2012-05-15T13:12:22-05:00 2011-06-30 KNUDSEN MONROE & COMPANY LLC 301 N MAIN SUITE 110 NEWTON KS 671143459 990 2010-07-01 481040759 NEWTON HEALTHCARE CORPORATION NEWT 3162832700 PO BOX 308 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 PAUL LAVENDER 3168046011 2012-05-15 1 AMY B ELLIOTT 3162835366 2010 2016-02-24 21:20:13Z PAUL LAVENDER PO BOX 308 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 228485601 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 18 727 46 163708 -3597 70728 77755 129762797 135154008 1450697 1349007 267244 353693 131551466 136934463 94670 224968 0 0 28943948 29742141 0 0 109779 97538179 103670722 126576797 133637831 4974669 3296632 75781007 79568744 23893251 23722257 51887756 55846487 X 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 63381554 224968 134604030 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 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 VISITS 58438141 0 0 UNCOMPENSATED 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. 1381354 0 549978 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, 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. COMMUNITY 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. 123201049 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 66 0 1 727 1 1 1 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PAUL LAVENDER 3168046011 600 MEDICAL CENTER DRIVE NEWTON KS 671140308 JOCELYN KASITZ 5.00 X X 0 0 0 ROGER AHRENS 5.00 X X 0 0 0 JIM STUCKY 5.00 X X 0 0 0 NANCY CRAIG 5.00 X X 0 0 0 JIM HEINICKE 5.00 X X 0 0 0 KENT R BRADLEY MD 5.00 X 0 0 0 DARRELL CONRADE 5.00 X 0 0 0 MARJORIE WARTA 5.00 X 0 0 0 SHARON CRANSTON 5.00 X 0 0 0 DOYLE DETWEILER MD 5.00 X 179702 0 14567 RANDALL V GOERING MD 5.00 X 0 0 0 EVELYN GREGG 5.00 X 0 0 0 TED ICE 5.00 X 0 0 0 JAMES KREHBIEL 5.00 X 0 0 0 RAY PENNER 5.00 X 0 0 0 BONNIE SOWERS 5.00 X 0 0 0 TED COOK 5.00 X X 307465 0 12221 KLEE WATCHOUS 5.00 X 0 0 0 STEVEN G KELLY 40.00 X 537844 0 16125 PAUL LAVENDER 40.00 X 174067 0 11004 J MICHAEL KELLER 40.00 X 173360 0 14131 COLIN WINDHAM 40.00 X 265214 0 6955 RUSSELL HORN 40.00 X 264712 0 15115 MARNIE VAN BECELAERE 40.00 X 245751 0 13390 SARAB ALSEOUDI 40.00 X 233159 0 16371 GENE MARSH 40.00 X 209783 0 4975 2591057 0 124854 23 0 1 0 NEWTON CARDIAC SERVICES 600 MEDICAL CENTER DRIVE NEWTON KS 67114 CARDIAC CATH LAB 487328 AMERICAN RED CROSS PO BOX 730040 DALLAS TX 75373 BLOOD SERVICE 358086 HUTTON CONSTRUCTION 2229 S WEST ST WICHITA KS 67213 BUILDING/CONSTRUCTION 229995 SUPERIOR LINEN 6959 E 12TH STREET TULSA OK 74112 LINEN CLEANING 196572 NEWTON ANESTHESIA SERVICES PO BOX 233 NEWTON KS 67114 ON-CALL ANESTHESIA SERVICES 194200 18 77755 77755 PATIENT SERVICES 900099 116450930 116450930 MEDICARE/MEDICAID PMTS 900099 17871994 17871994 DIETARY SERVICES 722210 549978 549978 PATIENT SERVICES 621500 121866 121866 NON-PATIENT SERVICES 621990 117398 117398 41842 41842 135154008 1218195 1218195 13563 13563 13563 13563 91612736 69214 91427055 124083 185681 -54869 130812 130812 RENTS & FEES 900099 200268 200268 EDUCATION & CONSULTING 812900 99442 99442 REIMB & MISC 900099 40420 40420 340130 136934463 134670576 163708 2022424 217737 217737 7231 7231 1317806 501498 816308 23503337 20118040 3328417 56880 537570 446573 89765 1232 2694396 2238302 449920 6174 1689032 1403121 282041 3870 126357 126357 35525 35525 358231 358231 1136961 806432 329790 739 79996 32586 47410 64705 34325 30380 947301 650405 296068 828 4543898 2945011 1594550 4337 465400 157324 308076 CONTR ADJ/CHARITY CARE 73650041 73650041 SUPPLIES 10746244 10552982 178854 14408 PURCHASED SERVICES 4801069 3830804 968915 1350 BAD DEBTS 3457509 3457509 REPAIRS/MAINTENANCE 1789166 1374845 411287 3034 1468319 776283 675109 16927 133637831 123201049 10327003 109779 X 3351575 4276146 5630729 6669907 1287728 1538959 1949062 1698975 64530498 35617630 29654407 28912868 27309012 29761787 