MIAMI COUNTY MEDICAL CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MIAMI COUNTY MEDICAL CENTER INC (EIN 48-1155548)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201703179349301530
Schema version: 2016v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-13T08:51:18-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	481155548	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI COUNTY MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TIERNEY L GRASSER	InCareOfNm
Business Name Control	MIAM	BusinessNameControlTxt
Phone	9137914461	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 BAPTISTE DRIVE	AddressLine1Txt
City	PAOLA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66071	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIERNEY L GRASSER	PersonNm
Person Title	SR VP/CFO	PersonTitleTxt
Phone	9137914461	PhoneNum
Signature	2017-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael J Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43372220173175000000	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8F98601E9B9506236E52EC7389D8642B2D9C3057	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4D02266371F55FDDA6DABD55B95E59043C5383CF	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TIERNEY L GRASSER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20333 W 151ST STREET	AddressLine1Txt
City	OLATHE	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66061	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$28,930,653	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OLATHEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	174	TotalEmployeeCnt
Total Volunteers	22	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$85,100	PYContributionsGrantsAmt
CY Contributions Grants	$25,211	CYContributionsGrantsAmt
PY Program Service Revenue	$22,738,678	PYProgramServiceRevenueAmt
CY Program Service Revenue	$23,319,638	CYProgramServiceRevenueAmt
PY Investment Income	$2,272,790	PYInvestmentIncomeAmt
CY Investment Income	$2,324,554	CYInvestmentIncomeAmt
PY Other Revenue	$205,904	PYOtherRevenueAmt
CY Other Revenue	$73,851	CYOtherRevenueAmt
PY Total Revenue	$25,302,472	PYTotalRevenueAmt
CY Total Revenue	$25,743,254	CYTotalRevenueAmt
PY Grants And Similar Paid	$51,297	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$51,811	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$10,144,028	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$10,341,121	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$10,835,563	PYOtherExpensesAmt
CY Other Expenses	$11,470,054	CYOtherExpensesAmt
PY Total Expenses	$21,030,888	PYTotalExpensesAmt
CY Total Expenses	$21,862,986	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,271,584	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,880,268	CYRevenuesLessExpensesAmt
Total Assets BOY	$60,225,183	TotalAssetsBOYAmt
Total Assets EOY	$65,245,421	TotalAssetsEOYAmt
Total Liabilities BOY	$6,354,308	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,251,244	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$53,870,875	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$58,994,177	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MIAMI COUNTY MEDICAL CENTER, INC. IS FOCUSED ON IMPROVING THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$17,691,932	ExpenseAmt
Grant	$51,811	GrantAmt
Revenue	$23,319,638	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$17,691,932	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	36	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	174	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TIERNEY L GRASSER	PersonNm
Phone	9137914461	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20333 W 151ST STREET	AddressLine1Txt
City	OLATHE	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66061	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GARY FRENCH
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DENISE GERMAN RNC
TRUSTEE/VICE-CHAIRPERSON	1.0	0.0	Yes (X)	$0	$0	$0
STEPHEN M MILLER
TRUSTEE/SECRETARY/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JACK TINNEL
TRUSTEE/CHAIRPERSON	2.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
CHIP WOOD
TRUSTEE	1.0	4.0	Yes (X)	$0	$0	$0
FRANK H DEVOCELLE
PRESIDENT/CEO	7.0	43.0		$0	$1,060,108	$18,757	Yes (X)
TIERNEY L GRASSER
SVP/CHIEF FINANCIAL OFFICER	9.0	41.0		$0	$648,927	$32,095	Yes (X)
PAUL LUCE
VP/CHIEF OPERATING OFFICER	45.0	0.0		$177,621	$0	$19,516	Yes (X)
CHERYL L ROSS
ASSISTANT SECRETARY	2.0	43.0		$0	$134,052	$16,931	Yes (X)
JAMES WETZEL
SVP/CHIEF MEDICAL OFFICER	1.0	49.0		$0	$533,455	$28,282	Yes (X)
STACEY GRAY
PHARMACY MANAGER	45.0	0.0		$137,234	$0	$17,161		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$314,855	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,376,542	TotReportableCompRltdOrgAmt
Total Other Compensation	$132,742	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SW KS EMERG PHYSICIANS LP
PO BOX 341246	DETROIT	MI	482674579	ER PHYSICIAN SERVICE	$1,950,698
SHARED MEDICAL SERVICES
PO BOX 330	COTTAGE GROVE	WI	53527	MRI SERVICES	$283,217
KRAMER FRANK PC
1125 GRAND BLVD STE 600	KANSAS CITY	MO	64106	COLLECTION SERVICES	$126,903
LEGACY CONTRACTORS
907 N PEARL STE 4	PAOLA	KS	66071	CONSTRUCTION	$692,602
P 1 GROUP INC
16210 W 108TH ST	LENEXA	KS	662191346	SERVICE CONTRACTS	$188,376

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$23,695	GovernmentGrantsAmt
All Other Contributions	$1,516	AllOtherContributionsAmt
Total Contributions	$25,211	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	900099	$23,008,638	$23,008,638
EMR Revenue	900099	$311,000	$311,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$23,319,638	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,332,696	TotalRevenueColumnAmt
Exclusion	$1,332,696	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$116,457	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$174,257	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$57,800	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$57,800	TotalRevenueColumnAmt
Exclusion	-$57,800	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,005,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,013,142	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$991,858	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$991,858	TotalRevenueColumnAmt
Exclusion	$991,858	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Puchase Discounts	900099	$18,213	$18,213
Cafeteria	722514	$26,861	$26,861
All Other Misc Revenue	900099	$86,577	$86,577

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,577	TotalRevenueColumnAmt
Exclusion	$86,577	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$131,651	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,743,254	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,319,638	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,398,405	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$45,811	TotalAmt
Program Services	$45,811	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$6,000	TotalAmt
