STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

OLATHE MEDICAL CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
OLATHE MEDICAL CENTER INC (EIN 48-0577664)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-09
IRS object ID
202043149349301819
Schema version
2019v5.1
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)
Return2020-11-09T10:29:56-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD 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 Begin2019-01-01TaxPeriodBeginDt

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
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael J EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43372220203145000004FederalOriginalSubmissionId
Federal Original Submission Id2020-11-09FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF21D1F213CC4383A5820E8AA9D8AB0D5A5658AF0AtSubmissionCreationDeviceId
At Submission Filing Device Id355CC2E4B6E27E32DAADC48E1CA8D97843AD7DA8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$319,673,319GrossReceiptsAmt
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 HAPPINESSActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2212TotalEmployeeCnt
Total Volunteers325TotalVolunteersCnt
Total Gross UBI$63,197TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$19,192NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,123,081PYContributionsGrantsAmt
CY Contributions Grants$897,290CYContributionsGrantsAmt
PY Program Service Revenue$271,252,861PYProgramServiceRevenueAmt
CY Program Service Revenue$291,022,830CYProgramServiceRevenueAmt
PY Investment Income$43,125,872PYInvestmentIncomeAmt
CY Investment Income$12,180,540CYInvestmentIncomeAmt
PY Other Revenue$2,273,440PYOtherRevenueAmt
CY Other Revenue$2,500,686CYOtherRevenueAmt
PY Total Revenue$317,775,254PYTotalRevenueAmt
CY Total Revenue$306,601,346CYTotalRevenueAmt
PY Grants And Similar Paid$636,722PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$600,852CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$101,993,222PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$105,993,607CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$149,502,203PYOtherExpensesAmt
CY Other Expenses$161,204,615CYOtherExpensesAmt
PY Total Expenses$252,132,147PYTotalExpensesAmt
CY Total Expenses$267,799,074CYTotalExpensesAmt
PY Revenues Less Expenses$65,643,107PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,802,272CYRevenuesLessExpensesAmt
Total Assets BOY$617,493,051TotalAssetsBOYAmt
Total Assets EOY$704,405,399TotalAssetsEOYAmt
Total Liabilities BOY$167,844,961TotalLiabilitiesBOYAmt
Total Liabilities EOY$197,107,319TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$449,648,090NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$507,298,080NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO HELP PEOPLE THROUGH HEALING, HEALTH AND HAPPINESS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$236,201,393ExpenseAmt
Grant$600,852GrantAmt
Revenue$292,124,612RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$236,201,393TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
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 Document154IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2212EmployeeCnt
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 Member9IndependentVotingMemberCnt
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 AddressYes (true)OfficerMailingAddressInd
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 (28 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$855,845$166,290
JAMES WETZEL
CHIEF MEDICAL OFFICER10.035.0Yes (X)$0$557,521$22,593
TIERNEY L GRASSER
TREASURER/SVP/CFO10.035.0Yes (X)$0$542,414$34,495
FRANK H DEVOCELLE
FORMER PRESIDENT/CEO0.00.0$0$459,334$11,988Yes (X)
JOHN STATON
CHIEF AMBULATORY OFFICER10.035.0Yes (X)$0$270,254$40,986
JEFF DOSSETT
CHIEF OPERATING OFFICER10.035.0Yes (X)$0$247,281$30,986
AMY MEGLEMERE
CHIEF NURSING OFFICER40.05.0Yes (X)$0$237,617$37,835
DAVID PURSELL
SECRETARY/VP/GENERAL COUNSEL10.035.0Yes (X)$0$228,397$15,513
PHILIP SCHNEIDER
PHARMACY DIRECTOR45.00.0$209,396$0$28,170Yes (X)
JASON HANNAGAN
SECRETARY/CHIEF LEGAL OFFICER10.035.0Yes (X)$0$202,694$9,755
JAN O'DELL
VP SURGICAL SERVICES45.00.0$192,656$0$14,081Yes (X)
FAWAZ SHATAT
DIRECTOR TECHNOLOGY OPERATIONS45.00.0$178,902$0$26,223Yes (X)
STEVE BLACK
DIRECTOR ONCOLOGY SERVICES45.00.0$174,037$0$17,767Yes (X)
JOEY BARTON
VP NURSING CCU & ECC45.00.0$159,692$0$28,723Yes (X)
JAMES NEIHART
RADIATION ONCOLOGY PHYSICIST45.00.0$161,896$0$25,886Yes (X)
JENNIFER MCKENNA
PHARMACY CLINICAL45.00.0$156,567$0$3,000Yes (X)
KRYSTAL CLAYMORE
TREASURER/CFO10.035.0Yes (X)$0$87,979$6,574
PATRICIA A ALL EDD
DIRECTOR2.00.0$0$0$0Yes (X)
J MACK BOWEN
DIRECTOR2.01.0$0$0$0Yes (X)
VINCENT DONOFRIO
DIRECTOR2.01.0$0$0$0Yes (X)
SHANNON WICKLIFFE
DIRECTOR4.02.0$0$0$0Yes (X)
BRIAN A METZ MD
DIRECTOR2.01.0$0$0$0Yes (X)
R ERIC HUGHES
DIRECTOR2.00.0$0$0$0Yes (X)
MICHAEL K KNOP
DIRECTOR/VICE CHAIRPERSON2.01.0$0$0$0Yes (X)
BRUCE B SNIDER MD
DIRECTOR2.01.0$0$0$0Yes (X)
THOMAS N THORTON
DIRECTOR2.00.0$0$0$0Yes (X)
RICHARD K SUMMERS
DIRECTOR/CHAIRPERSON4.03.0Yes (X)$0$0$0Yes (X)
JOHN ALLISON
DIRECTOR1.00.1$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,233,146TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,689,336TotReportableCompRltdOrgAmt
Total Other Compensation$520,865TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K102IndivRcvdGreaterThan100KCnt
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$5,889,796
SODEXO OPERATIONS INC
4880 PAYSPHERE CIRCLECHICAGOIL60674FOOD SERVICES$3,202,965
MCCOWN GORDON CONSTRUCTION
422 ADMIRAL BLVDKANSAS CITYMO64106CONSTRUCTION$1,983,864
CROTHALL HEALTHCARE INC
13028 COLLECTIONS CENTER DRIVECHICAGOIL60693CLEANING SERVICES$2,559,305
P1 GROUP
16210 W 108TH STLENEXAKS66219REPAIRS$1,987,879
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
Related Organizations$575,724RelatedOrganizationsAmt
Government Grants$30,366GovernmentGrantsAmt
All Other Contributions$291,200AllOtherContributionsAmt
Total Contributions$897,290TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient Service RevenueDesc
Business900099BusinessCd
Total Revenue Column$291,022,830TotalRevenueColumnAmt
Related Or Exempt Func Income$291,022,830RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$291,022,830TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,313,966TotalRevenueColumnAmt
Exclusion$12,313,966ExclusionAmt

