRADE BOARD OF DIRECTORS 5.00 X 0 0 0 JIM HEINICKE PAST CHAIR OF THE BOARD 5.00 X X 0 0 0 BONNIE SOWERS VICE CHAIR OF THE BOARD 5.00 X X 0 0 0 RAY PENNER CHAIR OF THE BOARD 5.00 X X 0 0 0 WILLIS HECK BOARD OF DIRECTORS 5.00 X 0 0 0 TROY HOLDEMAN MD BOARD OF DIRECTORS 5.00 X 0 0 0 RANDALL V GOERING MD BOARD OF DIRECTORS 5.00 X 0 0 0 DOYLE DETWEILER MD BOARD OF DIRECTORS / HOSPITALIST 40.00 X 197457 0 21490 JIM STUCKY BOARD OF DIRECTORS 5.00 X 0 0 0 EVELYN GREGG TREASURER 5.00 X X 0 0 0 RON HARDER BOARD OF DIRECTORS 5.00 X 0 0 0 JOCELYN KASITZ BOARD OF DIRECTORS 5.00 X 0 0 0 RON LANG SECRETARY 5.00 X X 0 0 0 DEBBIE PALACIOZ BOARD OF DIRECTORS 5.00 X 0 0 0 JOHN MORTON BOARD OF DIRECTORS 5.00 X 0 0 0 TOM WILLIAMS ASST. SECRETARY 5.00 X 0 0 0 JOHN MCCONEGHEY MD BOARD OF DIRECTORS / EMPLOYED PHYSICIAN 40.00 X 197457 0 21490 STEVEN G KELLY PRESIDENT/CEO 40.00 X 426540 0 2600 TODD R KASITZ CFO 40.00 X 185275 0 21511 VALLERIE GLEASON CEO 40.00 X 212738 0 14690 THEODORE R COOK CHIEF MEDICAL DIRECTOR 40.00 X 310552 0 17770 JAMES PIGG MD ORTHOPEDIC SURGEON 40.00 X 601842 0 10600 CHARLES CRAIG MD CHIEF MEDICAL OFFICER 40.00 X 409908 0 10538 SUSAN LOVELLE MD PLASTIC SURGEON 40.00 X 419523 0 24865 RYAN LIVERMORE MD ORTHOPEDIC SURGEON 40.00 X 532749 0 24588 3494041 0 170142 40 0 1 0 CLOUD WAVE (PARK PLACE INTERNATIONAL) DEPT CH 19800 PALATINE IL 600559800 IT SERVICES 887604 UNRUH EXCAVATING LLC 10028 N HERTZLER RD MOUNDRIDGE KS 67107 CONSTRUCTION SERVICES 352233 CASCADE HEALTH SERVICES 1045 SWIFT AVE NORTH KANSAS CITY MO 64116 CONTRACT NURSING 272848 AMERICAN RED CROSS PO BOX 730040 DALLAS TX 753730400 BLOOD SERVICE 262441 IATRIC SYSTEMS 27 GREAT POND DR BOXFORD MA 01921 IT SERVICES 237331 24 821812 147795 969607 PATIENT SERVICES 900099 53971113 53971113 MEDICARE/MEDICAID PMTS 900099 19664779 19664779 DIETARY SERVICES 722210 579118 579118 PATIENT SERVICES 621500 194563 194563 NON-PATIENT SERVICES 621990 105766 105766 1568 1568 74516907 982376 982376 2422 0 2422 2422 2422 11600933 22040 11089108 46239 511825 -24199 487626 487626 FEES 900099 1113458 1113458 RENTS 900099 853429 825174 28255 REIMB & MISC 900099 489034 489034 88332 88332 2544253 79503191 76256248 224386 2052950 75538 75538 7626 7626 1364655 568822 795833 34107713 29044867 4991889 70957 847013 707119 138200 1694 2949200 2462106 481195 5899 2304688 1924042 376036 4610 208016 208016 32800 32800 100868 100868 4895980 3274822 1621158 185099 28778 156321 1044849 637701 400357 6791 1271573 231405 1040168 1070617 773497 296403 717 104205 45759 56813 1633 128752 58575 69912 265 538524 368588 169507 429 5233587 3795260 1436834 1493 633533 339013 294520 SUPPLIES 12326906 12220966 105940 BAD DEBTS 4943927 4943927 REPAIRS/MAINTENANCE 1874320 1762806 111514 MISCELLANEOUS 516165 227088 275187 13890 918212 290885 624584 2743 77684366 63789190 13784055 111121 X 3167093 3827637 8821184 8581051 1025801 914767 1673058 1708335 1813912 2188777 92171358 53196036 38425739 38975322 34548471 33928291 189760 0 89665018 90124180 5975684 6646530 14510000 13155000 116629 81385 1772198 1617784 22374511 21500699 X 67254990 68531553 35517 91928 67290507 68623481 89665018 90124180 X 1818825 -485861 10 