Program Services	$6,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$197,137	TotalAmt
Program Services	$148,737	ProgramServicesAmt
Management And General	$48,400	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$14,698	TotalAmt
Program Services	$11,089	ProgramServicesAmt
Management And General	$3,609	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,299,071	TotalAmt
Program Services	$6,261,513	ProgramServicesAmt
Management And General	$2,037,558	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$166,606	TotalAmt
Program Services	$125,702	ProgramServicesAmt
Management And General	$40,904	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,143,722	TotalAmt
Program Services	$862,920	ProgramServicesAmt
Management And General	$280,802	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$519,887	TotalAmt
Program Services	$392,246	ProgramServicesAmt
Management And General	$127,641	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$37,788	TotalAmt
Management And General	$37,788	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$40,464	TotalAmt
Management And General	$40,464	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$11,177	TotalAmt
Management And General	$11,177	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,572,300	TotalAmt
Program Services	$3,130,350	ProgramServicesAmt
Management And General	$441,950	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$111,982	TotalAmt
Program Services	$111,982	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$863,538	TotalAmt
Program Services	$242,258	ProgramServicesAmt
Management And General	$621,280	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$478,561	TotalAmt
Program Services	$399,768	ProgramServicesAmt
Management And General	$78,793	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$14,501	TotalAmt
Program Services	$2,616	ProgramServicesAmt
Management And General	$11,885	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$163,377	TotalAmt
Program Services	$140,503	ProgramServicesAmt
Management And General	$22,874	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$949,714	TotalAmt
Program Services	$816,749	ProgramServicesAmt
Management And General	$132,965	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$141,679	TotalAmt
Program Services	$121,843	ProgramServicesAmt
Management And General	$19,836	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Bad Debt Expense	$2,426,751	$2,426,751
Medical Supplies	$2,282,438	$2,282,245	$193
Medicaid Assessment	$71,942	$71,942
Dues & Subscriptions	$43,506	$18,715	$24,791

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$260,336	TotalAmt
Program Services	$72,192	ProgramServicesAmt
Management And General	$188,144	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,862,986	TotalAmt
Program Services	$17,691,932	ProgramServicesAmt
Management And General	$4,171,054	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,670,232	BOYAmt
EOY	$1,258,602	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,944,988	BOYAmt
EOY	$3,029,623	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$750,572	BOYAmt
EOY	$748,626	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$248,573	BOYAmt
EOY	$171,714	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$24,371,483	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$17,229,510	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,281,686	BOYAmt
EOY	$7,141,973	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$44,031,567	BOYAmt
EOY	$47,902,976	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,389,820	BOYAmt
EOY	$4,525,008	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$907,745	BOYAmt
EOY	$466,899	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$60,225,183	BOYAmt
EOY	$65,245,421	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,778,106	BOYAmt
EOY	$2,164,364	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,588,162	BOYAmt
EOY	$3,230,770	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$988,040	BOYAmt
EOY	$856,110	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,354,308	BOYAmt
EOY	$6,251,244	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,789,425	BOYAmt
EOY	$58,993,835	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,450	BOYAmt
EOY	$342	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$53,870,875	BOYAmt
EOY	$58,994,177	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$60,225,183	BOYAmt
EOY	$65,245,421	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,880,268	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,252,768	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$9,734	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$5,536	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$5,536	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1F	FormAndLineReferenceDesc
Explanation	THE LOBBYING EXPENDITURES ARE THE PORTION OF HOSPITAL ASSOCIATION DUES THAT RELATE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$47,717,171	BeginningYearBalanceAmt
Contributions	$475,000	ContributionsAmt
Investment Earnings Or Losses	$3,443,041	InvestmentEarningsOrLossesAmt
End Year Balance	$51,635,212	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,075,614	BeginningYearBalanceAmt
Contributions	$1,573,840	ContributionsAmt
Investment Earnings Or Losses	$67,717	InvestmentEarningsOrLossesAmt
End Year Balance	$47,717,171	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,519,913	BeginningYearBalanceAmt
Contributions	$700,000	ContributionsAmt
Investment Earnings Or Losses	$2,867,243	InvestmentEarningsOrLossesAmt
Other Expenditures	$11,542	OtherExpendituresAmt
End Year Balance	$46,075,614	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$34,895,600	BeginningYearBalanceAmt
Contributions	$681,000	ContributionsAmt
Investment Earnings Or Losses	$6,961,043	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,730	OtherExpendituresAmt
End Year Balance	$42,519,913	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,762,822	BeginningYearBalanceAmt
Contributions	$670,994	ContributionsAmt
Investment Earnings Or Losses	$4,469,234	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,450	OtherExpendituresAmt
End Year Balance	$34,895,600	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.99850	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.00150	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,419,375	OtherCostOrOtherBasisAmt
Book Value	$2,419,375	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,038,482	OtherCostOrOtherBasisAmt
Depreciation	$9,442,195	DepreciationAmt
Book Value	$1,596,287	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,327,625	OtherCostOrOtherBasisAmt
Depreciation	$7,264,323	DepreciationAmt
Book Value	$2,063,302	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,586,001	OtherCostOrOtherBasisAmt
Depreciation	$522,992	DepreciationAmt
Book Value	$1,063,009	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$7,141,973	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN SSGA	Desc