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$2,276,866RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,395,634RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$881,232RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$881,232TotalRevenueColumnAmt
Exclusion$881,232ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,534,910SecuritiesAmt
Other$8,003OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,546,799SecuritiesAmt
Other$129,540OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$11,889SecuritiesAmt
Other-$121,537OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$133,426TotalRevenueColumnAmt
Exclusion-$133,426ExclusionAmt
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 ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Discounts/Rebates900099$765,686$765,686
Research Study900099$95,283$35,216$60,067
PHARMACY SALES621500$3,130$3,130

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$755,355TotalRevenueColumnAmt
Related Or Exempt Func Income$237,683RelatedOrExemptFuncIncomeAmt
Exclusion$517,672ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,619,454OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$306,601,346TotalRevenueColumnAmt
Related Or Exempt Func Income$292,061,415RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$63,197UnrelatedBusinessRevenueAmt
Exclusion$13,579,444ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$581,852TotalAmt
Program Services$581,852ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$19,000TotalAmt
Program Services$19,000ProgramServicesAmt

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$571,312TotalAmt
Program Services$308,659ProgramServicesAmt
Management And General$262,653ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$213,200TotalAmt
Program Services$213,200ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$86,362,937TotalAmt
Program Services$73,776,354ProgramServicesAmt
Management And General$12,586,583ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,031,623TotalAmt
Program Services$1,747,196ProgramServicesAmt
Management And General$284,427ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,173,507TotalAmt
Program Services$8,766,461ProgramServicesAmt
Management And General$1,407,046ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,641,028TotalAmt
Program Services$5,711,284ProgramServicesAmt
Management And General$929,744ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,816,985TotalAmt
Program Services$15,549ProgramServicesAmt
Management And General$4,801,436ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$255,179TotalAmt
Management And General$255,179ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$137,165TotalAmt
Management And General$137,165ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$77,906TotalAmt
Management And General$77,906ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,230,561TotalAmt
Program Services$23,777,478ProgramServicesAmt
Management And General$2,453,083ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$728,320TotalAmt
Program Services$727,169ProgramServicesAmt
Management And General$1,151ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,382,118TotalAmt
Program Services$2,047,646ProgramServicesAmt
Management And General$2,334,472ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,078,719TotalAmt
Program Services$5,159,501ProgramServicesAmt
Management And General$919,218ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,538,838TotalAmt
Program Services$3,200,513ProgramServicesAmt
Management And General$338,325ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$302,199TotalAmt
Program Services$285,591ProgramServicesAmt
Management And General$16,608ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$168,181TotalAmt
Program Services$136,247ProgramServicesAmt
Management And General$31,934ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,334,850TotalAmt
Program Services$2,734,577ProgramServicesAmt
Management And General$600,273ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,573,680TotalAmt
Program Services$16,870,418ProgramServicesAmt
Management And General$3,703,262ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,247,921TotalAmt
Program Services$578,730ProgramServicesAmt
Management And General$669,191ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Expense$18,549,086$18,549,086
Medicaid Assessment$1,754,310$1,754,310
Medical Supplies$64,930,481$64,895,782$34,699
Repairs & Maintenance$2,958,646$2,811,437$147,209

