NEWTON HEALTHCARE CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NEWTON HEALTHCARE CORPORATION (EIN 48-1040759)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201441349349302329
- Schema version
- 2012v2.1
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T11:20:37-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480764317 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNUDSEN MONROE & COMPANY LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481040759 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON HEALTHCARE CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NEWT | NameControl |
| Phone | 3162832700 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TODD KASITZ | Name |
| Title | VP/CEO | Title |
| Phone | 3168046096 | Phone |
| Date Signed | 2014-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY B ELLIOTT | Name |
| PTIN | P00503103 | PTIN |
| Phone | 3162835366 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TODD KASITZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 87787132 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | NEWTONMEDICALCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 781 | TotalNbrEmployees |
| Total Nbr Volunteers | 116 | TotalNbrVolunteers |
| Total Gross UBI | 260708 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2027263 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 262816 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 63324170 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 66467059 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1035122 | InvestmentIncomePriorYear |
| Investment Income Current Year | 973383 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 469776 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1032017 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 66856331 | TotalRevenuePriorYear |
| Total Revenue Current Year | 68735275 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 59403 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 97505 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31284733 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 35014389 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 117569 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29828905 | OtherExpensePriorYear |
| Other Expenses Current Year | 32719974 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61173041 | TotalExpensesPriorYear |
| Total Expenses Current Year | 67831868 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5683290 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 903407 | RevenuesLessExpensesCY |
| Total Assets BOY | 84937834 | TotalAssetsBOY |
| Total Assets EOY | 85069901 | TotalAssetsEOY |
| Total Liabilities BOY | 23502897 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 23061959 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 61434937 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 62007942 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 55596528 | Expense |
| Grants | 97505 | Grants |
| Revenue | 65537280 | Revenue |
| Description | 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 2013, THE HOSPITAL PROVIDED 11,541 DAYS OF INPATIENT CARE TO 2,734 ACUTE PATIENTS; 1,626 DAYS OF INPATIENT REHABILITATIVE CARE TO 143 PATIENTS; 316 DAYS OF CARE TO 38 SKILLED NURSING PATIENTS; 1,926 DAYS OF INPATIENT GERIATRIC PSYCH TO 203 GERIATRIC PATIENTS; AND 68,597 OUTPATIENT SERVICE VISITS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1310644 | Expense |
| Revenue | 509475 | Revenue |
| Description | 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, 27,907 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COMMUNITY SERVICES - NEWTON HEALTHCARE CORP OFFERS A NUMBER OF PROGRAMS AND SERVICES TO THE OCMMUNITY 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 56907172 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 46 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 781 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TODD KASITZ | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3168046096 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| NANCY CRAIG | ||||||||
| CHAIR OF BOARD | 5.00 | X | X | 0 | 0 | 0 | ||
| DARRELL CONRADE | ||||||||
| VICE CHAIR | 5.00 | X | X | 0 | 0 | 0 | ||
| JIM HEINICKE | ||||||||
| TREASURER | 5.00 | X | X | 0 | 0 | 0 | ||
| BONNIE SOWERS | ||||||||
| SECRETARY | 5.00 | X | X | 0 | 0 | 0 | ||
| RAY PENNER | ||||||||
| ASST SECRETARY | 5.00 | X | X | 0 | 0 | 0 | ||