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35517 56411 91928 8964 26553 35517 2440 6524 8964 1170 1270 2440 480 690 1170 0.00000 1.00000 0.00000 0 0 1238359 1238359 44042466 21553686 22488780 40691110 29158080 11533030 6199423 2484270 3715153 38975322 SELF INSURANCE LIABILITY 713253 SPECIAL ASSESSMENTS PAYABLE 113532 ANNUITIES PAYABLE 19799 CONTRIBUTION PAYABLE 771200 1617784 73972545 -485861 10 -485851 74458396 100868 4943927 5044795 79503191 72639571 0 72639571 100868 4943927 5044795 77684366 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 PART V, LINE 4 THE EARNINGS FROM THE ENDOWMENT FUND WILL BE USED TO FUND NURSING SCHOLARSHIPS. 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 1119 1191159 450291 740868 0.01020 11552 9056964 5379564 3677400 0.05060 12671 10248123 5829855 4418268 0.06080 6 1400 283617 300 283317 0.00390 1 5 91229 91229 0.00130 2 803617 803617 0.01100 9 1405 1178463 300 1178163 0.01620 9 14076 11426586 5830155 5596431 0.07700 1 32824 173088 96000 77088 0.00110 1 187 43795 43795 0.00060 2 33011 216883 96000 120883 0.00170 1 1787632 262230 22094490 25176368 -3081878 X 1 1 1 1 NEWTON MEDICAL CENTER 600 MEDICAL CENTER DRIVE NEWTON KS 67114 WWW.NEWTONMED.COM X X X NEWTON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 13 1 1 1 1 X WWW.NEWTONMED.COM X 1 14 1 WWW.NEWTONMED.COM 0 0 1 X 250.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X WWW.NEWTONMED.COM X WWW.NEWTONMED.COM X WWW.NEWTONMED.COM X X X X 1 0 X X X X 1 X 0 0 NEWTON MEDICAL CENTER PART V, SECTION B, LINE 5: 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. NEWTON MEDICAL CENTER PART V, SECTION B, LINE 6A: PRAIRIE VIEW, INC. NEWTON MEDICAL CENTER PART V, SECTION B, LINE 6B: KANSAS RURAL HEALTH WORKSHARVEY COUNTY HEALTH DEPARTMENTHEALTH MINISTRIES CLINIC, INC. NEWTON MEDICAL CENTER PART V, SECTION B, LINE 11: NEEDS OUTSIDE THE SCOPE OF SERVICES PROVIDED BY NEWTON HEALTHCARE CORPORATION ARE BEING PROVIDED BY PRAIRIE VIEW, THE LOCAL COUNTY HEALTH DEPARTMENT AND FQHC - HEALTH MINISTRIES CLINIC, INC. THESE IDENTIFIED NEEDS INCLUDE HOUSING, SERVICES FOR HOMELESS PERSONS, CHILD CARE SERVICES, DENTAL SERVICES, ETC. 12 1 - ORTHOPEDIC PHYSICIAN CLINIC 800 MEDICAL CENTER DR 2ND FLOOR NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC 2 - MEDICAL PLAZA OF VALLEY CENTER 641 N SENECA VALLEY CENTER KS 67147 OUTPATIENT PHYSICIAN CLINIC 3 - NEWTON SURGICAL GROUP 800 MEDICAL CENTER DR 2ND FLOOR NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC 4 - MIDKANSAS FAMILY PRACTICE 705 E RANDALL ST HESSTON KS 67062 OUTPATIENT PHYSICIAN CLINIC 5 - LOVELLE PLASTIC SURGERY 700 MEDICAL CENTER DR STE 110 NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC 6 - MEDICAL PLAZA OF PARK CITY 1755 E 61ST ST N PARK CITY KS 67219 OUTPATIENT PHYSICIAN CLINIC 7 - ADVANCED NEUROLOGY CONSULTANTS 800 MEDICAL CENTER DR STE 210 NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC 8 - DIABETES & ENDOCRINOLOGY SPECIALISTS 800 MEDICAL CENTER DR 2ND FLOOR NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC 9 - AREA PSYCHIATRIC SERVICES 700 MEDICAL CENTER DR STE 101 NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC 10 - MIDWEST OCCUPATIONAL