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,139,470TotalAmt
Program Services$1,533,353ProgramServicesAmt
Management And General-$393,883ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$267,799,074TotalAmt
Program Services$236,201,393ProgramServicesAmt
Management And General$31,597,681ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,827,020BOYAmt
EOY$11,567,875EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,155,805BOYAmt
EOY$2,757,878EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$347,936BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$46,626,813BOYAmt
EOY$40,331,795EOYAmt

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$6,007,569BOYAmt
EOY$6,232,132EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,199,387BOYAmt
EOY$3,125,350EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$440,024,131LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$229,207,467LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$216,872,518BOYAmt
EOY$210,816,664EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$307,222,350BOYAmt
EOY$369,922,937EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,396,716BOYAmt
EOY$14,703,855EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,345,973BOYAmt
EOY$269,201EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,465,964BOYAmt
EOY$44,677,712EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$617,493,051BOYAmt
EOY$704,405,399EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,533,463BOYAmt
EOY$45,554,811EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$126,322,840BOYAmt
EOY$149,825,317EOYAmt

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$1,988,658BOYAmt
EOY$1,727,191EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$167,844,961BOYAmt
EOY$197,107,319EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$449,107,064BOYAmt
EOY$502,632,637EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$541,026BOYAmt
EOY$4,665,443EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$449,648,090BOYAmt
EOY$507,298,080EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$617,493,051BOYAmt
EOY$704,405,399EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,802,272ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$48,475,663NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$29,627,945OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

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$10,471GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$10,471TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE FFormAndLineReferenceDesc
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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$310,947,468BeginningYearBalanceAmt
Contributions$2,269,053ContributionsAmt
Investment Earnings Or Losses$19,811,986InvestmentEarningsOrLossesAmt
Administrative Expenses$72,515AdministrativeExpensesAmt
End Year Balance$332,955,992EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$301,639,382BeginningYearBalanceAmt
Contributions$9,295,407ContributionsAmt
Investment Earnings Or Losses$1,036,065InvestmentEarningsOrLossesAmt
Other Expenditures$953,363OtherExpendituresAmt
Administrative Expenses$70,023AdministrativeExpensesAmt
End Year Balance$310,947,468EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.99982BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY0.00018TermEndowmentBalanceEOYPct
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$222,380,423OtherCostOrOtherBasisAmt
Depreciation$95,842,217DepreciationAmt
Book Value$126,538,206BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,150,425OtherCostOrOtherBasisAmt
Depreciation$8,405,390DepreciationAmt
Book Value$1,745,035BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$162,264,409OtherCostOrOtherBasisAmt
Depreciation$115,644,824DepreciationAmt
Book Value$46,619,585BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,712,391OtherCostOrOtherBasisAmt
Depreciation$9,315,036DepreciationAmt
Book Value$11,397,355BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$210,816,664TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
Accounts Receivable Tenants-$16,226
Due From Affiliates$3,366,064
Deferred Financing Fees, Net$1,186,500
Accounts Receivable Other$620,865
Funds Held By Trustee$24,897,737
Silver Bars Inventory$31,075
Investments - Fiserv$2,121,590
Defined Benefit Account$12,470,107
FieldValueIRS element (for citing)
Total Book Value Other Assets$44,677,712TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$442,652,663TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$48,475,663NetUnrealizedGainsInvstAmt
Other Revenue$106,202,646OtherRevenueAmt
Revenue Not Reported$154,678,309RevenueNotReportedAmt
Revenue Subtotal$287,974,354RevenueSubtotalAmt
Investment Expenses Not Incld$77,906InvestmentExpensesNotIncldAmt
Other Revenues Not Included$18,549,086OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$18,626,992RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$306,601,346TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$378,921,618TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$129,749,536OtherExpensesIncludedAmt
Expenses Not Reported$129,749,536ExpensesNotReportedAmt
Expenses Subtotal$249,172,082ExpensesSubtotalAmt
Investment Expenses Not Incld2$77,906InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$18,549,086OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$18,626,992ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$267,799,074TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 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 D, PART XI, LINE 2DRELATED ORGANIZATIONS' REVENUE $ 105,398,744 RENTAL EXPENSES 1,395,634 LOSS ON INVESTMENT OF EQUITY INVESTEES ( 591,732) ------------ TOTAL $ 106,202,646
SCHEDULE D, PART XI, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 18,549,086
SCHEDULE D, PART XII, LINE 2DRELATED ORGANIZATIONS' EXPENSES $ 128,353,902 RENTAL EXPENSES $ 1,395,634 ------------ TOTAL $ 129,749,536
SCHEDULE D, PART XII, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 18,549,086

