MIAMI COUNTY MEDICAL CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MIAMI COUNTY MEDICAL CENTER INC (EIN 48-1155548)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202333199349317528
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T13:50:08-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 641062246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481155548 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIAMI COUNTY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MONICA LUBECK | InCareOfNm |
| Business Name Control | MIAM | BusinessNameControlTxt |
| Phone | 9133553095 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 BAPTISTE DRIVE | AddressLine1Txt |
| City | PAOLA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66071 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA LUBECK | PersonNm |
| Person Title | SECY/CHIEF LEGAL OFF | PersonTitleTxt |
| Phone | 9133553523 | PhoneNum |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JASON | PersonFirstNm |
| Person Last | HANNAGAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael J Engle | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
| Preparation | 2023-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JASON HANNAGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20333 W 151ST STREET | AddressLine1Txt |
| City | OLATHE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,543,249 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OLATHEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | TO HELP PEOPLE THROUGH HEALING, HEALTH, AND HAPPINESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 213 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $5,343 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $101,811 | PYContributionsGrantsAmt |
| CY Contributions Grants | $410,976 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,043,764 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,918,568 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,014,147 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,920,780 | CYInvestmentIncomeAmt |
| PY Other Revenue | $303,550 | PYOtherRevenueAmt |
| CY Other Revenue | $74,246 | CYOtherRevenueAmt |
| PY Total Revenue | $35,463,272 | PYTotalRevenueAmt |
| CY Total Revenue | $37,324,570 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $142,972 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $175,265 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,420,540 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,125,235 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,297,431 | PYOtherExpensesAmt |
| CY Other Expenses | $17,539,223 | CYOtherExpensesAmt |
| PY Total Expenses | $33,860,943 | PYTotalExpensesAmt |
| CY Total Expenses | $35,839,723 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,602,329 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,484,847 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $90,050,134 | TotalAssetsBOYAmt |
| Total Assets EOY | $79,492,613 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,197,151 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,677,812 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $75,852,983 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $66,814,801 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO HELP PEOPLE THROUGH HEALING, HEALTH, AND HAPPINESS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $31,679,906 | ExpenseAmt |
| Grant | $175,265 | GrantAmt |
| Revenue | $31,918,568 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $31,679,906 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 213 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA LUBECK | PersonNm |
| Phone | 9133553523 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20333 W 151ST STREET | AddressLine1Txt |
| City | OLATHE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| STANLEY HOLM | ||||||||
| PRESIDENT/CEO | 5.0 | 40.0 | Yes (X) | $0 | $1,399,665 | $258,684 | ||
| JASON HANNAGAN | ||||||||
| SECRETARY/CHIEF LEGAL OFFICER | 5.0 | 40.0 | Yes (X) | $0 | $1,207,630 | $154,717 | ||
| KRYSTAL CLAYMORE | ||||||||
| TREASURER/CFO | 6.0 | 44.0 | Yes (X) | $0 | $1,151,323 | $138,799 | ||
| JEFF DOSSETT | ||||||||
| CHIEF OPERATING OFFICER | 5.0 | 40.0 | Yes (X) | $0 | $927,927 | $109,565 | ||
| ELIZABETH LONG | ||||||||
| CHIEF MEDICAL OFFICER | 2.0 | 48.0 | Yes (X) | $0 | $571,269 | $25,188 | ||
| TERESA KELLER | ||||||||
| SECY/ASSISTANT GENERAL COUNSEL | 5.0 | 40.0 | Yes (X) | $0 | $434,827 | $37,636 | ||
| JONATHAN NEWKIRK | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $345,201 | $0 | $38,757 | Yes (X) | ||
| PAUL LUCE | ||||||||
| VICE PRESIDENT/COO - MCMC | 45.0 | 0.0 | Yes (X) | $338,151 | $0 | $23,431 | ||
| BRIAN COOKE | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $296,892 | $0 | $39,742 | Yes (X) | ||
| SARA COBINE | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $249,260 | $0 | $31,392 | Yes (X) | ||
| NATALIE HAGMAN | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $251,553 | $0 | $23,870 | Yes (X) | ||
| GEORGINA GREEN | ||||||||
| PHYSICIAN | 50.0 | 0.0 | $243,036 | $0 | $28,579 | Yes (X) | ||
| JANELL AUST | ||||||||
| DIRECTOR/CHAIRPERSON | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BLAKE HEID | ||||||||
| DIRECTOR/VICE CHAIRPERSON | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CASSI VOHS | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MARY DIANA NEAL | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| KATHY MINDEN | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,724,093 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,692,641 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $910,360 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DR DONALD BRAUN | |||||
| 14021 MELROSE | OVERLAND PARK | KS | 66221 | ER PHYSICIAN SERVICE | $335,150 |
| DR OSAMA ISMAEL | |||||
| 14217 PARKHILL | OVERLAND PARK | KS | 66221 | ER PHYSICIAN SERVICE | $424,752 |
| DR MICHAEL MALIN | |||||
| 4806 W 64TH STREET | PRARIE VILLAGE | KS | 66208 | ER PHYSICIAN SERVICE | $421,976 |
| VANGUARD RESOURCES INC | |||||
| 6500 US HWY 281 N | SPRING BRANCH | TX | 78070 | OUTSIDE SERVICES | $1,048,015 |
| SODEXO OPERATIONS LLC | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | OUTSIDE SERVICES | $397,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $206,300 | RelatedOrganizationsAmt |
| Government Grants | $204,676 | GovernmentGrantsAmt |
| Total Contributions | $410,976 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE SERVICE REVENUE | 621110 | $31,072,942 | $31,072,942 |
| PROVIDER RELIEF FUNDS | 621110 | $845,626 | $845,626 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,918,568 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,426,186 | TotalRevenueColumnAmt |
