FURP.ORG / PUBLIC DATA EXPLORER

WILLIAM NEWTON MEMORIAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WILLIAM NEWTON MEMORIAL HOSPITAL (EIN 48-6005089)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-04
IRS object ID
201123089349300422
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)
Timestamp2011-11-04T10:21:22-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1
CityTopekaCity
StateKSState
ZIP Code666033491ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN486005089EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1William Newton Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone6202212300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 E 5th AvenueAddressLine1
CityWinfieldCity
StateKSState
ZIP Code67156ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDanny HuckvaleName
TitleAssistant AdministratorTitle
Phone6202212300Phone
Date Signed2011-11-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEric L OttingName
Phone7852334226Phone
Date Prepared2011-11-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDanny HuckvaleNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11300 E 5th AvenueAddressLine1
CityWinfieldCity
StateKSState
ZIP Code67156ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25995387GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.wnmh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1927YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionProvide healthcare services to local area residentsActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees346TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year978142ContributionsGrantsPriorYear
Contributions Grants Current Year511327ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25897898ProgramServiceRevenuePriorYear
Program Service Revenue CY25022237ProgramServiceRevenueCY
Investment Income Prior Year45636InvestmentIncomePriorYear
Investment Income Current Year34307InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year427516OtherRevenueCurrentYear
Total Revenue Prior Year26921676TotalRevenuePriorYear
Total Revenue Current Year25995387TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13513580SalariesEtcPriorYear
Salaries Etc Current Year13179630SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year20131TotalFundrsngExpCurrentYear
Other Expense Prior Year12426092OtherExpensePriorYear
Other Expenses Current Year11763958OtherExpensesCurrentYear
Total Expenses Prior Year25939672TotalExpensesPriorYear
Total Expenses Current Year24943588TotalExpensesCurrentYear
Revenues Less Expenses Prior Year982004RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1051799RevenuesLessExpensesCY
Total Assets BOY24478791TotalAssetsBOY
Total Assets EOY24002971TotalAssetsEOY
Total Liabilities BOY11191419TotalLiabilitiesBOY
Total Liabilities EOY9663800TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13287372NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14339171NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWilliam Newton Memorial Hospital is a team of skilled individuals dedicated to meeting the ever changing needs of the community through advances in leadership, education, technology and continuous improvement in the delivery of quality health care. We are committed to sound financial management and ethical practices. We care for those we serve with dignity, kindness and compassion.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense20700826Expense
Grants51653Grants
Revenue25209992Revenue
DescriptionPatient services, full range of inpatient and outpatient services.Description
Total Program Service Expense20700826TotalProgramServiceExpense
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 Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
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 With109660NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees346NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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 Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
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 Line1Richard VaughtBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6202212300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 E 5th AvenueAddressLine1
CityWinfieldCity
StateKSState
ZIP Code67156ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Don Drennan
Trustee1.00X000
Jane Duncan
Trustee1.00X000
Dorothy Flottman
Trustee1.00X000
Thomas Herlocker
Vice Chairman1.00X000X
Steve McSpadden
Chairman1.00X000X
Richard Vaught
Administrator/CEO40.0015040709181X
Danny Huckvale
Assitant Administrator/CFO40.0010132706684X
Thomas Embers
Assitant Administrator/COO40.0010468406433X
James McDermott
Physician40.00249084015322X
Kelle Thompson
Pharmacy Director40.0010270906514X
Robert Matthews
Physician Assistant40.009889406292X
FieldValueIRS element (for citing)
Total Reportable Comp From Org708211TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation44134TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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
Acute Care Inc
1609 N Ankeny Blvd Suite 200AnkenyIA50023ER Physicians663125
GE Medical Systems
PO Box 641419DallasTX75284Equipment Service Contract560415
VIA Christi Financial Services
929 North St FrancisWichitaKS67214Radiation Contract513000
CPSI
PO Box 850309MobileAL36685Computer Support Services259459
Andreas Law Firm
104 1/2 West 9th Suite 303WinfieldKS67156Legal Fees194927
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Related Organizations459674RelatedOrganizations
Government Grants51653GovernmentGrants
Total Contributions511327TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient services reven6219902464344724643447
Occupational Health900099292941292941
Pharmacy4461108584985849
FieldValueIRS element (for citing)
