STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

OLATHE MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
OLATHE MEDICAL CENTER INC (EIN 48-0577664)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-24
IRS object ID
202202979349301060
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-10-24T12:23:48-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480577664EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OLATHE MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KRYSTAL CLAYMOREInCareOfNm
Business Name ControlOLATBusinessNameControlTxt
Phone9133553095PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120333 W 151ST STREETAddressLine1Txt
CityOLATHECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66061ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRYSTAL CLAYMOREPersonNm
Person TitleCFOPersonTitleTxt
Phone9133553523PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKRYSTALPersonFirstNm
Person LastCLAYMOREPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael J EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
Preparation2022-09-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTANLEY HOLMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line120333 W 151ST STREETAddressLine1Txt
CityOLATHECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66061ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$346,580,045GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OLATHEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTHE MISSION OF OLATHE HEALTH IS TO HELP PEOPLE THROUGH HEALING, HEALTH, AND HAPPINESS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2075TotalEmployeeCnt
Total Volunteers250TotalVolunteersCnt
Total Gross UBI$25,115TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,762NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,089,031PYContributionsGrantsAmt
CY Contributions Grants$1,191,645CYContributionsGrantsAmt
PY Program Service Revenue$269,313,855PYProgramServiceRevenueAmt
CY Program Service Revenue$316,826,933CYProgramServiceRevenueAmt
PY Investment Income$46,715,339PYInvestmentIncomeAmt
CY Investment Income$23,742,503CYInvestmentIncomeAmt
PY Other Revenue$7,046,560PYOtherRevenueAmt
CY Other Revenue$2,364,951CYOtherRevenueAmt
PY Total Revenue$324,164,785PYTotalRevenueAmt
CY Total Revenue$344,126,032CYTotalRevenueAmt
PY Grants And Similar Paid$995,886PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$974,886CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$106,751,831PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$104,356,248CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$163,469,203PYOtherExpensesAmt
CY Other Expenses$174,062,645CYOtherExpensesAmt
PY Total Expenses$271,216,920PYTotalExpensesAmt
CY Total Expenses$279,393,779CYTotalExpensesAmt
PY Revenues Less Expenses$52,947,865PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$64,732,253CYRevenuesLessExpensesAmt
Total Assets BOY$728,036,291TotalAssetsBOYAmt
Total Assets EOY$747,492,326TotalAssetsEOYAmt
Total Liabilities BOY$226,654,825TotalLiabilitiesBOYAmt
Total Liabilities EOY$216,121,162TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$501,381,466NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$531,371,164NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO HELP PEOPLE THROUGH HEALING, HEALTH AND HAPPINESS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$248,940,544ExpenseAmt
Grant$974,886GrantAmt
Revenue$330,095,575RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$248,940,544TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document128IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2075EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKRYSTAL CLAYMOREPersonNm
Phone9133553095PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120333 W 151ST STREETAddressLine1Txt
CityOLATHECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66061ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
STANLEY HOLM
PRESIDENT/CEO10.035.0Yes (X)$0$866,365$178,246
ELIZABETH LONG
CHIEF MEDICAL OFFICER5.045.0Yes (X)$0$501,522$53,117
KRYSTAL CLAYMORE
TREASURER/CFO10.035.0Yes (X)$0$437,110$78,233
JASON HANNAGAN
SECRETARY/CHIEF LEGAL OFFICER10.035.0Yes (X)$0$406,980$72,441
JEFF DOSSETT
CHIEF OPERATING OFFICER10.035.0Yes (X)$0$364,636$64,281
CHRISTINE COURTNEY
CHIEF NURSING OFFICER40.05.0Yes (X)$0$315,882$55,506
Tierney Grasser
Former Chief Financial Officer0.00.0$0$245,502$0Yes (X)
CHERYL SHARP
Former SVP/STRAT FIN INITIAT.0.00.0$0$242,304$0Yes (X)
Philip Schneider
PHARMACY DIRECTOR45.00.0$208,878$0$24,930Yes (X)
Nicholas Sindorf
Interim VP/CIO45.00.0$194,982$0$27,726Yes (X)
James Neihart
Radiation Oncology Physicist45.00.0$184,113$0$23,227Yes (X)
Steven Black
Director - Hospital Services45.00.0$188,695$0$13,221Yes (X)
Rebecca Rose
RN-Cath Lab Invasive45.00.0$179,902$0$17,409Yes (X)
Joey Barton
VP Nursing CCU & ECC0.00.0$164,266$0$7,618Yes (X)
Carol Powell
Clin Dir of Cardio SVC Line45.00.0$154,734$0$16,443Yes (X)
J MACK BOWEN
DIRECTOR2.01.0$0$0$0Yes (X)
VINCENT DONOFRIO
DIRECTOR2.02.0$0$0$0Yes (X)
SHANNON WICKLIFFE
DIRECTOR2.00.0$0$0$0Yes (X)
BRIAN A METZ MD
DIRECTOR2.01.0$0$0$0Yes (X)
R ERIC HUGHES
DIRECTOR2.01.0$0$0$0Yes (X)
MICHAEL K KNOP
DIRECTOR/VICE CHAIRPERSON4.02.0Yes (X)$0$0$0Yes (X)
THOMAS N THORTON
DIRECTOR2.00.0$0$0$0Yes (X)
RICHARD K SUMMERS
DIRECTOR/CHAIRPERSON4.01.0Yes (X)$0$0$0Yes (X)
JOHN ALLISON
DIRECTOR2.00.0$0$0$0Yes (X)
ERIN DUGAN
DIRECTOR2.00.0$0$0$0Yes (X)
DIRK VON HOLT
DIRECTOR2.00.0$0$0$0Yes (X)
DR BRENT YEAGER
DIRECTOR2.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,275,570TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,380,301TotReportableCompRltdOrgAmt
Total Other Compensation$632,398TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K133IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
PO BOX 959167ST LOUISMO63195SOFTWARE SUPPORT$8,333,315
JE DUNN CONSTRUCTION CO
1001 LOCUSTKANSAS CITYMO60674CONSTRUCTION$14,929,485
PULSE DESIGN GROUP
4622 PENNSYLVANIA AVE STE 1050KANSAS CITYMO64112ARCHITECT$2,629,247
QUALIVIS LLC
DEPT 3847 PO BOX 123847DALLASTX753123847CONTRACT LABOR$2,594,582
VANGUARD RESOURCE INC
6500 US HWY 281 NSPRING BRANCHTX78070SERVICE$4,791,085
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K67CntrctRcvdGreaterThan100KCnt
Related Organizations$552,770RelatedOrganizationsAmt
All Other Contributions$638,875AllOtherContributionsAmt
Total Contributions$1,191,645TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Care Service RevenueDesc
Business900099BusinessCd
Total Revenue Column$316,826,933TotalRevenueColumnAmt
Related Or Exempt Func Income$316,826,933RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$316,826,933TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,054,361TotalRevenueColumnAmt
Exclusion$12,054,361ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,051,159RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,454,013RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$402,854RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$402,854TotalRevenueColumnAmt
Exclusion-$402,854ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,662,615SecuritiesAmt
Other$25,527OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,662,615SecuritiesAmt
Other$25,527OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,688,142TotalRevenueColumnAmt
Related Or Exempt Func Income$11,662,615RelatedOrExemptFuncIncomeAmt
Exclusion$25,527ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Pharmacy Sales446110$847$847
Discounts/Rebates900099$1,224,461$1,224,461
Research Study621500$85,858$85,858

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,456,639TotalRevenueColumnAmt
Related Or Exempt Func Income$270,593RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$24,268UnrelatedBusinessRevenueAmt
Exclusion$1,161,778ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,767,805OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$344,126,032TotalRevenueColumnAmt
Related Or Exempt Func Income$330,070,460RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$25,115UnrelatedBusinessRevenueAmt
Exclusion$12,838,812ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$958,886TotalAmt
