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OLATHE MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
OLATHE MEDICAL CENTER INC (EIN 48-0577664)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201403189349308255
Schema version
2013v3.1
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)
Return2014-11-14T15:22:42-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1
CityKansas CityCity
StateMOState
ZIP Code641062246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480577664EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Olathe Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% TIERNEY L GRASSERInCareOfNm
Business Name ControlOLATBusinessNameControlTxt
Phone9137914461PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120333 W 151ST STREETAddressLine1
Address Line2SuiteAddressLine2
CityOLATHECity
StateKSState
ZIP Code66061ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIERNEY L GRASSERPersonNm
Person TitleSENIOR VPPersonTitleTxt
Phone9137914461PhoneNum
Signature2014-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael J EnglePreparerPersonNm
PTINP00482834PTIN
Phone9137914461PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIERNEY L GRASSERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line120333 W 151ST STREETAddressLine1
CityOLATHECity
StateKSState
ZIP Code66106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$254,063,668GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OLATHEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTO 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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2015TotalEmployeeCnt
Total Volunteers226TotalVolunteersCnt
Total Gross UBI$239TotalGrossUBIAmt
PY Contributions Grants$86,951PYContributionsGrantsAmt
CY Contributions Grants$181,708CYContributionsGrantsAmt
PY Program Service Revenue$209,318,383PYProgramServiceRevenueAmt
CY Program Service Revenue$210,275,911CYProgramServiceRevenueAmt
PY Investment Income$6,035,872PYInvestmentIncomeAmt
CY Investment Income$18,061,955CYInvestmentIncomeAmt
PY Other Revenue$1,654,398PYOtherRevenueAmt
CY Other Revenue$1,288,727CYOtherRevenueAmt
PY Total Revenue$217,095,604PYTotalRevenueAmt
CY Total Revenue$229,808,301CYTotalRevenueAmt
PY Grants And Similar Paid$472,759PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$486,274CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$85,755,716PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$84,173,853CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$91,658,096PYOtherExpensesAmt
CY Other Expenses$93,053,509CYOtherExpensesAmt
PY Total Expenses$177,886,571PYTotalExpensesAmt
CY Total Expenses$177,713,636CYTotalExpensesAmt
PY Revenues Less Expenses$39,209,033PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$52,094,665CYRevenuesLessExpensesAmt
Total Assets BOY$518,440,785TotalAssetsBOYAmt
Total Assets EOY$581,344,893TotalAssetsEOYAmt
Total Liabilities BOY$154,168,945TotalLiabilitiesBOYAmt
Total Liabilities EOY$152,974,829TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$364,271,840NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$428,370,064NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOLATHE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$153,273,067ExpenseAmt