211324 304703 6387170 6405399 75781007 79568744 4965957 5328423 18375000 17845000 292846 257602 259448 291232 23893251 23722257 X 51887756 55846007 480 51887756 55846487 75781007 79568744 X 3296632 662099 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 597177 597177 31421676 14115388 17306288 29165867 19750548 9415319 3345778 1751694 1594084 28912868 DUE FROM SUBSIDIARY 6405399 6405399 ESTIMATED UNEMPLOYMENT 70020 SPECIAL ASSESSMENTS PAYABLE 161108 ANNUITIES PAYABLE 60104 291232 136934463 133637831 3296632 679185 -17086 662099 3958731 63946521 679185 -17086 662099 63284422 73650041 73650041 136934463 59987790 0 59987790 73650041 73650041 133637831 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 1 1 1 X 1 X 1 1 0 1 0 1403 1348994 1348994 0.01040 1403 1348994 1348994 0.01040 4 1638 132662 132662 0.00100 1 12 98530 98530 0.00080 2 327127 327127 0.00250 7 1650 558319 558319 0.00430 7 3053 1907313 1907313 0.01470 1 1224922 185788 22823779 24934496 -2110717 X 1 1 1 1 NEWTON MEDICAL CENTER

600 MEDICAL CENTER DRIVE NEWTON KS 67114

X X X NEWTON MEDICAL CENTER 1 1 0 1 300.000000000000 1 X X 1 1 X X 1 1 X X X X X X X 1 X 0 1 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. NEWTON MEDICAL CENTER PART V, SECTION B, LINE 16E: GARNISHMENT OF WAGES NEWTON 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. 0 CENTRAL KANSAS COUMMUNITY FOUNDATION 301 N MAIN SUITE 201 NEWTON KS 67114 481221368 501(C)(3) 45057 BOOK MANAGEMENT SERVICES PROVIDE MANAGEMENT SERVICES TO COMMUNITY FOUNDATION BETHEL COLLEGE 300 E 27TH STREET NORTH NEWTON KS 67117 480543782 501(C)(3) 40000 PROVIDE FUNDS FOR THE NURSING PROGRAM HEALTH MINISTRIES CLINIC INC 209 S PINE NEWTON KS 67114 481091875 501(C)(3) 92000 PROVIDE BASIC MEDICAL SERVICES TO THE WORKING POOR (I.E. - EMPLOYED SO NOT COVERED BY MEDICAID, BUT HAVE NO HEALTH INSURANCE) HESSTON COLLEGE 325 S COLLEGE DRIVE HESSTON KS 67062 480548361 501(C)(3) 40000 PROVIDE FUNDS FOR THE NURSING PROGRAM 4 EMERGENCY ASSISTANCE TO EMPLOYEES THROUGH NMC CARES PROGRAM 16 7231 X X 0 0 0 0 0 0 0 0 0 DOYLE DETWEILER MD 179702 0 0 0 0 0 0 0 0 0 179702 0 186018 0 TED COOK 307465 0 0 0 0 0 0 0 0 0 307465 0 0 0 STEVEN G KELLY 537844 0 0 0 0 0 0 0 0 0 537844 0 379812 0 PAUL LAVENDER 174067 0 0 0 0 0 0 0 0 0 174067 0 165944 0 J MICHAEL KELLER 173360 0 0 0 0 0 0 0 0 0 173360 0 166492 0 COLIN WINDHAM 265214 0 0 0 0 0 0 0 0 0 265214 0 0 0 RUSSELL HORN 264712 0 0 0 0 0 0 0 0 0 264712 0 264020 0 MARNIE VAN BECELAERE 245751 0 0 0 0 0 0 0 0 0 245751 0 0 0 SARAB ALSEOUDI 233159 0 0 0 0 0 0 0 0 0 233159 0 207204 0 GENE MARSH 209783 0 0 0 0 0 0 0 0 0 209783 0 0 0 TAX-EXEMPT ECONOMIC DEVELOPMENT REVENUE BONDS SERIES 2007A 486004391 652872AB8 2007-03-08 7500000 BUILDINGS AND STRUCTURES 0 0 0 VARIABLE RATE DEMAND HOSPITAL REFUNDING REVENUE BONDS SERIES 2008 486004391 652874BP2 2008-08-21 11385000 REFUNDING 0 0 0 7378088 121912 7378088 2007 0 0 1 1 11385000 11226075 158925 2008 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 STEVEN CHRISTOPHER KELLY OFFICER FAMILY MBR 64181 EMPLOYEE 0 FORM 990, PART VI, SECTION B, LINE 11 THE CEO IS AVAILABLE TO ANSWER QUESTIONS AS THE FINANCE COMMITTEE REVIEWS THE 990. 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 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 C, LINE 19 THIS INFORMATION IS TYPICALLY NOT AVAILABLE TO THE PUBLIC CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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. NEWTON CARDIAC SERVICES LLC 600 MEDICAL CENTER DRIVE NEWTON KS 67114 263383510 CARDIAC CATH LAB KS RELATED 15509 606346 0 1 0.66666 NEWTON MEDICAL MANAGEMENT INC 600 MEDICAL CENTER DRIVE NEWTON KS 67114 481180924 MEDICAL BUILDING LESSOR KS N/A C 10683014 1.00000 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 NEWTON MEDICAL MANAGEMENT D 6210701 INTER-CO RECEIVABLE PER BOOKS NEWTON MEDICAL MANAGEMENT J 100062 CASH PAID