Book Value	$4,525,008	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$4,525,008	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO AFFILIATES	Desc
Amt	$856,110	Amt

Field	Value	IRS element (for citing)
Total Liability	$856,110	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$350,386,249	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,252,768	NetUnrealizedGainsInvstAmt
Other Revenue	$325,828,155	OtherRevenueAmt
Revenue Not Reported	$327,080,923	RevenueNotReportedAmt
Revenue Subtotal	$23,305,326	RevenueSubtotalAmt
Investment Expenses Not Incld	$11,177	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$2,426,751	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,437,928	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$25,743,254	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$318,329,333	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$298,904,275	OtherExpensesIncludedAmt
Expenses Not Reported	$298,904,275	ExpensesNotReportedAmt
Expenses Subtotal	$19,425,058	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$11,177	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$2,426,751	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,437,928	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$21,862,986	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE ENDOWMENT FUNDS ARE HELD FOR FUTURE CAPITAL AND EXPANSION NEEDS. IN ADDITION, THE FUNDS ALSO REPRESENT RESERVES FOR OPERATING NEEDS TO REMAIN FINANCIALLY STABLE.
SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	RELATED ORGANIZATIONS' REVENUE $ 325,653,898 RENTAL EXPENSES $ 174,257 ------------ TOTAL $ 325,828,155
SCHEDULE D, PART XI, LINE 4B	BAD DEBT EXPENSE $ 2,426,751
SCHEDULE D, PART XII, LINE 2D	RELATED ORGANIZATIONS' EXPENSES $ 298,730,018 RENTAL EXPENSES $ 174,257 ------------ TOTAL $ 298,904,275
SCHEDULE D, PART XII, LINE 4B	BAD DEBT EXPENSE $ 2,426,751

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$464,280	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$464,280	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,898,515	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$763,565	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,134,950	NetCommunityBenefitExpnsAmt
Total Expense	0.05840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,362,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$763,565	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,599,230	NetCommunityBenefitExpnsAmt
Total Expense	0.08230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	342	PersonsServedCnt
Total Community Benefit Expns	$8,003	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,003	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$113,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$113,153	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$56,488	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$56,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$27,583	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,583	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	492	PersonsServedCnt
Total Community Benefit Expns	$205,227	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$205,227	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	492	PersonsServedCnt
Total Community Benefit Expns	$2,568,022	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$763,565	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,804,457	NetCommunityBenefitExpnsAmt
Total Expense	0.09280	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$731	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$731	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,906	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,906	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,637	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,637	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$710,902	BadDebtExpenseAmt
Bad Debt Expense Attributable	$530,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,780,906	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,990,910	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,210,004	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI COUNTY MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 BAPTISTE DRIVE	AddressLine1Txt
City	PAOLA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66071	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.OLATHEHEALTH.ORG	WebsiteAddressTxt
State License	H-061-001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI COUNTY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.OLATHEHEALTH.ORG/ABOUT-US/CHNACHIP	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.OLATHEHEALTH.ORG/ABOUT-US/CHNACHIP	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	As part of the community health needs assessment (CHNA), Miami County Medical Center, Inc (MCMCI) conducted a town hall meeting on Thursday, Oct. 22, 2015. The community members invited to this town hall represents the broad interests of the community served by the hospital facility, including individuals with special knowledge and expertise in public health. This includes people representing the following groups: local hospital, public health community, mental health community, free clinics, community-based clinics, service providers, local residents, community leaders, opinion leaders, school leaders, business leaders, local government, faith-based organizations, people with chronic conditions, uninsured community members, low income residents, and minority groups. Section V of the CHNA provides a list of the town hall attendees and notes from the meeting. All priority-setting and scoring processes at the town hall meeting involved the input of key stakeholders in attendance. The meeting included discussion of community health data; reflection on size and seriousness of any health concerns; and discussion of current community health strengths. Participants were then asked to rank the community health concerns cited during the meeting and from the primary and secondary research already completed. A preliminary research survey was conducted by VVV Research LLC on behalf of MCMCI.
SCHEDULE H, PART V, SECTION B, LINE 11	MCMCI developed a Community Health Improvement Plan in early 2016 to address the top health-need priorities that were identified through the assessment described above. The MCMCI Board of Trustees approved it in November 2016. This is a three-year plan, which will begin implementation in 2017. It speaks to each health need priority, outlining MCMCIs initiative(s) to address the need and the anticipated community impact. You can read the full Community Health Needs Assessment and Community Health Improvement Plan documents on our website at olathehealth.org/community.
SCHEDULE H, PART V, SECTION B, LINE 13b	When annual household income is more than 300% of the federal poverty guidelines, individuals with extraordinary medical expenses may be eligible, on case by case basis, for financial assistance discount or extended payment arrangements.