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$4,589,770TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,589,770NetCommunityBenefitExpnsAmt
Total Expense0.01840TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,269,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,135,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,133,993NetCommunityBenefitExpnsAmt
Total Expense0.01660TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,859,707TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,135,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,723,763NetCommunityBenefitExpnsAmt
Total Expense0.03500TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$458,742TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$458,742NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$848,695TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$848,695NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,977,339TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,261,870DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,715,469NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$158,748TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$158,748NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,443,524TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,261,870DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,181,654NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,303,231TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,397,814DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,905,417NetCommunityBenefitExpnsAmt
Total Expense0.04770TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,194TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,194NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,797TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,797NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,392TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,392NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,339TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,339NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,947TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,947NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,120TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,120NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$123,789TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$123,789NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,441,149BadDebtExpenseAmt
Bad Debt Expense Attributable$3,330,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$108,420,923ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$119,030,733CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,609,810MedicareSurplusOrShortfallAmt

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 Conducted19CHNAConductedYr
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 5As part of the community health needs assessment (CHNA), Olathe Medical Center, Inc. (OMCI) conducted a town hall meeting in fall of 2018. 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 11https://www.olathehealth.org/patients-and-visitors/community-support/chna- chip/
SCHEDULE H, PART V, SECTION B, LINE 11In 2018, OMCI assessed the healthcare needs of its communities to identify the top health-need priorities. OMCI Board of Directors approved the assessment and its results in January 2019. Concurrently, OMC put together a Community Health Improvement Plan to address these needs. This three-year plan will begin implementation in 2020. It addresses each health need priority, outlining OMCIs 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/Financial-Assistance
FieldValueIRS element (for citing)
Facility17FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
OLATHE HEALTH REHAB SVCS AT OLATHE MED
20375 W 151ST STREET SUITE 151OLATHEKS66061OUTPATIENT 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