Program Services$958,886ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$16,000TotalAmt
Program Services$16,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$343,059TotalAmt
Program Services$343,059ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$86,140,893TotalAmt
Program Services$77,095,615ProgramServicesAmt
Management And General$9,045,278ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,905,531TotalAmt
Program Services$1,699,734ProgramServicesAmt
Management And General$205,797ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,265,391TotalAmt
Program Services$8,264,729ProgramServicesAmt
Management And General$1,000,662ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,701,374TotalAmt
Program Services$5,977,626ProgramServicesAmt
Management And General$723,748ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,447,639TotalAmt
Management And General$5,447,639ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$333,023TotalAmt
Management And General$333,023ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$157,333TotalAmt
Management And General$157,333ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,644TotalAmt
Management And General$6,644ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$77,714TotalAmt
Management And General$77,714ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,087,562TotalAmt
Program Services$29,515,861ProgramServicesAmt
Management And General$3,571,701ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,880,103TotalAmt
Management And General$1,880,103ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,422,546TotalAmt
Program Services$1,173,520ProgramServicesAmt
Management And General$249,026ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,094,144TotalAmt
Program Services$5,338,787ProgramServicesAmt
Management And General$755,357ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,757,036TotalAmt
Program Services$9,016,874ProgramServicesAmt
Management And General$740,162ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$199,297TotalAmt
Program Services$189,443ProgramServicesAmt
Management And General$9,854ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$122,829TotalAmt
Program Services$103,520ProgramServicesAmt
Management And General$19,309ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,633,592TotalAmt
Management And General$3,633,592ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,673,250TotalAmt
Program Services$20,063,165ProgramServicesAmt
Management And General$1,610,085ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,669,220TotalAmt
Program Services$737,477ProgramServicesAmt
Management And General$931,743ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Expense$18,875,875$18,875,875
Medicaid Assessment$1,754,310$1,754,310
Medical Supplies$64,740,931$64,740,931
Repairs & Maintenance$1,310,364$1,303,717$6,647

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,819,233TotalAmt
Program Services$1,771,415ProgramServicesAmt
Management And General$47,818ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$279,393,779TotalAmt
Program Services$248,940,544ProgramServicesAmt
Management And General$30,453,235ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,670,486BOYAmt
EOY$6,949,809EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,902,498BOYAmt
EOY$2,810,377EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,347,716BOYAmt
EOY$46,889,640EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,426,076BOYAmt
EOY$6,644,187EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,212,161BOYAmt
EOY$4,818,067EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$503,810,779LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$272,861,755LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$218,754,715BOYAmt
EOY$230,949,024EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$402,131,312BOYAmt
EOY$421,455,157EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,069,408BOYAmt
EOY$11,250,533EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,521,919BOYAmt
EOY$15,725,532EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$728,036,291BOYAmt
EOY$747,492,326EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,183,564BOYAmt
EOY$38,780,930EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$898,600EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$142,559,211BOYAmt
EOY$135,048,118EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,476,999BOYAmt
EOY$1,553,727EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$48,435,051BOYAmt
EOY$39,839,787EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$226,654,825BOYAmt
EOY$216,121,162EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$500,788,583BOYAmt
EOY$530,515,435EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$592,883BOYAmt
EOY$855,729EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$501,381,466BOYAmt
EOY$531,371,164EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$728,036,291BOYAmt
EOY$747,492,326EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$64,732,253ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,484,111NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$40,226,666OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Limited Control Provisions AppYes (X)LimitedControlProvisionsAppInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$6,644GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$6,644TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FFormAndLineReferenceDesc
ExplanationTHE LOBBYING EXPENSES ARE THE PORTION OF HOSPITAL ASSOCIATION DUES THAT ARE RELATED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$402,221,592BeginningYearBalanceAmt
Investment Earnings Or Losses$28,974,377InvestmentEarningsOrLossesAmt
Other Expenditures$9,725,365OtherExpendituresAmt
Administrative Expenses$90,447AdministrativeExpensesAmt
End Year Balance$421,380,157EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$369,989,783BeginningYearBalanceAmt
Contributions$8,238,780ContributionsAmt
Investment Earnings Or Losses$24,232,022InvestmentEarningsOrLossesAmt
Other Expenditures$162,250OtherExpendituresAmt
Administrative Expenses$76,743AdministrativeExpensesAmt
End Year Balance$402,221,592EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$307,270,326BeginningYearBalanceAmt
Contributions$2,464,275ContributionsAmt
Investment Earnings Or Losses$60,432,088InvestmentEarningsOrLossesAmt
Other Expenditures$99,000OtherExpendituresAmt
Administrative Expenses$77,906AdministrativeExpensesAmt
End Year Balance$369,989,783EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$346,794,659BeginningYearBalanceAmt
Contributions$11,636ContributionsAmt
Investment Earnings Or Losses-$9,963,771InvestmentEarningsOrLossesAmt
Other Expenditures$29,500,000OtherExpendituresAmt
Administrative Expenses$72,198AdministrativeExpensesAmt
End Year Balance$307,270,326EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$332,955,992BeginningYearBalanceAmt
Contributions$1,263,186ContributionsAmt
Investment Earnings Or Losses$49,067,335InvestmentEarningsOrLossesAmt
Other Expenditures$36,418,103OtherExpendituresAmt
Administrative Expenses$73,751AdministrativeExpensesAmt
End Year Balance$346,794,659EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,516,483OtherCostOrOtherBasisAmt
Book Value$24,516,483BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$255,165,608OtherCostOrOtherBasisAmt
Depreciation$111,873,701DepreciationAmt
Book Value$143,291,907BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,217,761OtherCostOrOtherBasisAmt
Depreciation$8,710,590DepreciationAmt
Book Value$1,507,171BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$192,097,560OtherCostOrOtherBasisAmt
Depreciation$141,188,739DepreciationAmt
Book Value$50,908,821BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,813,367OtherCostOrOtherBasisAmt
Depreciation$11,088,725DepreciationAmt
Book Value$10,724,642BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$230,949,024TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Third Party$20,774,580
Deferred Compensation$19,065,207
FieldValueIRS element (for citing)
Total Liability$39,839,787TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE ENDOWMENT FUNDS ARE HELD FOR CAPITAL AND OPERATING NEEDS.
