2022-10-24T12:23:48-05:00 2021-12-31 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2021-01-01 480577664 OLATHE MEDICAL CENTER INC % KRYSTAL CLAYMORE OLAT 9133553095 20333 W 151ST STREET OLATHE KS 66061 KRYSTAL CLAYMORE CFO 9133553523 2022-11-15 true KRYSTAL CLAYMORE XXX-XX-XXXX Michael J Engle P00482834 8162216300 2022-09-15 3 2021 2022-09-23 18:48:47Z STANLEY HOLM 20333 W 151ST STREET OLATHE KS 66061 346580045 false X WWW.OLATHEHEALTH.ORG X 1948 KS THE MISSION OF OLATHE HEALTH IS TO HELP PEOPLE THROUGH HEALING, HEALTH, AND HAPPINESS. 10 10 2075 250 25115 2762 1089031 1191645 269313855 316826933 46715339 23742503 7046560 2364951 324164785 344126032 995886 974886 0 0 106751831 104356248 0 0 0 163469203 174062645 271216920 279393779 52947865 64732253 728036291 747492326 226654825 216121162 501381466 531371164 X TO HELP PEOPLE THROUGH HEALING, HEALTH AND HAPPINESS. false true 248940544 974886 330095575 SEE SCHEDULE O 248940544 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true true true true false false false false false false false false false false false false false false false true true true false false true 128 0 true 2075 true true true false false false false false false false false false false false X 10 10 true false false false true true true true true false false true true true true true true true true false KS X KRYSTAL CLAYMORE 9133553095 20333 W 151ST STREET OLATHE KS 66061 X STANLEY HOLM PRESIDENT/CEO 10.0 35.0 X 0 866365 178246 ELIZABETH LONG CHIEF MEDICAL OFFICER 5.0 45.0 X 0 501522 53117 KRYSTAL CLAYMORE TREASURER/CFO 10.0 35.0 X 0 437110 78233 JASON HANNAGAN SECRETARY/CHIEF LEGAL OFFICER 10.0 35.0 X 0 406980 72441 JEFF DOSSETT CHIEF OPERATING OFFICER 10.0 35.0 X 0 364636 64281 CHRISTINE COURTNEY CHIEF NURSING OFFICER 40.0 5.0 X 0 315882 55506 Tierney Grasser Former Chief Financial Officer 0.0 0.0 X 0 245502 0 CHERYL SHARP Former SVP/STRAT FIN INITIAT. 0.0 0.0 X 0 242304 0 Philip Schneider PHARMACY DIRECTOR 45.0 0.0 X 208878 0 24930 Nicholas Sindorf Interim VP/CIO 45.0 0.0 X 194982 0 27726 James Neihart Radiation Oncology Physicist 45.0 0.0 X 184113 0 23227 Steven Black Director - Hospital Services 45.0 0.0 X 188695 0 13221 Rebecca Rose RN-Cath Lab Invasive 45.0 0.0 X 179902 0 17409 Joey Barton VP Nursing CCU & ECC 0.0 0.0 X 164266 0 7618 Carol Powell Clin Dir of Cardio SVC Line 45.0 0.0 X 154734 0 16443 J MACK BOWEN DIRECTOR 2.0 1.0 X 0 0 0 VINCENT DONOFRIO DIRECTOR 2.0 2.0 X 0 0 0 SHANNON WICKLIFFE DIRECTOR 2.0 0.0 X 0 0 0 BRIAN A METZ MD DIRECTOR 2.0 1.0 X 0 0 0 R ERIC HUGHES DIRECTOR 2.0 1.0 X 0 0 0 MICHAEL K KNOP DIRECTOR/VICE CHAIRPERSON 4.0 2.0 X X 0 0 0 THOMAS N THORTON DIRECTOR 2.0 0.0 X 0 0 0 RICHARD K SUMMERS DIRECTOR/CHAIRPERSON 4.0 1.0 X X 0 0 0 JOHN ALLISON DIRECTOR 2.0 0.0 X 0 0 0 ERIN DUGAN DIRECTOR 2.0 0.0 X 0 0 0 DIRK VON HOLT DIRECTOR 2.0 0.0 X 0 0 0 DR BRENT YEAGER DIRECTOR 2.0 0.0 X 0 0 0 1275570 3380301 632398 133 true true false CERNER CORPORATION PO BOX 959167 ST LOUIS MO 63195 SOFTWARE SUPPORT 8333315 JE DUNN CONSTRUCTION CO 1001 LOCUST KANSAS CITY MO 60674 CONSTRUCTION 14929485 PULSE DESIGN GROUP 4622 PENNSYLVANIA AVE STE 1050 KANSAS CITY MO 64112 ARCHITECT 2629247 QUALIVIS LLC DEPT 3847 PO BOX 123847 DALLAS TX 753123847 CONTRACT LABOR 2594582 VANGUARD RESOURCE INC 6500 US HWY 281 N SPRING BRANCH TX 78070 SERVICE 4791085 67 552770 638875 1191645 Patient Care Service Revenue 900099 316826933 316826933 316826933 12054361 12054361 0 0 2051159 2454013 -402854 0 -402854 -402854 11662615 25527 11662615 25527 11688142 11662615 25527 0 0 0 0 0 0 0 0 0 