2017-05-12T15:07:23-05:00 2015-06-30 480764317 KNUDSEN MONROE & COMPANY LLC 301 N MAIN SUITE 110 NEWTON KS 671143459 990 2014-07-01 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 2014 2021-01-29 14:40:06Z X TODD KASITZ PO BOX 308 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 86954449 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 15 870 87 227889 0 872983 1181203 69289107 71200736 1121634 1028859 1979016 1926363 73262740 75337161 72973 1065510 0 0 37621154 38971343 0 0 114232 32567668 33754394 70261795 73791247 3000945 1545914 88660457 89665018 22693833 22374511 65966624 67290507 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 59410808 1065510 70836228 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 2015, THE HOSPITAL PROVIDED 11,809 DAYS OF INPATIENT CARE TO 3,129 ACUTE PATIENTS; 1,544 DAYS OF INPATIENT REHABILITATIVE CARE TO 132 PATIENTS; 402 DAYS OF CARE TO 40 SKILLED NURSING PATIENTS; 2,536 DAYS OF INPATIENT GERIATRIC PSYCH TO 208 GERIATRIC PATIENTS; AND 56,022 OUTPATIENT SERVICE VISITS. 1024762 627835 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, 30,831 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 AND TO ENROLLEES OF THE COMMUNITY CHILD CARE CENTER LOCATED ON OUR CAMPUS. 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. 60435570 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 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 1 1 1 0 0 1 86 0 1 870 1 1 1 0 0 0 0 0 0 0 0 0 X 17 15 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 PAST CHAIR OF THE BOARD 5.00 X X 0 0 0 JIM HEINICKE CHAIR OF THE BOARD 5.00 X X 0 0 0 BONNIE SOWERS TREASURER 5.00 X X 0 0 0 RAY PENNER VICE 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/HOSPITA 40.00 X 194142 0 21020 JIM STUCKY BOARD OF DIRECTORS 5.00 X 0 0 0 EVELYN GREGG SECRETARY 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 ASST SECRETARY 5.00 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 BOARD OF DIRECTORS 5.00 X 0 0 0 STEVEN G KELLY PRESIDENT/CEO 40.00 X 410310 0 2600 TODD R KASITZ VICE PRESIDENT/CFO 40.00 X 184052 0 21312 J MICHAEL KELLER VICE PRESIDENT/COO 40.00 X 217376 0 12629 VALLERIE GLEASON VICE PRESIDENT/PHYSICIAN S 40.00 X 198032 0 14436 THEODORE R COOK CHIEF MEDICAL DIRECTOR 40.00 X 277182 0 16886 RYAN LIVERMORE MD ORTHOPEDIC SURGEON 40.00 X 521544 0 25706 JAMES PIGG MD ORTHOPEDIC SURGEON 40.00 X 517067 0 11146 CHARLES CRAIG MD ORTHOPEDIC SURGEON 40.00 X 406593 0 12499 SUSAN LOVELLE MD PLASTIC SURGEON 40.00 X 457490 0 24641 PAUL BOGNER MD GENERAL SURGEON 40.00 X 303253 0 7463 3687041 0 170338 38 0 1 0 HUTTON CONSTRUCTION 2229 S WEST ST WICHITA KS 67213 BUILDING/CONSTRUCTION 1165693 AMERICAN RED CROSS PO BOX 730040 DALLAS TX 75373 BLOOD SERVICE 405892 CASCADE HEALTH SERVICES 1045 SWIFT AVE NORTH KANSAS CITY MO 64116 CONTRACT NURSING 279631 IATRIC SYSTEMS 27 GREAT POND DR BOXFORD MA 01921 IT SERVICES 212996 SOUTH KANSAS LITHOTRIPSY LLP 9825 SPECTRUM DR BLDG 3 AUSTIN TX 78717 LITHOTRIPSY SERVICES 209079 23 1006621 174582 1181203 PATIENT SERVICES 900099 50539231 50539231 