SCHEDULE D, PART X, LINE 2MANAGEMENT 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,347,045TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,347,045NetCommunityBenefitExpnsAmt
Total Expense0.02050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,428,148TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,206,236DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,221,912NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,775,193TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,206,236DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,568,957NetCommunityBenefitExpnsAmt
Total Expense0.04050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$324,017TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$324,017NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$756,633TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$756,633NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,136,656TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,701,217DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,435,439NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,600TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,600NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,230,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,701,217DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,529,689NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,006,099TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,907,453DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,098,646NetCommunityBenefitExpnsAmt
Total Expense0.05400TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,000TotalCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,557TotalCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$116,949TotalCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$399TotalCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,993TotalCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,606TotalCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$198,504TotalCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$3,842,072BadDebtExpenseAmt
Bad Debt Expense Attributable$2,881,554BadDebtExpenseAttributableAmt
Reimbursed By Medicare$111,453,267ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$122,713,812CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,260,545MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OLATHE MEDICAL CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line120333 WEST 151ST STREETAddressLine1Txt
CityOLATHECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66061ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.OLATHEHEALTH.ORGWebsiteAddressTxt
State LicenseH-046-002StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OLATHE MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Schedule H, Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5OLATHE MEDICAL CENTER, INC. (omci) CONDUCTED A TOWN HALL MEETING IN THE SUMMER OF 2021 AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (chna). 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 (including the Deaf community). 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 OMCI.
SCHEDULE H, PART V, SECTION B, LINE 7AHTTPS://WWW.OLATHEHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-SUPPORT/CHNA- CHIP
SCHEDULE H, PART V, SECTION B, LINE 10AHTTPS://WWW.OLATHEHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-SUPPORT/CHNA- CHIP
SCHEDULE H, PART V, SECTION B, LINE 11OMCI began the process to reassess the healthcare needs of its communities in order to identify the top health-need priorities in 2021. OMCI Board of Directors approved the assessment and its results in November 2021. A three-year plan to address these communities will be drafted for the 2023-2025 plan. Currently, OMCI is in year two of the existing improvement plan, which was initiated in 2020. It addresses each health need priority, outlining OMCI'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 13BWhen 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-Cwww.olathehealth.org/Patients-And-Visitors/FinancialAssistance
FieldValueIRS element (for citing)
Facility18FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
OLATHE HEALTH REHAB SVCS AT OLATHE MED
20375 W 151ST STREET SUITE 208OLATHEKS66061OUTPATIENT REHABILITATION CLINIC
THE IMAGING CENTER AT OLATHE MEDICAL CTR
20375 W 151ST STREET SUITE 150OLATHEKS66061INPATIENT/OUTPATIENT MRI SERVICES
CARDIAC AND PULMONARY REHAB AT OMC
20375 W 151ST STREET SUITE 450OLATHEKS66061INPATIENT/OUTPATIENT CARDIAC REHAB CLINIC
OUTPATIENT SURGERY CENTER AT OMC
20805 W 151ST STREET SUITE 101OLATHEKS66061OUTPATIENT SURGERY DEPARTMENT
PAIN MANAGEMENT CENTER AT OLATHE MED CTR
21080 W 151ST STREETOLATHEKS66061OUTPATIENT PAIN MANAGEMENT CLINIC
SLEEP DISORDERS CENTER AT OLATHE MED CTR
20375 W 151ST STREET SUITE 103OLATHEKS66061OUTPATIENT SLEEP DISORDERS CLINIC
OLATHE HEALTH REHAB SVCS AT SOUTHPARK
20920 W 151ST STREET SUITE 201OLATHEKS66061OUTPATIENT REHABILITATION CLINIC
OLATHE HEALTH REHAB SVCS AT SANTA FE COM
13657 MUR-LEN ROADOLATHEKS66062OUTPATIENT REHABILITATION CLINIC
OLATHE HEALTH PAVILION
21120 W 152ND STREETOLATHEKS66061OUTPATIENT IMAGING CLINIC
WOUND HEALING CENTER AT OLATHE MED CTR
21080 W 151ST STREETOLATHEKS66061OUTPATIENT WOUND CARE CLINIC
OUTPATIENT SERVICES
20375 W 151ST STREET SUITE 150OLATHEKS66061OUTPATIENT LABORATORY SERVICES
THE VEIN CARE CENTER
21080 W 151ST STREETOLATHEKS66061OUTPATIENT VEIN CLINIC
OLATHE HEALTH REHAB SVCS AT GARDNER
824 MAIN STGARDNERKS66030OUTPATIENT REHABILITATION CLINIC
HOSPICE HOUSE
15310 S MARION STREETOLATHEKS66061HOSPICE
OLATHE HEALTH REHAB SVCS AT COLLEGE PT
23450 COLLEGE BOULEVARDOLATHEKS66061OUTPATIENT REHABILITATION CLINIC
MEDICAL ONCOLOGY AT OLATHE MEDICAL CTR
15123 S OMC PARKWAYOLATHEKS66061OUTPATIENT ONCOLOGY CLINIC
RADIATION ONCOLOGY AT OLATHE MEDICAL CTR
15123 S OMC PARKWAYOLATHEKS66061OUTPATIENT RADIATION CLINIC
YMCA REHAB LOCATION
21400 W 153RD STREETOLATHEKS66061OUTPATIENT REHABILITATION CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CSee 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 FThe 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 $18,875,875.