Pharmacy Sales 446110 847 847 Discounts/Rebates 900099 1224461 1224461 Research Study 621500 85858 85858 1456639 270593 24268 1161778 2767805 344126032 330070460 25115 12838812 X 958886 958886 16000 16000 0 0 343059 343059 0 86140893 77095615 9045278 1905531 1699734 205797 9265391 8264729 1000662 6701374 5977626 723748 5447639 5447639 333023 333023 157333 157333 6644 6644 0 77714 77714 33087562 29515861 3571701 1880103 1880103 1422546 1173520 249026 6094144 5338787 755357 0 9757036 9016874 740162 199297 189443 9854 0 122829 103520 19309 3633592 3633592 0 21673250 20063165 1610085 1669220 737477 931743 Bad Debt Expense 18875875 18875875 Medicaid Assessment 1754310 1754310 Medical Supplies 64740931 64740931 Repairs & Maintenance 1310364 1303717 6647 1819233 1771415 47818 279393779 248940544 30453235 0 19670486 6949809 2902498 2810377 0 0 42347716 46889640 0 0 0 0 0 0 6426076 6644187 4212161 4818067 503810779 272861755 218754715 230949024 402131312 421455157 11069408 11250533 0 0 0 0 20521919 15725532 728036291 747492326 34183564 38780930 0 0 0 898600 142559211 135048118 0 0 0 0 1476999 1553727 0 0 48435051 39839787 226654825 216121162 X 500788583 530515435 592883 855729 501381466 531371164 728036291 747492326 X 64732253 5484111 -40226666 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X false false false false false true 6644 false false false 6644 false SCHEDULE C, PART II-B, LINE 1F THE LOBBYING EXPENSES ARE THE PORTION OF HOSPITAL ASSOCIATION DUES THAT ARE RELATED TO LOBBYING. 402221592 28974377 9725365 90447 421380157 369989783 8238780 24232022 162250 76743 402221592 307270326 2464275 60432088 99000 77906 369989783 346794659 11636 -9963771 29500000 72198 307270326 332955992 1263186 49067335 36418103 73751 346794659 1.00000 false true true 24516483 24516483 255165608 111873701 143291907 10217761 8710590 1507171 192097560 141188739 50908821 21813367 11088725 10724642 230949024 0 Due to Third Party 20774580 Deferred Compensation 19065207 39839787 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE HELD FOR CAPITAL AND OPERATING NEEDS. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true true false true true 5347045 5347045 0.02050 15428148 10206236 5221912 0.02000 20775193 10206236 10568957 0.04050 324017 324017 0.00120 756633 756633 0.00290 6136656 3701217 2435439 0.00930 13600 13600 0.00010 7230906 3701217 3529689 0.01350 28006099 13907453 14098646 0.05400 10000 0.00000 4557 0.00000 116949 0.00040 399 0.00000 24993 0.00010 41606 0.00020 198504 0.00070 false 3842072 2881554 111453267 122713812 -11260545 X true true 1 1 OLATHE MEDICAL CENTER INC 20333 WEST 151ST STREET OLATHE KS 66061 WWW.OLATHEHEALTH.ORG H-046-002 X X X OLATHE MEDICAL CENTER INC 1 false false true X X X X X X X X X 21 true false false true X See Schedule H, Part V, Section C X true 19 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 300. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 OLATHE 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 7A HTTPS://WWW.OLATHEHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-SUPPORT/CHNA- CHIP SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.OLATHEHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-SUPPORT/CHNA- CHIP SCHEDULE H, PART V, SECTION B, LINE 11 OMCI 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 13B When annual household income is more than 300% of the federal poverty guidelines, individuals with extraordinary medical expenses may be eligible, on case by case basis, for financial assistance discount or extended payment arrangements. SCHEDULE