| Exclusion | $1,426,186 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,534 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,527 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,007 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,007 | TotalRevenueColumnAmt |
| Exclusion | $1,007 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,656,746 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,162,152 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,494,594 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,494,594 | TotalRevenueColumnAmt |
| Exclusion | $3,494,594 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| REBATES | 900099 | $474 | $474 | |
| CAFETERIA SALES | 722514 | $164 | $164 | |
| All Other Misc Revenue | 900099 | $72,601 | $67,258 | $5,343 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,601 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $5,343 | UnrelatedBusinessRevenueAmt |
| Exclusion | $67,258 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $73,239 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,324,570 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,918,568 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,343 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,989,683 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,265 | TotalAmt |
| Program Services | $170,265 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Program Services | $5,000 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,582 | TotalAmt |
| Management And General | $361,582 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,842 | TotalAmt |
| Program Services | $105,842 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,603,043 | TotalAmt |
| Program Services | $13,643,636 | ProgramServicesAmt |
| Management And General | $959,407 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,672 | TotalAmt |
| Program Services | $229,648 | ProgramServicesAmt |
| Management And General | $40,024 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,858,131 | TotalAmt |
| Program Services | $1,409,725 | ProgramServicesAmt |
| Management And General | $448,406 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $926,965 | TotalAmt |
| Program Services | $813,914 | ProgramServicesAmt |
| Management And General | $113,051 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $690,875 | TotalAmt |
| Management And General | $690,875 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,620 | TotalAmt |
| Management And General | $44,620 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,569 | TotalAmt |
| Management And General | $28,569 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,337 | TotalAmt |
| Management And General | $7,337 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,761,560 | TotalAmt |
| Program Services | $4,223,931 | ProgramServicesAmt |
| Management And General | $537,629 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,087 | TotalAmt |
| Management And General | $54,087 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,870 | TotalAmt |
| Program Services | $130,235 | ProgramServicesAmt |
| Management And General | $161,635 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,100,977 | TotalAmt |
| Program Services | $924,121 | ProgramServicesAmt |
| Management And General | $176,856 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,326,356 | TotalAmt |
| Program Services | $2,117,381 | ProgramServicesAmt |
| Management And General | $208,975 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,743 | TotalAmt |
| Program Services | $12,794 | ProgramServicesAmt |
| Management And General | $1,949 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,516,624 | TotalAmt |
| Program Services | $1,307,707 | ProgramServicesAmt |
| Management And General | $208,917 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,505 | TotalAmt |
| Program Services | $138,120 | ProgramServicesAmt |
| Management And General | $75,385 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Bad Debt Expense | $3,081,212 | $3,081,212 |
| Medical Supplies | $3,187,290 | $3,187,290 |
| Repairs & Maintenance | $74,059 | $74,059 |
| Medicaid Assessment | $98,767 | $98,767 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,772 | TotalAmt |
| Program Services | $6,259 | ProgramServicesAmt |
| Management And General | $40,513 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,839,723 | TotalAmt |
| Program Services | $31,679,906 | ProgramServicesAmt |
| Management And General | $4,159,817 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,812 | BOYAmt |
| EOY | $12,287 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,699,905 | BOYAmt |
| EOY | $1,987,052 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,420,306 | BOYAmt |
| EOY | $3,143,216 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $830,529 | BOYAmt |
| EOY | $901,897 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,954 | BOYAmt |
| EOY | $105,494 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,208,970 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,395,840 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,573,228 | BOYAmt |
| EOY | $12,813,130 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,844,083 | BOYAmt |
| EOY | $39,744,772 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,380,752 | BOYAmt |
| EOY | $9,757,825 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,135,565 | BOYAmt |
| EOY | $11,026,940 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,050,134 | BOYAmt |
| EOY | $79,492,613 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,542,467 | BOYAmt |
| EOY | $2,149,874 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,050,302 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,604,382 | BOYAmt |
| EOY | $10,527,938 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,197,151 | BOYAmt |
| EOY | $12,677,812 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,787,417 | BOYAmt |
| EOY | $66,814,801 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,566 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,852,983 | BOYAmt |
| EOY | $66,814,801 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,050,134 | BOYAmt |
| EOY | $79,492,613 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,484,847 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,457,463 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$65,566 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $2,715 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $2,715 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1F | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO VARIOUS HOSPITAL ASSOCIATIONS AND A PORTION OF THOSE DUES ARE ALLOCATED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $47,174,332 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$6,111,939 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,688,763 | OtherExpendituresAmt |
| Administrative Expenses | $7,337 | AdministrativeExpensesAmt |