SCHEDULE H, PART I, LINE 7The 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 7GNo physician clinic costs are included in the Community Benefit expenses.
SCHEDULE H, PART IIOlathe Medical Center, Inc. (OMCI) is committed to improving the community 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. 1) involvement in several area economic development councils. 2) support of the Health Partnership clinic, a federally qualified health center serving the uninsured patient's health needs of our community. 3) Participation in the Boys & Girls Club of Kansas City, the Salvation Army's homeless shelter and Adopt-A-Family program, the Lion's Club health fair and TLC, a local housing facility for troubled children. We continue to support the Miracle League, which is a baseball program for severely disabled children. 4) Partnered with the Olathe Fire Department and Olathe School District to distribute free bicycle helmets to children during a drive-thru event. OMCI also works with the Fire Department to provide a nurse practitioner who works with the Fire Department to provide care to residents in the Olathe community. 5) Leadership and participation in our area's emergency preparedness efforts by coordinating extensive drills to practice our response to potential situations.
SCHEDULE H, PART III, LINE 2A cost accounting system is used to calculate the amount of OMCI's bad debt expense.
SCHEDULE H, PART III, LINE 3The 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, LINE 4See page 10 of the attached audited financial statements.
SCHEDULE H, PART III, SECTION B, LINE 8Medicare 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, LINE 9BBefore placement with collection agencies, OMCI 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, OMCI 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. OMCI has language written in their collection agency contract that states that the agency agrees to comply with the Internal Revenue Code 501(r)(6) and will not perform Extraordinary Collection Actions ("ECA") before OMCI 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 OMCI determines that the individual does not qualify, or is unable to determine whether an individual qualifies, a collection Agency may, upon direction from OMCI, 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 OMCI and await further direction from the hospital.
Schedule H, Part VI, Line 2Olathe Medical Center, Inc. (OMCI) is continually assessing the health needs of the communities it serves in a variety of ways. OMCI is involved in multiple health fairs, medical seminars and other community outreach activities that involve screenings, questionnaires and DISCUSSION TO ASSIST OUR UNDERSTANDING OF THE NEEDS OF OUR CITIZENS. The pandemic required us to adapt our format to virtual presentations and drive-thru events. The OMCI Community Advisory Council meets on a regular basis. Participants represent a diverse community, including the Deaf, Hispanic, African-American, and uninsured. OMCI launched its fourth formal assessment of the health of the communities we serve in 2021 to begin implementation in 2023. With the help of VVV Research and Development, OMCI conducted a community health needs assessment for our primary service area (southwest Johnson and Miami Counties). This was done by performing research and collecting health data for our area, and actively seeking input from the community through an online survey and town hall meetings. This CHNA was approved by the board in November 2021. OMCI is year two of its third Community Health Improvement Plan. 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 four health need priorities in the primary service area for OMCI for the 2020 - 2022 Community Health Improvement Plan. Health Need Priorities 2020-2022- OMCI 1. Mental health, including diagnosis, screening, data, treatment and after-care 2. Opioid/drug abuse, specifically meth and marijuana, and vaping 3. Chronic care management 4. Suicide prevention 5. Healthcare transportation 6. Affordable access to insurance 7. Homeless shelters 8. Obesity, healthy eating and physical activity 9. Health, wellness and prevention In 2020, OMCI launched its third Community Health Improvement Plan (CHIP). OMCI categorized HEALTH NEED PRIORITIES AS FOLLOWS: 1. Behavioral health: a. Mental health, including diagnosis, screening, data, treatment and after-care. b. Opioid/drug abuse, specifically meth and marijuana, and vaping. c. Suicide prevention 2. Physical health: a. Health wellness and prevention b. Obesity c. Chronic care management 3. Access to care: a. Healthcare transportation b. Affordable access to health insurance c. Homeless shelters the first priority of mental health WAS ADDRESSED through increased collective community education, prevention, response and treatment for mental health conditions. Olathe Health Family Medicine Clinics screen patients during wellness visits using the PHQ-9 depression screening. enhancements WERE MADE to care management through implementation of behavioral health care management for patients with mental health conditions. In 2021, 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. patients identified AT RISK are followed-up every three months TO EVALUATE and expand resources available for theM. WE IDENTIFY community health partners to support patients within the Olathe Health network. WE FOCUS ON THOSE with depression/anxiety diagnosis, those WITH DEPRESSION/ANXIETY PLUS A chronic medical condition and those who have more than four chronic conditions. WE HAVE developED A process for collaborating to increase access and enhance patient care. OMCI began working with the Responsive Center in the first year to create a mechanism for cooperative care plans. COVID-19 slowed this process through lack of resources from the Responsive Center and reallocation of duties to deal with the pandemic at the hospital. This challenge continued in 2021 with a lack of workforce for the Responsive Center and lack of a physical presence in southwest Johnson County. OMCI WORKED WITH COMMUNITY HEALTH PARTNERS to offer Mental Health First Aid community program. COVID-19 continued to make large public events non-existent. Through careful planning, funds from OMCI helped provide educators within the Olathe School District the opportunity to participate in this program through Johnson County Mental Health Center. an online resource guide to provide the community with a single source for accessing key behavioral health services WAS LAUNCHED. AN