NEWTON HEALTHCARE CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NEWTON HEALTHCARE CORPORATION (EIN 48-1040759)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349304522
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T13:12:22-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KNUDSEN MONROE & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1301 N MAIN SUITE 110AddressLine1
CityNEWTONCity
StateKSState
ZIP Code671143459ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN481040759EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEWTON HEALTHCARE CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWTNameControl
Phone3162832700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 308 600 MEDICAL CENTER DRIVEAddressLine1
CityNEWTONCity
StateKSState
ZIP Code671140308ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL LAVENDERName
TitleVP/CEOTitle
Phone3168046011Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY B ELLIOTTName
Phone3162835366Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAUL LAVENDERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 308 600 MEDICAL CENTER DRIVEAddressLine1
CityNEWTONCity
StateKSState
ZIP Code671140308ZIPCode
FieldValueIRS element (for citing)
Gross Receipts228485601GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNEWTONMEDICALCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTO 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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees727TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI163708TotalGrossUBI
Net Unrelated Business Txbl Income-3597NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year70728ContributionsGrantsPriorYear
Contributions Grants Current Year77755ContributionsGrantsCurrentYear
Program Service Revenue Prior Year129762797ProgramServiceRevenuePriorYear
Program Service Revenue CY135154008ProgramServiceRevenueCY
Investment Income Prior Year1450697InvestmentIncomePriorYear
Investment Income Current Year1349007InvestmentIncomeCurrentYear
Other Revenue Prior Year267244OtherRevenuePriorYear
Other Revenue Current Year353693OtherRevenueCurrentYear
Total Revenue Prior Year131551466TotalRevenuePriorYear
Total Revenue Current Year136934463TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year94670GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY224968GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year28943948SalariesEtcPriorYear
Salaries Etc Current Year29742141SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year109779TotalFundrsngExpCurrentYear
Other Expense Prior Year97538179OtherExpensePriorYear
Other Expenses Current Year103670722OtherExpensesCurrentYear
Total Expenses Prior Year126576797TotalExpensesPriorYear
Total Expenses Current Year133637831TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4974669RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3296632RevenuesLessExpensesCY
Total Assets BOY75781007TotalAssetsBOY
Total Assets EOY79568744TotalAssetsEOY
Total Liabilities BOY23893251TotalLiabilitiesBOY
Total Liabilities EOY23722257TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY51887756NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY55846487NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense63381554Expense
Grants224968Grants
Revenue134604030Revenue
DescriptionPATIENT 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 2011, THE HOSPITAL PROVIDED 11,903 DAYS OF INPATIENT CARE TO 3,001 ACUTE PATIENTS; 1,633 DAYS OF INPATIENT REHABILITATIVE CARE TO 161 PATIENTS; 216 DAYS OF CARE TO 35 SKILLED NURSING PATIENTS; 1,432 DAYS OF INPATIENT GERIATRIC PSYCH TO 156 GERIATRIC PATIENTS; AND 65,219 OUTPATIENT SERVICE VISITSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense58438141Expense
Grants0Grants
Revenue0Revenue
DescriptionUNCOMPENSATED CARE - NEWTON HEALTHCARE CORPORATION PROVIDED $3,896,791 IN CARE DURING FISCAL YEAR 2011 TO PATIENTS WITH INCOMES NEAR OR BELOW POVERTY INCOME GUIDELINES. ANOTHER $54,541,350 OF CARE WAS UNREIMBURSED BY THE GOVERNMENTAL MEDICARE AND MEDICAID PROGRAMS AND ABSORBED BY THE HOSPITAL.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1381354Expense
Grants0Grants
Revenue549978Revenue
DescriptionDIETARY 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, 29,989 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. 9,056 MEALS WERE SOLD AT COST TO NEWTON COMMUNITY CHILD CARE CENTER, A NONPROFIT COMMUNITY CHILD CARE CENTER LOCATED ON OUR CAMPUS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionCOMMUNITY SERVICES - NEWTON HEALTHCARE CORP. OFFERS A NUMBER OF PROGRAMS AND SERVCIES 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense123201049TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109666NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees727NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAUL LAVENDERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3168046011TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 MEDICAL CENTER DRIVEAddressLine1
CityNEWTONCity
StateKSState
ZIP Code671140308ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOCELYN KASITZ
CHAIR OF BOARD5.00XX000
ROGER AHRENS
VICE CHAIR5.00XX000
JIM STUCKY
TREASURER5.00XX000
NANCY CRAIG
SECRETARY5.00XX000
JIM HEINICKE
ASST SECRETARY5.00XX000
KENT R BRADLEY MD
PAST CHAIR5.00X000
DARRELL CONRADE
BOARD OF DIRECTORS5.00X000
MARJORIE WARTA
BOARD OF DIRECTORS5.00X000
SHARON CRANSTON