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.
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 $18,549,086.
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. A few examples of OMCI's involvement in 2019 include: 1) Our involvement in several area economic development councils. 2) Our 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 to provide a community event to distribute free bicycle helmets to children and wellness screenings for the adults. 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. OMC continued its partnership with the Deaf Cultural Center to bring educational opportunities for the Deaf population for health and wellness. 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 9 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 publically-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, "Agency agrees to comply with the Internal Revenue Code 501 (r) (6) and will not perform Extraordinary Collection Actions ("ECA") before Client has made reasonable efforts to determine whether the patient/debtor ("individual") is eligible for assistance under its financial assistance policy ("FAP") and will not engage in ECAs. If Client determines that the individual does not qualify, or is unable to determine whether an individual qualifies.Agency may, upon direction from Client engage in collection activities." If the collection agency is notified by the patient/debtor that this created an undue financial hardship or burden due to a change in their income or assets, the agency will notify 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 general conversation that help us understand the needs of groups and individuals. The OMCI Community Advisory Council meets on a regular basis. Participants represent a diverse community, including the Deaf, Hispanic, African-American, and uninsured. In 2018, OMCI conducted its third formal assessment of the health of the communities we serve. 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 January 2019. The research, survey and town hall meetings helped develop a clearer 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. Health Need Priorities 2017-2019- OMCI 1. Increase awareness of and access to multi-lingual healthcare services and culturally competent healthcare providers. 2. Improve access to behavioral health services, including case management, diagnostic services, overcoming stigma, funding and placement. 3. Decrease the obesity rate in our community by changing healthy eating and physical activity behaviors through interactive education, access and policy. 4. Increase access to affordable care. In 2019, OMCI began the third and final year of its second Community Health Improvement Plan (CHIP). To address the first priority of increasing awareness of and access to multi-lingual healthcare services and culturally competent providers, OMCI began by focusing on current language access services and increasing utilization of those services. In 2019, the goal was to increase the number of patient contacts by 5% over the prior year. That goal was not met, however there was a 3% growth over the previous year. The second response to address this priority was to partner with the Deaf Cultural Center and participate on the Deaf Community Health Literacy Planning Committee focusing on providing educational resources and free health screenings to the deaf community. In 2018, we saw a dramatic decrease in participation in these events. Our goal was to continue to increase participation by 5% in 2019 and instead saw a 50% decrease in participation. We continue to see a lack of support from the Cultural Center and involvement in the Deaf Health Literacy Task Force as this task force has separated. Additional efforts to support this priority include OMCIs leadership involvement in the Olathe Latino Coalition and Hispanic Community Task Force. Both of these groups are focused on providing guidance and resource for those within the Latino community. The second priority is to improve access to behavioral health services, including case management, diagnostic services, overcoming stigma, funding and placement. The first response recognized our partnership with KVC Health Systems to expand access of psychiatric consults in the hospital for patients in crisis. In 2019, the goal was to increase the number of inpatient consults by 5% over the previous year. This goal was met with an increase of 19% in the number of patients served through this program. Several additional efforts were completed to better address this health need. OMCIs emergency department provides a major depression and suicide risk screening process. OMCI developed a behavioral health resource guide that is distributed through community outreach events and within the primary care clinics. OMCI financially supports the Olathe School District to provide students access to mental health therapists at Olathe North High School and Santa Fe Trail Middle School. These funds also support the Student Health Emergency Fund, which helps students and their family access medications they need to be successful in the classroom. OMCI partnered with Gateway of Hope, which is designed for women in our primary service regarding the triggers, signs and effects of depression, anxiety, stress and trauma. Priority three was to address the obesity rate in our community by changing healthy eating and physical activity behaviors through interactive education, access and policy. The first response was to partner with the city of Olathes Parks & Recreation department to launch the app called Get Active. In 2019, the goal was to increase the number of downloads and usage rates within the community. This goal was met with a 31% increase in participating within the community. One of purposes of the app is highlight healthy eating recipes, locations and details of local farmers markets, park location with walking trails and other amenities available through the City of Olathe. OMCI continued to participate in the promotion of the app, and also sponsored challenges within the app to encourage healthy eating and positive behavior change related to eating and exercise. The second goal is to increase the number of diabetic patients who have a hemoglobin A1C under 9. In 2019, there was an 8% decrease in the number of patients with an A1C lower than 9. The third response to this priority was active participation within Johnson Countys Food Policy Council. OMCI actively participated in various subcommittees of the council including food insecurity in the healthcare setting, food waste and pollution prevention, along with the hunger summit. Additional efforts supporting this priority include support of the Olathe Community Garden program, providing health education classes at the Olathe Community Center and at OMC. OMCI offers a number of services to the community including access to dieticians, diabetes education and bariatric treatment for those who meet the criteria. OMCI also financially supports programs in the community that address this health need through the Olathe School District, local races and an outdoor fitness center. The fourth identified health need was access to affordable care. After further discussions with the community and its stakeholders, a number of resources were identified. However, there was a lack of awareness about these resources to better support the community. Therefore, OMCIs response to this priority was to increase awareness of existing services across the community. In 2019, OMCI distributed its second survey to measure for awareness of resources. While short of the goal of increasing awareness by 20%, there was a 2% increase in awareness. Several community groups continued to remain involved with this effort as OMCI continues to be a connector in the community to highlight resources available. Additional efforts include continued contracting with Resolute Group to assist uninsured OMC patients who might qualify for potential Affordable Care Act options in navigating and obtaining health insurance coverage through the Health Insurance Marketplace. OMCI also participates in a number of community events designed to support those who are uninsured or underinsured by providing free health screenings at events such as the Lions Club Health Fair, Olathe District Schools Back to School Outreach event and Fire Department Open House. OMCI financially supports the Health Partnership Clinic, which provides medical and dental care to the low income and uninsured residents within OMCIs primary service area. OMCI provides in-kind radiology and laboratory services, as well as an annual financial donation to this organization.
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, 24.46% of the students in the Olathe School District (southern Johnson County) are on free and reduced lunch. The Olathe School District also represents a very diverse culture; more than 90 languages are spoken by students in the Olathe School District and more than 17% speak multiple languages in the home. Below is a listing of economic levels for area residents. Time period: 2012-2016 American Community Survey 5-Year Estimates Source: factfinder2.census.gov People Living Below Poverty Level Johnson County: 6.0% Miami County: 9.6% Young Children Living Below Poverty Level Johnson County: 7.1% Miami County: 14.4% Uninsured Adult Population Rate (2014) Johnson County: 6.7% Miami County: 6.9%
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 nurse 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. 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 32 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 (14 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$392,914FMVSPORTS MEDICINECOMMUNITY WELLNESS
GARDNER DISTRICT SCHOOLS
231 E MADISON STGARDNERKS66030480699834GOVERNMENT$78,583FMVSPORTS MEDICINECOMMUNITY WELLNESS
SPRING HILL DISTRICT SCHOOLS
101 E SOUTH STSPRING HILLKS66083480723504GOVERNMENT$78,583FMVSPORTS MEDICINECOMMUNITY WELLNESS
KANSAS SCHOOL FOR THE DEAF
450 E PARKOLATHEKS66061141044911501(C)(3)COMMUNITY WELLNESS$10,000
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$51,500
HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY
407 S CLAIRBORNE RDOLATHEKS66062481115529501(C)(3)$25,000FMVSPORTS MEDICINECOMMUNITY WELLNESS
JOHNSON COUNTY OLD SETTLERS
14712 S VILLAGEOLATHEKS66061486108713501 (C)(4)COMMUNITY WELLNESS$10,000
JOHNSON COUNTY COMMUNITY COLLEGE
12345 COLLEGE BLVDOLATHEKS66210237164614501 (C)(3)COMMUNITY WELLNESS$14,000
OLATHE DISTRICT SCHOOLS
1700 W SHERIDAN STOLATHEKS66061480697986GOVERNMENTCOMMUNITY WELLNESS$40,000
FESTIVAL ON THE TRAIL
925 LINCOLN LANEGARDNERKS66030270680384501 (C)(4)COMMUNITY WELLNESS$10,000
THE MIRACLE LEAGUE
1506 KLONDIKE ROADCONYERSGA30094900680027501(C)(3)COMMUNITY WELLNESS$10,000
OLATHE FIRE DEPARTMENT
100 E SANTA FE STOLATHEKS66061486082776GOVERNMENTFMVCOMMUNITY WELLNESS$142,063
CITY OF OLATHE POLICE
100 E SANTA FE STOLATHEKS66061486082776GOVERNMENTFMVCOMMUNITY WELLNESS$50,000
FieldValueIRS element (for citing)
Total501c3 Org15Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient19RecipientCnt
Cash Grant$19,000CashGrantAmt