ANNUAL AUDIT WAS CONDUCTED IN Q4 OF 2021 TO UPDATE THE INFORMATION IN THE GUIDE. The final response to address this health priority was to coordinate with Olathe Health Family Medicine to investigate telemedicine opportunities for behavioral health services. Olathe Health launched telehealth services in May 2020 in response to the COVID-19 pandemic. However, due to the pandemic, resources for telehealth were guided towards non-behavioral health specialties. PRIORITY #2 FOR behavioral health is addressING the rise in the abuse and misuse of opioids and vaping devices. The most effective way for a hospital to address this is to partner with our medical providers. Through the creation of the OMC Physician Opioid Task Force, this group can review prescription practices and provide appropriate education. This group developed a plan and infrastructure to monitor patients who do not have a controlled substance agreement. it WILL be evaluated and a baseline developed to measure success and develop communication plans to educate providers. The goal is to reduce the number of prescriptions to patients without a controlled substance agreement. In December of 2020, 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 2021, baseline data was gathered and tracked to measure success of this program in future years. Through partnership with the Olathe Police Department, OMCI hosted two National Drug Take Base event on its campus in April and October of 2021. In 2021, the Olathe Police Department gathered 905 pounds of unwanted/unused medication. This surpassed the goal of increasing the pounds collected by at least 3 percent. OMCI also partnered with Johnson County Health Department and others to promote safe disposal sites across Johnson County. Information about both of these programs was distributed to providers and office staff so they can educate patients about these options. OMCI continues to be involved with groups such as the Olathe Communities that Care Coalition which focused on a number of initiatives to promote safe and healthy communities. They focus on underage activities related to drugs and alcohol use in teens. OMCI IS PARTNERING 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. OMCI Has Created resources for crisis management for clinic staff for suicidality including but not limited to iPad assessment in clinics, AND A direct hotline. Through a partnership with KVC Behavioral Health Systems, we are creating a policy to solidify a rapid response process that can be initiated when someone presents to an Olathe Health location and is a danger to themselves or others but not necessarily in need of police involvement. While progress on this effort was made, completing and implementing this policy was put on hold due to other COVID-19 initiatives within both organizations. OMCI 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. there are opportunities to highlight community partnerships WITH CITY OF OLATHE PARKS AND RECREATION AND THE JOHNSON COUNTY PARKS AND RECREATION DEPARTMENTS. OMCI also set a goal to participate in 25 community-based activities to provide preventative health and wellness screenings and/or education. In 2021, OMC participated in or hosted nearly 50 events. THE GOAL WAS MET, BUT SIGNIFICANTLY IMPACTED BY THE RESIDUAL EFFECTS OF THE PANDEMIC. OMCI'S APPROACH TO ENHANCING FOOD ACCESS (SPECIFICALLY FRUITS AND VEGETABLES) AND PREPARATION OF HEALTHY MEALS COLLABORATED WITH OLATHE HEALTH PHYSICIAN CLINICS. Olathe Health Family Medicine patients WERE SCREENED FOR FOOD INSECURITIES TO ESTABLISH A BASELINE IN 2020 AND CONNECT PATIENTS TO AVAILABLE RESOURCES. This screening process was launched in January 2020. In 2021, 85 patients were screened positive for food insecurity, a significant drop in the number of patients who screened positive compared to the previous year. OMCI 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. The goal for 2021 to promote this program and healthy lifestyle changes
SCHEDULE H, PART VI, LINE 3Patients of Olathe Medical Center, Inc. (OMCI) 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 4Olathe Medical Center, Inc.'s (OMCI) primary service area consists of southwest Johnson County and Miami County in Kansas. Johnson County is considered affluent compared to most counties of Kansas, but the southwestern portions, and certainly Miami County, are less affluent. For example, 15.50% of the students in the Olathe School District (southern Johnson County) are on free and reduced lunch. This lower than previous years. However, funding provided during 2021 allowed all students in the school district access to free meals. The Olathe School District also represents a very diverse culture; more than 75 languages identified as the students' primary language in Olathe Schools. 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 Johnson County: 4.9% Miami County: 6.9% Young Children Living Below Poverty Level Johnson County: 5.4% Miami County: 8.2% Uninsured Adult Population Rate (2020) Johnson County: 5.8% Miami County: 5.8%
Schedule H, Part VI, Line 5In addition to the items listed above, Olathe Medical Center, Inc. (OMCI) 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. OMCI provides financial support to area school nurses' funds and provides athletic trainers to area school sports programs. The Community Outreach Department of OMCI conducts health fairs and/or community screenings in conjunction with a variety of other area agencies, which were adapted to accommodate pandemic restrictions. OMCI supports organizations whose focus is on improving community health with financial contributions and service. Communities that Care, Olathe YMCA, Johnson County Department of Health & Environment, KidsTLC, Olathe Public Schools Foundation and Economic Development Council for DeSoto are some of those organizations.
Schedule H, Part VI, Line 6Olathe Medical Center, Inc. (OMCI) is part of Olathe Health System, Inc. (OHSI). OHSI consists of two hospitals and a network of 40 clinics including 4 rural health clinics. OHSI and its affiliates, including OMCI, 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. We collaborate with area companies and other health-related service providers to provide education and screenings to the public.
Schedule H, Part VI, Line 7OMCI 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmt
OLATHE DISTRICT SCHOOLS
1700 W SHERIDAN STOLATHEKS66061480697986GOVERNMENT$341,998FMVSPORTS MEDICINECOMMUNITY WELLNESS
GARDNER DISTRICT SCHOOLS