H, PART V, SECTION B, LINES 16A-C www.olathehealth.org/Patients-And-Visitors/FinancialAssistance 18 OLATHE HEALTH REHAB SVCS AT OLATHE MED 20375 W 151ST STREET SUITE 208 OLATHE KS 66061 OUTPATIENT REHABILITATION CLINIC THE IMAGING CENTER AT OLATHE MEDICAL CTR 20375 W 151ST STREET SUITE 150 OLATHE KS 66061 INPATIENT/OUTPATIENT MRI SERVICES CARDIAC AND PULMONARY REHAB AT OMC 20375 W 151ST STREET SUITE 450 OLATHE KS 66061 INPATIENT/OUTPATIENT CARDIAC REHAB CLINIC OUTPATIENT SURGERY CENTER AT OMC 20805 W 151ST STREET SUITE 101 OLATHE KS 66061 OUTPATIENT SURGERY DEPARTMENT PAIN MANAGEMENT CENTER AT OLATHE MED CTR 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT PAIN MANAGEMENT CLINIC SLEEP DISORDERS CENTER AT OLATHE MED CTR 20375 W 151ST STREET SUITE 103 OLATHE KS 66061 OUTPATIENT SLEEP DISORDERS CLINIC OLATHE HEALTH REHAB SVCS AT SOUTHPARK 20920 W 151ST STREET SUITE 201 OLATHE KS 66061 OUTPATIENT REHABILITATION CLINIC OLATHE HEALTH REHAB SVCS AT SANTA FE COM 13657 MUR-LEN ROAD OLATHE KS 66062 OUTPATIENT REHABILITATION CLINIC OLATHE HEALTH PAVILION 21120 W 152ND STREET OLATHE KS 66061 OUTPATIENT IMAGING CLINIC WOUND HEALING CENTER AT OLATHE MED CTR 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT WOUND CARE CLINIC OUTPATIENT SERVICES 20375 W 151ST STREET SUITE 150 OLATHE KS 66061 OUTPATIENT LABORATORY SERVICES THE VEIN CARE CENTER 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT VEIN CLINIC OLATHE HEALTH REHAB SVCS AT GARDNER 824 MAIN ST GARDNER KS 66030 OUTPATIENT REHABILITATION CLINIC HOSPICE HOUSE 15310 S MARION STREET OLATHE KS 66061 HOSPICE OLATHE HEALTH REHAB SVCS AT COLLEGE PT 23450 COLLEGE BOULEVARD OLATHE KS 66061 OUTPATIENT REHABILITATION CLINIC MEDICAL ONCOLOGY AT OLATHE MEDICAL CTR 15123 S OMC PARKWAY OLATHE KS 66061 OUTPATIENT ONCOLOGY CLINIC RADIATION ONCOLOGY AT OLATHE MEDICAL CTR 15123 S OMC PARKWAY OLATHE KS 66061 OUTPATIENT RADIATION CLINIC YMCA REHAB LOCATION 21400 W 153RD STREET OLATHE KS 66061 OUTPATIENT REHABILITATION CLINIC SCHEDULE H, PART I, LINE 3C See Part VI, Section B, Line 13 for the list of factors used in the eligibility criteria explained in the FAP for providing free and discount care. PRIVATE PAY PRIMARY (UNINSURED) RECEIVE AN AUTOMATIC 50% DISCOUNT OFF OF BILLED CHARGES. SCHEDULE H, PART I, LINE 7, COLUMN F The bad debt expense is not considered a community benefit expense and is not included in Schedule H, Part I, Line 7. The amount excluded is $18,875,875. SCHEDULE H, PART I, LINE 7 The costing methodology used to calculate the amounts contained in the table of Part I, Line 7, of Schedule H, is a cost accounting system. SCHEDULE H, PART I, LINE 7G No physician clinic costs are included in the Community Benefit expenses. SCHEDULE H, PART II Olathe 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 2 A cost accounting system is used to calculate the amount of OMCI's bad debt expense. SCHEDULE H, PART III, LINE 3 The amount included on Line 3 that could be attributed to patients eligible under the organization's financial assistance policy was estimated by analyzing all private pay patient charges at cost less the cost for those patients that were eligible for financial assistance. This amount was then multiplied by the percentage of what has been historically collected from uninsured patients. The majority of the uninsured patients do not have the ability to pay and if the patients completed the financial assistance application they would be eligible for financial assistance SCHEDULE H, PART III, LINE 4 See page 10 of the attached audited financial