Grant$486,274GrantAmt
Revenue$210,928,150RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$153,273,067TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
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 With Officer EntYes (true)BusinessRlnWithOfficerEntInd
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 Document120IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2015EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTIERNEY L GRASSERPersonNm
Phone9137914461PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120333 W 151ST STREETAddressLine1
CityOLATHECity
StateKSState
ZIP Code66061ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHIP WOOD
TRUSTEE/CHAIRPERSON4.02.0Yes (X)Yes (X)$0$0$0
RICHARD K SUMMERS
TRUSTEE/VICE-CHAIRPERSON2.01.0Yes (X)Yes (X)$0$0$0
THOMAS ROGGE
TRUSTEE/SECRETARY2.0Yes (X)Yes (X)$0$0$0
J MACK BOWEN
TRUSTEE/TREASURER2.01.0Yes (X)Yes (X)$0$0$0
PATRICIA A ALL EDD
TRUSTEE2.0Yes (X)$0$0$0
DONALD E CROSS
TRUSTEE2.0Yes (X)$0$0$0
VINCENT T DONOFRIO
TRUSTEE2.0Yes (X)$0$0$0
DAVID R GABOURY
TRUSTEE2.02.0Yes (X)$0$0$0
BRIAN A METZ MD
TRUSTEE2.0Yes (X)$0$0$0
LAURIE MINARD
TRUSTEE2.0Yes (X)$0$0$0
BRIAN L ROBY
TRUSTEE2.0Yes (X)$0$0$0
BRUCE B SNIDER MD
TRUSTEE2.0Yes (X)$0$0$0
JON L STEWART
TRUSTEE2.0Yes (X)$0$0$0
ARTHUR SWANK
TRUSTEE2.0Yes (X)$0$0$0
THOMAS N THORNTON
TRUSTEE2.0Yes (X)$0$0$0
FRANK H DEVOCELLE
PRESIDENT/CEO27.021.0Yes (X)$935,868$0$14,626
TIERNEY L GRASSER
SENIOR VP/FINANCE27.021.0Yes (X)$427,839$0$117,071
JOHN STATON
VP/CLINICAL SERVICES45.0Yes (X)$190,280$0$17,687
DOROTHY CAREY
SENIOR VP/NURSING45.0Yes (X)$105,973$0$4,323
CATHERINE R WIENS
CHIEF CORP COMPLIANCE OFFICER45.0Yes (X)$187,169$0$17,687
CHERYL L ROSS
ASSISTANT SECRETARY30.015.0Yes (X)$115,872$0$11,338
JAN O'DELL
CHIEF OF SURGICAL & OB SVCS45.0$164,068$0$17,867Yes (X)
CHERYL SHARP
CHIEF FINANCIAL OFFICER27.018.0$216,206$0$7,222Yes (X)
ELAINE PATTON
DIRECTOR OF CLINICAL SYSTEMS45.0$200,259$0$11,871Yes (X)
MICHAEL J JENSEN
CHIEF OPS & DEVELOP OFFICER27.018.0$195,844$0$11,391Yes (X)
DAVID KLIMEK
CHIEF HUMAN RESOURCES OFFICER30.015.0$192,217$0$17,867Yes (X)
GEORGE DIX
CHIEF INFORMATION OFFICER27.018.0$185,994$0$2,730Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,117,589TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$251,680TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K47IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDescCompensationCompensationAmt
JE DUNN CONSTRUCTION
CONSTRUCTION$6,235,169
CERNER CORPORATION
SOFTWARE SUPPORT$3,617,377
JOHNSON COUNTY ANESTHESIA
MEDICAL SERVICES$1,370,019
PHYSICIAN REFERENCE LAB
MEDICAL SERVICES$1,159,503
P 1 GROUP
HVAC SERVICE$648,820
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt
Related Organizations$157,383RelatedOrganizationsAmt
Government Grants$5,983GovernmentGrantsAmt
All Other Contributions$18,342AllOtherContributionsAmt
Total Contributions$181,708TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue900099$207,810,239$207,810,239
Lab & Radiology Fees621500$239$239
EMR REVENUE900099$2,465,433$2,465,433
FieldValueIRS element (for citing)
Total Program Service Revenue$210,275,911TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,711,983TotalRevenueColumnAmt
Exclusion$6,711,983ExclusionAmt