231 E MADISON STGARDNERKS66030480699834GOVERNMENT$68,750FMVSPORTS MEDICINECOMMUNITY WELLNESS
SPRING HILL DISTRICT SCHOOLS
101 E SOUTH STSPRING HILLKS66083480723504GOVERNMENT$68,750FMVSPORTS MEDICINECOMMUNITY WELLNESS
KIDS TLC INC
480 S ROGERS RDOLATHEKS66062480774593501(C)(3)COMMUNITY WELLNESS$10,000
MID -AMERICA NAZARENE COLLEGE
2030 E COLLEGE WAYOLATHEKS66062480730814501(C)(3)COMMUNITY WELLNESS$26,500
HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY
407 S CLAIRBORNE RDOLATHEKS66062481115529501(C)(3)COMMUNITY WELLNESS$25,000
JOHNSON COUNTY COMMUNITY COLLEGE
12345 COLLEGE BLVDOLATHEKS66210237164614501 (C)(3)COMMUNITY WELLNESS$10,000
OLATHE DISTRICT SCHOOLS
1700 W SHERIDAN STOLATHEKS66061480697986GOVERNMENTCOMMUNITY WELLNESS$40,000
THE MIRACLE LEAGUE
1506 KLONDIKE ROADCONYERSGA30094900680027501(C)(3)COMMUNITY WELLNESS$10,000
OLATHE FIRE DEPARTMENT
100 E SANTA FE STOLATHEKS66061486082776GOVERNMENTCOMMUNITY WELLNESS$130,000
CENTER OF GRACE
520 S HARRISON STOLATHEKS66061481251324501(C)(3)COMMUNITY WELLNESS$10,000
OLATHE PUBLIC SCHOOLS FOUNDATION
315 N LINWOODOLATHEKS66061481190090501(C)(3)COMMUNITY WELLNESS$70,000
OLATHE CHAMBER OF COMMERCE
1 WEST 106TH STOLATHEKS66061480357594501(C)(6)COMMUNITY WELLNESS$19,475
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient16RecipientCnt
Cash Grant$16,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationOLATHE MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS. GRANTS ARE ALSO GIVEN TO LOCAL CHARITIES AND CIVIC ORGANIZATIONS. DIRECTORS, OFFICERS AND EMPLOYEES OF OLATHE MEDICAL CENTER GENERALLY ARE INVOLVED IN THE ACTIVITIES OF THE VARIOUS GRANTEE ORGANIZATIONS. FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE INSITUTION OF HIGHER LEARNING.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STANLEY HOLM
PRESIDENT/CEO$0$850,981$0$0$0$15,384$0$152,462$0$25,784$0$1,044,611$0$0
KRYSTAL CLAYMORE
TREASURER/CFO$0$435,850$0$0$0$1,260$0$55,207$0$23,026$0$515,343$0$0
JASON HANNAGAN
SECRETARY/CHIEF LEGAL OFFICER$0$404,287$0$0$0$2,693$0$46,686$0$25,755$0$479,421$0$0
JEFF DOSSETT
CHIEF OPERATING OFFICER$0$360,588$0$0$0$4,048$0$38,136$0$26,145$0$428,917$0$0
CHRISTINE COURTNEY
CHIEF NURSING OFFICER$0$313,429$0$0$0$2,453$0$31,032$0$24,474$0$371,388$0$0
CHERYL SHARP
Former SVP/STRAT FIN INITIAT.$0$0$0$0$0$242,304$0$0$0$0$0$242,304$0$0
Tierney Grasser
Former Chief Financial Officer$0$0$0$0$0$245,502$0$0$0$0$0$245,502$0$0
Joey Barton
VP Nursing CCU & ECC$50,436$0$0$0$113,830$0$0$0$7,618$0$171,884$0$0$0
Carol Powell
Clin Dir of Cardio SVC Line$152,682$0$0$0$2,052$0$3,000$0$13,443$0$171,177$0$0$0
Philip Schneider
PHARMACY DIRECTOR$207,538$0$0$0$1,340$0$3,000$0$21,930$0$233,808$0$0$0
Nicholas Sindorf
Interim VP/CIO$194,557$0$0$0$425$0$3,000$0$24,726$0$222,708$0$0$0
Steven Black
Director - Hospital Services$186,665$0$0$0$2,030$0$3,000$0$10,221$0$201,916$0$0$0
James Neihart
Radiation Oncology Physicist$184,015$0$0$0$98$0$3,000$0$20,227$0$207,340$0$0$0
Rebecca Rose
RN-Cath Lab Invasive$179,486$0$0$0$416$0$3,000$0$14,409$0$197,311$0$0$0
ELIZABETH LONG
CHIEF MEDICAL OFFICER$0$472,233$0$0$0$29,289$0$30,824$0$22,293$0$554,639$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part Vii & Schedule J, Part I, Line 3THE COMPENSATION BEING REPORTED FOR STANLEY HOLM, TIERNEY L GRASSER, KRYSTAL CLAYMORE, JEFF DOSSETT, CHRISTINE COURTNEY, JASON HANNAGAN AND CHERYL SHARP IS FROM OLATHE HEALTH SYSTEM, INC., A RELATED TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC. OLATHE HEALTH SYSTEM, INC. USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS TO ESTABLISH AND APPROVE COMPENSATION AND BENEFITS FOR ALL OFFICERS OF OLATHE HEALTH SYSTEM, INC. AND ITS AFFILIATED CORPORATIONS. THE COMMITTEE UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN CONTRACT FOR THE CEO AND COMPENSATION SURVERYS TO ESTABLISH FAIR MARKET VALUE SALARIES AND BENEFITS FOR OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATES' OFFICERS.
SCHEDULE J, PART I, LINE 4ATHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: TIERNEY GRASSER, $245,502; CHERYL SHARP, $224,304; JOEY BARTON, $102,636
SCHEDULE J, PART I, LINE 4BIN 2021, ELIZABETH LONG RECEIVED A PAYOUT OF $27,307 WHICH WAS REPORTED AS TAXABLE INCOME AND INCLUDED ON HER W-2. THE FOLLOWING AMOUNTS WERE ACCRUED IN 2021 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: STAN HOLM, PRESIDENT CHIEF EXECUTIVE OFFICER, $149,462; KRYSTAL CLAYMORE, CHIEF FINANCIAL OFFICER, $52,207; JEFF DOSSETT, CHIEF OPERATING OFFICER, $35,136; CHRISTINE COURTNEY, CHIEF NURSING OFFICER, $28,032; JASON HANNAGAN, CHIEF LEGAL COUNSEL, $43,686; AnD ELIZABETH LONG, CHIEF MEDICAL OFFICER, $30,824.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF OLATHE KANSAS
A486034756679390JG02012-02-28$36,829,131SEE PART VIYes (true)falsefalse
CITY OF OLATHE KANSAS
B4860347562014-12-23$23,550,000SEE PART VIfalsefalsefalse
CITY OF OLATHE KANSAS
C4860347562015-01-08$23,550,000SEE PART VIfalsefalsefalse
CITY OF OLATHE KANSAS
D4860347562017-02-20$56,505,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$9,120,000$16,450,000$36,829,131$0$0$0$429,131$0$0$0$36,400,000$02010Yes (true)falseYes (true)Yes (true)
B$6,200,000$0$24,201,391$0$0$0$225,000$0$0$23,976,391$0$02018falsefalseYes (true)Yes (true)
C$6,180,000$0$24,066,839$0$0$0$192,745$0$0$23,874,094$0$02018falsefalseYes (true)Yes (true)
D$5,080,000$0$56,505,000$0$0$0$477,528$0$0$56,027,472$0$02012Yes (true)Yes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
AfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalsefalseYes (true)Yes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalsefalseYes (true)Yes (true)
DfalseYes (true)Yes (true)Yes (true)false0.012200.000000.01220falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndNo Rebate DueNoRebateDueInd
0
AfalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalse0falseYes (true)Yes (true)
0
CfalseYes (true)falsefalse0falseYes (true)Yes (true)
0
DfalseYes (true)falsefalse0falseYes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN F - GROUP 1A - Proceeds were used to refund Series 2008A bonds issued 01/30/2008. B - Proceeds used to acquire, construct and equip certain health facilities. C - Proceeds used to acquire, construct and equip certain health facilities. D - Proceeds were used to refund Series 2008B bonds issued 02/27/2008; 2008C BONDS ISSUED 05/05/2008; 2010B BONDS ISSUED 10/29/2010; 2012B BONDS ISSUED 02/28/2012
SCHEDULE K, PART I, COLUMN G - GROUP 1A - A DEFEASANCE ESCROW WAS ESTABLISHED ON AUGUST 10, 2018 TO DEFEASE A PORTION OF THE 2021A BONDS TO THE SEPTEMBER 1, 2021 REDEMPTION DATE.