MEDICARE/MEDICAID PMTS 900099 19731917 19731917 DIETARY SERVICES 722210 627835 627835 PATIENT SERVICES 621500 190135 190135 NON-PATIENT SERVICES 621990 101907 101907 9711 9711 71200736 1140295 1140295 25293 0 25293 25293 25293 11445996 59856 11537968 79320 -91972 -19464 -111436 -111436 RENTS 900099 938823 910780 28043 REIMB & MISC 900099 670583 670583 FEES 900099 193167 193167 98497 98497 1901070 75337161 71464063 227889 2464006 1060500 1060500 5010 5010 1602534 536030 1066504 31757657 27385652 4292838 79167 803708 672685 129116 1907 2652335 2219941 426100 6294 2155109 1803775 346220 5114 186995 186995 32335 32335 102403 102403 4699523 3063690 1635833 171067 29503 141564 1082682 771128 310817 737 96270 40998 54772 500 148413 52206 94832 1375 673409 456486 216386 537 5040398 3674159 1364799 1440 617396 327094 290302 SUPPLIES 12576563 12177921 398634 8 BAD DEBTS 4207304 4207304 REPAIRS/MAINTENANCE 2600979 1580191 1020788 MEDICAID ASSESSMENT 496289 496289 1022368 371297 633918 17153 73791247 60435570 13241445 114232 X 3794058 3167093 8980607 8821184 1132489 1025801 1695216 1673058 1611564 1813912 87779948 49354209 37122814 38425739 33902236 34548471 421473 189760 88660457 89665018 5875640 5975684 964000 15805000 14510000 151872 116629 861321 808198 22693833 22374511 X 65957660 67254990 8964 35517 65966624 67290507 88660457 89665018 X 1545914 -219370 -2661 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8964 26553 35517 2440 6524 8964 1170 1270 2440 480 690 1170 0 480 480 0.00000 1.00000 0.00000 0 0 1238359 1238359 42831539 19972021 22859518 39564138 27013235 12550903 4145912 2368953 1776959 38425739 SELF INSURANCE LIABILITY 661357 SPECIAL ASSESSMENTS PAYABLE 123844 ANNUITIES PAYABLE 22997 808198 70805423 -219370 -2661 -222031 71027454 102403 4207304 4309707 75337161 69481540 0 69481540 102403 4207304 4309707 73791247 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 1 1 X 1 X 1 X 1 1 0 1 1 1145 1256333 612966 643367 0.00920 11491 9266386 7301093 1965293 0.02820 12636 10522719 7914059 2608660 0.03740 6 1617 341169 125 341044 0.00490 1 69504 69504 0.00100 2 107946 675 107271 0.00150 9 1617 518619 800 517819 0.00740 9 14253 11041338 7914859 3126479 0.04480 1 35002 201997 96000 105997 0.00150 1 139 9424 9424 0.00010 2 35141 211421 96000 115421 0.00160 1 1431414 497083 17411413 26327673 -8916260 X 1 1 1 NEWTON CARDIAC SERVICES LLC OPERATION OF A CARDIAC CATHETERIZATION LAB - DISSOLVED AS OF 12/31/14 0.66670 0.00000 0.33330 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 12 1 1 1 1 X WWW.NEWTONMED.COM X 1 13 1 WWW.NEWTONMED.COM 0 0 1 X 200.000000000000 200.000000000000 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. THE MEETINGS WERE CONDUCTED ON OCTOBER 23, 2012, OCTOBER 30, 2012 AND NOVEMBER 6, 2012. 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. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY NEWTON MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: WWW.NEWTONMED.COM NEWTON MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: WWW.NEWTONMED.COM NEWTON MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: WWW.NEWTONMED.COM 12 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 DIABETES & ENDOCRINOLOGY SPECIALISTS 800 MEDICAL CENTER DR 2ND FLOOR NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC AREA PSYCHIATRIC SERVICES 700 MEDICAL CENTER DR STE 101 NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC ALLEN EYE ASSOCIATES 700 MEDICAL CENTER DR STE 110 NEWTON KS 67114 OUTPATIENT PHYSICIAN CLINIC MIDWEST OCCUPATIONAL MEDICINE 3343 W CENTRAL WICHITA KS 67203 OCCUPATIONAL MEDICINE CLINIC MEDICAL PLAZA OF HILLSBORO 122 N MAIN ST HILLSBORO KS 67063 OUTPATIENT PHYSICIAN CLINIC 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) $4,207,304 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 2015 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 GREATER WICHITA YMCA 402 N MARKET WICHITA KS 67202 501(C)(3) 964000 96500 BOOK LAND & IN-KIND SUPPORT PROMOTE & BUILD YMCA FACILITY IN NEWTON COMMUNITY 1 0 EMERGENCY ASSISTANCE TO EMPLOYEES THROUGH NMC CARES PROGRAM 11 5010 X 1 1 X X X X X 0 1 0 1 0 0 0 0 0 DOYLE DETWEILER MD BOARD OF DIRECTORS/HOSPITA 194142 0 0 0 0 0 7097 0 13923 0 215162 0 0 0 STEVEN G KELLY PRESIDENT/CEO 410310 0 0 0 0 0 10528 0 8957 0 429795 0 0 0 TODD R KASITZ VICE PRESIDENT/CFO 184052 0 0 0 0 0 7389 0 13923 0 205364 0 0 0 J MICHAEL KELLER VICE PRESIDENT/COO 217376 0 0 0 0 0 6185 0 6444 0 230005 0 0 0 VALLERIE GLEASON VICE PRESIDENT/PHYSICIAN S 198032 0 0 0 0 0 7494 0 6942 0 212468 0 0 0 THEODORE R COOK CHIEF MEDICAL DIRECTOR 277182 0 0 0 0 0 2963 0 13923 0 294068 0 0 0 RYAN LIVERMORE MD ORTHOPEDIC SURGEON 521544 0 0 0 0 0 11783 0 13923 0 547250 0 0 0 JAMES PIGG MD ORTHOPEDIC SURGEON 517067 0 0 0 0 0 11146 0 0 0 528213 0 0 0 CHARLES CRAIG MD ORTHOPEDIC SURGEON 406593 0 0 0 0 0 12499 0 0 0 419092 0 0 0 SUSAN LOVELLE MD PLASTIC SURGEON 457490 0 0 0 0 0 10718 0 13923 0 482131 0 0 0 PAUL BOGNER MD GENERAL SURGEON 303253 0 0 0 0 0 7463 0 0 0 310716 0 0 0 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 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 83183 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 NANCY CRAIG BOARD MEMBER SPOUSE OF EMPLOYED PHYSICIAN 0 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 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 -2,661. FORM 990, PART XII, LINE 2C NO CHANGES TO AUDITOR OVERSIGHT OR SELECTION PROCESS FORM 990, HEADER SECTION B RETURN WAS AMENDED TO INCLUDE $964,000 CONTRIBUTION PLEDGED TO GREATER WICHITA YMCA. THIS ADDITION CHANGED THE FOLLOWING: - FORM 990, PART IX, LINES 1 AND 25 - FORM 990, PART X, LINES 18 AND 27 - FORM 990, PART XI, LINES 2, 3 AND 10 - FORM 990, SCHEDULE I, PART II NEWTON CARDIAC SERVICES LLC 600 MEDICAL CENTER DRIVE NEWTON KS 67114 263383510 CARDIAC CATH LAB KS NEWTON HEALTHCARE CORPORATION RELATED 39877 0 1 0.66670 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 NEWTON CARDIAC SERVICES LLC A 41481 FAIR MARKET RENT NEWTON CARDIAC SERVICES LLC K 193623 INDEPENDENT CONSULTANT NEWTON CARDIAC SERVICES LLC Q 25893 ESTIMATED COST NEWTON CARDIAC SERVICES LLC S 123864 BOOK VALUE