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$2,085,344RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,577,666RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$492,322RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$492,322TotalRevenueColumnAmt
Exclusion-$492,322ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,000,000SecuritiesAmt
Other$27,673OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$21,595,222SecuritiesAmt
Other$82,479OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,404,778SecuritiesAmt
Other-$54,806OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,349,972TotalRevenueColumnAmt
Exclusion$11,349,972ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria900099$584,210$584,210
Discounts/Rebates900099$495,383$495,383
Research Study900099$3,913$3,913

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$697,543TotalRevenueColumnAmt
Related Or Exempt Func Income$152,943RelatedOrExemptFuncIncomeAmt
Exclusion$544,600ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,781,049OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$229,808,301TotalRevenueColumnAmt
Related Or Exempt Func Income$210,927,911RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$239UnrelatedBusinessRevenueAmt
Exclusion$18,698,443ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$478,274TotalAmt
Program Services$478,274ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$8,000TotalAmt
Program Services$8,000ProgramServicesAmt

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$2,145,733TotalAmt
Program Services$1,161,880ProgramServicesAmt
Management And General$983,853ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$93,791TotalAmt
Program Services$93,791ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$69,310,762TotalAmt
Program Services$59,719,299ProgramServicesAmt
Management And General$9,591,463ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,327,063TotalAmt
Program Services$1,141,274ProgramServicesAmt
Management And General$185,789ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,989,228TotalAmt
Program Services$5,207,383ProgramServicesAmt
Management And General$781,845ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,307,276TotalAmt
Program Services$4,564,257ProgramServicesAmt
Management And General$743,019ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$244,881TotalAmt
Management And General$244,881ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$118,691TotalAmt
Management And General$118,691ManagementAndGeneralAmt

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$100,700TotalAmt
Management And General$100,700ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,719,180TotalAmt
Program Services$10,142,481ProgramServicesAmt
Management And General$2,576,699ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$944,591TotalAmt
Management And General$944,591ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,415,151TotalAmt
Program Services$3,280,733ProgramServicesAmt
Management And General$2,134,418ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,719,944TotalAmt
Management And General$2,719,944ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,927,987TotalAmt
Program Services$1,799,415ProgramServicesAmt
Management And General$128,572ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$211,556TotalAmt
Program Services$204,654ProgramServicesAmt
Management And General$6,902ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$208,047TotalAmt
Program Services$148,590ProgramServicesAmt
Management And General$59,457ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,294,001TotalAmt
Program Services$1,910,521ProgramServicesAmt
Management And General$1,383,480ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,023,217TotalAmt
Program Services$11,181,592ProgramServicesAmt
Management And General$841,625ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,355,180TotalAmt
Program Services$721,175ProgramServicesAmt
Management And General$634,005ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Expense$11,487,506$11,487,506
Medicaid Assessment$1,754,310$1,754,310
Medical Supplies$35,957,407$35,955,763$1,644
Repairs & Maint$1,546,635$1,460,835$85,800

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,024,525TotalAmt
Program Services$851,334ProgramServicesAmt
Management And General$173,191ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$177,713,636TotalAmt
Program Services$153,273,067ProgramServicesAmt
Management And General$24,440,569ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,250,540BOYAmt
EOY$5,017,733EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,301,405BOYAmt
EOY$11,652,454EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,635,063BOYAmt
EOY$31,739,802EOYAmt

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$5,546,175BOYAmt
EOY$5,374,004EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,097,281BOYAmt
EOY$2,689,997EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$286,047,468LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$149,661,735LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$132,295,826BOYAmt
EOY$136,385,733EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$237,980,058BOYAmt
EOY$288,672,640EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$88,268,983BOYAmt
EOY$92,123,995EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$151,219EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,065,454BOYAmt
EOY$7,537,316EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$518,440,785BOYAmt
EOY$581,344,893EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,248,991BOYAmt
EOY$31,193,803EOYAmt

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$122,720,339BOYAmt
EOY$118,012,550EOYAmt

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$4,199,615BOYAmt
EOY$3,768,476EOYAmt

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$154,168,945BOYAmt
EOY$152,974,829EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$360,629,084BOYAmt
EOY$426,131,474EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,524,469BOYAmt
EOY$2,120,303EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$118,287BOYAmt
EOY$118,287EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$364,271,840BOYAmt
EOY$428,370,064EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$518,440,785BOYAmt
EOY$581,344,893EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$52,094,665ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,315,505NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$15,311,946OtherChangesInNetAssetsAmt
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
Form4720 FiledfalseForm4720FiledInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$14,035DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$14,035TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