statements. SCHEDULE H, PART III, SECTION B, LINE 8 Medicare allowable costs were calculated using a cost accounting system. Shortfalls arise from payments that are less than the costs to provide the services. The shortfalls should be considered community benefit as they must be absorbed in order to continue providing care to our community. It is also implied in Internal Revenue Service ruling 69-545 which established the community benefit standard for tax-exempt hospitals and indicates that participation in publicly-financed programs, such as Medicare, is evidence that a hospital meets the community benefit standard. SCHEDULE H, PART III, LINE 9B Before 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 2 Olathe 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 3 Patients 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 4 Olathe 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 5 In 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 6 Olathe 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 7 OMCI is not required to file a community benefit report with the state, but we make our report available to anyone interested at www.olathehealth.org. true OLATHE DISTRICT SCHOOLS 1700 W SHERIDAN ST OLATHE KS 66061 480697986 GOVERNMENT 341998 FMV SPORTS MEDICINE COMMUNITY WELLNESS GARDNER DISTRICT SCHOOLS 231 E MADISON ST GARDNER KS 66030 480699834 GOVERNMENT 68750 FMV SPORTS MEDICINE COMMUNITY WELLNESS SPRING HILL DISTRICT SCHOOLS 101 E SOUTH ST SPRING HILL KS 66083 480723504 GOVERNMENT 68750 FMV SPORTS MEDICINE COMMUNITY WELLNESS KIDS TLC INC 480 S ROGERS RD OLATHE KS 66062 480774593 501(C)(3) 10000 COMMUNITY WELLNESS MID -AMERICA NAZARENE COLLEGE 2030 E COLLEGE WAY OLATHE KS 66062 480730814 501(C)(3) 26500 COMMUNITY WELLNESS HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY 407 S CLAIRBORNE RD OLATHE KS 66062 481115529 501(C)(3) 25000 COMMUNITY WELLNESS JOHNSON COUNTY COMMUNITY COLLEGE 12345 COLLEGE BLVD OLATHE KS 66210 237164614 501 (C)(3) 10000 COMMUNITY WELLNESS OLATHE DISTRICT SCHOOLS 1700 W SHERIDAN ST OLATHE KS 66061 480697986 GOVERNMENT 40000 COMMUNITY WELLNESS THE MIRACLE LEAGUE 1506 KLONDIKE ROAD CONYERS GA 30094 900680027 501(C)(3) 10000 COMMUNITY WELLNESS OLATHE FIRE DEPARTMENT 100 E SANTA FE ST OLATHE KS 66061 486082776 GOVERNMENT 130000 COMMUNITY WELLNESS CENTER OF GRACE 520 S HARRISON ST OLATHE KS 66061 481251324 501(C)(3) 10000 COMMUNITY WELLNESS OLATHE PUBLIC SCHOOLS FOUNDATION 315 N LINWOOD OLATHE KS 66061 481190090 501(C)(3) 70000 COMMUNITY WELLNESS OLATHE CHAMBER OF COMMERCE 1 WEST 106TH ST OLATHE KS 66061 480357594 501(C)(6) 19475 COMMUNITY WELLNESS 12 1 SCHOLARSHIPS 16 16000 SCHEDULE I, PART I, LINE 2 OLATHE 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. X X X X X true true false false false false false false false STANLEY HOLM PRESIDENT/CEO 0 850981 0 0 0 15384 0 152462 0 25784 0 1044611 0 0 KRYSTAL CLAYMORE TREASURER/CFO 0 435850 0 0 0 1260 0 55207 0 23026 0 515343 0 0 JASON HANNAGAN SECRETARY/CHIEF LEGAL OFFICER 0 404287 0 0 0 2693 0 46686 0 25755 0 479421 0 0 JEFF DOSSETT CHIEF OPERATING OFFICER 0 360588 0 0 0 4048 0 38136 0 26145 0 428917 0 0 CHRISTINE COURTNEY CHIEF NURSING OFFICER 0 313429 0 0 0 2453 0 31032 0 24474 0 371388 0 0 CHERYL SHARP Former SVP/STRAT FIN INITIAT. 