2023-11-15T06:34:40-06:00 2022-12-31 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2022-01-01 480684878 Southwest Medical Center SOUT 6206241651 PO Box 1340 Liberal KS 679011340 Amber Williams CEO 6206241651 2023-11-13 1 Amber Williams XXX-XX-XXXX 0 Heather R Eichem P01515553 7852334226 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Amber Williams PO Box 1340 Liberal KS 679011340 65557121 0 X www.swmedcenter.com X 1963 KS The Medical Center is a county hospital dedicated to the provision of personalized and quality care of the sick and injured at a reasonable cost. 7 7 572 79 0 0 15451745 901194 73742079 64163245 106452 111318 725343 381364 90025619 65557121 0 0 0 0 41892261 37843801 0 0 0 35356861 39470611 77249122 77314412 12776497 -11757291 107680952 98256738 44810745 47143822 62870207 51112916 The Medical Center is a county hospital dedicated to the provision of personalized and quality care of the sick and injured at a reasonable cost. 0 0 68546059 64252591 Southwest Medical Center provides necessary medical care to the community. It is the only facility in the area providing certain medical equipment and services. 68546059 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 91 0 1 572 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1 0 X Amber Williams CEO 6206296680 PO Box 1340 Liberal KS 679011340 Dennis Sander Chairman 1.00 X X 0 0 0 Ivanhoe Love Jr Vice-Chairman 1.00 X X 0 0 0 John West Secretary 1.00 X X 0 0 0 Jose Lara Treasurer 1.00 X X 0 0 0 Dennis Knudsen Asst. Secretary/Treasurer 1.00 X X 0 0 0 Maria Lauralynn Noblejas Trustee 1.00 X 0 0 0 Tony McKee Trustee beginning April 2022 1.00 X 0 0 0 Dr Ray Allen Trustee thru April 2022 1.00 X 0 0 0 Thomas Willis Secretary thru April 2022 1.00 X X 0 0 0 Mark Schepers Chairman thru March 2022 1.00 X X 0 0 0 Amber Williams CFO/Interim CEO 40.00 X 237587 0 32542 Robert Whitaker CEO thru March 2022 40.00 X 137152 0 18386 Rama Chanda Physician 40.00 X 960776 0 63907 Pingal Desai Physician 40.00 X 943793 0 60605 Firas Kawtharani Physician 40.00 X 939493 0 57851 Lamberto Flores Physician 40.00 X 749230 0 47442 Jose Maeda Physician 40.00 X 697029 0 55373 4665060 0 336106 38 0 1 0 Qualvis 5930 Cornerstone Ct W 300 San Diego CA 92121 Contract Services 6631817 Xtend Healthcare LLC 13865 Sunrise Valley Dr Herndon VA 37075 Contract Services 1821607 Kansas Emergency Room Services PA 7032 Collection Center Drive Chicago IL 60693 ER Services 1242307 Avant Healthcare Professionals LLC PO Box 744554 Atlanta GA 30374 Contract Services 1032242 Guymon Physical Therapy and Wellness 211 NW 5th Street Guymon OK 73942 Therapy Services 840615 33 315000 457625 128569 901194 Net patient service revenue 622110 64163245 64163245 64163245 111318 111318 43800 0 43800 43800 43800 Cafeteria & dietary 722210 193873 193873 Miscellenous revenue 900099 89346 89346 Purchase discounts 900099 26689 26689 27656 27656 337564 65557121 64252591 0 403336 425408 425408 29044370 27271668 1772702 3581224 3325946 255278 2824032 2601932 222100 1968767 1765391 203376 68790 68790 4833 4833 3010664 237946 2772718 36022 19901 16121 716588 573526 143062 34805 20390 14415 1535736 1510385 25351 86824 76419 10405 53816 49109 4707 410842 410842 3564917 2747674 817243 579122 471721 107401 Purchased services 14874662 14530222 344440 Medical supplies 7538030 7538030 Repair & maintenance 2276762 1395601 881161 Pharmacy drugs and supp 1812239 1812239 2865959 2187117 678842 77314412 68546059 8768353 0 7624 10124 49872978 43177270 315000 18234606 15311542 1945784 1897508 2644557 2325430 54117734 32343175 24119868 21774559 1377185 1389863 9478350 12055442 107680952 98256738 6067295 6226488 297838 38556 13255000 12690000 25190612 28188778 44810745 47143822 X 60965669 48760830 1904538 2352086 62870207 51112916 107680952 98256738 -11757291 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3862 0 0 0 3862 0 Part II-B, Line 1: Southwest Medical Center is a member of the Kansas Hospital Association. This organization engages in lobbying activities for hospital and general health care interests as part of the services provided to members. 1200909 -104237 1096672 1064399 156510 20000 1200909 1115081 19318 70000 1064399 1298500 81081 264500 1115081 1230394 79295 11189 1298500 0.61200 0.38800 0 1 1 104046 104046 28095100 15545943 12549157 22285768 15709651 6576117 3632820 1087581 2545239 21774559 Interest receivable 4036 Other receivables 23866 Deferred outflows of resources - pension 10337437 Deferred outflows of resources - advance refunding 672737 Estimated third-party payor settlements 1017366 12055442 Unamortized bond premiums 402952 Deferred inflows of resources - pension 2807328 Net pension liability 24889639 Deferred inflows of resources - advance refunding 88859 28188778 X 65557121 0 65557121 0 65557121 77314412 0 77314412 0 77314412 Part V, Line 4: Southwest Medical Center Foundation, Inc.'s endowment consists of approximately six individual funds established for scholarships and general support of Southwest Medical Center. Part X, Line 2: Management is not aware of any uncertainties in income tax positions. 