2014-05-14T11:20:37-05:00 2013-06-30 480764317 KNUDSEN MONROE & COMPANY LLC 301 N MAIN SUITE 110 NEWTON KS 671143459 990 2012-07-01 481040759 NEWTON HEALTHCARE CORPORATION NEWT 3162832700 PO BOX 308 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 TODD KASITZ 3168046096 2014-05-13 1 AMY B ELLIOTT P00503103 3162835366 2012 2015-11-30 17:44:51Z TODD KASITZ PO BOX 308 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 87787132 0 X NEWTONMEDICALCENTER.ORG 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. 18 17 781 116 260708 0 2027263 262816 63324170 66467059 1035122 973383 469776 1032017 66856331 68735275 59403 97505 0 0 31284733 35014389 0 0 117569 29828905 32719974 61173041 67831868 5683290 903407 84937834 85069901 23502897 23061959 61434937 62007942 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 55596528 97505 65537280 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. 1310644 509475 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. 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. 56907172 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 46 0 1 781 1 1 1 0 0 0 0 0 0 0 X 18 17 0 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 5.00 X X 0 0 0 DARRELL CONRADE 5.00 X X 0 0 0 JIM HEINICKE 5.00 X X 0 0 0 BONNIE SOWERS 5.00 X X 0 0 0 RAY PENNER 5.00 X X 0 0 0 ROGER AHRENS 5.00 X 0 0 0 WILLIS HECK 5.00 X 0 0 0 TROY HOLDEMAN MD 5.00 X 0 0 0 RANDALL V GOERING MD 5.00 X 0 0 0 DOYLE DETWEILER MD 5.00 X 172281 0 13886 JIM STUCKY 5.00 X 0 0 0 EVELYN GREGG 5.00 X 0 0 0 TED ICE 5.00 X 0 0 0 JOCELYN KASITZ 5.00 X 0 0 0 RON LANG 5.00 X 0 0 0 DEBBIE PALACIOZ 5.00 X 0 0 0 ROBERT ROESER DO 5.00 X 0 0 0 KLEE WATCHOUS 5.00 X 0 0 0 STEVEN G KELLY 40.00 X 390159 0 2600 PAUL LAVENDER 40.00 X 192582 0 10239 TODD R KASITZ 40.00 X 38734 0 3441 J MICHAEL KELLER 40.00 X 188076 0 11045 VALLERIE GLEASON 40.00 X 195885 0 7975 THEODORE R COOK 40.00 X 281049 0 12327 COLIN WINDHAM 40.00 X 252435 0 10510 RUSSELL HORN 40.00 X 263697 0 14436 MARNIE VAN BECELAERE 40.00 X 244718 0 11687 SUSAN LOVELLE 40.00 X 325278 0 18506 KEVIN BRINKER 40.00 X 239178 0 11960 2784072 0 128612 32 0 1 0 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 16 197063 65753 262816 PATIENT SERVICES 900099 49298146 49298146 MEDICARE/MEDICAID PMTS 900099 16427535 16427535 DIETARY SERVICES 722210 509475 509475 NON-PATIENT SERVICES 621990 136164 136164 PATIENT SERVICES 621500 55886 55886 39853 39853 66467059 1174136 152263 1021873 4730 0 4730 4730 4730 18812540 28029 18923350 117972 -110810 -89943 -200753 -200753 34105 10535 23570 23570 REIMB & MISC 900099 605348 605348 RENTS 900099 235167 222461 12706 FEES 900099 114628 114628 48574 48574 1003717 68735275 66046755 260708 2164996 91372 91372 6133 6133 1705487 510984 1194503 27676875 24176834 3441600 58441 422759 355213 66705 841 3274144 2751020 516612 6512 1935124 1625941 305334 3849 151708 151708 30220 30220 5217687 4240149 973761 3777 610649 121173 489476 1176091 924071 251371 649 92891 42995 49753 143 83760 58687 25073 841132 574708 265705 719 4357001 3212986 1142641 1374 585683 291098 294585 SUPPLIES 11090196 10836918 242691 10587 BAD DEBTS 5120625 5120625 REPAIRS/MAINTENANCE 1862601 1401625 459110 1866 MISCELLANEOUS 438478 189002 241702 7774 1061252 375638 664577 21037 67831868 56907172 10807127 117569 X 3155919 2778091 9816443 10169778 1235000 1551948 1607664 1806244 1746059 79163827 43104076 29308215 36059751 32206297 31112991 335432 360567 6757336 0 84937834 85069901 5664387 5311921 17290000 16715000 222359 187115 326151 847923 23502897 23061959 X 61433767 62005502 1170 2440 61434937 62007942 84937834 85069901 X 903407 -343906 13504 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1294630 1294630 