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$241,301,138BeginningYearBalanceAmt
Contributions$6,505,501ContributionsAmt
Investment Earnings Or Losses$43,171,051InvestmentEarningsOrLossesAmt
Administrative Expenses$67,960AdministrativeExpensesAmt
End Year Balance$290,909,730EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$204,848,081BeginningYearBalanceAmt
Contributions$7,634,012ContributionsAmt
Investment Earnings Or Losses$28,889,632InvestmentEarningsOrLossesAmt
Administrative Expenses$70,587AdministrativeExpensesAmt
End Year Balance$241,301,138EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$205,372,989BeginningYearBalanceAmt
Contributions$542,648ContributionsAmt
Investment Earnings Or Losses-$1,003,098InvestmentEarningsOrLossesAmt
Administrative Expenses$64,458AdministrativeExpensesAmt
End Year Balance$204,848,081EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$173,991,518BeginningYearBalanceAmt
Contributions$7,648,509ContributionsAmt
Investment Earnings Or Losses$23,795,993InvestmentEarningsOrLossesAmt
Administrative Expenses$63,031AdministrativeExpensesAmt
End Year Balance$205,372,989EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$124,141,074BeginningYearBalanceAmt
Contributions$15,568,905ContributionsAmt
Investment Earnings Or Losses$34,347,023InvestmentEarningsOrLossesAmt
Administrative Expenses$65,484AdministrativeExpensesAmt
End Year Balance$173,991,518EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,489,839OtherCostOrOtherBasisAmt
Book Value$20,489,839BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$144,675,017OtherCostOrOtherBasisAmt
Depreciation$63,436,575DepreciationAmt
Book Value$81,238,442BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,779,079OtherCostOrOtherBasisAmt
Depreciation$7,147,738DepreciationAmt
Book Value$3,631,341BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$96,736,846OtherCostOrOtherBasisAmt
Depreciation$73,858,814DepreciationAmt
Book Value$22,878,032BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,366,687OtherCostOrOtherBasisAmt
Depreciation$5,218,608DepreciationAmt
Book Value$8,148,079BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$136,385,733TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$92,123,995BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$92,123,995TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$327,776,108TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$27,315,505NetUnrealizedGainsInvstAmt
Other Revenue$82,240,508OtherRevenueAmt
Revenue Not Reported$109,556,013RevenueNotReportedAmt
Revenue Subtotal$218,220,095RevenueSubtotalAmt
Investment Expenses Not Incld$100,700InvestmentExpensesNotIncldAmt
Other Revenues Not Included$11,487,506OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$11,588,206RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$229,808,301TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$263,791,820TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$97,681,538OtherExpensesIncludedAmt
Expenses Not Reported$97,681,538ExpensesNotReportedAmt
Expenses Subtotal$166,110,282ExpensesSubtotalAmt
Investment Expenses Not Incld2$100,700InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$11,502,654OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$11,603,354ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$177,713,636TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE 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 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 $ 95,103,872 RENTAL EXPENSES $ 2,577,666 LOSS ON INVESTMENT OF EQUITY INVESTEES $(15,441,030) ------------ TOTAL $ 82,240,508
SCHEDULE D, PART XI, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 11,487,506
SCHEDULE D, PART XII, LINE 2DRELATED ORGANIZATIONS' EXPENSES $ 95,103,872 RENTAL EXPENSES $ 2,577,666 ------------ TOTAL $ 97,681,538
SCHEDULE D, PART XII, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 11,487,506 TRANSFER TO AFFILIATES $ 15,148 ------------ TOTAL $ 11,502,654