Total Program Service Revenue25022237TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column33957TotalRevenueColumn
Exclusion$33,957ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real164321Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real164321Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column164321TotalRevenueColumn
Exclusion$164,321ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other350Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other350Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column350TotalRevenueColumn
Exclusion$350ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Miscellaneous900099187755187755
Cafeteria and dietary72221051850$51,850
Meals on wheels62421023590$23,590
FieldValueIRS element (for citing)
Total Other Revenue263195TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25995387TotalRevenueColumn
Related Or Exempt Function Income25209992RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$274,068ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total389095Total
Management And General389095ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total10326752Total
Program Services8229390ProgramServices
Management And General2081682ManagementAndGeneral
Fundraising15680Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total666775Total
Program Services530466ProgramServices
Management And General136309ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total930712Total
Program Services719282ProgramServices
Management And General208294ManagementAndGeneral
Fundraising3136Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total866296Total
Program Services690352ProgramServices
Management And General174629ManagementAndGeneral
Fundraising1315Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total38294Total
Management And General38294ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total239546Total
Program Services44867ProgramServices
Management And General194679ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total487166Total
Program Services487166ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total19400Total
Program Services19400ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total719668Total
Program Services719668ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1809408Total
Program Services1809408ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total151638Total
Management And General151638ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Purchased Services23395912103752235839
Medical Supplies22646752264675
Collection Fees and Bad12934131293413
Repairs and Maintenance835864577046258818
Pharmacy Drugs695749695749

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total869546Total
Program Services516192ProgramServices
Management And General353354ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24943588Total
Program Services20700826ProgramServices
Management And General4222631ManagementAndGeneral
Fundraising20131Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY127580BOY
EOY110286EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3901898BOY
EOY4650015EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3871612BOY
EOY4364179EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY372637BOY
EOY311803EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY134158BOY
EOY230444EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31755034LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18394314LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14883515BOY
EOY13360720EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1187391BOY
EOY975524EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24478791BOY
EOY24002971EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1660631BOY
EOY1592822EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9480788BOY
EOY8070978EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY50000BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11191419BOY
EOY9663800EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7884645BOY
EOY9049429EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5402727BOY
EOY5289742EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13287372BOY
EOY14339171EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24478791BOY
EOY24002971EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1051799ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Basis101702OtherCostOrOtherBasis
Book Value101702BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20066451OtherCostOrOtherBasis
Depreciation10824871Depreciation
Book Value9241580BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11299468OtherCostOrOtherBasis
Depreciation7357080Depreciation
Book Value3942388BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis287413OtherCostOrOtherBasis
Depreciation212363Depreciation
Book Value75050BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13360720TotalOfBookValueLandBuildings
Total Revenue25995387TotalRevenue
Total Expenses24943588TotalExpenses
Excess Or Deficit For Year1051799ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1051799ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt24981095TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal24981095RevenueSubtotal
Other Revenues Not Included1014292OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1014292RevenueNotRptdOnFinStmt
Total Revenue Per Form99025995387TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23929296TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal23929296ExpensesSubtotal
Other Expenses Not Included1014292OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1014292ExpensesNotRptdOnFinStmt
Total Expenses Per Form99024943588TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XII, Line 4b - Other Adjustments:Reclassification of bad debts 1,014,292.
