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MCMC 45.0 0.0 X 338151 0 23431 BRIAN COOKE PHYSICIAN 50.0 0.0 X 296892 0 39742 SARA COBINE PHYSICIAN 50.0 0.0 X 249260 0 31392 NATALIE HAGMAN PHYSICIAN 50.0 0.0 X 251553 0 23870 GEORGINA GREEN PHYSICIAN 50.0 0.0 X 243036 0 28579 JANELL AUST DIRECTOR/CHAIRPERSON 2.0 1.0 X X 0 0 0 BLAKE HEID DIRECTOR/VICE CHAIRPERSON 2.0 0.0 X X 0 0 0 CASSI VOHS DIRECTOR 1.0 0.0 X 0 0 0 MARY DIANA NEAL DIRECTOR 1.0 0.0 X 0 0 0 KATHY MINDEN DIRECTOR 1.0 0.0 X 0 0 0 1724093 5692641 910360 36 false true false DR DONALD BRAUN 14021 MELROSE OVERLAND PARK KS 66221 ER PHYSICIAN SERVICE 335150 DR OSAMA ISMAEL 14217 PARKHILL OVERLAND PARK KS 66221 ER PHYSICIAN SERVICE 424752 DR MICHAEL MALIN 4806 W 64TH STREET PRARIE VILLAGE KS 66208 ER PHYSICIAN SERVICE 421976 VANGUARD RESOURCES INC 6500 US HWY 281 N SPRING BRANCH TX 78070 OUTSIDE SERVICES 1048015 SODEXO OPERATIONS LLC PO BOX 360170 PITTSBURGH PA 15251 OUTSIDE SERVICES 397010 13 206300 204676 410976 PATIENT CARE SERVICE REVENUE 621110 31072942 31072942 PROVIDER RELIEF FUNDS 621110 845626 845626 31918568 1426186 1426186 0 0 57534 56527 1007 0 1007 1007 6656746 3162152 3494594 3494594 3494594 0 0 0 0 0 0 0 0 0 REBATES 900099 474 474 CAFETERIA SALES 722514 164 164 All Other Misc Revenue 900099 72601 5343 67258 72601 5343 67258 73239 37324570 31918568 5343 4989683 X 170265 170265 5000 5000 0 0 361582 361582 105842 105842 14603043 13643636 959407 269672 229648 40024 1858131 1409725 448406 926965 813914 113051 690875 690875 44620 44620 28569 28569 0 0 7337 7337 4761560 4223931 537629 54087 54087 291870 130235 161635 1100977 924121 176856 0 2326356 2117381 208975 14743 12794 1949 0 0 0 0 1516624 1307707 208917 213505 138120 75385 Bad Debt Expense 3081212 3081212 Medical Supplies 3187290 3187290 Repairs & Maintenance 74059 74059 Medicaid Assessment 98767 98767 46772 6259 40513 35839723 31679906 4159817 0 11812 12287 1699905 1987052 0 0 4420306 3143216 0 0 0 0 0 0 830529 901897 153954 105494 40208970 27395840 13573228 12813130 45844083 39744772 11380752 9757825 0 0 0 0 12135565 11026940 90050134 79492613 2542467 2149874 0 0 1050302 0 0 0 0 0 0 0 0 0 0 0 10604382 10527938 14197151 12677812 X 75787417 66814801 65566 0 75852983 66814801 90050134 79492613 X 1484847 -10457463 -65566 X X false false true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 2715 false false false 2715 false SCHEDULE C, PART II-B, LINE 1F THE ORGANIZATION PAYS DUES TO VARIOUS HOSPITAL ASSOCIATIONS AND A PORTION OF THOSE DUES ARE ALLOCATED TO LOBBYING. 47174332 -6111939 2688763 7337 38366293 43184777 750000 3638491 390596 8340 47174332 54957271 3373945 15146439 43184777 45903346 68295 9099797 114167 54957271 58170298 58891 -1325843 11000000 45903346 1.00000 false false 3130973 3130973 19851150 13555395 6295755 3970 3970 0 15959134 12974436 2984698 1263743 862039 401704 12813130 Investment in Affiliates 9757825 F 9757825 Other Receivables 9668 Due from third party 260224 Right of Use Asset 119661 Due from Affiliate 10637387 11026940 0 Due to Affiliates 10352553 DUE TO THIRD-PARTY 55724 Operating Lease Liability 119661 10527938 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. true true X true X true X true true true false true true 470878 470878 0.01430 3475809 2180081 1295728 0.03950 3946687 2180081 1766606 0.05380 15744 15744 0.00050 5000 5000 0.00020 1255147 1255147 0.03830 1275891 1275891 0.03900 5222578 2180081 3042497 0.09280 17500 0.00050 900 4537 0.00010 7186 0.00020 30123 0.00080 true 908823 681617 11467957 14930802 -3462845 X true true 1 1 MIAMI COUNTY MEDICAL CENTER 2100 BAPTISTE DRIVE PAOLA KS 66071 WWW.OLATHEHEALTH.ORG H-061-001 X X X MIAMI COUNTY MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false false true X SEE SCHEDULE H, PART V, SECTION C true 22 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 300. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 6 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 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. true PAOLA USD # 368 PO BOX 268 PAOLA KS 66071 480720746 GOVERNMENT 41241 FMV SPORTS MEDICINE COMMUNITY WELLNESS OSAWATOMIE USD # 367 1200 TROJAN DRIVE OSAWATOMIE KS 66064 480698824 GOVERNMENT 41241 FMV SPORTS MEDICINE COMMUNITY WELLNESS PRAIRIE VIEW USD # 362 13799 KS HWY 152 LA CYGNE KS 66040 480698988 GOVERNMENT 80283 FMV SPORTS MEDICINE COMMUNITY WELLNESS LAKEMARY CENTER 100 LAKEMARY DR PAOLA KS 66071 237423516 501(C)3 7500 COMMUNITY WELLNESS 4 0 SCHOLARSHIPS 5 5000 SCHEDULE I, PART I, LINE 2 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. false true false false false false false false false PAUL LUCE VICE PRESIDENT/COO - MCMC 333100 0 0 0 5051 0 7333 0 16098 0 361582 0 0 0 STANLEY HOLM PRESIDENT/CEO 0 951080 0 430222 0 18363 0 232884 0 25800 0 1658349 0 0 TERESA KELLER SECY/ASSISTANT GENERAL COUNSEL 0 261723 0 171146 0 1958 0 11941 0 25695 0 472463 0 0 KRYSTAL CLAYMORE TREASURER/CFO 0 478752 0 670166 0 2405 0 116357 0 22442 0 1290122 0 0 JEFF DOSSETT CHIEF OPERATING OFFICER 0 383369 0 538364 0 6194 0 84223 0 25342 0 1037492 0 0 JASON HANNAGAN SECRETARY/CHIEF LEGAL OFFICER 0 521334 0 685208 0 1088 0 129090 0 25627 0 1362347 0 0 ELIZABETH LONG CHIEF MEDICAL OFFICER 0 569304 0 0 0 1965 0 0 0 25188 0 596457 0 0 JONATHAN NEWKIRK PHYSICIAN 332205 0 0 0 12996 0 26314 0 12443 0 383958 0 6104 0 NATALIE HAGMAN PHYSICIAN 251088 0 0 0 465 0 8687 0 15183 0 275423 0 0 0 SARA COBINE PHYSICIAN 248687 0 0 0 573 0 10209 0 21183 0 280652 0 0 0 BRIAN COOKE PHYSICIAN 289363 0 0 0 7529 0 14584 0 25158 0 336634 0 5670 0 GEORGINA GREEN PHYSICIAN 242193 0 0 0 843 0 8562 0 20017 0 271615 0 0 0 SCHEDULE J, PART I, LINE 4B 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. SEE SCHEDULE L PART V SCHEDULE L, PART IV (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 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 OLATHE MEDICAL CENTER INC 20333 W 151ST ST OLATHE KS 66061 480577664 HOSPITAL KS 501(C)(3) 3 OHSI 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 true OLATHE HEALTH CHARITABLE FOUNDATION 20333 W 151ST ST OLATHE KS 66061 481136010 FUNDRAISING KS 501(C)(3) 12A OMCI true OMC DOCTOR'S BLDG CONDO OWNERS ASSOC 20333 W 151ST ST OLATHE KS 66061 481244766 REAL ESTATE KS OMCI C CORPORATION 0 0 true OLATHE HEALTH DEVELOPMENT CORPORATION 20333 W 151ST ST OLATHE KS 66061 363445097 MEDICAL SERVICES KS OHSI C CORPORATION 0 0 true false false true false false false false false false false false false true true true true true false false OLATHE MEDICAL CENTER INC M 303041 COST OLATHE MEDICAL CENTER INC N 250556 COST OLATHE MEDICAL CENTER INC O 1229371 COST OLATHE HEALTH PHYSICIANS INC O 1042309 COST OLATHE MEDICAL CENTER INC P 8061689 COST OLATHE HEALTH PHYSICIANS INC P 119922 COST OLATHE MEDICAL CENTER INC Q 16241996 COST OLATHE HEALTH PHYSICIANS INC Q 1091768 COST OLATHE HEALTH CHARITABLE FOUNDATION C 206300 COST