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)
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 (16 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 OrgsTotalCompensationRltdOrgsAmt
FRANK H DEVOCELLE
FORMER PRESIDENT/CEO$0$458,983$0$0$0$351$0$0$0$11,988$0$471,322
TIERNEY L GRASSER
TREASURER/SVP/CFO$0$463,425$0$0$0$78,989$0$3,000$0$31,495$0$576,909
STANLEY HOLM
PRESIDENT/CEO$0$802,236$0$0$0$53,609$0$137,983$0$28,307$0$1,022,135
JAMES WETZEL
CHIEF MEDICAL OFFICER$0$480,989$0$0$0$76,532$0$3,000$0$19,593$0$580,114
DAVID PURSELL
SECRETARY/VP/GENERAL COUNSEL$0$65,661$0$0$0$162,736$0$0$0$15,513$0$243,910
JASON HANNAGAN
SECRETARY/CHIEF LEGAL OFFICER$0$146,237$0$0$0$56,457$0$0$0$9,755$0$212,449
AMY MEGLEMERE
CHIEF NURSING OFFICER$0$235,508$0$0$0$2,109$0$12,665$0$25,170$0$275,452
JOHN STATON
CHIEF AMBULATORY OFFICER$0$268,303$0$0$0$1,951$0$16,482$0$24,504$0$311,240
JEFF DOSSETT
CHIEF OPERATING OFFICER$0$190,890$0$0$0$56,391$0$13,424$0$17,562$0$278,267
FAWAZ SHATAT
DIRECTOR TECHNOLOGY OPERATIONS$177,775$0$0$0$1,127$0$0$0$26,223$0$205,125$0
JENNIFER MCKENNA
PHARMACY CLINICAL$156,318$0$0$0$249$0$3,000$0$0$0$159,567$0
JAMES NEIHART
RADIATION ONCOLOGY PHYSICIST$161,740$0$0$0$156$0$3,000$0$22,886$0$187,782$0
PHILIP SCHNEIDER
PHARMACY DIRECTOR$207,334$0$0$0$2,062$0$3,000$0$25,170$0$237,566$0
STEVE BLACK
DIRECTOR ONCOLOGY SERVICES$171,381$0$0$0$2,656$0$0$0$17,767$0$191,804$0
JOEY BARTON
VP NURSING CCU & ECC$158,156$0$0$0$1,536$0$3,000$0$25,723$0$188,415$0
JAN O'DELL
VP SURGICAL SERVICES$188,071$0$0$0$4,585$0$3,000$0$11,081$0$206,737$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4ATHE COMPENSATION REPORTED FOR DAVID PURSELL INCLUDES SEVERANCE OF $161,832.
SCHEDULE J, PART I, LINE 4B & PART IITIERNEY GRASSER, CHIEF FINANCIAL OFFICER AND JAMES WETZEL, CHIEF MEDICAL OFFICER PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), IN WHICH THEY ARE FULLY VESTED. IN 2019, THERE WAS A PAYMENT OF $72,526 TO TIERNEY L. GRASSER AND $64,924 TO JAMES WETZEL WHICH IS REPORTED AS TAXABLE COMPENSATION AND INCLUDED IN THEIR W-2. THE FOLLOWING AMOUNTS WERE ACCRUED IN 2019 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, $137,893 JOHN STATON, CHIEF AMBULATORY OFFICER, $13,482; AMY MEGLEMRE, CHIEF NURSING OFFICER, $9,665; CHERYL SHARP, SENIOR VICE PRESIDENT STRATEGIC FINANCIAL INITIATIVES, $35,763; MICHAEL JENSEN, CHIEF STRATEGY OFFICER, $21,297; JEFF DOSSETT, CHIEF OPERATIONS OFFICER, $13,424; AND KRYSTAL CLAYMORE, CHIEF FINANCIAL OFFICER, $6,574.