SCHEDULE H, PART V, SECTION B, LINES 16A-C	WWW.OLATHEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 18	Miami County Medical Center does not permit any of the actions listed without making a reasonable effort to determine the patients eligibility under the facilitys financial assistance program.
SCHEDULE H, PART V, SECTION B, LINE 22D	The hospital utilized the look back method for all insurance companies to determine the maximum about that could be charged.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
LOUISBURG REHAB OF MIAMI CTY MEDICAL CTR
102 W CRESTVIEW CIRCLE	LOUISBURG	KS	66053	OUTPATIENT REHABILITATION CLINIC
OSAWATOMIE REHAB OF MIAMI CTY MED CENTER
539 MAIN STREET	OSAWATOMIE	KS	66064	OUTPATIENT REHABILITATION CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	SEE PART VI, SECTION B, LINE 13 FOR THE LIST OF FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNT CARE.
SCHEDULE H, PART I, LINE 7, COLUMN F	The bad debt expense is not considered a community benefit expense and is not included in Schedule H, Part I, Line 7. The amount excluded is $2,426,751.
SCHEDULE H, PART I, LINE 7	The costing methodology used to calculate the amounts contained in the table of Part I, Line 7, of Schedule H, is a cost accounting system.
SCHEDULE H, PART I, LINE 7G	NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE COMMUNITY BENEFIT EXPENSES.
SCHEDULE H, PART II	Miami County Medical Center, Inc. (MCMCI) is committed to improving the community we serve. Our employees are 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 areas residents; as well as supporting programs and other organizations that reach out to our citizens in need. A few examples of MCMCIs involvement in 2016 include: 1) Involvement in the Miami County Economic Development Advisory Board and local civic organizations. 2) Our support of the Health Partnership clinic, serving the uninsured of our community. 3) Our support of Lakemary center, a nonprofit serving children with developmental and intellectual disabilities. 4) Participation in community organizations and events through donations and by providing health education and services, including the Miami County Cancer Foundation. 5) Leadership and participation on our areas emergency preparedness efforts by coordinating extensive drills to practice our response to potential situations. 6) Participation in the Paola Pathways organization, a group responsible for developing walking and biking trails in and around Paola, and the Mound City trail project.
SCHEDULE H, PART III, SECTION A, LINE 2	The costing methodology used to calculate the amounts contained in the table of Part III, Line 2, of Schedule H, is a cost accounting system.
Schedule H, Part III, SECTION A, Line 3	The amount included on Line 3 that could be attributed to patients eligible under the organizations financial assistance policy was estimated by analyzing all private pay patient charges at cost less the cost for those patients that were eligible for financial assistance. This amount was then multiplied by the percentage of what has been historically collected from uninsured patients. The majority of the uninsured patients do not have the ability to pay and if the patients completed the financial assistance application they would be eligible for financial assistance.
SCHEDULE H, PART III, SECTION A, LINE 4	See page 9 of the attached audited financial statements.
SCHEDULE H, PART III, SECTION B, LINE 8	Medicare allowable costs were calculated using a cost accounting system. Shortfalls arise from payments that are less than the costs to provide the services. We accept all Medicare patients knowing that the cost of providing the care may exceed the payment we receive from the Medicare program. The shortfalls should be considered community benefit as Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. It is also implied in Internal Revenue Service ruling 69-545 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, SECTION B, LINE 9B	Before placement with collection agencies, MCMCI Patient Financial Services offers various options for patients with financial difficulties. In addition to offering our own financial assistance to qualifying individuals, MCMCI contracts with an agency that screens individuals for eligibility for programs like Medicaid, Disability and Crime Victims Compensation and then helps them through the application process. The use of propensity to pay software also helps MCMCI identify individuals that may need assistance that have not completed an application. MCMCI has language written in their collection agency contract that states, "If the collection agency learns a patient/debtor has neither sufficient income nor assets to meet his financial obligation, the agency will not pursue collection activities against the patient/debtor, unless or until the agency learns that the patient/debtor has income or assets to meet the obligation." If the collection agency is notified by the patient/debtor that this created an undue financial hardship or burden due to a change in their income or assets, the agency will notify MCMCI and await further direction from the hospital.