| ROGER AHRENS | ||||||||
| PAST CHAIR | 5.00 | 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 | 5.00 | X | 172281 | 0 | 13886 | |||
| JIM STUCKY | ||||||||
| BOARD OF DIRECTORS | 5.00 | X | 0 | 0 | 0 | |||
| EVELYN GREGG | ||||||||
| BOARD OF DIRECTORS | 5.00 | X | 0 | 0 | 0 | |||
| TED ICE | ||||||||
| BOARD OF DIRECTORS | 5.00 | X | 0 | 0 | 0 | |||
| JOCELYN KASITZ | ||||||||
| BOARD OF DIRECTORS | 5.00 | X | 0 | 0 | 0 | |||
| RON LANG | ||||||||
| BOARD OF DIRECTORS | 5.00 | X | 0 | 0 | 0 | |||
| DEBBIE PALACIOZ | ||||||||
| BOARD OF DIRECTORS | 5.00 | X | 0 | 0 | 0 | |||
| ROBERT ROESER DO | ||||||||
| BOARD OF DIRECTORS/CHIEF | 5.00 | X | 0 | 0 | 0 | |||
| KLEE WATCHOUS | ||||||||
| BOARD OF DIRECTORS | 5.00 | X | 0 | 0 | 0 | |||
| STEVEN G KELLY | ||||||||
| PRESIDENT/CEO | 40.00 | X | 390159 | 0 | 2600 | |||
| PAUL LAVENDER | ||||||||
| VICE PRESIDENT/CFO | 40.00 | X | 192582 | 0 | 10239 | |||
| TODD R KASITZ | ||||||||
| VICE PRESIDENT/CFO | 40.00 | X | 38734 | 0 | 3441 | |||
| J MICHAEL KELLER | ||||||||
| VICE PRESIDENT/COO | 40.00 | 188076 | 0 | 11045 | X | |||
| VALLERIE GLEASON | ||||||||
| VICE PRESIDENT/PHYSICIAN SERVICES | 40.00 | 195885 | 0 | 7975 | X | |||
| THEODORE R COOK | ||||||||
| CHIEF MEDICAL DIRECTOR | 40.00 | 281049 | 0 | 12327 | X | |||
| COLIN WINDHAM | ||||||||
| ER PHYSICIAN | 40.00 | 252435 | 0 | 10510 | X | |||
| RUSSELL HORN | ||||||||
| FAMILY PRACTICE DOCTOR | 40.00 | 263697 | 0 | 14436 | X | |||
| MARNIE VAN BECELAERE | ||||||||
| ER PHYSICIAN | 40.00 | 244718 | 0 | 11687 | X | |||
| SUSAN LOVELLE | ||||||||
| PLASTIC SURGEON | 40.00 | 325278 | 0 | 18506 | X | |||
| KEVIN BRINKER | ||||||||
| ER PHYSICIAN | 40.00 | 239178 | 0 | 11960 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2784072 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 128612 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HUTTON CONSTRUCTION | |||||
| 2229 S WEST ST | WICHITA | KS | 67213 | BUILDING/CONSTRUCTION | 1048109 |
| ARMSTRONG CHAMBERLIN | |||||
| 428 PATTIE | WICHITA | KS | 67211 | MARKETING | 611729 |
| NEWTON CARDIAC SERVICES | |||||
| 600 MEDICAL CENTER DRIVE | NEWTON | KS | 67114 | CARDIAC CATH LAB | 513045 |
| AMERICAN RED CROSS | |||||
| PO BOX 730040 | DALLAS | TX | 75373 | BLOOD SERVICE | 405726 |
| CASCADE HEALTH SERVICES | |||||
| 1045 SWIFT AVE | NORTH KANSAS CITY | MO | 64116 | CONTRACT NURSING | 248614 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Government Grants | 197063 | GovernmentGrants |
| All Other Contributions | 65753 | AllOtherContributions |
| Total Contributions | 262816 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| PATIENT SERVICES | 900099 | 49298146 | 49298146 | ||
| MEDICARE/MEDICAID PMTS | 900099 | 16427535 | 16427535 | ||
| DIETARY SERVICES | 722210 | 509475 | $509,475 | ||
| NON-PATIENT SERVICES | 621990 | 136164 | 136164 | ||
| PATIENT SERVICES | 621500 | 55886 | 55886 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39853 | TotalRevenueColumn |
| Unrelated Business Revenue | 39853 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 66467059 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1174136 | TotalRevenueColumn |
| Unrelated Business Revenue | 152263 | UnrelatedBusinessRevenue |
| Exclusion | $1,021,873 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4730 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4730 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4730 | TotalRevenueColumn |
| Exclusion | $4,730 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 18812540 | Securities |
| Other | 28029 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 18923350 | Securities |
| Other | 117972 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -110810 | Securities |
| Other | -89943 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -200753 | TotalRevenueColumn |
| Related Or Exempt Function Income | -200753 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 34105 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 10535 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23570 | TotalRevenueColumn |
| Exclusion | $23,570 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| REIMB & MISC | 900099 | 605348 | $605,348 | ||
| RENTS | 900099 | 235167 | 222461 | 12706 | |
| FEES | 900099 | 114628 | 114628 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48574 | TotalRevenueColumn |