Part XIII, Line 4b - Other Adjustments:Reclassification of bad debts 1,014,292.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage120.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense195369TotalCommunityBenefitExpense
Direct Offsetting Revenue136899DirectOffsettingRevenue
Net Community Benefit Expense58470NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1947895TotalCommunityBenefitExpense
Direct Offsetting Revenue1667818DirectOffsettingRevenue
Net Community Benefit Expense280077NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2143264TotalCommunityBenefitExpense
Direct Offsetting Revenue1804717DirectOffsettingRevenue
Net Community Benefit Expense338547NetCommunityBenefitExpense
Percent Of Total Expense0.01410PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense233698TotalCommunityBenefitExpense
Net Community Benefit Expense233698NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense204454TotalCommunityBenefitExpense
Direct Offsetting Revenue1771DirectOffsettingRevenue
Net Community Benefit Expense202683NetCommunityBenefitExpense
Percent Of Total Expense0.00850PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2382971TotalCommunityBenefitExpense
Direct Offsetting Revenue1036695DirectOffsettingRevenue
Net Community Benefit Expense1346276NetCommunityBenefitExpense
Percent Of Total Expense0.05630PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense350TotalCommunityBenefitExpense
Net Community Benefit Expense350NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2821473TotalCommunityBenefitExpense
Direct Offsetting Revenue1038466DirectOffsettingRevenue
Net Community Benefit Expense1783007NetCommunityBenefitExpense
Percent Of Total Expense0.07460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4964737TotalCommunityBenefitExpense
Direct Offsetting Revenue2843183DirectOffsettingRevenue
Net Community Benefit Expense2121554NetCommunityBenefitExpense
Percent Of Total Expense0.08870PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$273,187BadDebtExpenseAmount
Amount Attributable To42890AmountAttributableTo
Amount Reimbursed By Medicare9271305AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9383775CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-112470MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
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 Line1William Newton Memorial HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11300 E 5th AvenueAddressLine1
CityWinfieldCity
StateKSState
ZIP Code67156ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1William Newton Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent120.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Other ActionsXPermitOtherActions
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
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 V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Cedar Vale Rural Health Clinic
508 WashingtonCedar ValeKS67024Rural Health Clinic
Tallgrass Rural Health Clinic
300 W North StSedanKS67361Rural Health Clinic
Moline Community Rural Health Clinic
200 N PlumMolineKS67353Rural Health Clinic
Dexter Community Rural Health Clinic
204 N Main StDexterKS67038Rural Health Clinic
Physician Pavillion
1230 East 6thWinfieldKS67156Outpatient Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 6a: William Newton Memorial Hospital has not yet prepared a community benefit report.
Part I, Line 7: Amounts for financial assistance and certain other community benefit programs were obtained using known related charges and several cost to charge ratios. The cost to charge ratios used include the overall cost to charge ratio derived from Worksheet 2 as well as individual department cost to charge ratios identified for the calculation of subsidized health services information.
Part I, Line 7g: Subsidized health services are made up of services that the hospital provides despite a financial loss to the organization. These services include cardiac rehab, home health, and rural health clinics.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1014292.
Part II: N/A
Part III, Line 4: The Hospital provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. The Hospital estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each type of payor.Part III, Line 2Provisions for bad debts are related to accounts that have been deemed uncollectible during the year. The uncollectible amount is then written off pursuant with Hospital policy. The cost of the bad debts reported was determined using an overall cost to charge ratio multiplied by total bad debt expense, net of payments recovered through the State.Part III, Line 3Provisions for bad debts attributable to patients eligible under the organization's financial assistance policy were determined using an estimation of 15.7% of total bad debts. The US Census Bureau reports the persons below the federal poverty level in 2009 for Cowley County was 15.7%. William Newton Memorial Hospital takes steps to assist individuals who are believed to qualify for financial assistance prior to writing accounts off as uncollectible.
Part III, Line 8: The Hospital used the 2010 Medicare Cost Report to determine the Medicare revenue and related cost.
Part III, Line 9b: The Hospital's collection policy does not contain a provision on the collection practices for patients who are known to qualify for charity care or financial assistance. To be considered for charity care, however, the charity care policy states that the patient must cooperate with the Hospital to provide the information and documentation necessary to apply for other existing financial resources that may be available to pay for health care services, such as Medicaid. The information is gathered and assessed in order to determine eligibility for charity care. Whenever possible, prior to admission, the Hospital will conduct a pre-admission interview with the patient, the guarantor, and or legal representative. Those patients who may qualify for financial assistance from a governmental program will be referred to the appropriate program, prior to the consideration for charity care.
Part V, Section B, Line 15e: William Newton Memorial Hospital is permitted to refer unpaid patient accounts to third party collection agencies and attorneys.William Newton Memorial Hospital
Part V, Section B, Line 16e: William Newton Memorial Hospital referred unpaid patient accounts to third party collection agencies and attorneys.William Newton Memorial Hospital
Part V, Section B, Line 19d: William Newton Memorial Hospital maintains a set pricing structure for all medical services. Patients that are determined to not meet the eligibility requirements for free or discounted care are billed for the gross charge amount.William Newton Memorial Hospital
Part V, Section B, Line 21: Under the Provision for Charity Care Policy, William Newton Memorial Hospital determines discount eligibility based on a patient's family income level in comparison with the Federal Poverty Guideline gross income level. If it is determined that a patient's family income is greater than 200% of the Federal Poverty Guideline gross income level, then the patient is not considered eligible to receive a discount on the medical services received and will be billed the gross amount for those services. It is the purpose of the Hospital to provide quality health care at the lowest possible cost to the patient.William Newton Memorial Hospital
Part VI, Line 2: The Hospital currently does not conduct a community needs assessment.