| End Year Balance | $38,366,293 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $43,184,777 | BeginningYearBalanceAmt |
| Contributions | $750,000 | ContributionsAmt |
| Investment Earnings Or Losses | $3,638,491 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $390,596 | OtherExpendituresAmt |
| Administrative Expenses | $8,340 | AdministrativeExpensesAmt |
| End Year Balance | $47,174,332 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $54,957,271 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,373,945 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,146,439 | OtherExpendituresAmt |
| End Year Balance | $43,184,777 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $45,903,346 | BeginningYearBalanceAmt |
| Contributions | $68,295 | ContributionsAmt |
| Investment Earnings Or Losses | $9,099,797 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $114,167 | OtherExpendituresAmt |
| End Year Balance | $54,957,271 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $58,170,298 | BeginningYearBalanceAmt |
| Contributions | $58,891 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,325,843 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,000,000 | OtherExpendituresAmt |
| End Year Balance | $45,903,346 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,130,973 | OtherCostOrOtherBasisAmt |
| Book Value | $3,130,973 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,851,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,555,395 | DepreciationAmt |
| Book Value | $6,295,755 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,970 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,970 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,959,134 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,974,436 | DepreciationAmt |
| Book Value | $2,984,698 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,263,743 | OtherCostOrOtherBasisAmt |
| Depreciation | $862,039 | DepreciationAmt |
| Book Value | $401,704 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,813,130 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in Affiliates | Desc |
| Book Value | $9,757,825 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $9,757,825 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $9,668 |
| Due from third party | $260,224 |
| Right of Use Asset | $119,661 |
| Due from Affiliate | $10,637,387 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,026,940 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $10,352,553 |
| DUE TO THIRD-PARTY | $55,724 |
| Operating Lease Liability | $119,661 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,527,938 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | THE ENDOWMENT FUNDS ARE HELD FOR FUTURE CAPITAL AND EXPANSION NEEDS. IN ADDITION, THE FUNDS ALSO REPRESENT RESERVES FOR OPERATING NEEDS TO REMAIN FINANCIALLY STABLE. |
| SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $470,878 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $470,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,475,809 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,180,081 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,295,728 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,946,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,180,081 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,766,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05380 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,744 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,744 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,255,147 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,255,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03830 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,275,891 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,275,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,222,578 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,180,081 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,042,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09280 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,500 | TotalCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $900 | TotalCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,537 | TotalCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,186 | TotalCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,123 | TotalCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $908,823 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $681,617 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,467,957 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,930,802 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,462,845 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIAMI COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 BAPTISTE DRIVE | AddressLine1Txt |
| City | PAOLA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66071 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.OLATHEHEALTH.ORG | WebsiteAddressTxt |
| State License | H-061-001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIAMI COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | Miami County Medical Center, Inc. (MCMCI) conducted a town hall meeting in summer of 2021. The community members invited to this town hall represented the broad interests of the community served by the hospital facility, including individuals with special knowledge and expertise in public health. This includes people representing the following groups: local hospital, public health community, mental health community, free clinics, community-based clinics, service providers, local residents, community leaders, opinion leaders, school leaders, business leaders, local government, faith-based organizations, people with chronic conditions, uninsured community members, low income residents, and minority groups. Section V of the CHNA provides a list of the town hall attendees and notes from the meeting. All priority-setting and scoring processes at the town hall meeting involved the input of key stakeholders in attendance. The meeting included discussion of community health data; reflection on size and seriousness of any health concerns; and discussion of current community health strengths. Participants were then asked to rank the community health concerns cited during the meeting and from the primary and secondary research already completed. A preliminary research survey was conducted by VVV Research LLC on behalf of MCMCI. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | https://www.olathehealth.org/patients-and-visitors/community-support/chna- chip/ |
| SCHEDULE H, PART V, SECTION B, LINE 10A | https://www.olathehealth.org/patients-and-visitors/community-support/chna- chip/ |