| Related Or Exempt Function Income | 48574 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1003717 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68735275 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66046755 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 260708 | UnrelatedBusinessRevenue |
| Exclusion | $2,164,996 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91372 | Total |
| Program Services | 91372 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6133 | Total |
| Program Services | 6133 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1705487 | Total |
| Program Services | 510984 | ProgramServices |
| Management And General | 1194503 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27676875 | Total |
| Program Services | 24176834 | ProgramServices |
| Management And General | 3441600 | ManagementAndGeneral |
| Fundraising | 58441 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422759 | Total |
| Program Services | 355213 | ProgramServices |
| Management And General | 66705 | ManagementAndGeneral |
| Fundraising | 841 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3274144 | Total |
| Program Services | 2751020 | ProgramServices |
| Management And General | 516612 | ManagementAndGeneral |
| Fundraising | 6512 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1935124 | Total |
| Program Services | 1625941 | ProgramServices |
| Management And General | 305334 | ManagementAndGeneral |
| Fundraising | 3849 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151708 | Total |
| Management And General | 151708 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30220 | Total |
| Management And General | 30220 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5217687 | Total |
| Program Services | 4240149 | ProgramServices |
| Management And General | 973761 | ManagementAndGeneral |
| Fundraising | 3777 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 610649 | Total |
| Program Services | 121173 | ProgramServices |
| Management And General | 489476 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1176091 | Total |
| Program Services | 924071 | ProgramServices |
| Management And General | 251371 | ManagementAndGeneral |
| Fundraising | 649 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92891 | Total |
| Program Services | 42995 | ProgramServices |
| Management And General | 49753 | ManagementAndGeneral |
| Fundraising | 143 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83760 | Total |
| Program Services | 58687 | ProgramServices |
| Management And General | 25073 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 841132 | Total |
| Program Services | 574708 | ProgramServices |
| Management And General | 265705 | ManagementAndGeneral |
| Fundraising | 719 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4357001 | Total |
| Program Services | 3212986 | ProgramServices |
| Management And General | 1142641 | ManagementAndGeneral |
| Fundraising | 1374 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 585683 | Total |
| Program Services | 291098 | ProgramServices |
| Management And General | 294585 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 11090196 | 10836918 | 242691 | 10587 |
| BAD DEBTS | 5120625 | 5120625 | ||
| REPAIRS/MAINTENANCE | 1862601 | 1401625 | 459110 | 1866 |
| MISCELLANEOUS | 438478 | 189002 | 241702 | 7774 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1061252 | Total |
| Program Services | 375638 | ProgramServices |
| Management And General | 664577 | ManagementAndGeneral |
| Fundraising | 21037 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67831868 | Total |
| Program Services | 56907172 | ProgramServices |
| Management And General | 10807127 | ManagementAndGeneral |
| Fundraising | 117569 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | X | JointCosts |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3155919 | BOY |
| EOY | 2778091 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9816443 | BOY |
| EOY | 10169778 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1235000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1551948 | BOY |
| EOY | 1607664 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1806244 | BOY |
| EOY | 1746059 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 79163827 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 43104076 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29308215 | BOY |
| EOY | 36059751 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32206297 | BOY |