Schedule H, Part VI, Line 2	Miami County Medical Center, Inc. (MCMCI) is continually assessing the health needs of the communities it serves in a variety of ways. Informally, MCMCI is involved in multiple health fairs and other community outreach activities that involve screenings, questionnaires and general conversation that help us understand the needs of groups and individuals. Also, the MCMCI Community Advisory Council meets on a regular basis with representatives from a diverse group of individuals who provide helpful input from the organizations and communities they represent. In 2015, MCMCI continued its formal process of assessment. In partnership with the Miami County Department of Health, and with the help of VVV Research and Development, MCMCI conducted a community health needs assessment for its primary service area (Miami County). This was done by performing research, collecting health data for the area and actively seeking input from the community through a survey and town hall meetings. The board approved the CHNA in November 2015. The research, survey and town hall meetings helped develop a clearer picture of our service areas and the health priorities of residents. Below are the top three health need priorities in the primary service areas of MCMCI. Health Need Priorities 2014-2016- MCMCI 1. Increase access to care by making available Urgent Care and Walk-In services for residents of Miami and Linn counties. 2. Increase access to affordable pharmaceuticals. 3. Decrease obesity rate among residents and increase access to healthy food. In the fall of 2013, MCMCI developed a Community Health Improvement Plan to address the top health-need priorities that were identified through the assessment described above. It was approved by the MCMCI Board of Trustees in October 2013. This three-year plan began implementation in 2014. It speaks to each health need priority, outlining MCMCIs 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. In 2014, MCMCI began implementation of its Community Health Improvement Plan. The main priority for the MCMCI community was access to walk-in and/or urgent care. MCMCI added walk-in hours through Associates in Family Care Paola, and also added space within the clinic dedicated to providing this care. The goal for 2015 was to increase the number of patients seen in the walk-in clinic. That goal was not met and the clinic saw a decrease in the number of patients. While this service was opened to address this need, there are still challenges the organization continues to face and improve, such as provider availability and hours of service. In 2016, the walk-in clinic saw a six percent increase in number of patients utilizing this service. Despite not meeting the goal for increasing number of patients utilizing this service by 20 percent, the increase over previous was progress toward the goal. There are still many efforts within the community to educate the public about this service and when it is appropriate to go to walk-in versus emergency care. Access to affordable pharmaceuticals was another area of focus identified by the community with patients. In 2014, the inpatient pharmacy at MCMCI began working with local pharmacies to enhance the quality of communication. MCMCI also continued to support the Health Partnership Clinics 340B drug pricing program, which gives patients access to the medications they need through reduced pricing from the drug manufacturers. In 2015, MCMCI began a prescription medication assistance program for patients to access upon discharge. In 2016, MCMCI continued to work with the Health Partnership Clinic for patient referrals for testing and work with MCMCIs financial policy for assistance. To address obesity in 2015, MCMCI distributed information related to the 1-2-3-4-5 FIT-astic program within the Jayhawk-Linn school district. The Fit-astic Program teaches healthy habits such as limited screen time and appropriate servings of fruits and vegetables. The goal for 2015 was to provide information to 75 percent of the elementary schools in the MCMCI service area with Fitastic program information. While MCMCI did not meet this goal, it continues to partner with school districts in its primary service area to not only distribute materials, but help educators incorporate these principals into their curriculum. MCMCI representatives also talked with the Louisburg and Osawatomie school district representatives to implement the 1-2-3-4-5-Fit-Tastic program within those districts. The programs were not launched in 2016, but there are ongoing discussions about implementing them in the future and incorporating them into the physical education curriculum. MCMCI also utilized its primary care clinics to integrate goals from this program into patient electronic medical records. Due to limitations within the electronic medical records, the goals for this initiative were not trackable in the system. Additional efforts to combat obesity within the MCMCI service area include supporting the walking trail programs in Paola and Mound City, financial support to the Ozone Fitness Center to provide scholarships for people who cannot afford memberships and hosting a bicycle safety rodeo to distribute free bicycle helmets and teach safe riding habits. In 2016, MCMCI updated its goal to increase the number of pediatric patients who receive nutritional counseling to 35 percent. By the end of 2016, 66 percent of pediatric patients received this counseling. In 2017, MCMCI will launch its second Community Health Improvement Plan that will carry on with some of these initiatives. Health Need Priorities for 2017- MCMCI 1. Increase access to behavioral health, substance abuse and crisis intervention resources. Expand areas of prevention and education. 2. Improve and expand access to primary care services. 3. Decrease tobacco use. 4. Provide affordable healthy eating options and nutritional education to decrease obesity rates in Miami and Linn counties.
Schedule H, Part VI, Line 3	Patients of Miami County Medical Center, Inc. (MCMCI) are made aware of all opportunities available for financial assistance in a variety of ways. There are signs in the registration areas to notify patients and visitors of the availability of assistance programs. Every billing statement contains a notice of the availability of financial assistance and how to obtain additional information or apply. Applications and instructions are available on the medical centers 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 our Patient Financial Services department expressing concerns about being able to pay for their services or express that they are experiencing a financial hardship are advised of our assistance policy and encouraged to apply.
Schedule H, Part VI, Line 4	Miami County Medical Center, Inc. (MCMCI) serves the people of Miami and Linn Counties in Kansas. Miami and Linn Counties are both located in rural areas of the state of Kansas and are both federally designated medically underserved areas of Kansas. MCMCI is the only hospital in these two counties. However, there are several other hospitals located in nearby metropolitan areas, including Olathe and Overland Park, Kansas, and Kansas City, Missouri. In addition to the general healthcare services provided by the hospital and its associated physicians, MCMCI serves a diverse population of mentally disabled patients. The Osawatomie State Hospital, Lakemary Center, Medicalodge of Paola and the Tri-Ko are all organizations located in the primary service area. MCMCI supports each of these organizations by providing medical care to their residents, in addition to financial contributions to support programs for their residents. Below is a listing of economic levels for area residents. Time period: 2011 2015 Source: factfinder2.census.gov People Living Below Poverty Level Miami County: 9.2% Linn County: 13.2% Young Children Living Below Poverty Level Miami County: 12.9% Linn County: 10.6% Uninsured Adult Population Rate (2014) Miami County: 7.3% Linn County: 9.5%
Schedule H, Part VI, Line 5	In addition to the items listed above, Miami County Medical Center takes a very active role in support of local, regional and national not-for-profit organizations with a focus on improving health and supporting those in need. MCMCI provides support financially and through volunteering time and talents to multiple area organizations. MCMCI provides athletic trainers to area school sports programs. MCMCI staff members are involved in several health fairs and/or community screenings each year. The community health fairs are organized in conjunction with a variety of other area agencies, such as: Miami County Emergency Medical Services, East Central Kansas Area of Aging, K-State Research & Extension office, local school districts, county agencies and several others.