| SCHEDULE H, PART V, SECTION B, LINE 11 | MCMCI began the process to reassess the healthcare needs of its communities in order to identify the top health-need priorities in 2021. MCMCI Board of Directors approved the assessment and its results in September 2021. A three-year plan to address these communities will be drafted for the 2023-2025 plan. Currently, MCMCI is in year three of the existing improvement plan, which was initiated in 2020. It addresses each health need priority, outlining MCMCI's initiative(s) to address the need and the anticipated community impact. You can read the full Community Health Needs Assessment and Community Health Improvement Plan documents on our website at olathehealth.org/community. |
| SCHEDULE H, PART V, SECTION B, LINE 13B | In addition to the items checked in this section, when annual household income is more than 300% of the federal poverty guidelines, individuals with extraordinary medical expenses may be eligible, on case by case basis, for financial assistance discount or extended payment arrangements. |
| SCHEDULE H, PART V, SECTION B, LINES 16A-C | WWW.OLATHEHEALTH.ORG/PATIENT-AND-VISITORS/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| LOUISBURG REHAB OF MIAMI CTY MEDICAL CTR | ||||
| 102 W CRESTVIEW CIRCLE | LOUISBURG | KS | 66053 | OUTPATIENT REHABILITATION CLINIC |
| OSAWATOMIE REHAB OF MIAMI CTY MED CENTER | ||||
| 635 MAIN STREET | OSAWATOMIE | KS | 66064 | OUTPATIENT REHABILITATION CLINIC |
| PAOLA REHAB OF MIAMI CTY MEDICAL CTR | ||||
| 1312 KANSAS AVENUE | PAOLA | KS | 66071 | OUTPATIENT REHABILITATION CLINIC |
| FAMILY MEDICINE - PAOLA | ||||
| 1318 KANSAS DRIVE | PAOLA | KS | 66071 | RURAL HEALTH CLINIC |
| FAMILY MEDICINE - LOUISBURG | ||||
| 102 WEST CRESTVIEW | LOUISBURG | KS | 66053 | RURAL HEALTH CLINIC |
| FAMILY MEDICINE - OSAWATOMIE | ||||
| 100 EAST MAIN ST | OSAWATOMIE | KS | 66064 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | See Part VI, Section B, Line 13 for the list of factors used in the eligibility criteria explained in the FAP for providing free and discount care. Private pay primary (uninsured) receive an automatic 50% discount off of billed charges. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | The bad debt expense is not considered a community benefit expense and is not included in Schedule H, Part I, Line 7. The amount excluded is $3,081,212. |
| SCHEDULE H, PART I, LINE 7 | The costing methodology used to calculate the amounts contained in the table of Part I, Line 7, of Schedule H, is a cost accounting system. |
| SCHEDULE H, PART I, LINE 7G | No physician clinic costs are included in the Community Benefit expenses. |
| SCHEDULE H, PART II | Miami County Medical Center, Inc. (MCMCI) is committed to improving the communities we serve. The organization is involved in a variety of activities in our community that support the general economic improvement of our community; the health, well-being and safety of our area's residents; as well as supporting programs and other organizations that reach out to our citizens in need. A few examples of MCMCI's involvement in 2022 include: 1) Involvement in the Miami County Economic Development Advisory Board and local civic organizations. 2) Our support of the Health Partnership clinic, serving the uninsured of our community. 3) Our support of Lakemary Center, a nonprofit serving children and adults with developmental and intellectual disabilities. 4) Leadership participation on the Board of Directors for the Elizabeth Layton Center, a nonprofit community mental health center serving the mental health treatment needs of the residents of the communities it serves. 5) Participation in community organizations and events through donations and by providing health education and services, including the Miami County Cancer Foundation. 6) Leadership and participation in our area's emergency preparedness efforts by coordinating extensive drills to practice our response to potential situations. 7) Participation in the Flint Hills Trail Project working with the City of Osawatomie to develop walking and biking trails in and around Osawatomie. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | A cost accounting system is used to calculate the amount of MCMC's bad debt expense. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | The amount included on Line 3 that could be attributed to patients eligible under the organization's financial assistance policy was estimated by analyzing all private pay patient charges at cost less the cost for those patients that were eligible for financial assistance. This amount was then multiplied by the percentage of what has been historically collected from uninsured patients. The majority of the uninsured patients do not have the ability to pay and if the patients completed the financial assistance application they would be eligible for financial assistance. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | AS OF JANURY 1, 2023, A MEMBER SUBSTITUTION OCCURRED MAKING THE UNIVERSITY OF KANSAS HEALTH SYSTEM (UKHS) THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS SUPPORTED ORGANIZATIONS, INCLUDING MIAMI COUNTY MEDICAL CENTER, INC. UKHS OPERATES ON A FYE OF 6.30.2023, THEREFORE IT WAS DETERMINED OLATHE HEALTH SYSTEM, INC. WOULD NOT AUDIT THE FINANCIAL REPORTS AS OF 12.31.22 BUT WOULD BE INCLUDED IN THE AUDIT OF UKHS FINANCIAL REPORTING AUDIT OF 6.30.2023. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | Medicare allowable costs were calculated using a cost accounting system. Shortfalls arise from payments that are less than the costs to provide the services. The shortfalls should be considered community benefit as they must be absorbed in order to continue providing care to our community. It is also implied in Internal Revenue Service ruling 69-545 which established the community benefit standard for tax-exempt hospitals and indicates that participation in publicly-financed programs, such as Medicare, is evidence that a hospital meets the community benefit standard. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | Before placement with collection agencies, MCMCI Patient Financial Services offers various options for patients with financial challenges. An internal short-term four-month payment plan is offered to those patients who express the need for help in meeting the financial obligation. If the four-month payment option would cause a financial hardship, an extended payment option through a third party is available at no cost or interest to the patient. The third party vendor offers hardship option to those patients who express the inability to manage the monthly payments. In addition to offering our own internal short term financial assistance and the extended payment option through a third party, MCMCI contracts with an outside agency that screens individuals for eligibility for programs such as Medicaid, Disability and Crime Victim's Compensation and then helps and supports the patient through the application process. MCMCI has language written in their collection agency contract that states, "Agency agrees to comply with the Internal Revenue Code 501(r)(6) and will not perform Extraordinary Collection Actions ("ECA") before Client has made reasonable efforts to determine whether the patient/debtor ("individual") is eligible for assistance under its financial assistance policy ("FAP") and will not engage in ECAs. If Client determines that the individual does not qualify, or is unable to determine whether an individual qualifies, THE Agency may, upon direction from Client engage in collection activities." If the collection agency is notified by the patient/debtor that this created an undue financial hardship or burden due to a change in their income or assets, the agency will notify MCMCI and await further direction from the hospital. |