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
D4860347562017-02-28$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$7,255,000$16,450,000$36,829,131$0$0$0$429,131$0$0$0$36,400,000$02010Yes (true)falseYes (true)Yes (true)
B$4,030,000$0$24,201,391$0$0$0$225,000$0$0$23,976,391$0$02018falsefalseYes (true)Yes (true)
C$4,010,000$0$24,066,839$0$0$0$192,745$0$0$23,874,094$0$02018falsefalseYes (true)Yes (true)
D$1,920,000$0$56,505,000$0$0$0$477,528$0$0$0$56,027,472$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 PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
AfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)Yes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)Yes (true)
DfalseYes (true)Yes (true)Yes (true)false0.012200.000000.01220falsefalse0.00000falseYes (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)falsefalse0Yes (true)Yes (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 (6 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 a portion of 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 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 A, LINES 2, 4, & 5A REMDIAL ACTION DEFEASANCE WAS TAKEN ON 8/10/2018 TO DEFEASE $925,000 OF THE 2012A BONDS. A NOTICE WAS SENT TO THE IRS.
SCHEDULE K, PART IV, COLUMN B, LINE 2D - GROUP 1THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 12/01/2018
SCHEDULE K, PART IV, COLUMN C, LINE 2D - 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 (SERIES 2017B)
B4860347562019-08-15$30,000,000SEE PART VIfalsefalsefalse
CITY OF OLATHE KANSAS (SERIES 2014A)
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$2,125,000$9,000,000$16,190,000$0$0$985,512$161,740$0$0$0$15,055,742$02012falseYes (true)Yes (true)Yes (true)
B$0$0$30,117,743$0$0$0$283,976$0$0$4,972,886$0$24,860,880falsefalsefalseYes (true)
C$0$0$9,110,000$0$0$3,375,000$108,325$0$0$0$5,925,000$1,6752012Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny 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 ContractsEngageBondCounselContractsIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPct
Afalsefalsefalsefalse0.000000.000000.00000falsefalsefalseYes (true)
BfalsefalseYes (true)false0.000000.000000.00000falsefalsefalseYes (true)Yes (true)0.00000
CfalsefalseYes (true)false0.000000.000000.00000falsefalsefalseYes (true)Yes (true)0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalse0Yes (true)Yes (true)
0
BfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalse0Yes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN F - GROUP 2A - THE PROCEEDS WERE USED TO REFUND SERIES 2010A BONDS ISSUED 10/29/2010 B - THE PROCEEDS WERE USED TO ACQUIRE, CONSTRUCT, IMPROVE, EXTEND, REPAIR, EQUIP, AND FURNISH CERTAIN HEALTH CARE FACILITIES C - THE 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 13 AND 16 - GROUP 2THE PROJECT IS STILL IN PROGRESS AS OF 12/31/2019.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSEE SCHEDULE L PART VPersonNm