BOARD OF DIRECTORS5.00X000
DOYLE DETWEILER MD
BOARD OF DIRECTORS/HOSPITA5.00X179702014567
RANDALL V GOERING MD
BOARD OF DIRECTORS5.00X000
EVELYN GREGG
BOARD OF DIRECTORS5.00X000
TED ICE
BOARD OF DIRECTORS5.00X000
JAMES KREHBIEL
BOARD OF DIRECTORS5.00X000
RAY PENNER
BOARD OF DIRECTORS5.00X000
BONNIE SOWERS
BOARD OF DIRECTORS5.00X000
TED COOK
BOARD OF DIRECTORS/CHIEF MEDICAL OFFICER5.00X307465012221X
KLEE WATCHOUS
BOARD OF DIRECTORS5.00X000
STEVEN G KELLY
PRESIDENT/CEO40.00X537844016125
PAUL LAVENDER
VICE PRESIDENT/CFO40.00X174067011004
J MICHAEL KELLER
VICE PRESIDENT/COO40.00173360014131X
COLIN WINDHAM
ER PHYSICIAN40.0026521406955X
RUSSELL HORN
FAMILY PRACTICE DOCTOR40.00264712015115X
MARNIE VAN BECELAERE
ER PHYSICIAN40.00245751013390X
SARAB ALSEOUDI
NEUROLOGIST40.00233159016371X
GENE MARSH
ER PHYSICIAN40.0020978304975X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2591057TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation124854TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NEWTON CARDIAC SERVICES
600 MEDICAL CENTER DRIVENEWTONKS67114CARDIAC CATH LAB487328
AMERICAN RED CROSS
PO BOX 730040DALLASTX75373BLOOD SERVICE358086
HUTTON CONSTRUCTION
2229 S WEST STWICHITAKS67213BUILDING/CONSTRUCTION229995
SUPERIOR LINEN
6959 E 12TH STREETTULSAOK74112LINEN CLEANING196572
NEWTON ANESTHESIA SERVICES
PO BOX 233NEWTONKS67114ON-CALL ANESTHESIA SERVICES194200
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
All Other Contributions77755AllOtherContributions
Total Contributions77755TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES900099116450930116450930
MEDICARE/MEDICAID PMTS9000991787199417871994
DIETARY SERVICES722210549978$549,978
PATIENT SERVICES621500121866121866
NON-PATIENT SERVICES621990117398117398

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column41842TotalRevenueColumn
Unrelated Business Revenue41842UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue135154008TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1218195TotalRevenueColumn
Exclusion$1,218,195ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13563Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13563Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13563TotalRevenueColumn
Exclusion$13,563ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities91612736Securities
Other69214Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities91427055Securities
Other124083Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities185681Securities
Other-54869Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column130812TotalRevenueColumn
Related Or Exempt Function Income130812RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENTS & FEES900099200268$200,268
EDUCATION & CONSULTING8129009944299442
REIMB & MISC90009940420$40,420
FieldValueIRS element (for citing)
Total Other Revenue340130TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column136934463TotalRevenueColumn
Related Or Exempt Function Income134670576RelatedOrExemptFunctionIncome
Unrelated Business Revenue163708UnrelatedBusinessRevenue
Exclusion$2,022,424ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total217737Total
Program Services217737ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7231Total
Program Services7231ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1317806Total
Program Services501498ProgramServices
Management And General816308ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23503337Total
Program Services20118040ProgramServices
Management And General3328417ManagementAndGeneral
Fundraising56880Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total537570Total
Program Services446573ProgramServices
Management And General89765ManagementAndGeneral
Fundraising1232Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2694396Total
Program Services2238302ProgramServices
Management And General449920ManagementAndGeneral
Fundraising6174Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1689032Total
Program Services1403121ProgramServices
Management And General282041ManagementAndGeneral
Fundraising3870Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total126357Total
Management And General126357ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35525Total
Management And General35525ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total358231Total
Management And General358231ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1136961Total
Program Services806432ProgramServices
Management And General329790ManagementAndGeneral
Fundraising739Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total79996Total
Program Services32586ProgramServices
Management And General47410ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total64705Total
Program Services34325ProgramServices
Management And General30380ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total947301Total
Program Services650405ProgramServices
Management And General296068ManagementAndGeneral
Fundraising828Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4543898Total
Program Services2945011ProgramServices
Management And General1594550ManagementAndGeneral
Fundraising4337Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total465400Total
Program Services157324ProgramServices
Management And General308076ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTR ADJ/CHARITY CARE7365004173650041
SUPPLIES107462441055298217885414408
PURCHASED SERVICES480106938308049689151350