| SCHEDULE H, PART VI, LINE 2 | Miami County Medical Center, Inc. (MCMCI) is continually assessing the health needs of the communities it serves in a variety of ways. Informally, MCMCI is involved in multiple health fairs and other community outreach activities that involve screenings, questionnaires and general conversation that help us understand the needs of groups and individuals. Also, the MCMCI Community Advisory Council meets on a regular basis with representatives from a diverse group of individuals who provide helpful input from the organizations and communities they represent. MCMCI launched its fourth formal process of assessment in 2021 to begin implementation in 2023. In partnership with the Miami County Department of Health, and with the help of VVV Research and Development, MCMCI conducted a community health needs assessment for its primary service area (Miami County). This was done by performing research, collecting health data for the area and actively seeking input from the community through a survey and town hall meetings. The board approved the CHNA in September 2021. The research, survey and town hall meetings conducted in 2018 helped develop a picture of the health-related priorities of residents in our service area. Below are the top health need priorities in the primary service area for MCMCI for the 2020 - 2022 Community Health Improvement Plan. Health Need Priorities 2020-2022- MCMCI 1. Mental health, including screening, treatment and after-care 2. Opioid/drug abuse 3. Food insecurity 4. Suicide prevention 5. Local specialty care, specifically neurology, pulmonology, endocrinology and podiatry 6. Obesity 7. Senior care 8. Safe and affordable housing 9. Healthcare transportation 10. Immunizations In 2020, MCMCI launched its third Community Health Improvement Plan (CHIP). As a way to organize the health need priorities in a way where we incorporated further clarification from the community, MCMC categorized them in the following way in the CHIP: 1. Behavioral Health a. Mental health, including screening, treatment and after-care (CHNA Priority #1) b. Opioid/drug abuse (CHNA Priority #2) c. Suicide prevention (CHNA Priority #4) 2. Physical Health a. Food insecurity (CHNA Priority #3) b. Obesity (CHNA Priority #6) c. Immunizations (CHNA Priority #10) 3. Access to Care a. Local specialty care, specifically neurology, pulmonology, endocrinology and podiatry (CHNA Priority #5) b. Healthcare transportation (CHNA Priority #9) 4. Senior Care (CHNA Priority #7), including safe and affordable housing (CHNA Priority #8) To address the first priority of mental health, MCMCI began addressing this through increased collective community education, prevention, response and treatment for mental health conditions. One response involved the Olathe Health Family Medicine Clinics screening patients during wellness visits using the PHQ-9 depression screening, continue enhancements to care management for patients with mental illness through implementation of behavioral health care management for patients with mental health conditions. In 2022, the goal was to assess 80% of patients ages 12 and older annually for depression. Screenings were conducted at nearly 99% of all patient visits. For patients identified, they are followed-up with every three months to check in. The next step in this is to evaluate and expand resources available for these patients. Another key response is to work with community health partners to support patients within the Olathe Health network, specifically focusing on those with depression/anxiety diagnosis, those who have that diagnosis plus a chronic medical condition and those who have more than four chronic conditions by identifying key community partners and develop process for collaborating to increase access and enhance patient care. MCMC continued its partnership and support of the Elizabeth Layton Center (ELC). MCMC leadership continues to serve on the board for ELC and identify ways to enhance offerings to OHFM patients and the community. The Culture of Health initiative was led by the Marais des Cygnes District Research and Extension Office. This group of community representatives including MCMC, ELC, school district, Department of Child and Family Services and others came together to offer Mental Health First Aid training to the community, specifically those who work in professions such as youth coaches, hair dressers and other who work directly with the community. In 2022, the culture of health grant continued to provide resources to parents and students at the beginning of the school year on topics of depression and anxiety. An additional response to this was launching an online resource guide to provide the community with a single source for accessing key behavioral health services. The goal for this guide to undergo an annual audit to ensure information is updated. This was conducted in Q4 of 2022. The final response to address this health priority was to coordinate with Olathe Health Family Medicine to provide telemedicine opportunities for behavioral health services. Through the emergency department, telehealth behavioral health services are available through ELC. The future goal is to expand this beyond the ED and incorporate into an outpatient setting. The second health priority under behavioral health is to address the rise in the abuse and misuse of drugs and opioids. To do this, we must partner with key community entities to reduce the use of other illegal drugs. The most effective way for a hospital to address this is to partner with our medical providers. Through the creation of the Olathe Health Physician Opioid Task Force, this group can review prescription practices and provide appropriate education. This group launched a plan and infrastructure to monitor patients who have and do not have a controlled substance agreement. This group was able to launch an opioid toolkit through the EMR to help providers better monitor this information in a more user-friendly way. In 2022 the task force reviewed data to set future goals. Another