1 1 0 1 X 1 1 0 1 1 655022 155682 499340 0.00650 13176232 5703731 7472501 0.09670 13831254 5859413 7971841 0.10320 16631936 5722157 10909779 0.14110 16631936 5722157 10909779 0.14110 30463190 11581570 18881620 0.24430 1 4625760 507762 11112231 15761246 -4649015 X 1 1 1 1 Southwest Medical Center 315 W 15th Street Liberal KS 679011304 X X X Southwest Medical Center 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X www.swmedcenter.com X 1 22 1 www.swmedcenter.com 0 1 X 350.000000000000 X X X X X 1 1 X X X X 1 X www.swmedcenter.com X www.swmedcenter.com X www.swmedcenter.com X X X X X X 1 X 0 X X X X 1 X 0 0 Southwest Medical Center Part V, Section B, Line 5: SWMC contacted community leaders via email and requested that these individuals complete an online survey with questions addressing the various health issues of the community.Persons who completed this survey included physicians, public health representatives, other health professionals, social service providers and a variety of other community leaders.SWMC also conducted a CHNA Town Hall for a working dinner. Southwest Medical Center Part V, Section B, Line 11: Access to Primary Care and Primary Care SpecialistsSWMC continued to collaborate with regional primary care providers and share best practice delivery methods in order to increase access to primary care. SWMC has also worked to expand orientation programs for prospective new providers and improve new provider retention. SWMC worked to strengthen relationships with Wichita State University, The University of Kansas, and Rocky Vista by offering medical student rotations and helping recruit medical professionals to the area. SWMC has continued efforts to educate the community about when patients should go to their primary care clinic and when patients should go to the ER. SWMC continued recruiting efforts for providers. However, SWMC did not have much success in hiring due to physician shortages around the country.Access to Healthcare SpecialistsSWMC held meetings with providers to gather their thoughts on the medical needs in the community in order to determine the number of providers needed to serve the population. SWMC has expanded access to specialists via telehealth. SWMC continued to work with area medical schools in order to establish medical student placement relations and help with the recruiting of medical professionals to the area. SWMC continued recruiting efforts for providers. However, SWMC did not have much success in hiring due to physician shortages around the country. Access to Dental SpecialistsSWMC attempted to hold events where local dentists would see Medicaid patients one day a month as a community service. However, most local dentists do not take Medicaid and are not willing at this time to do the service one day a month. SWMC did partner with First Dental to staff a booth at the 2022 health fair in order to provide free screenings and hand out informational materials regarding dental care. Chronic Health: DiabetesSWMC continued to provide and distribute CDC educational resources at community events such as a community health fair through a booth SWMC worked to set up with Rotary. SWMC did not work with community organizations to explore the Diabetes Prevention Recognition Program for Organizations due to other more pressing issues. Chronic Health: CancerSWMC continued to provide educational information about prevention and screening for various types of cancers at community and hospital events throughout the year. Chronic Health: Obesity/Healthy Foods/ExerciseSWMC's marketing department worked with local newspaper and radio stations to promote and disseminate information about the importance of healthy foods and exercise as well as informing the public about when local groups were meeting. Additionally, SWMC used local media to encourage the public to attend the farmers market. Due to other issues being the main focus of the Medical Center, little other progress was made in addressing this issue. Mental Health & Substance Abuse: Diagnosis, Placement, and Aftercare SWMC worked with staff and community education and met with KHA and other educational stakeholders regarding the shortage of mental health providers. SWMC added depression screening questions on intake in both the clinics and ER. The Medical Center did not have much progress in providing mental health service "first aid" training for law enforcement, schools, and other first responders in the community or collaborating with community