BAD DEBTS34575093457509
REPAIRS/MAINTENANCE178916613748454112873034

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1468319Total
Program Services776283ProgramServices
Management And General675109ManagementAndGeneral
Fundraising16927Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total133637831Total
Program Services123201049ProgramServices
Management And General10327003ManagementAndGeneral
Fundraising109779Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3351575BOY
EOY4276146EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5630729BOY
EOY6669907EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1287728BOY
EOY1538959EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1949062BOY
EOY1698975EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis64530498LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec35617630LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29654407BOY
EOY28912868EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY27309012BOY
EOY29761787EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY211324BOY
EOY304703EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6387170BOY
EOY6405399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY75781007BOY
EOY79568744EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4965957BOY
EOY5328423EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18375000BOY
EOY17845000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY292846BOY
EOY257602EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY259448BOY
EOY291232EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23893251BOY
EOY23722257EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY51887756BOY
EOY55846007EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY480EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51887756BOY
EOY55846487EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75781007BOY
EOY79568744EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3296632ReconcilationRevenueExpenses
Reconcilation Other Changes662099ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis597177OtherCostOrOtherBasis
Book Value597177BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31421676OtherCostOrOtherBasis
Depreciation14115388Depreciation
Book Value17306288BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29165867OtherCostOrOtherBasis
Depreciation19750548Depreciation
Book Value9415319BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3345778OtherCostOrOtherBasis
Depreciation1751694Depreciation
Book Value1594084BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28912868TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM SUBSIDIARYDescription
Book Value6405399BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets6405399TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ESTIMATED UNEMPLOYMENT$70,020
SPECIAL ASSESSMENTS PAYABLE$161,108
ANNUITIES PAYABLE$60,104
FieldValueIRS element (for citing)
Total Of Amounts291232TotalOfAmounts
Total Revenue136934463TotalRevenue
Total Expenses133637831TotalExpenses
Excess Or Deficit For Year3296632ExcessOrDeficitForYear
Net Unrealized GL On Investments679185NetUnrealizedGLOnInvestments
Other-$17,086OtherAmount
Total Adjustments662099TotalAdjustments
Excess Or Deficit Per FS3958731ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt63946521TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments679185NetUnrealizedGainsInvestments
Other Revenues-17086OtherRevenues
Revenue Not Rptd F990662099RevenueNotRptdF990
Revenue Subtotal63284422RevenueSubtotal
Other Revenues Not Included73650041OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt73650041RevenueNotRptdOnFinStmt
Total Revenue Per Form990136934463TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt59987790TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal59987790ExpensesSubtotal
Other Expenses Not Included73650041OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt73650041ExpensesNotRptdOnFinStmt
Total Expenses Per Form990133637831TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF ANNUITY OBLIGATION
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF ANNUITY OBLIGATIONS
PART XII, LINE 4B - OTHER ADJUSTMENTS:CONTRACTUAL ADJUSTMENTS AND CHARITY CARE
PART XIII, LINE 4B - OTHER ADJUSTMENTS:CONTRACTUAL ADJUSTMENTS AND CHARITY CARE

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available0ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served1403PersonsServed
Total Community Benefit Expense1348994TotalCommunityBenefitExpense
Net Community Benefit Expense1348994NetCommunityBenefitExpense
Percent Of Total Expense0.01040PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served1403PersonsServed
Total Community Benefit Expense1348994TotalCommunityBenefitExpense
Net Community Benefit Expense1348994NetCommunityBenefitExpense
Percent Of Total Expense0.01040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served1638PersonsServed
Total Community Benefit Expense132662TotalCommunityBenefitExpense
Net Community Benefit Expense132662NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served12PersonsServed
Total Community Benefit Expense98530TotalCommunityBenefitExpense
Net Community Benefit Expense98530NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense327127TotalCommunityBenefitExpense
Net Community Benefit Expense327127NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served1650PersonsServed