key response was to ensure the rural health clinics had medication disposal systems in place for safe disposal. In 2022, the baseline data was analyzed to measure success of this program. Another effort was to make providers aware of local drop-off locations. This information was provided by the physician relations liaison. To address suicide prevention, MCMCI needs to partner with key community stakeholders to reduce the incidence of suicide and connect those with suicide ideation with the appropriate resources for assistance. The response is to work with community partners to develop a rapid response process to help with Olathe Health patients in crisis within our locations. Created resources for crisis management for clinic staff for suicidality including but not limited to iPad assessment in clinics, direct hotline, etc. Through a partnership with Elizabeth Layton Center, MCMCI is able to have patients appropriately screened in the emergency room. Another response to suicide prevention was to support the Healthy Minds Strong Communities workgroup in their effort to launch awareness/educational programs to help people develop resiliency. Continued a social media campaign with resources and educational videos on this topic. The campaign targeted different audiences including educators, healthcare workers, parents, youth and general community. MCMCI implemented the Yellow Ribbon Project in the communities we serve by sponsoring training days for community, including those who work directly with youth (i.e. non-school based athletic coaches, recreational leaders, etc.) Under the next heading of physical activity, MCMC focused on enhancing collaborative communication about accessible health wellness and prevention opportunities to encourage community members to engage and sustain positive behavior change. One effective way to provide this education is through the online resource guide that launched in December 2020. In addition to providing resources, there are opportunities to highlight community partnerships (such as the ones MCMCI has with the Osawatomie School District and the Ozone) and promote events. MCMCI also set a goal to participate in 10 community-based activities to provide preventative health and wellness screenings and/or education. In 2022, MCMC participated in 10 community-based events. Another key response was to focus on enhancing food insecurity. MCMCI approached this by screening Olathe Health Family Medicine patients for food insecurity to Establish a baseline in 2020 and then increase number of patients being connected to resources. In 2022, the number of patients identified through the screening process as being food insecure increased. MCMCI also chose to focus on education to youth and young families in the community by promoting the 1-2-3-4-5-Fit-TASTIC Program (a program that talks about incorporating healthy eating habits and other behaviors in their life |
| SCHEDULE H, PART VI, LINE 3 | Patients of Miami County Medical Center, Inc. (MCMCI) are made aware of all opportunities available for financial assistance in a variety of ways. There are signs in the registration areas to notify patients and visitors of the availability of assistance programs. Every billing statement contains a notice of the availability of financial assistance and how to obtain additional information or apply. Applications and instructions are available on the medical center's website, in both English and Spanish. Patient Access, Patient Financial Services and social workers are trained to provide applications to patients if they express any concern regarding ability to pay for services or may be referred to an agency the medical center contracts with to help individuals through the application process for programs like Medicaid and disability. Patients that call or visit our Patient Financial Services department expressing concerns about being able to pay for their services or express that they are experiencing a financial hardship are advised of our assistance policy and encouraged to apply. |
| Schedule H, Part VI, Line 4 | Miami County Medical Center, Inc. (MCMCI) serves the people of Miami and Linn Counties in Kansas. Miami and Linn Counties are both located in rural areas of the state of Kansas and are both federally designated medically underserved areas of Kansas. MCMCI is the only hospital in these two counties. However, there are several other hospitals located in nearby metropolitan areas, including Olathe and Overland Park, Kansas, and Kansas City, Missouri. MCMCI has four rural health clinics in Paola, LaCygne, Louisburg and Osawatomie, Kansas which serve underserved populations. In addition to the general healthcare services provided by the hospital and its associated physicians, MCMCI serves a diverse population of mentally disabled patients. The Osawatomie State Hospital, Lakemary Center, Medicalodge of Paola and the Tri-Ko are all organizations located in the primary service area. MCMCI supports each of these organizations by providing medical care to their residents, in addition to financial contributions to support programs for their residents. Below is a listing of economic levels for area residents. Time period: 2020 American Community Survey 5-Year Estimates Source: data.census.gov People Living Below Poverty Level Miami County: 6.9% Linn County: 15.3% Young Children Living Below Poverty Level Miami County: 8.2% Linn County: 17.8% Uninsured Adult Population Rate Miami County: 5.8% Linn County: 9.3% |
| Schedule H, Part VI, Line 5 | In addition to the items listed above, Miami County Medical Center takes an active role in support of local, regional and national not-for-profit organizations with a focus on improving health and supporting those in need. MCMCI provides support financially and through volunteering time and talents to multiple area organizations. MCMCI provides athletic trainers to area school sports programs. The pandemic caused MCMC to transition to Drive-thru flu shot clinics and community screenings with restrictions related to pandemic protocols. |
| Schedule H, Part VI, Line 6 | Miami County Medical Center, Inc. (MCMCI) is part of Olathe Health System, Inc. (OHSI). OHSI consists of two hospitals and a network of 40 clinics. OHSI and its affiliates, including MCMCI, take a leadership role in promoting the health of the communities served. OHSI hospitals and clinics are involved with community outreach education and screening programs across the entire service area. MCMCI collaborates with area companies and other health-related service providers to provide education and screenings to the public. |
| Schedule H, Part VI, Line 7 | MCMCI is not required to file a community benefit report with the state, but we make our report available to anyone interested at www.olathehealth.org. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| PAOLA USD # 368 | ||||||||||