MEDICINE 3343 W CENTRAL WICHITA KS 67203 OCCUPATIONAL MEDICINE CLINIC 11 - ALLEN EYE ASSOCIATES 700 MEDICAL CENTER DR STE 110 NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC 12 - MEDICAL PLAZA OF SEDGWICK 520 N COMMERCIAL AVE SEDGWICK KS 67135 OUTPATIENT PHYSICIAN CLINIC 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) $4,943,927 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 COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL 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 2016 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. 0 HEALTH MINISTRIES 215 S PINE ST NEWTON KS 67114 501(C)(3) 75000 PROVIDE ASSISTANCE FOR HEALTH SERVICES 1 0 EMERGENCY ASSISTANCE TO EMPLOYEES THROUGH NMC CARES PROGRAM 16 X 1 1 X X X X X 0 1 0 1 0 0 0 0 0 DOYLE DETWEILER MD BOARD OF DIRECTORS / HOSPITALIST 197457 0 0 0 0 0 7502 0 13988 0 218947 0 0 0 JOHN MCCONEGHEY MD BOARD OF DIRECTORS / EMPLOYED PHYSIC 197457 0 0 0 0 0 7502 0 13988 0 218947 0 0 0 STEVEN G KELLY PRESIDENT/CEO 426540 0 0 0 0 0 9389 0 9022 0 444951 0 0 0 TODD R KASITZ CFO 185275 0 0 0 0 0 7523 0 13988 0 206786 0 0 0 VALLERIE GLEASON CEO 212738 0 0 0 0 0 7722 0 6968 0 227428 0 0 0 THEODORE R COOK CHIEF MEDICAL DIRECTOR 310552 0 0 0 0 0 3782 0 13988 0 328322 0 0 0 JAMES PIGG MD ORTHOPEDIC SURGEON 601842 0 0 0 0 0 10600 0 0 0 612442 0 0 0 CHARLES CRAIG MD CHIEF MEDICAL OFFICER 409908 0 0 0 0 0 10538 0 0 0 420446 0 0 0 SUSAN LOVELLE MD PLASTIC SURGEON 419523 0 0 0 0 0 10877 0 13988 0 444388 0 0 0 RYAN LIVERMORE MD ORTHOPEDIC SURGEON 532749 0 0 0 0 0 10600 0 13988 0 557337 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS TRAVEL EXPENSES FOR THE SPOUSE OF THE PRESIDENT/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 A TAX-EXEMPT ECONOMIC DEVELOPMENT REVENUE BONDS SERIES 2007A 486004391 652872AB8 2007-03-08 7500000 BUILDINGS AND STRUCTURES 0 0 0 B VARIABLE RATE DEMAND HOSPITAL REFUNDING REVENUE BONDS SERIES 2008 486004391 652874BP2 2008-08-21 11385000 REFUNDING 0 0 0 A 7500000 121912 7378088 2007 0 0 1 1 B 11385000 1226075 158925 2008 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 STEVEN CHRISTOPHER KELLY FAMILY MEMBER OF OFFICER 85397 EMPLOYEE 0 AARON KELLY FAMILY MEMBER OF OFFICER 69729 EMPLOYEE 0 RAY PENNER BOARD MEMBER 0 PRESIDENT OF THE ORGANIZATION'S PRIMARY BANK 0 DARRELL CONRADE BOARD MEMBER 0 OWNS AGENCY THROUGH WHICH THE ORGANIZATION HAS ITS INSURANCE 0 NANCY CRAIG BOARD MEMBER 0 SPOUSE OF EMPLOYED PHYSICIAN 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER, 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 AN INDEPENDENT COMPENSATION CONSULTANT PERFORMS A COMPENSATION ANALYSIS OF THE CEO SALARY. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE INDEPENDENT COMPENSATION ANALYSIS AND COMPENSATION INFORMATION OBTAINED FROM THE KANSAS HOSPITAL ASSOCIATION AND OTHER SOURCES TO DETERMINE THE APPROPRIATENESS OF THE CEO SALARY AND OTHER OFFICERS' COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THIS INFORMATION IS TYPICALLY NOT AVAILABLE TO THE PUBLIC FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF ANNUITY OBLIGATION 10. FORM 990, PART XII, LINE 2C NO CHANGES TO AUDITOR OVERSIGHT OR SELECTION PROCESS