SCHEDULE H, PART VI, LINE 6	Miami County Medical Center, Inc. (MCMCI) is part of Olathe Health System, Inc. (OHSI). This consists of two hospitals and a network of 39 clinics. OHSI and its affiliates, including MCMCI, take a leadership role in promoting the health of the communities served. OHSI hospitals and clinics are very 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. OHSI positions itself as not only a provider of care, but a resource for education and prevention.
SCHEDULE H, PART VI, LINE 7	MCMCI is not required to file a community benefit report with the state, but we make our report available to anyone interested at www.olathehealth.org.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt
PAOLA USD #368
PO BOX 268	PAOLA	KS	66071	480720746	GOVERNMENT	$28,244	FMV	SPORTS MEDICINE	COMMUNITY WELLNESS
OSAWATOMIE USD #367
1200 TROJAN DRIVE	OSAWATOMIE	KS	66064	480698824	GOVERNMENT	$28,244	FMV	SPORTS MEDICINE	COMMUNITY WELLNESS
LAKEMARY CENTER
100 LAKEMARY DR	PAOLA	KS	66071	237423516	501(C)(3)				COMMUNITY WELLNESS	$10,000

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	6	RecipientCnt
Cash Grant	$6,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	MIAMI COUNTY MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS. MIAMI COUNTY MEDICAL CENTER ALSO PROVIDED FUNDS FOR LAKEMARY CENTER, A NOT-FOR-PROFIT LOCATED IN PAOLA WHO PROVIDE CARE FOR DEVELOPMENTALLY DISABLED ADULTS TO BUILD A CLIMBING WALL TO PROVIDE EXERCISE FOR THEIR CLIENTS. FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE UNIVERSITY ON BEHALF OF THE INDIVIDUAL SELECTED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FRANK H DEVOCELLE
PRESIDENT/CEO	$0	$701,969	$0	$212,083	$0	$146,056	$0	$2,500	$0	$16,257	$0	$1,078,865	$0	$0
TIERNEY L GRASSER
SVP/CHIEF FINANCIAL OFFICER	$0	$396,105	$0	$78,457	$0	$174,365	$0	$2,500	$0	$29,595	$0	$681,022	$0	$95,971
PAUL LUCE
VP/CHIEF OPERATING OFFICER	$151,242	$0	$22,000	$0	$4,379	$0	$2,500	$0	$17,016	$0	$197,137	$0	$0	$0
CHERYL L ROSS
ASSISTANT SECRETARY	$0	$123,335	$0	$8,500	$0	$2,217	$0	$2,500	$0	$14,431	$0	$150,983	$0	$0
STACEY GRAY
PHARMACY MANAGER	$133,947	$0	$2,909	$0	$378	$0	$2,500	$0	$14,661	$0	$154,395	$0	$0	$0
JAMES WETZEL
SVP/CHIEF MEDICAL OFFICER	$0	$397,380	$0	$74,563	$0	$61,512	$0	$2,500	$0	$25,782	$0	$561,737	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VII; SCHEDULE J, PART I, LINE 3	THE COMPENSATION REPORTED FOR PAUL LUCE WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF OLATHE MEDICAL CENTER, INC. (THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER INC.) THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS, WHICH INCLUDES A BOARD MEMBER FROM MIAMI COUNTY MEDICAL CENTER, INC. THE COMMITTEE UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT AND THIRD PARTY SALARY SURVEYS IN THE ESTABLISHMENT OF MR. LUCES COMPENSATION.
FORM 990, PART VII; SCHEDULE J, PART I, LINE 3	THE COMPENSATION BEING REPORTED FOR FRANK H DEVOCELLE, TIERNEY L GRASSER AND CHERYL L ROSS IS FROM OLATHE MEDICAL CENTER, INC., A RELATED TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC. OLATHE MEDICAL CENTER, INC. USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS TO ESTABLISH AND APPROVE COMPENSATION AND BENEFITS FOR ALL OFFICERS OF OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATED COPRORATIONS. THE COMMITTEE UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN CONTRACT FOR THE CEO AND COMPENSATION SURVERYS TO ESTABLISH FAIR MARKET VALUE SALARIES AND BENEFITS FOR OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATES OFFICERS.