| PO BOX 268 | PAOLA | KS | 66071 | 480720746 | GOVERNMENT | $41,241 | FMV | SPORTS MEDICINE | COMMUNITY WELLNESS | |
| OSAWATOMIE USD # 367 | ||||||||||
| 1200 TROJAN DRIVE | OSAWATOMIE | KS | 66064 | 480698824 | GOVERNMENT | $41,241 | FMV | SPORTS MEDICINE | COMMUNITY WELLNESS | |
| PRAIRIE VIEW USD # 362 | ||||||||||
| 13799 KS HWY 152 | LA CYGNE | KS | 66040 | 480698988 | GOVERNMENT | $80,283 | FMV | SPORTS MEDICINE | COMMUNITY WELLNESS | |
| LAKEMARY CENTER | ||||||||||
| 100 LAKEMARY DR | PAOLA | KS | 66071 | 237423516 | 501(C)3 | COMMUNITY WELLNESS | $7,500 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 5 | RecipientCnt |
| Cash Grant | $5,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MIAMI COUNTY MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS IN ADDITION TO PROVIDING FUNDS TO ASSIST LOUISBURG, PAOLA AND OSAWATOMIE SCHOOLS WITH ADDITIONAL HEALTHCARE ITEMS. FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE UNIVERSITY ON BEHALF OF THE INDIVIDUAL SELECTED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL LUCE | ||||||||||||||
| VICE PRESIDENT/COO - MCMC | $333,100 | $0 | $0 | $0 | $5,051 | $0 | $7,333 | $0 | $16,098 | $0 | $361,582 | $0 | $0 | $0 |
| STANLEY HOLM | ||||||||||||||
| PRESIDENT/CEO | $0 | $951,080 | $0 | $430,222 | $0 | $18,363 | $0 | $232,884 | $0 | $25,800 | $0 | $1,658,349 | $0 | $0 |
| TERESA KELLER | ||||||||||||||
| SECY/ASSISTANT GENERAL COUNSEL | $0 | $261,723 | $0 | $171,146 | $0 | $1,958 | $0 | $11,941 | $0 | $25,695 | $0 | $472,463 | $0 | $0 |
| KRYSTAL CLAYMORE | ||||||||||||||
| TREASURER/CFO | $0 | $478,752 | $0 | $670,166 | $0 | $2,405 | $0 | $116,357 | $0 | $22,442 | $0 | $1,290,122 | $0 | $0 |
| JEFF DOSSETT | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $383,369 | $0 | $538,364 | $0 | $6,194 | $0 | $84,223 | $0 | $25,342 | $0 | $1,037,492 | $0 | $0 |
| JASON HANNAGAN | ||||||||||||||
| SECRETARY/CHIEF LEGAL OFFICER | $0 | $521,334 | $0 | $685,208 | $0 | $1,088 | $0 | $129,090 | $0 | $25,627 | $0 | $1,362,347 | $0 | $0 |
| ELIZABETH LONG | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $569,304 | $0 | $0 | $0 | $1,965 | $0 | $0 | $0 | $25,188 | $0 | $596,457 | $0 | $0 |
| JONATHAN NEWKIRK | ||||||||||||||
| PHYSICIAN | $332,205 | $0 | $0 | $0 | $12,996 | $0 | $26,314 | $0 | $12,443 | $0 | $383,958 | $0 | $6,104 | $0 |
| NATALIE HAGMAN | ||||||||||||||
| PHYSICIAN | $251,088 | $0 | $0 | $0 | $465 | $0 | $8,687 | $0 | $15,183 | $0 | $275,423 | $0 | $0 | $0 |
| SARA COBINE | ||||||||||||||
| PHYSICIAN | $248,687 | $0 | $0 | $0 | $573 | $0 | $10,209 | $0 | $21,183 | $0 | $280,652 | $0 | $0 | $0 |
| BRIAN COOKE | ||||||||||||||
| PHYSICIAN | $289,363 | $0 | $0 | $0 | $7,529 | $0 | $14,584 | $0 | $25,158 | $0 | $336,634 | $0 | $5,670 | $0 |
| GEORGINA GREEN | ||||||||||||||
| PHYSICIAN | $242,193 | $0 | $0 | $0 | $843 | $0 | $8,562 | $0 | $20,017 | $0 | $271,615 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING AMOUNTS WERE ACCRUED IN 2022 TO A 457(F) PLAN FOR THE BENEFIT OF THE SENIOR EXECUTIVE LEADERSHIP AND WERE INCLUDED AS DEFERRED INCOME ON SCHEDULE J FOR THE FOLLOWING: STANLEY HOLM, PRESIDENT AND CHIEF EXECUTIVE OFFICER, $199,268; KRYSTAL CLAYMORE, CHIEF FINANCIAL OFFICER, $85,538; JEFF DOSSETT, CHIEF OPERATING OFFICER, $59,431; AND JASON HANNAGAN, CHIEF LEGAL COUNSEL, $92,861. A SELECT GROUP OF PHYSICIANS ALSO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN 2022 THERE WERE PAYOUTS OF $6,104 TO DR. JONATHAN NEWKIRK AND $5,670 TO BRIAN COOKE. THESE AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION AND INCLUDED ON THEIR RESPECTIVE W-2S. THE FOLLOWING AMOUNTS WERE ACCRUED IN 2022 FOR A 457(F) PLAN AND INCLUDED AS DEFERRED INCOME ON SCHEDULE J FOR THE BENEFIT OF DRS. JONATHAN NEWKIRK, $6,518; SARA COBINE, $2,487; GEORGINA GREEN, $1,271; BRIAN COOKE, $5,580 AND NATALIE HAGMAN, $1,164. $5,580 AND NATALIE HAGMAN, $1,164. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEE SCHEDULE L PART V | PersonNm |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | (A) PATRICIA DIEHM (B) PATIRICIA DIEHM IS THE SISTER-IN-LAW OF PAUL LUCE, AN OFFICER OF MIAMI COUNTY MEDICAL CENTER, INC. (C) $105,842 (D) Patricia Diehm is an employee of Miami County Medical Center, Inc. (E) NO | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | MIAMI COUNTY MEDICAL CENTER, INC. OPERATES AN ACUTE CARE HOSPITAL IN PAOLA, KANSAS. MIAMI COUNTY MEDICAL CENTER, INC. CARRIES OUT ITS MISSION BY HELPING PEOPLE THROUGH HEALING, HEALTH AND HAPPINESS IN MIAMI COUNTY, KANSAS AND THE SURROUNDING AREA. MIAMI COUNTY MEDICAL CENTER, INC. IS A JOINT COMMISSION ACCREDITED HOSPITAL AND IS LICENSED FOR 39 BEDS AND CURRENTLY STAFFS 18 INPATIENT BEDS. PROGRAM SERVICES EXPENSES ARE ALL RELATED TO THE PROVISION OF HEALTHCARE SERVICES. IN 2022, MIAMI COUNTY MEDICAL CENTER, INC. PROVIDED 1,076 DAYS OF INPATIENT CARE, PROVIDED 135,951 OUTPATIENT PROCEDURES, AND 8,634 EMERGENCY VISITS TO THE COMMUNITY. MIAMI COUNTY MEDICAL CENTER'S RURAL HEALTH CLINICS OPERATE IN AREAS DESIGNATED AS MEDICALLY UNDERSERVED. THESE CLINICS HELP MEET THE NEEDS OF THEIR RESPECTIVE COMMUNITIES BY PROVIDING PRIMARY CARE PHYSICIANS AND MID-LEVEL PROVIDERS, LAB SERVICES AND X-RAY SERVICES. THE RURAL HEALTH CARE CLINICS COST IN EXCESS OF PAYMENTS WAS $1,092,383. EDUCATIONAL SUPPORT IN ADDITION TO PROVIDING UNCOMPENSATED CARE FOR PATIENTS IN NEED, THE MEDICAL CENTER PROVIDES OTHER HEALTH CARE RELATED BENEFITS TO THE COMMUNITIES IT SERVES BY PROVIDING 24-HOUR EMEGENCY CARE TO THE PUBLIC REGARDLESS OF ABILITY TO PAY. THE MEDICAL CENTER ALSO PROVIDES EDUCATION FOR A VARIETY OF MEDICAL PROFESSIONALS, HEALTH CARE SCREENINGS AND EDUCATION PROGRAMS FOR THE GENERAL PUBLIC AND SUPPORT GROUP SPONSORSHIPS. SPORTS NET MIAMI COUNTY MEDICAL CENTER PROVIDES ATHLETIC TRAINING STAFF FOR AREA HIGH SCHOOLS AND JUNIOR HIGH SCHOOOLS DURING THE SCHOOL YEAR THROUGH ITS SPORTS NET PROGRAM. IN 2022 $162,764 OF ATHLETIC TRAINER SERVICES WAS PROVIDED TO THE SCHOOLS IN THE MIAMI COUNTY MEDICAL CENTER'S SERVICE AREA. CONTRIBUTIONS MIAMI COUNTY MEDICAL CENTER SUPPORTS A VARIETY OF SOCIAL, EDUCATION AND CIVIC HEALTHCARE RELATED ORGANIZATIONS WITHIN ITS SERVICE AREA. IN 2022, $170,265 WAS CONTRIBUTED TO VARIOUS AGENCIES AND CHARITABLE ORGANIZATIONS AND $5,000 IN SCHOLARSHIPS TO STUDENTS INTERESTED IN PURSUING HEALTHCARE EDUCATION. |
| FORM 990, PART IV, LINE 20B | AS OF JANUARY 1, 2023, A MEMBER SUBSTITUTION OCCURRED MAKING THE UNIVERSITY OF KANSAS HEALTH SYSTEM (TUKHS) THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS SUPPORTED ORGANIZATIONS, INCLUDING MIAMI COUNTY MEDICAL CENTER, INC. TUKHS OPERATES ON A FYE OF 6.30.2023, THEREFORE IT WAS DETERMINED OLATHE HEALTH SYSTEM, INC. WOULD NOT AUDIT THE FINANCIAL REPORTS AS OF 12.31.22 BUT WOULD BE INCLUDED IN THE UKHS FINANCIAL REPORTING AUDIT OF 6.30.2023. |