Total Community Benefit Expense558319TotalCommunityBenefitExpense
Net Community Benefit Expense558319NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served3053PersonsServed
Total Community Benefit Expense1907313TotalCommunityBenefitExpense
Net Community Benefit Expense1907313NetCommunityBenefitExpense
Percent Of Total Expense0.01470PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,224,922BadDebtExpenseAmount
Amount Attributable To185788AmountAttributableTo
Amount Reimbursed By Medicare22823779AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare24934496CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2110717MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEWTON MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1600 MEDICAL CENTER DRIVEAddressLine1
CityNEWTONCity
StateKSState
ZIP Code67114ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NEWTON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Lien On ResidenceXLienOnResidence
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanationIdentifierIdentifier
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) $3,457,509
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 2011 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 16E: GARNISHMENT OF WAGESNEWTON MEDICAL CENTER
PART V, SECTION B, LINE 19D: ALL PATIENT CHARGES ARE BASED ON STANDARD BILLING RATES IN THE CHARGE DATA MASTER FILE.NEWTON MEDICAL CENTER
PART V, SECTION B, LINE 21: 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

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrantAmount Of Cash GrantAmountOfCashGrant
CENTRAL KANSAS COUMMUNITY FOUNDATION
301 N MAIN SUITE 201NEWTONKS67114481221368501(C)(3)45057BOOKMANAGEMENT SERVICESPROVIDE MANAGEMENT SERVICES TO COMMUNITY FOUNDATION
BETHEL COLLEGE
300 E 27TH STREETNORTH NEWTONKS67117480543782501(C)(3)PROVIDE FUNDS FOR THE NURSING PROGRAM40000
HEALTH MINISTRIES CLINIC INC
209 S PINENEWTONKS67114481091875501(C)(3)PROVIDE BASIC MEDICAL SERVICES TO THE WORKING POOR (I.E. - EMPLOYED SO NOT COVERED BY MEDICAID, BUT HAVE NO HEALTH INSURANCE)92000
HESSTON COLLEGE
325 S COLLEGE DRIVEHESSTONKS67062480548361501(C)(3)PROVIDE FUNDS FOR THE NURSING PROGRAM40000
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEMERGENCY ASSISTANCE TO EMPLOYEES THROUGH NMC CARES PROGRAMTypeOfGrant
Number Of Recipients16NumberOfRecipients
Amount Of Cash Grant7231AmountOfCashGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOYLE DETWEILER MD
17970200000000017970201860180
TED COOK
307465000000000307465000
STEVEN G KELLY
53784400000000053784403798120
PAUL LAVENDER
17406700000000017406701659440
J MICHAEL KELLER
17336000000000017336001664920
COLIN WINDHAM
265214000000000265214000
RUSSELL HORN
26471200000000026471202640200
MARNIE VAN BECELAERE
245751000000000245751000
SARAB ALSEOUDI
23315900000000023315902072040
GENE MARSH
209783000000000209783000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
TAX-EXEMPT ECONOMIC DEVELOPMENT REVENUE BONDS SERIES 2007A
486004391652872AB82007-03-087500000BUILDINGS AND STRUCTURES000
VARIABLE RATE DEMAND HOSPITAL REFUNDING REVENUE BONDS SERIES 2008
486004391652874BP22008-08-2111385000REFUNDING000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
7378088121912737808820070011
113850001589252008101111226075

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSTEVEN CHRISTOPHER KELLYNamePerson
FieldValueIRS element (for citing)
RelationshipOFFICER FAMILY MBRRelationship
Amount Of Transaction64181AmountOfTransaction
Description Of TransactionEMPLOYEEDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE CEO IS AVAILABLE TO ANSWER QUESTIONS AS THE FINANCE COMMITTEE REVIEWS THE 990.
THE CORPORATE COMPLIANCE COMMITTEE REVIEWS CONFLICTS OF INTEREST ANNUALLY.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF DIRECTORS REIVEWS COMPENSATION INFORMATION OBTAINED FROM THE KANSAS HOSPITAL ASSOCIATION AND OTHER SOURCES TO DETERMINE THE APPROPRIATENESS OF THE CEO SALARY. THE CEO USES COMPENSATION INFORMATION FROM THE KANSAS HOSPITAL ASSOCIATION TO DETERMINE THE OTHER OFFICERS' COMPENSATION.FORM 990, PART VI, SECTION B, LINE 15
THIS INFORMATION IS TYPICALLY NOT AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 679,185. CHANGE IN VALUE OF ANNUITY OBLIGATION -17,086. TOTAL TO FORM 990, PART XI, LINE 5: 662,099.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NEWTON CARDIAC SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 MEDICAL CENTER DRIVEAddressLine1
CityNEWTONCity
StateKSState
ZIP Code67114ZIPCode
FieldValueIRS element (for citing)
EIN263383510EIN
Primary ActivityCARDIAC CATH LABPrimaryActivity
Legal Domicile StateKSLegalDomicileState
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income15509ShareOfTotalIncome
Share Of EOY Assets606346ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.66666PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NEWTON MEDICAL MANAGEMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 MEDICAL CENTER DRIVEAddressLine1
CityNEWTONCity
StateKSState
ZIP Code67114ZIPCode
FieldValueIRS element (for citing)
EIN481180924EIN
Primary ActivityMEDICAL BUILDING LESSORPrimaryActivity
Legal Domicile StateKSLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of EOY Assets10683014ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NEWTON MEDICAL MANAGEMENT
D6210701INTER-CO RECEIVABLE PER BOOKS
NEWTON MEDICAL MANAGEMENT
J100062CASH PAID

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