Part VI, Line 3: William Newton Memorial Hospital educates patients by signage at the registration desk and business office counter. When possible, the Hospital will conduct a pre-admission interview with the patient, the guarantor, and/or his/her legal representative. If a pre-admission interview is not possible, the interview is conducted upon admission or as soon as possible thereafter. In the case of an emergency admission, the Hospital's evaluation of payment alternatives does not take place until the required medical care has been provided. Identification of potential eligible patients can take place at any time during the rendering of services or during the collection process. Those patients who may qualify for financial assistance from a governmental program are referred to the appropriate program, such as Medicaid, prior to consideration for charity care. Any patient who asks about assistance will be referred to the credit/collections manager for complete explanation of options.
Part VI, Line 4: The hospital mainly serves Cowley County, Kansas. Cowley County is a rural community located 135 miles west of the Missouri state line and touches the Oklahoma border. The US Census Bureau estimates the 2010 population of Cowley County, Kansas to be 36,311. 14.2% of the population is 65 years of age or older, median household income is $38,100, and 15.7% of the population is below poverty level compared to the State of Kansas average of 13.2%. There is one other acute care hospital located in Cowley County. William Newton has four rural health clinics in both Elk and Chautauque Counties. These counties neighbor Cowley County on the east and norteast side. According to the 2010 US Census Bureau, Elk County's populations was 2,882. 23.8% of the population is 65 years of age or older, median household income is $31,233, and 19.3% of the population is below poverty level. According to the 2010 US Census Bureau, Chautauque County's populations was 3,669. 24.2% of the population is 65 years of age or older, median household income is $34,874, and 15.8% of the population is below poverty level.
Part VI, Line 6: The administration of William Newton Hospital has accomplished extensive physician recruitment for the greater good of the broader community, and has been sucessful in recruiting physicians and physician assistants over the years. Ongoing recruitment is vital for the health of the community. The recruitment expense for 2010 was approximately $187,500. Community Health Fair, outreach programs, public education and newsletters are some examples of activities the Hospital does to support health in the community. The hospital also operates four rural health clinics in Elk and Chautauqua Counties in Kansas. These clinics provide the only source of health care to these communities. The hospital provides access to health information to the community through the hospitals web page. The hospitals governing body is comprised of persons who reside in the primary service area who are neither employees nor contractors of the hospital, nor family members therof.

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 (2 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
Richard Vaught
150407000009181000159588000
James McDermott
2490840000015322000264406000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 8bAll business takes place during board meetings, and due to the size of the organization, it is not necessary to establish standing committees.
Form 990, Part VI, Section B, line 11Form 990 is made available to the governing body for their review upon their request.
A conflict of interest disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each Member upon election and annually thereafter.Form 990, Part VI, Section B, line 12c
The Board of Trustees is responsible for deteriming the job performance standards for the Administrator/CEO and determining compensation according to the organizations policies.Form 990, Part VI, Section B, line 15
The organization makes it governing documents, conflict of interest policy, and financial statements available to the public upon request.Form 990, Part VI, Section C, line 19
Financial Statement Reporting.The Hospital's Board of Trustees meets with the auditor and approves the audited financial statement.Form 990, Part XII, line 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1William Newton Healthcare Foundation IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 E 5th StreetAddressLine1
CityWinfieldCity
StateKSState
ZIP Code67156ZIPCode
FieldValueIRS element (for citing)
EIN205069172EIN
Primary ActivitiesFundraising for the benefit of William Newton HospitalPrimaryActivities
Legal Domicile StateKSLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status170(b)(1)PublicCharityStatus
Controlled Org0ControlledOrg
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 Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1William Newton Healthcare Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved459674AmountInvolved