| EOY | 31112991 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 335432 | BOY |
| EOY | 360567 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6757336 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84937834 | BOY |
| EOY | 85069901 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5664387 | BOY |
| EOY | 5311921 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17290000 | BOY |
| EOY | 16715000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222359 | BOY |
| EOY | 187115 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 326151 | BOY |
| EOY | 847923 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23502897 | BOY |
| EOY | 23061959 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61433767 | BOY |
| EOY | 62005502 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1170 | BOY |
| EOY | 2440 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61434937 | BOY |
| EOY | 62007942 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84937834 | BOY |
| EOY | 85069901 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 903407 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -343906 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 13504 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1294630 | OtherCostOrOtherBasis |
| Book Value | 1294630 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40118010 | OtherCostOrOtherBasis |
| Depreciation | 16859980 | Depreciation |
| Book Value | 23258030 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33671371 | OtherCostOrOtherBasis |
| Depreciation | 24166851 | Depreciation |
| Book Value | 9504520 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4079816 | OtherCostOrOtherBasis |
| Depreciation | 2077245 | Depreciation |
| Book Value | 2002571 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 36059751 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURANCE LIABILITY | $679,604 |
| SPECIAL ASSESSMENTS PAYABLE | $143,240 |
| ANNUITIES PAYABLE | $25,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 847923 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 68415408 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -343906 | NetUnrealizedGainsInvestments |
| Other Revenues | 13504 | OtherRevenues |
| Revenue Not Rptd F990 | -330402 | RevenueNotRptdF990 |
| Revenue Subtotal | 68745810 | RevenueSubtotal |
| Other Revenues Not Included | -10535 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -10535 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 68735275 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 67842403 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 10535 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 10535 | ExpensesNotRptdF990 |
| Expenses Subtotal | 67831868 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 67831868 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF ANNUITY OBLIGATIONS |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DIRECT EXPENSES FROM FUNDRAISING EVENTS |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT EXPENSES FROM FUNDRAISING EVENTS |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HARVEST MOON GALA | NameOfEvent1 |
| Gross Receipts Event1 | 34105 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 34105 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 3104 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 7431 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 34105 | GrossReceiptsTotal |
| Gross Revenue Total Events | 34105 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 3104 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 7431 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 10535 | DirectExpenseSummaryEvents |
| Net Income Summary | 23570 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1395 | PersonsServed |
| Total Community Benefit Expense | 800246 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 545981 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 254265 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8080 | PersonsServed |
| Total Community Benefit Expense | 7280639 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4461581 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2819058 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04500 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9475 | PersonsServed |
| Total Community Benefit Expense | 8080885 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5007562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3073323 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04910 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 1618 | PersonsServed |