SCHEDULE K, PART II, LINE 3 - GROUP 1B - Amount is not equal to the issue price due to investment earnings earned during the project period. C - Amount is not equal to the issue price due to investment earnings earned during the project period.
SCHEDULE K, PART III, COLUMN D - GROUP 1THE SERIES 2017A BONDS REFUNDED THE SERIES 2008B BONDS, SERIES 2008C BONDS, SERIES 2010B BONDS AND SERIES 2012 BONDS. THE INFORMATION PRESENTED IN THIS COLUMN RELATES TO THE PORTION OF SERIES 2008B BONDS ALLOCABLE TO ASSETS ORIGINALLY FINANCED BY PROCEEDS OF THE SERIES 2004A BONDS. THE PORTION OF THE SERIES 2008B BONDS ALLOCATED TO REFUND THE SERIES 2004B BONDS WAS USED TO FINANCE PROJECTS ORIGINALLY FINANCED BY BONDS ISSUED PRIOR TO JANUARY 1, 2003. THE INFORMATION PRESENTED IN THIS COLUMN DOES NOT REFLECT USE OF ASSETS REFINANCED WITH PROCEEDS OF THE SERIES 2008C BONDS BECAUSE THESE ASSETS WERE ORIGINALLY FINANCED WITH BONDS ISSUED PRIOR TO JANUARY 1, 2003. THE INFORMATION PRESENTED IN THIS COLUMN RELATED TO THE SERIES 2010b BONDS IS COMPLETED ONLY FOR PROJECTS ORIGINALLY FINANCED WITH PROCEEDS OF THE NEW MONEY PORTION OF THE SERIES 2010AB BONDS. THE PROJECTS THAT WERE REFINANCED WITH PROCEEDS OF THE SERIES 2010AB BONDS WERE ORIGINALLY FINANCED WITH BONDS ISSUED PRIOR TO JANUARY 1, 2003.
SCHEDULE K, PART IV, COLUMNS B, LINE 2C - GROUP 1THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/01/2018.
SCHEDULE K, PART IV, COLUMN C, LINE 2C - GROUP 1THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/01/2018
SCHEDULE K, PART IV, COLUMN D, LINE 2D - GROUP 1THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 02/01/2018

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF OLATHE KANSAS
A4860347562017-12-28$16,190,000SEE PART VIYes (true)falsefalse
CITY OF OLATHE KANSAS
B4860347562019-08-15$30,000,000SEE PART VIfalsefalsefalse
CITY OF OLATHE KANSAS
C4860347562019-12-19$9,110,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,460,000$9,000,000$16,190,000$0$0$0$161,740$0$0$0$16,028,260$02012falseYes (true)Yes (true)Yes (true)
B$2,895,000$0$30,236,840$0$0$0$283,976$0$0$26,114,409$0$3,838,455falsefalsefalseYes (true)
C$40,000$0$9,110,000$0$0$0$110,000$0$0$0$9,000,000$02012Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetInd
0
AfalseYes (true)falsefalsefalse0Yes (true)Yes (true)
0
BfalseYes (true)falsefalse0falseYes (true)Yes (true)
0
Cfalsefalsefalsefalse0Yes (true)Yes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN F - GROUP 2A - PROCEEDS WERE USED TO REFUND SERIES 2010A BONDS ISSUED 10/29/2010 B - PROCEEDS WERE USED TO ACQUIRE, CONSTRUCT, IMPROVE, EXTEND, REPAIR, EQUIP, AND FURNISH CERTAIN HEALTH CARE FACILITIES C - PROCEEDS WERE USED TO REFUND 2017B BONDS ISSUED 12/28/2017
SCHEDULE K, PART I, COLUMN G - GROUP 2A - A PORTION OF THE 2017B BONDS WAS CURRENTLY REFUNDED BY THE 2019B ISSUED ON 12/19/2019 ($5,625,000 CALLED ON 12/19/2019 AND $3,375,000 CALLED ON 01/03/2020).
SCHEDULE K, PART II, COLUMN B, LINE 3 - GROUP 2AMOUNT IS NOT EQUAL TO THE ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.
SCHEDULE K, PART II, COLUMN B, LINES 16 - GROUP 2THE PROJECT IS STILL IN PROGRESS AS OF 12/31/2021.
SCHEDULE K, PART III, COLUMN A - GROUP 2THE SERIES 2017B BONDS REFUNDED THE SERIES 2010A BONDS. THE INFORMATION PRESENTED IN THIS COLUMN RELATES ONLY TO THE PROJECTS ORIGINALLY FINANCED WITH PROCEEDS OF THE NEW MONEY PORTION OF THE SERIES 2010AB BONDS. THE PROJECTS THAT WERE REFINANCED WITH PROCEEDS OF THE SERIES 2010AB BONDS WERE ORIGINALLY FINANCED WITH BONDS ISSUED PRIOR TO JANUARY 1, 2003.