0 0 0 0 0 242304 0 0 0 0 0 242304 0 0 Tierney Grasser Former Chief Financial Officer 0 0 0 0 0 245502 0 0 0 0 0 245502 0 0 Joey Barton VP Nursing CCU & ECC 50436 0 0 0 113830 0 0 0 7618 0 171884 0 0 0 Carol Powell Clin Dir of Cardio SVC Line 152682 0 0 0 2052 0 3000 0 13443 0 171177 0 0 0 Philip Schneider PHARMACY DIRECTOR 207538 0 0 0 1340 0 3000 0 21930 0 233808 0 0 0 Nicholas Sindorf Interim VP/CIO 194557 0 0 0 425 0 3000 0 24726 0 222708 0 0 0 Steven Black Director - Hospital Services 186665 0 0 0 2030 0 3000 0 10221 0 201916 0 0 0 James Neihart Radiation Oncology Physicist 184015 0 0 0 98 0 3000 0 20227 0 207340 0 0 0 Rebecca Rose RN-Cath Lab Invasive 179486 0 0 0 416 0 3000 0 14409 0 197311 0 0 0 ELIZABETH LONG CHIEF MEDICAL OFFICER 0 472233 0 0 0 29289 0 30824 0 22293 0 554639 0 0 Form 990, Part Vii & Schedule J, Part I, Line 3 THE 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 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: TIERNEY GRASSER, $245,502; CHERYL SHARP, $224,304; JOEY BARTON, $102,636 SCHEDULE J, PART I, LINE 4B IN 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. A CITY OF OLATHE KANSAS 486034756 679390JG0 2012-02-28 36829131 SEE PART VI true false false B CITY OF OLATHE KANSAS 486034756 2014-12-23 23550000 SEE PART VI false false false C CITY OF OLATHE KANSAS 486034756 2015-01-08 23550000 SEE PART VI false false false D CITY OF OLATHE KANSAS 486034756 2017-02-20 56505000 SEE PART VI false false false A 9120000 16450000 36829131 0 0 0 429131 0 0 0 36400000 0 2010 true false true true B 6200000 0 24201391 0 0 0 225000 0 0 23976391 0 0 2018 false false true true C 6180000 0 24066839 0 0 0 192745 0 0 23874094 0 0 2018 false false true true D 5080000 0 56505000 0 0 0 477528 0 0 56027472 0 0 2012 true true true true A false true true true false 0.00000 0.00000 0.00000 false false false true B false true true true true true 0.00000 0.00000 0.00000 false false false true C false true true true true true 0.00000 0.00000 0.00000 false false false true D false true true true false 0.01220 0.00000 0.01220 false false false true A false true false false 0 false 0 false true B false true true false 0 false 0 false true C false true true false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, COLUMN F - GROUP 1 A - 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 1 A - 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 1 B - 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 1 THE 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 1 THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/01/2018. SCHEDULE K, PART IV, COLUMN C, LINE 2C - GROUP 1 THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/01/2018 SCHEDULE K, PART IV, COLUMN D, LINE 2D - GROUP 1 THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 02/01/2018 A CITY OF OLATHE KANSAS 486034756 2017-12-28 16190000 SEE PART VI true false false B CITY OF OLATHE KANSAS 486034756 2019-08-15 30000000 SEE PART VI false false false C CITY OF OLATHE KANSAS 486034756 2019-12-19 9110000 SEE PART VI false false false A 4460000 9000000 16190000 0 0 0 161740 0 0 0 16028260 0 2012 false true true true B 2895000 0 30236840 0 0 0 283976 0 0 26114409 0 3838455 false false false true C 40000 0 9110000 0 0 0 110000 0 0 0 9000000 0 2012 true false true true A false false true true false 0.00000 0.00000 0.00000 false false false true B false false true true false 0.00000 0.00000 0.00000 false false false true C false false true true false 0.00000 0.00000 0.00000 false false false true A false true false false 0 false 0 true true B false true true false 0 false 0 false true C false true false false 0 false 0 true true A true B true C true SCHEDULE K, PART I, COLUMN F - GROUP 2 A - 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 2 A - 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 2 