| Total Community Benefit Expense | 248232 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 248232 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 30 | PersonsServed |
| Total Community Benefit Expense | 81496 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 81496 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 49402 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 49402 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 1648 | PersonsServed |
| Total Community Benefit Expense | 379130 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 379130 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 11123 | PersonsServed |
| Total Community Benefit Expense | 8460015 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5007562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3452453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05520 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 25376 | PersonsServed |
| Total Community Building Expense | 155586 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 88000 | DirectOffsettingRevenue |
| Net Community Building Expense | 67586 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 25376 | PersonsServed |
| Total Community Building Expense | 155586 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 88000 | DirectOffsettingRevenue |
| Net Community Building Expense | 67586 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,086,310 | BadDebtExpenseAmount |
| Amount Attributable To | 329870 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 15534457 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 21884453 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6349996 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NEWTON CARDIAC SERVICES LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OPERATION OF A CARDIAC CATHETERIZATION LAB | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.66670 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.33330 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON MEDICAL CENTER | BusinessNameLine1 |
Address Address
| 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) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 0 | UsesFPGFree |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 8 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MEDICAL PLAZA OF VALLEY CENTER | ||||
| 641 N SENECA | VALLEY CENTER | KS | 67147 | OUTPATIENT PHYSICIAN CLINIC |
| ADVANCED NEUROLOGY CONSULTANTS | ||||
| 800 MEDICAL CENTER DR STE 210 | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| MEDICAL PLAZA OF PARK CITY | ||||
| 1755 E 61ST ST N | PARK CITY | KS | 67219 | OUTPATIENT PHYSICIAN CLINIC |
| LOVELLE PLASTIC SURGERY | ||||
| 700 MEDICAL CENTER DR STE 110 | 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 |
| NEWTON SURGICAL GROUP | ||||
| 800 MEDICAL CENTER DR 2ND FLOOR | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
| ORTHOPEDIC PHYSICIAN CLINIC | ||||
| 800 MEDICAL CENTER DR 2ND FLOOR | NEWTON | KS | 67114 | OUTPATIENT PHYSICIAN CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: USED THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 | |
| PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) $5,120,625 | |
| PART III, LINE 4: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS REPORTED ON LINE 2, WAS CALCULATED USING WORKSHEET A.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 8: USED THE F/Y 2013 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. PATIENTS ARE NOTIFIED OF THE PROGRAM THROUGH THE BROCHURE "PAYING FOR YOUR CARE". 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 NO LONGER QUALIFY FOR THE HEALTHCARE ASSISTANCE PROGRAM. | |
| 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. | NEWTON MEDICAL CENTER |
| PART V, SECTION B, LINE 14G: REGISTRATION PERSONNEL REFER THE UNINSURED/LOW INCOME PATIENTS TO FINANCIAL COUNSELORS | NEWTON MEDICAL CENTER |
| PART V, SECTION B, LINE 20D: ALL PATIENT CHARGES ARE BASED ON STANDARD BILLING RATES IN THE CHARGE DATA MASTER FILE | NEWTON MEDICAL CENTER |
| PART V, SECTION B, LINE 22: ALL PATIENT CHARGES ARE BASED ON STANDARD BILLING RATES IN THE CHARGE DATA MASTER. IF PATIENTS DO NOT QUALIFY FOR HEALTHCARE ASSISTANCE OR HAVE ANY FORM OF INSURANCE, THEY ARE RESPONSIBLE FOR THEIR GROSS CHARGES. | NEWTON MEDICAL CENTER |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| CENTRAL KANSAS COUMMUNITY FOUNDATION | |||||||||