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationTRANSACTION 1 (A) DAVID HANSON (B) DAVID HANSON IS THE SON-IN-LAW OF FRANK H. DEVOCELLE, A FORMER OFFICER OF OMCI (C) $118,330 (D) DAVID HANSON IS AN EMPLOYEE OF OMCI (E) NO TRANSACTION 2 (A) HEIDI HANSON (B) HEIDI HANSON IS THE DAUGHTER OF FRANK H. DEVOCELLE, A FORMER OFFICER OF OMCI (C) $58,504 (D) HEIDI HANSON IS AN EMPLOYEE OF OMCI (E) NO TRANSACTION 3 (A) JAMIE O'DELL (B) JAMIE O'DELL IS THE DAUGHTER OF JAN O'DELL, A KEY EMPLOYEE OF OMCI (C) $36,366 (D) JAMIE O'DELL IS AN EMPLOYEE OF OMCI (E) NO TRANSACTION 4 A) OLATHE WOMENS' CENTER (OWC) B) DR. BRUCE B. SNIDER IS A PARTNER AND GREATER-THAN-35% OWNER OF OWC. HE IS ALSO A DIRECTOR ON THE BOARD OF OLATHE MEDICAL CENTER, INC. (OMCI) C) $124,131 - RENT PAID BY OWC TO OMCI $ 72,600 - ONCALL COMPENSATION PAID BY OMCI TO OWC D) SEE ITEM C) ABOVE E) NOExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2019, OLATHE MEDICAL CENTER PROVIDED 41,529 DAYS OF INPATIENT CARE, 570,726 OUTPATIENT PROCEDURES, 36,433 EMERGENCY PATIENTS, 1,675 DAYS OF HOSPICE HOUSE SERVICE 9,361 HOSPICE VISITS AND 42,750 HOME HEALTH VISITS TO THE COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2STAN HOLM, TIERNEY L GRASSER AND JOHN STATON HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVE AS AN OFFICER OR DIRECTOR FOR OLATHE HEALTH DEVELOPMENT CORPORATION AND OLATHE MEDICAL CENTER DOCTORS BUILDING CONDOMINIUM OWNERS ASSOCIATION, INC. WHICH ARE RELATED FOR PROFIT COMPANIES. J MACK BOWEN, BRIAN METZ, MD, BRUCE SNIDER, MD, RICHARD SUMMERS AND MICHAEL KNOP ARE BOARD MEMBERS OF OLATHE HEALTH SYSTEMS INC. STAN HOLM, TIERNEY L GRASSER, KRYSTAL CLAYMORE, JOHN STATON, JEFF DOSSETT, AMY MEGLEMRE, JAMES WEZEL, MD, DAVID PURSELL AND JASON HANNAGAN HAVE A 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 THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BOLATHE HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF OMCI, AND 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 12 CTHE 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, LINES 15A & BTHE PERSONNEL AND COMPENSATION COMMITTEE OF THE BOARD IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD AND REVIEWS AND APPROVES THE CEO, 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 $ ( 33,046,354) GAIN(LOSS) ON EQUITY INVESTEES $ ( 591,732) CHANGE IN BENEFICIAL INTEREST OF OHCF $ 4,010,141 -------------- $ ( 29,627,945)

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 ExchangeYes (true)AssetExchangeInd
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 (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MIAMI COUNTY MEDICAL CENTER
L$237,541COST
MIAMI COUNTY MEDICAL CENTER
N$990,152COST
MIAMI COUNTY MEDICAL CENTER
O$2,092,867COST
MIAMI COUNTY MEDICAL CENTER
P$3,097,691COST
MIAMI COUNTY MEDICAL CENTER
Q$2,911,124COST
MIAMI COUNTY MEDICAL CENTER
R$3,849,696COST
MIAMI COUNTY MEDICAL CENTER
S$12,942,801COST
OLATHE HEALTH PHYSICIANS INC
L$111,683COST
OLATHE HEALTH PHYSICIANS INC
M$2,045,568COST
OLATHE HEALTH PHYSICIANS INC
N$3,640,668COST
OLATHE HEALTH PHYSICIANS INC
O$3,383,595COST
OLATHE HEALTH PHYSICIANS INC
P$15,536,973COST
OLATHE HEALTH PHYSICIANS INC
Q$902,744COST
OLATHE HEALTH PHYSICIANS INC
R$41,224,346COST
OLATHE HEALTH PHYSICIANS INC
I$165,104COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
C$575,724COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
P$320,482COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
R$1,183,476COST
OLATHE HEALTH CHARITABLE FOUNDATION INC
A iv$23,063COST