SCHEDULE J, PART I, LINE 4B	Frank H. Devocelle, James Wetzel and Tierney Grasser participate in a Supplemental Executive Retirement Plan (SERP). Frank H. Devocelle and James Wetzel are fully vested in the SERP plan. In 2016, there was a payout of $110,808 to Frank H. Devocelle and $53,801 to James Wetzel which is reported as taxable compensation and included in their W-2. Tierney Grasser became fully vested in the SERP during 2016. The total amount included in her W-2 income was $65,852 for the current year contribution and $95,971 was also included in W-2 income in 2016 for prior year contributions which were reported in prior year tax returns.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF OLATHE KANSAS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	486034756	BondIssuerEIN
CUSIP	679390gx6	CUSIPNum
Bond Issued	2008-02-27	BondIssuedDt
Issue Price	$5,311,403	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,030,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$5,311,403	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$22,313	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$5,289,091	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	1996	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN E	THE ISSUE PRICE OF THE ENTIRE ISSUE IS $29,451,544. A PORTION OF THE ISSUE PRICE, EQUAL TO $24,140,141 IS ALLOCABLE TO OLATHE MEDICAL CENTER, INC. THE REMAINDER OF THE ISSUE PRICE, EQUAL TO $5,311,403, IS ALLOCABLE TO MIAMI COUNTY MEDICAL CENTER, INC., WHICH IS CONTROLLED BY OLATHE MEDICAL CENTER, INC., ITS SOLE MEMBER.
SCHEDULE K, PART I, LINE A, COLUMN F	REFUND 2004A BONDS AND 2004B BONDS ISSUED 07/29/2004.
SCHEDULE K, PART III	THIS SECTION IS NOT COMPLETED FOR THE 2008B BONDS BECAUSE THE PORTION OF THE 2008B BONDS ALLOCABLE TO MIAMI COUNTY MEDICAL CENTER WAS USED TO REFINANCE PROJECTS ORIGINALLY FINANCED BY BONDS ISSUED PRIOR TO JANUARY 1, 2003.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SEE SCHEDULE L PART V	PersonNm

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	(A) ROBIN LUCE (B) ROBIN LUCE IS THE SPOUSE OF PAUL LUCE, AN OFFICER OF MIAMI COUNTY MEDICAL CENTER, INC. (C) $14,698 (D) ROBIN LUCE IS AN EMPLOYEE OF MIAMI COUNTY MEDICAL CENTER, INC. (E) NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	MIAMI COUNTY MEDICAL CENTER, INC. OPERATES AN ACUTE CARE HOSPITAL IN PAOLA, KANSAS. MIAMI COUNTY MEDICAL CENTER, INC. CARRIES OUT ITS MISSION BY PROVIDING QUALITY AND COMPASSIONATE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS IN MIAMI COUNTY, KANSAS AND THE SURROUNDING AREA. MIAMI COUNTY MEDICAL CENTER, INC. IS A JOINT COMMISSION ACCREDITED HOSPITAL AND IS LICENSED FOR 39 BEDS AND CURRENTLY STAFFS 18 INPATIENT BEDS. PROGRAM SERVICES EXPENSE IS ALL RELATED TO THE PROVISION OF HEALTHCARE SERVICES. IN 2016, MIAMI COUNTY MEDICAL CENTER, INC. PROVIDED 1,147 DAYS OF INPATIENT CARE, PROVIDED 53,260 OUTPATIENT PROCEDURES, AND 8,699 EMERGENCY VISITS TO THE COMMUNITY. EDUCATIONAL SUPPORT IN ADDITION TO PROVIDING UNCOMPENSATED CARE FOR PATIENTS IN NEED, THE MEDICAL CENTER PROVIDES OTHER HEALTH CARE RELATED BENEFITS TO THE COMMUNITIES IT SERVES BY PROVIDING 24-HOUR EMEGENCY CARE OPEN EVERY DAY TO THE PUBLIC REGARDLESS OF ABILITY TO PAY. THE MEDICAL CENTER ALSO PROVIDES EDUCATION FOR A VARIETY OF MEDICAL PROFESSIONALS, HEALTH CARE SCREENINGS AND EDUCATION PROGRAMS FOR THE GENERAL PUBLIC AND SUPPORT GROUP SPONSORSHIPS. SPORTS NET MAIMI COUNTY MEDICAL CENTER PROVIDES ATHLETIC TRAINING STAFF FOR AREA HIGH SCHOOLS AND JUNIOR HIGH SCHOOOLS DURING THE SCHOOL YEAR THROUGH ITS SPORTS NET PROGRAM. IN 2016, $56,488 OF ATHLETIC TRAINER SERVICES WAS PROVIDED TO THE SCHOOLS IN THE MIAMI COUNTY MEDICAL CENTERS SERVICE AREA. CONTRIBUTIONS MIAMI COUNTY MEDICAL CENTER SUPPORTS A VARIETY OF SOCIAL, EDUCATION AND CIVIC HEALTHCARE RELATED ORGANIZATIONS WITHIN ITS SERVICE AREA. IN 2016, $41,711 WAS CONTRIBUTED TO VARIOUS AGENCIES AND CHARITABLE ORGANIZATIONS AND $6,000 IN SCHOLARSHIPS.