| 301 N MAIN SUITE 201 | NEWTON | KS | 67114 | 481221368 | 501(C)(3) | 16372 | BOOK | MANAGEMENT SERVICES | PROVIDE MANAGEMENT SERVICES TO COMMUNITY FOUNDATION |
| CENTRAL HOMECARE | |||||||||
| 606 N MAIN SUITE 202 PO BOX 645 | NEWTON | KS | 67114 | 480981197 | 501(C)(3) | 75000 | OPERATIONS ASSISTANCE | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EMERGENCY ASSISTANCE TO EMPLOYEES THROUGH NMC CARES PROGRAM | TypeOfGrant |
| Number Of Recipients | 24 | NumberOfRecipients |
| Amount Of Cash Grant | 6133 | AmountOfCashGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOYLE DETWEILER MD | ||||||||||||||
| BOARD OF DIRECTORS/HOSPITA | 172281 | 0 | 0 | 0 | 0 | 0 | 3642 | 0 | 10244 | 0 | 186167 | 0 | 0 | 0 |
| STEVEN G KELLY | ||||||||||||||
| PRESIDENT/CEO | 390159 | 0 | 0 | 0 | 0 | 0 | 2832 | 0 | 6578 | 0 | 399569 | 0 | 0 | 0 |
| PAUL LAVENDER | ||||||||||||||
| VICE PRESIDENT/CFO | 192582 | 0 | 0 | 0 | 0 | 0 | 3661 | 0 | 6578 | 0 | 202821 | 0 | 0 | 0 |
| J MICHAEL KELLER | ||||||||||||||
| VICE PRESIDENT/COO | 188076 | 0 | 0 | 0 | 0 | 0 | 3702 | 0 | 7343 | 0 | 199121 | 0 | 0 | 0 |
| VALLERIE GLEASON | ||||||||||||||
| VICE PRESIDENT/PHYSICIAN SERVICES | 195885 | 0 | 0 | 0 | 0 | 0 | 2815 | 0 | 5160 | 0 | 203860 | 0 | 0 | 0 |
| THEODORE R COOK | ||||||||||||||
| CHIEF MEDICAL DIRECTOR | 281049 | 0 | 0 | 0 | 0 | 0 | 2083 | 0 | 10244 | 0 | 293376 | 0 | 0 | 0 |
| COLIN WINDHAM | ||||||||||||||
| ER PHYSICIAN | 252435 | 0 | 0 | 0 | 0 | 0 | 5350 | 0 | 5160 | 0 | 262945 | 0 | 0 | 0 |
| RUSSELL HORN | ||||||||||||||
| FAMILY PRACTICE DOCTOR | 263697 | 0 | 0 | 0 | 0 | 0 | 4192 | 0 | 10244 | 0 | 278133 | 0 | 0 | 0 |
| MARNIE VAN BECELAERE | ||||||||||||||
| ER PHYSICIAN | 244718 | 0 | 0 | 0 | 0 | 0 | 5209 | 0 | 6478 | 0 | 256405 | 0 | 0 | 0 |
| SUSAN LOVELLE | ||||||||||||||
| PLASTIC SURGEON | 325278 | 0 | 0 | 0 | 0 | 0 | 8262 | 0 | 10244 | 0 | 343784 | 0 | 0 | 0 |
| KEVIN BRINKER | ||||||||||||||
| ER PHYSICIAN | 239178 | 0 | 0 | 0 | 0 | 0 | 1716 | 0 | 10244 | 0 | 251138 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| TAX-EXEMPT ECONOMIC DEVELOPMENT REVENUE BONDS SERIES 2007A | ||||||||
| A | 486004391 | 652872AB8 | 2007-03-08 | 7500000 | BUILDINGS AND STRUCTURES | 0 | 0 | 0 |
| VARIABLE RATE DEMAND HOSPITAL REFUNDING REVENUE BONDS SERIES 2008 | ||||||||
| B | 486004391 | 652874BP2 | 2008-08-21 | 11385000 | REFUNDING | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Refunding EscrowRefundingEscrow |
|---|---|---|---|---|---|---|---|---|---|
| A | 7500000 | 121912 | 7378088 | 2007 | 0 | 0 | 1 | 1 | |
| B | 11385000 | 158925 | 2008 | 1 | 0 | 1 | 1 | 1226075 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| STEVEN CHRISTOPHER KELLY | |||
| FAMILY MEMBER OF OFFICER | 71653 | 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 | 41866 | EMPLOYEE | 0 |
| NANCY CRAIG | |||
| BOARD MEMBER | SPOUSE OF EMPLOYED PHYSICIAN | 0 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 13,504. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | NO CHANGES TO AUDITOR OVERSIGHT OR SELECTION PROCESS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON CARDIAC SERVICES LLC | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | CARDIAC CATH LAB | PrimaryActivity |
| Legal Domicile State | KS | LegalDomicileState |
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 | PredominantIncomeType |
| Share Of Total Income | 48182 | ShareOfTotalIncome |
| Share Of EOY Assets | 409918 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.66670 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON MEDICAL MANAGEMENT INC | BusinessNameLine1 |
Address US AddressUS
| 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 | 481180924 | EIN |
| Primary Activity | MEDICAL BUILDING LESSOR | PrimaryActivity |
| Legal Domicile State | KS | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON HEALTHCARE CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 7911 | ShareOfTotalIncome |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 1 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| NEWTON MEDICAL MANAGEMENT | ||
| K | 82336 | CASH PAID |
| NEWTON MEDICAL MANAGEMENT | ||
| A | 152263 | INTEREST ON INTER-CO RECEIVABLE |
| NEWTON CARDIAC SERVICES LLC | ||
| A | 79371 | RENT ON CARDIAC LAB FACILITIES |
| NEWTON CARDIAC SERVICES LLC | ||
| F | 12000 | CASH RECEIVED |
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