AMOUNT 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 2 THE PROJECT IS STILL IN PROGRESS AS OF 12/31/2021. SCHEDULE K, PART III, COLUMN A - GROUP 2 THE 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 2C THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 9/1/2020. FORM 990, PART III, LINE 3 THE 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 4A OLATHE 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 2 STANLEY 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 6 OLATHE HEALTH SYSTEM, INC. A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A OLATHE 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 7B OLATHE 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 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS MANAGEMENT HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 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 12C THE PURPOSE OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS TO PROTECT THE ORGANIZATION'S INTEREST WHEN IT IS CONTEMPLATING A DECISION OR ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY PERSON IN A POSITION OF AUTHORITY OVER THE ORGANIZATION, OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. CORPORATE OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A DISCLOSURE OF INFORMATION FORM ANNUALLY. A SUMMARY OF THE ANNUAL DISCLOSURES OF INFORMATION IS PROVIDED TO THE FULL BOARD FOR REVIEW AT LEAST ONE TIME PER YEAR. THE CONFLICT OF INTEREST POLICY CALLS FOR ANY INTERESTED PERSON TO DISCLOSE THE EXISTENCE OF A FINANCIAL RELATIONSHIP OR COMPETITIVE INTEREST IN CONNECTION WITH ANY PENDING TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO 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 & 15B THE 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 TRANSFERS TO AFFILIATES $ ( 40,372,633) GAIN(LOSS) ON EQUITY INVESTEES $ 145,967 -------------- $ ( 40,226,666 ) FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:33087562 MIAMI COUNTY MEDICAL CENTER INC 2100 BAPTISTE DRIVE PAOLA KS 66071 481155548 HOSPITAL KS 501(C)(3) 3 OHSI true OLATHE HEALTH SYSTEM INC 20333 W 151ST STREET OLATHE KS 66061 480979845 SUPPORT ORG KS 501(C)(3) 12C NA false OLATHE HEALTH PHYSICIANS INC 20333 W 151ST STREET OLATHE KS 66061 481088982 CLINICS KS 501(C)(3) 10 OHSI true OLATHE HEALTH CHARITABLE FOUNDATION 20333 W 151ST STREET OLATHE KS 66061 481136010 FUNDRAISING KS 501(C)(3) 12A OMCI true OLATHE HEALTH DEVELOPMENT CORPORATION 20333 W 151ST STREET OLATHE KS 66061 363445097 MEDICAL SERVI KS OHSI C CORPORATION 0 0 true OMC DOCTOR'S BLDG CONDO OWNERS ASSOC INC 20333 W 151ST STREET OLATHE KS 66061 481244766 REAL ESTATE KS OMCI C CORPORATION 0 0 1.00000 true true false true false false false false false false false false true true true true true true true true MIAMI COUNTY MEDICAL CENTER L 254189 COST MIAMI COUNTY MEDICAL CENTER N 257526 COST MIAMI COUNTY MEDICAL CENTER O 1399078 COST MIAMI COUNTY MEDICAL CENTER P 8174089 COST MIAMI COUNTY MEDICAL CENTER Q 15574449 COST OLATHE HEALTH PHYSICIANS INC L 110774 COST OLATHE HEALTH PHYSICIANS INC M 2047496 COST OLATHE HEALTH PHYSICIANS INC N 776363 COST OLATHE HEALTH PHYSICIANS INC O 2734734 COST OLATHE HEALTH PHYSICIANS INC P 656422 COST OLATHE HEALTH PHYSICIANS INC Q 16309996 COST OLATHE HEALTH PHYSICIANS INC S 38255227 COST OLATHE HEALTH CHARITABLE FOUNDATION INC A(IV) 8055 COST OLATHE HEALTH CHARITABLE FOUNDATION INC C 552770 COST OLATHE HEALTH CHARITABLE FOUNDATION INC P 256002 COST OLATHE HEALTH CHARITABLE FOUNDATION INC R 269227 COST OLATHE HEALTH CHARITABLE FOUNDATION INC S 713853 COST