| FORM 990, PART VI, SECTION A, LINE 2 | STANLEY HOLM, KRYSTAL CLAYMORE AND JEFF DOSSETT HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVED AS AN OFFICER OR DIRECTOR FOR OLATHE HEALTH DEVELOPMENT CORPORATION AND OLATHE MEDICAL CENTER DOCTOR'S BUILDING CONDOMINIUM OWNERS ASSOCIATION, INC. WHICH ARE RELATED FOR PROFIT COMPANIES. STANLEY HOLM, KRYSTAL CLAYMORE, JEFF DOSSETT, JASON HANNAGAN, ELIZABETH LONG AND TERESA KELLER WERE OR ARE EMPLOYED BY OLATHE HEALTH SYSTEM INC. WHICH IS THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC. |
| FORM 990, PART VI, SECTION B, LINE 6 | OLATHE HEALTH SYSTEM, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC. |
| FORM 990, PART VI, SECTION B, LINE 7A | OLATHE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC. AND HAS THE RIGHT TO ELECT ALL THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | OLATHE HEALTH SYSTEM, INC. IS THE SOLE MEMBER, AND HAS THE RIGHTS TO APPROVE MIAMI COUNTY MEDICAL CENTER, INC.'S BYLAWS AND ARTICLES OF INCORPORATION AND ALSO APPROVE MIAMI COUNTY MEDICAL CENTER'S BOARD MEMBERS AND HAVE AUTHORITY OVER CERTAIN TRANSACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS MANAGEMENT HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE UNIVERSITY OF KANSAS HEALTH SYSTEM BECAME THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS ENTITIES, INCLUDING MIAMI COUNTY MEDICAL CENTER, INC., ON JANUARY 1, 2023. THE PARENT COMPANY, OLATHE HEALTH SYSTEM, INC. WAS DISSOLVED IN JUNE 2023. THE BOARD AND ITS AUDIT AND COMPLIANCE COMMITTEE USED TO REVIEW AND APPROVE THE FORM 990 PRIOR TO SUBMISSION TO THE IRS. THE 2022 FORM 990 WILL BE REVIEWED AND APPROVED BY THE UNIVERSITY OF KANSAS HEALTH SYSTEM BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE PURPOSE OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS TO PROTECT THE ORGANIZATION'S INTEREST WHEN IT IS CONTEMPLATING A DECISION OR ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY PERSON IN A POSITION OF AUTHORITY OVER THE ORGANIZATION, OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. CORPORATE OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A DISCLOSURE OF INFORMATION FORM ANNUALLY. A SUMMARY OF THE ANNUAL DISCLOSURES OF INFORMATION IS PROVIDED TO THE FULL BOARD FOR REVIEW AT LEAST ONE TIME PER YEAR. THE CONFLICT OF INTEREST POLICY CALLS FOR ANY INTERESTED PERSON TO DISCLOSE THE EXISTENCE OF A FINANCIAL RELATIONSHIP OR COMPETITIVE INTEREST IN CONNECTION WITH ANY PENDING TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT THAT GAVE RISE TO THE DISCLOSURE. WHEN A TRANSACTION INVOLVES AN INTERESTED PARTY, THE FOLLOWING PROCEDURES ARE FOLLOWED: 1. THE INTERESTED PARTY LEAVES THE MEETING AFTER PROVIDING ANY MATERIAL FACTS OR DISCUSSION REGARDING THE MATTER THAT GIVES RISE TO THE INTEREST UNLESS REQUESTED TO STAY BY THE REMAINING BOARD OR COMMITTEE MEMBERS. 2. IF APPROPRIATE, THE BOARD MAY APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. 3. THE INTERESTED DIRECTORS MAY NOT VOTE ON THE MATTER THAT GIVES RISE TO THE INTEREST. 4. IN ORDER TO APPROVE THE TRANSACTION, THE BOARD MUST FIRST FIND, BY A MAJORITY VOTE OF THE DIRECTORS THEN IN OFFICE, WITHOUT COUNTING THE VOTE OF THE INTERESTED DIRECTORS, a. THAT THE PROPOSED TRANSACTION IS IN THE ORGANIZATION'S BEST INTERESTS AND FOR ITS OWN BENEFIT, AND b. THAT, AFTER REASONABLE INVESTIGATION, THE BOARD HAS DETERMINED THAT THE ORGANIZATION CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH EFFORTS UNDER THE CIRCUMSTANCES. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | ANNUALLY, THE PERSONNEL AND COMPENSATION COMMITTEE OF THE OLATHE HEALTH SYSTEM, INC. BOARD, WHICH IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF OLATHE HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE CORPORATION'S COMPENSATION IN ACCORDANCE WITH THEIR COMPENSATION POLICY. THE COMPENSATION COMMITTEE REVIEWS THIRD PARTY SALARY SURVEYS AND ALSO UTILIZES WRITTEN CONTRACTS FOR THE CEO TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION SALARY RANGES AND BENEFITS. COMPENSATION FOR SUCH OFFICERS IS APPROVED BY THE COMMITTEE AND INFORMATION OF THEIR FINDINGS IS AVAILABLE TO ALL BOARD MEMBERS AT THEIR REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENT ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | CHANGES IN RESTRICTED ASSETS $ (65,566) |
| FORM 990, PART XII, LINE 2C & 3B | THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WAS ESTABLISHED AND HAS OVERSIGHT OF THE AUDIT PROCESS, INCLUDING SELECTION OF THE INDEPENDENT ACCOUNTANT. AS OF JANURY 1, 2023, A MEMBER SUBSTITUTION OCCURRED MAKING THE UNIVERSITY OF KANSAS HEALTH SYSTEM (TUKHS) THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS SUPPORTED ORGANIZATIONS, INCLUDING OLATHE MEDICAL CENTER, INC. TUKHS OPERATES ON A FYE OF 6.30.2023, THEREFORE IT WAS DETERMINED OLATHE HEALTH SYSTEM, INC. WOULD NOT AUDIT THE FINANCIAL REPORTS AS OF 12.31.22 BUT WOULD BE INCLUDED IN THE AUDIT OF TUKHS FINANCIAL REPORTING AUDIT OF 6.30.2023. OLATHE HEALTH SYSTEM, INC. COMPLIED WITH THE SINGLE AUDIT PROVISIONS THROUGH INCLUSION IN TUKHS SINGLE AUDIT TO INCLUDE OHSI CALENDAR YEAR 2022. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL PROFESSIONAL FEES TOTAL FEES:2372029 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:1688681 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES FOR SERVICE TOTAL FEES:700850 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OLATHE MEDICAL CENTER INC | ||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 480577664 | HOSPITAL | KS | 501(C)(3) | 3 | OHSI | Yes (true) |
| OLATHE HEALTH SYSTEM INC | ||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 480979845 | SUPPORT ORG | KS | 501(C)(3) | 12C | NA | false |
| OLATHE HEALTH PHYSICIANS INC | ||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 481088982 | CLINICS | KS | 501(C)(3) | 10 | OHSI | Yes (true) |
| OLATHE HEALTH CHARITABLE FOUNDATION | ||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 481136010 | FUNDRAISING | KS | 501(C)(3) | 12A | OMCI | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OMC DOCTOR'S BLDG CONDO OWNERS ASSOC | |||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 481244766 | REAL ESTATE | KS | OMCI | C CORPORATION | $0 | $0 | Yes (true) |
| OLATHE HEALTH DEVELOPMENT CORPORATION | |||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 363445097 | MEDICAL SERVICES | KS | OHSI | C CORPORATION | $0 | $0 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| OLATHE MEDICAL CENTER INC | ||
| M | $303,041 | COST |
| OLATHE MEDICAL CENTER INC | ||
| N | $250,556 | COST |
| OLATHE MEDICAL CENTER INC | ||
| O | $1,229,371 | COST |
| OLATHE HEALTH PHYSICIANS INC | ||
| O | $1,042,309 | COST |
| OLATHE MEDICAL CENTER INC | ||
| P | $8,061,689 | COST |
| OLATHE HEALTH PHYSICIANS INC | ||
| P | $119,922 | COST |
| OLATHE MEDICAL CENTER INC | ||
| Q | $16,241,996 | COST |
| OLATHE HEALTH PHYSICIANS INC | ||
| Q | $1,091,768 | COST |
| OLATHE HEALTH CHARITABLE FOUNDATION | ||
| C | $206,300 | COST |