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS: FRANK H DEVOCELLE AND TIERNEY L GRASSER SERVE AS OFFICERS OF RELATED FOR PROFIT COMPANIES. EMPLOYER/EMPLOYEE RELATIONSHIP: CHIP WOOD IS A BOARD MEMBER OF OLATHE MEDICAL CENTER, INC. AND FRANK H DEVOCELLE, TIERNEY L GRASSER, AND CHERYL L ROSS ARE EMPLOYED BY OLATHE MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 6	OLATHE MEDICAL CENTER, INC., A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7A	OLATHE MEDICAL CENTER, INC., BEING THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC., HAS THE RIGHT TO ELECT ALL THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	OLATHE MEDICAL CENTER, INC. IS THE SOLE MEMBER, AND HAS THE RIGHTS TO APPROVE MIAMI COUNTY MEDICAL CENTER, INC.S BYLAWS AND ARTICLES OF INCORPORATION AND ALSO APPROVE MIAMI COUNTY MEDICAL CENTERS BOARD MEMBERS AND HAVE AUTHORITY OVER CERTAIN TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 11B	THE TAX RETURN IS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE OLATHE MEDICAL CENTER, INC. (MIAMI COUNTY MEDICAL CENTERS SOLE MEMBER) BOARD ON BEHALF OF ALL OF ITS AFFILIATES PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE AUDIT & COMPLIANCE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS OF OLATHE MEDICAL CENTER, INC. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE PURPOSE OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS TO PROTECT THE ORGANIZATIONS 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 TRUSTEES REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A DISCLOSURE OF INFORMATION FORM ANNUALLY. A SUMMARY OF THE ANNUAL DISCLOSURES OF INFORMATION IS PROVIDED TO THE FULL BOARD FOR REVIEW AT LEAST ONE TIME PER YEAR. THE CONFLICT OF INTEREST POLICY CALLS FOR ANY INTERESTED PERSON TO DISCLOSE THE EXISTENCE OF A FINANCIAL RELATIONSHIP OR COMPETITIVE INTEREST IN CONNECTION WITH ANY PENDING TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES 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 TRUSTEE MAY NOT VOTE ON THE MATTER THAT GIVES RISE TO THE INTEREST. 4. IN ORDER TO APPROVE THE TRANSACTION, THE BOARD MUST FIRST FIND, BY A MAJORITY VOTE OF THE TRUSTEES THEN IN OFFICE, WITHOUT COUNTING THE VOTE OF THE INTERESTED TRUSTEE, a. THAT THE PROPOSED TRANSACTION IS IN THE ORGANIZATIONS BEST INTERESTS AND FOR ITS OWN BENEFIT, AND b. THAT, AFTER REASONABLE INVESTIGATION, THE BOARD HAS DETERMINED THAT THE ORGANIZATION CANNONT OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH EFFORTS UNDER THE CIRCUMSTANCES.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	THE COMPENSATION COMMITTEE OF THE OLATHE MEDICAL CENTER, INC. BOARD, WHICH IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF OLATHE MEDICAL CENTER, INC., ANNUALLY REVIEWS AND APPROVES THE CEO AND OTHER OFFICERS COMPENSATION IN ACCORDANCE WITH THEIR COMPENSATION POLICY. THE COMPENSATION COMMITTEE REVIEWS THIRD PARTY SALARY SURVEYS AND ALSO UTILIZES WRITTEN CONTRACTS FOR THE CEO TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION SALARY RANGES AND BENEFITS. COMPENSATION FOR SUCH OFFICERS IS APPROVED BY THE COMMITTEE AND INFORMATION OF THEIR FINDINGS IS AVAILABLE TO ALL BOARD MEMBERS AT THEIR REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
990, PART XI, LINE 9	NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF EQUIPMENT $ 71,374 DECREASE IN TEMPORARILY RESTRICTED NET ASSETS ($ 81,108) --------- TOTAL ($ 9,734)
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PROFESSIONAL FEES TOTAL FEES:2057892
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CONTRACT SERVICES TOTAL FEES:1514408

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
OLATHE MEDICAL CENTER INC
20333 W 151ST ST	OLATHE	KS	66061	480577664	HOSPITAL	KS	501(C)(3)	3	OHSI	Yes (true)
OLATHE HEALTH SYSTEM INC
20333 W 151ST ST	OLATHE	KS	66061	480979845	SUPPORT ORG	KS	501(C)(3)	12B	NA	false
OLATHE HEALTH PHYSICIANS INC
20333 W 151ST ST	OLATHE	KS	66061	481088982	CLINICS	KS	501(C)(3)	10	OMCI	Yes (true)
OLATHE HEALTH CHARITABLE FOUNDATION
20333 W 151ST ST	OLATHE	KS	66061	481136010	FUNDRAISING	KS	501(C)(3)	12A	OMCI	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd
OMC DOCTOR'S BLDG CONDO OWNERS ASSOC
20333 W 151ST ST	OLATHE	KS	66061	481244766	REAL ESTATE	KS	OMCI	C CORPORATION	$0	$0	Yes (true)
OLATHE HEALTH DEVELOPMENT CORPORATION
20333 W 151ST ST	OLATHE	KS	66061	363445097	MEDICAL SERVICES	KS	OHSI	C CORPORATION	$0	$0	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OLATHE MEDICAL CENTER INC
M	$240,606	COST
OLATHE MEDICAL CENTER INC
N	$507,488	COST
OLATHE MEDICAL CENTER INC
O	$1,694,873	COST
OLATHE MEDICAL CENTER INC
Q	$2,631,383	COST
OLATHE MEDICAL SERVICES INC
N	$91,510	COST
OLATHE MEDICAL SERVICES INC
S	$157,738	COST