SCHEDULE K, PART IV, COLUMN A, LINE 2CTHE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 9/1/2020.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3THE COVID-19 RESPIRATORY DISEASE GLOBAL PANDEMIC CONTINUED TO CAUSE SIGNIFICANT CHANGES TO THE WAY OLATHE MEDICAL CENTER, INC. OPERATED. INCREASED COSTS ATTRIBUTED TO SUPPLY CHAIN DISRUPTIONS IMPACTED THE BOTTOM LINE. THE MOST SIGNIFICANT IMPACT TO THE OPERATING LOSS WAS THE LABOR SHORTAGE AND SUBSEQUENT INCREASE IN WAGES. THE COST OF LABOR FOR HOSPITAL CLINICAL STAFF WAS INCREASED BY THE CHANGING DYNAMIC OF TRAVEL NURSING WHICH ESCALATED CONTRACT LABOR EXPENSE. 41,051 DAYS OF INPATIENT CARE, 652,733 OUTPATIENT PROCEDURES, 33,440 EMERGENCY PATIENTS, 1,620 DAYS OF HOSPICE HOUSE SERVICE 11,164 HOSPICE VISITS AND 24,400 HOME HEALTH VISITS TO THE COMMUNITY.
FORM 990, PART III, LINE 4AOLATHE MEDICAL CENTER, INC. (OMCI) OPERATES AN ACUTE CARE HOSPITAL IN OLATHE, KANSAS, WHICH WAS FOUNDED IN 1948 BY THE COMMUNITY. OMCI CARRIES OUT THEIR MISSION BY PROVIDING QUALITY AND COMPASSIONATE INPATIENT, OUTPATIENT, EMERGENCY CARE, HOSPICE AND HOME HEALTH SERVICES TO RESIDENTS IN JOHNSON COUNTY AND MIAMI COUNTY, KANSAS AND SURROUNDING AREAS. OLATHE MEDICAL CENTER IS A JOINT COMMISSION ACCREDITED HOSPITAL AND IS LICENSED FOR 300 INPATIENT BEDS. PROGRAM SERVICE EXPENSES ARE ALL REALTED TO THE PROVISION OF HEALTHCARE SERVICES. IN 2021, OLATHE MEDICAL CENTER PROVIDED 41,051 DAYS OF INPATIENT CARE, 652,733 OUTPATIENT PROCEDURES, 33,440 EMERGENCY PATIENTS, 1,620 DAYS OF HOSPICE HOUSE SERVICE 11,164 HOSPICE VISITS AND 24,400 HOME HEALTH VISITS TO THE COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2STANLEY HOLM, KRYSTAL CLAYMORE AND JEFF DOSSETT HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVE 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, TIERNEY L GRASSER, KRYSTAL CLAYMORE, JEFF DOSSETT, CHRISTINE COURTNEY AND JASON HANNAGAN WERE OR ARE EMPLOYED BY OLATHE HEALTH SYSTEM, INC. CREATING AN EMPLOYER/EMPLOYEE BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6OLATHE HEALTH SYSTEM, INC. A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7AOLATHE HEALTH SYSTEM, INC., THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC., HAS THE RIGHT TO ELECT ALL OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BOLATHE HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF OMCI, HAS THE RIGHT TO APPROVE OLATHE MEDICAL CENTER, INC.'S BYLAWS AND ARTICLES OF INCORPORATION AND CERTAIN OTHER FINANCIAL TRANSACTIONS, POLICIES AND CONSULTANTS.
FORM 990, PART VI, SECTION B, LINE 11BAN 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 990 IS THEN REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE OLATHE HEALTH SYSTEM, INC. BOARD ON BEHALF OF ALL OF ITS AFFILIATES. THE AUDIT AND COMPLIANCE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS OF OLATHE HEALTH SYSTEM, INC. PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 BOARD OF 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 DIRECTOR MAY NOT VOTE IN 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 BOARD OF DIRECTORS THEN IN OFFICE, WITHOUT COUNTING THE VOTE OF THE INTERESTED DIRECTOR. 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 REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
FORM 990, PART VI, SECTION B, LINE 15A & 15BTHE PERSONNEL AND COMPENSATION COMMITTEE OF THE BOARD IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD AND REVIEWS AND APPROVES THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE CORPORATION'S COMPENSATION IN ACCORDANCE WITH THEIR COMPENSATION POLICY. THE COMMITTEE UTILIZES THIRD PARTY SALARY SURVEYS TO REVIEW THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES OF THE CORPORATION 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. IN ADDITION, THE CORPORATION HAS A WRITTEN CONTRACT WITH THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9TRANSFERS TO AFFILIATES $ ( 40,372,633) GAIN(LOSS) ON EQUITY INVESTEES $ 145,967 -------------- $ ( 40,226,666 )
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:33087562

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MIAMI COUNTY MEDICAL CENTER INC
2100 BAPTISTE DRIVEPAOLAKS66071481155548HOSPITALKS501(C)(3)3OHSIYes (true)
OLATHE HEALTH SYSTEM INC
20333 W 151ST STREETOLATHEKS66061480979845SUPPORT ORGKS501(C)(3)12CNAfalse
OLATHE HEALTH PHYSICIANS INC
20333 W 151ST STREETOLATHEKS66061481088982CLINICSKS501(C)(3)10OHSIYes (true)
OLATHE HEALTH CHARITABLE FOUNDATION
20333 W 151ST STREETOLATHEKS66061481136010FUNDRAISINGKS501(C)(3)12AOMCIYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
OLATHE HEALTH DEVELOPMENT CORPORATION
20333 W 151ST STREETOLATHEKS66061363445097MEDICAL SERVIKSOHSIC CORPORATION$0$0Yes (true)
OMC DOCTOR'S BLDG CONDO OWNERS ASSOC INC
20333 W 151ST STREETOLATHEKS66061481244766REAL ESTATEKSOMCIC CORPORATION$0$0Yes (true)1.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MIAMI COUNTY MEDICAL CENTER
L$254,189COST
MIAMI COUNTY MEDICAL CENTER
N$257,526COST
MIAMI COUNTY MEDICAL CENTER
O$1,399,078COST
MIAMI COUNTY MEDICAL CENTER
P$8,174,089COST
MIAMI COUNTY MEDICAL CENTER
Q$15,574,449COST
OLATHE HEALTH PHYSICIANS INC
L$110,774COST
OLATHE HEALTH PHYSICIANS INC
M$2,047,496COST
OLATHE HEALTH PHYSICIANS INC
N$776,363COST
OLATHE HEALTH PHYSICIANS INC
O$2,734,734COST
OLATHE HEALTH PHYSICIANS INC
P$656,422COST
OLATHE HEALTH PHYSICIANS INC
Q$16,309,996COST
OLATHE HEALTH PHYSICIANS INC
S$38,255,227COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
A(IV)$8,055COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
C$552,770COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
P$256,002COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
R$269,227COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
S$713,853COST