40118010 16859980 23258030 33671371 24166851 9504520 4079816 2077245 2002571 36059751 SELF INSURANCE LIABILITY 679604 SPECIAL ASSESSMENTS PAYABLE 143240 ANNUITIES PAYABLE 25079 847923 68415408 -343906 13504 -330402 68745810 -10535 -10535 68735275 67842403 10535 10535 67831868 0 67831868 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 HARVEST MOON GALA 34105 34105 3104 7431 34105 34105 3104 7431 10535 23570 1 1 1 X 1 X 1 1 0 1 1 1395 800246 545981 254265 0.00410 8080 7280639 4461581 2819058 0.04500 9475 8080885 5007562 3073323 0.04910 5 1618 248232 248232 0.00400 1 30 81496 81496 0.00130 2 49402 49402 0.00080 8 1648 379130 379130 0.00610 8 11123 8460015 5007562 3452453 0.05520 1 25376 155586 88000 67586 0.00110 1 25376 155586 88000 67586 0.00110 1 2086310 329870 15534457 21884453 -6349996 X 1 1 1 NEWTON CARDIAC SERVICES LLC OPERATION OF A CARDIAC CATHETERIZATION LAB 0.66670 0.00000 0.33330 1 1 NEWTON MEDICAL CENTER

600 MEDICAL CENTER DRIVE NEWTON KS 67114

X X X NEWTON MEDICAL CENTER 1 1 X X X X X X X X X 12 1 1 1 X X X X X X X X X 1 0 1 0 1 300.000000000000 1 X X 1 1 X X X 1 0 1 X 0 1 8 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 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. NEWTON MEDICAL CENTER PART V, SECTION B, LINE 3: REPRESENTATIVES FROM NEWTON MEDICAL CENTER, HARVEY COUNTY HEALTH DEPARTMENT, HEALTH MINISTRIES, PRAIRIE VIEW INC, AND THE CONSULTANT/FACILITATOR CONDUCTED THREE MEETINGS; A VARIETY OF COMMUNITY MEMBERS WERE INVITED AND IN ATTENDANCE. THE GROUP WAS DIVERSE AND REPRESENTED ALL SEGMENTS OF THE COMMUNITY. MEETINGS WERE APPROXIMATELY AN HOUR AND A HALF IN LENGTH. THE TEAM MEMBERS, WITH INPUT FROM THE CONSULTANT, PREPARED AND CONDUCTED A SURVEY OF COMMUNITY ATTITUDES AND ISSUES REGARDING HEALTH AND HEALTH CARE IN THE COUNTY. PARTICIPANTS INCLUDED CONSUMERS, COMMUNITY LEADERS, PUBLIC HEALTH CARE OFFICIALS AND EXPERTS, ECONOMIC AND COMMUNITY DEVELOPMENT SPECIALISTS. THE MEETINGS WERE CONDUCTED ON OCTOBER 23, 2012, OCTOBER 30, 2012 AND NOVEMBER 6, 2012. NEWTON MEDICAL CENTER PART V, SECTION B, LINE 4: PRAIRIE VIEW, INC. 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. 0 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 2 EMERGENCY ASSISTANCE TO EMPLOYEES THROUGH NMC CARES PROGRAM 24 6133 X 1 1 X X X X 0 1 0 1 0 0 0 0 0 DOYLE DETWEILER MD 172281 0 0 0 0 0 3642 0 10244 0 186167 0 0 0 STEVEN G KELLY 390159 0 0 0 0 0 2832 0 6578 0 399569 0 0 0 PAUL LAVENDER 192582 0 0 0 0 0 3661 0 6578 0 202821 0 0 0 J MICHAEL KELLER 188076 0 0 0 0 0 3702 0 7343 0 199121 0 0 0 VALLERIE GLEASON 195885 0 0 0 0 0 2815 0 5160 0 203860 0 0 0 THEODORE R COOK 281049 0 0 0 0 0 2083 0 10244 0 293376 0 0 0 COLIN WINDHAM 252435 0 0 0 0 0 5350 0 5160 0 262945 0 0 0 RUSSELL HORN 263697 0 0 0 0 0 4192 0 10244 0 278133 0 0 0 MARNIE VAN BECELAERE 244718 0 0 0 0 0 5209 0 6478 0 256405 0 0 0 SUSAN LOVELLE 325278 0 0 0 0 0 8262 0 10244 0 343784 0 0 0 KEVIN BRINKER 239178 0 0 0 0 0 1716 0 10244 0 251138 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 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 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 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF ANNUITY OBLIGATION 13,504. FORM 990, PART XII, LINE 2C NO CHANGES TO AUDITOR OVERSIGHT OR SELECTION PROCESS NEWTON CARDIAC SERVICES LLC 600 MEDICAL CENTER DRIVE NEWTON KS 67114 263383510 CARDIAC CATH LAB KS NEWTON HEALTHCARE CORPORATION RELATED 48182 409918 0 1 0.66670 NEWTON MEDICAL MANAGEMENT INC 600 MEDICAL CENTER DRIVE NEWTON KS 67114 481180924 MEDICAL BUILDING LESSOR KS NEWTON HEALTHCARE CORPORATION C 7911 1.00000 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 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