elementary, middle, and high schools to educate students on mental health because of other more pressing issues.Mental Health & Substance Abuse: SuicideSWMC informed patients about the statewide crisis hotline number. Additionally, the Medical Center set up booths at the community health fair that offered information about mental health services available at the Medical Center.Mental Health & Substance Abuse: Meth, Marijuana, Opioids, etc.SWMC worked with local physicians to monitor prescription drug abuse and to support area physicians in discouraging prescription drug abuse. SWMC continued sponsoring youth events and explored prevalent issues of drug abuse by adolescents. SWMC continued disseminating information to the public about recovery support partners in the area. The Medical Center also compiled a list of drug abuse resources in the community and worked on developing handouts for medical providers to distribute when prescribing schedule II drugs. Injury and Violence: Motor Vehicle AccidentsSWMC continued to sponsor after-prom in the community and in the surrounding communities in Kansas and Oklahoma in order to provide safe activities for teenagers. SWMC discussed road and highway safety with local and state leaders.Injury and Violence: Child Care AccessSWMC representatives attended economic development council meetings in order to discuss the shortage of licensed child care providers in the area. SWMC staff continued showing educational videos to parents before discharging the baby in order to provide child safety and first aid training to parents. SWMC continued providing materials to educate young families on childcare and community resources. The following needs identified in the CHNA were not addressed either because they were deemed not part of mission critical operations: Sexual Assault, Heart Disease, Teen Births, and Sexually Transmitted Diseases. Southwest Medical Center Part V, Section B, Line 15e: A presumptive eligibility determination in unusual or extenuating circumstances when a patient is unable to submit a complete application. Presumptive eligibility may be determined on the basis of individual life circumstances which may include, but is not limited to:-Homelessness or receipt of care from a homeless shelter;-Eligibility for out of state or out of area medical assistance programs;-Patient is deceased with no known estate;-Patient who has filed bankruptcy and whose bill has been fully discharged by the court. 9 1 - 15th Street Family Care Center 555 W 15th Street Liberal KS 67901 Family practice 2 - General Surgery Care Center 305 W 15th Street Suite 204 Liberal KS 67901 General Surgery 3 - Women's Specialty Center of Liberal 305 W 15th Street Suite 104 Liberal KS 67901 OB/GYN Services 4 - Orthopedic & Sports Medicine 305 W 15th Street Suite 101 Liberal KS 67901 Orthopedics 5 - Sleep Disorders Laboratory 101 E 11th Street Liberal KS 67901 Sleep Studies 6 - Women's Specialty Center of Guymon 421 Medical Drive Guymon OK 73942 OB/GYN Services 7 - McMurry Family Center 123 Medical Drive Guymon OK 73942 Family practice 8 - Urology Care Center 305 W 15th Street Suite 102 Liberal KS 67901 Urology 9 - Dermatology Care Center 15 E 11th Street Liberal KS 67901 Dermatology Part I, Line 7: Amounts for Financial Assistance and Certain Other Community Benefits 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 Medical Center provides despite a financial loss to the organization. These services include physician clinics. Of the $16,631,936 in total costs associated with subsidized health services, $14,859,212 were due to physician clinics. Part III, Line 4: The Medical Center 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 Medical Center 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 Medical Center policy. The cost of the bad debts reported was determined using the cost to charge ratio and total bad debt expense.Part III, Line 3The estimate of provisions for bad debts attributable to patients eligible under the organization's financial assistance policy was determined using the federal poverty rate multiplied by the Medical Center's bad debt expense and cost to charge ratio. It is our belief that the portion of the Medical Center's bad debt expense attributable to patients eligible under the Medical Center's financial assistance policy should be included as community benefit. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit. Part III, Line 8: Amounts were obtained from the cost report filed with Medicare for the period ending December 31, 2022. The Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patients, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients. Tax-exempt hospitals are expected to participate in the Medicare program. Part III, Line 9b: The Medical Center'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 Medical Center 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. Then the information is gathered and assessed in order to determine eligibility for charity care. Whenever possible, prior to admission, the Medical Center 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 VI, Line 2: SWMC conducts a community needs assessment approximately every 3 years. The assessment includes conducting community focus group meetings to hear what the citizens believe are the community's most critical needs. Additionally, SWMC monitors Kansas Hospital Association patient origin and destination data to look for patterns of migration for services that might be made available locally as a new service. Part VI, Line 3: PFS refers self pay patients to Midland Professionals and Midland assists them in seeing if they are eligible for any federal, state, or local programs. The collectors send out charity care paperwork to patients as they are calling and collecting or if a patient calls for the packet. Part VI, Line 4: SWMC's total service area is rural and is made up of southwest Kansas and the neighboring areas of Oklahoma, Colorado and New Mexico. SWMC's primary service area, however, is Seward County, KS, which has a population of approximately 21,358. According to the U.S. Census Bureau this population is approximately 66.2% Hispanic, has a median household income of $51,809, and 13.7% of all people in Seward County are below the Federal poverty level.SWMC is a County owned hospital and is the only hospital in the county. It therefore provides care to all patients regardless of their ability to pay. 7.1% of services provided by SWMC are provided to Uninsured patients while an additional 16.5% is provided to Medicaid patients. Part VI, Line 5: SWMC's seven Board of Trustees members are appointed by the Seward County Board of County Commissioners. Trustees are required to reside in Seward County, KS, and cannot be employed by the Hospital. SWMC extends medical staff privileges to all qualified physicians in the community who so desire to have such privileges.All surplus funds are reinvested back into the Hospital to fund capital needs and additional services that are identified as needed to continue to provide high quality services to the community. SWMC works with other community agencies, including the Seward County Health Department, to provide educational programs to the public throughout the year. SWMC provides clinical training facilities for many area educational institutions' nursing, respiratory therapy, and radiology students. This includes Seward County Community College, Fort Hays State University, the University of Kansas, Oklahoma State University, Texas Tech University and others, all without any financial compensation. X X X 0 0 0 0 0 0 0 0 0 Rama Chanda Physician 292572 0 668204 0 0 0 27103 0 36804 0 1024683 0 0 0 Pingal Desai Physician 504834 0 438959 0 0 0 27105 0 33500 0 1004398 0 0 0 Firas Kawtharani Physician 502144 0 437349 0 0 0 27105 0 30746 0 997344 0 0 0 Lamberto Flores Physician 153439 0 595791 0 0 0 27136 0 20306 0 796672 0 0 0 Jose Maeda Physician 604046 0 92983 0 0 0 27131 0 28242 0 752402 0 0 0 Amber Williams CFO/Interim CEO 168868 0 68719 0 0 0 19735 0 12807 0 270129 0 0 0 Robert Whitaker CEO thru March 2022 128152 0 9000 0 0 0 8913 0 9473 0 155538 0 0 0 A Seward County Kansas 486009370 818427FR2 2016-03-30 9921376 Partially refund 2010 bond issue 0 0 0 B Seward County Kansas 486009370 818427GH3 2021-03-31 4833152 Partially refund 2010 bond issue 0 0 0 A 515000 9921376 149800 10210375 15000 2016 0 1 1 1 B 925000 4833152 71215 13750 4744093 4141 2021 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Schedule K, Part II The difference between Part I, column (e) and Part II, line 3 is due to the accumulation of investment income. Caleb Whitaker Son of Robert Whitaker, CEO thru March 2022 35226 Employment 0 Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the CEO. Form 990, Part VI, Section B, line 12c A conflict of interest policy disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each Trustee upon election and annually thereafter. Form 990, Part VI, Section B, line 15 The Board of Trustees is responsible for determining the job performance standards for the Administrator/CEO and determining compensation according to the organization's policies. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, Line 2C The organization has an audit committee that is responsible for the oversight of the financial statement audit and selection of the independent accountant. Southwest Medical Center Foundation PO Box 1340 Liberal KS 67901 480908781 Fundraising for the benefit of Southwest Medical Center KS 501(c)(3) Line 12d, III-O 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0