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CarefalseFPGReferenceFreeCareInd
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs9851ActivitiesOrProgramsCnt
Persons Served6075PersonsServedCnt
Total Community Benefit Expns$4,552,893TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,552,893NetCommunityBenefitExpnsAmt
Total Expense0.02740TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs11576ActivitiesOrProgramsCnt
Persons Served5511PersonsServedCnt
Total Community Benefit Expns$10,223,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,444,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,778,352NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs21427ActivitiesOrProgramsCnt
Persons Served11586PersonsServedCnt
Total Community Benefit Expns$14,775,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,444,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,331,245NetCommunityBenefitExpnsAmt
Total Expense0.04410TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs37ActivitiesOrProgramsCnt
Persons Served15667PersonsServedCnt
Total Community Benefit Expns$408,897TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$408,897NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served884PersonsServedCnt
Total Community Benefit Expns$1,983,083TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,983,083NetCommunityBenefitExpnsAmt
Total Expense0.01190TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,118,550TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$790,051DirectOffsettingRevenueAmt
Net Community Benefit Expns$328,499NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served3102PersonsServedCnt
Total Community Benefit Expns$138,164TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$138,164NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs65ActivitiesOrProgramsCnt
Persons Served19653PersonsServedCnt
Total Community Benefit Expns$3,648,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$790,051DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,858,643NetCommunityBenefitExpnsAmt
Total Expense0.01650TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21492ActivitiesOrProgramsCnt
Persons Served31239PersonsServedCnt
Total Community Benefit Expns$18,424,665TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,234,777DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,189,888NetCommunityBenefitExpnsAmt
Total Expense0.06060TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$96,627TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$96,627NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$8,736TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,736NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served3048PersonsServedCnt
Total Community Benefit Expns$8,297TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,297NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$74TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$74NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,113TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,113NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,036TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,036NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served3048PersonsServedCnt
Total Community Benefit Expns$116,883TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$116,883NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,976,626BadDebtExpenseAmt
Reimbursed By Medicare$67,690,535ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,422,929CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,732,394MedicareSurplusOrShortfallAmt

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 INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line120333 WEST 151ST STREETAddressLine1
CityOLATHECity
StateKSState
ZIP Code66061ZIPCode
FieldValueIRS element (for citing)
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 INCBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLOLATHEHEALTH.ORG/COMMUNITYOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CarefalseFPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care200.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, OLATHE MEDICAL CENTER CONDUCTED A TOWN HALL MEETING ON THURSDAY, NOVEMBER 1, 2012. THE COMMUNITY MEMBERS INVITED TO THIS TOWN HALL REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. THE COMMITTEE INCLUDED 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 AND PERSONS, 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 A 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. (PRIMARY RESEARCH SURVEY WAS CONDUCTED DURING SEPTEMBER-NOVEMBER 2012 BY ETC INSTITUTE ON BEHALF OF OLATHE HEALTH SYSTEM.)
SCHEDULE H, PART V, SECTION B, LINE 7In the fall of 2013, OMCI 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 OMCI Board of Trustees in October 2013. This is a three-year plan, which begins implementation in 2014. It speaks to each health need priority, outlining OMCI's initiative(s) to address the need and the anticipated community impact. You can read the full Community Health Needs Assessment and Community Health Improvement Plan documents on our website at olathehealth.org/community.
SCHEDULE H, PART V, SECTION B, LINE 10OLATHE MEDICAL CENTER, INC. (OMCI) DOES NOT OFFER FREE CARE EXCEPT IN CASE OF DEATH. IN ALL OTHER CASES WE WILL DISCOUNT UP TO 99% OF TOTAL CHARGES FOR PATIENTS AT OR BELOW THE FEDERAL POVERTY GUIDELINES. ALL PATIENTS ARE EXPECTED TO CONTRIBUTE TO THEIR CARE IN ACCORDANCE WITH THEIR ABILITY. EXTRAORDINARY MEDICAL EXPENSES THAT EXCEED 25% OF ANNUAL HOUSEHOLD INCOME, EVEN IF ANNUAL HOUSEHOLD INCOME IS MORE THAN 200% OF THE FEDERAL POVERTY GUIDELINES, MAY ALSO BE ELIGIBLE FOR A FINANCIAL HARDSHIP DISCOUNT.
SCHEDULE H, PART V, SECTION B, LINE 14OLATHE MEDICAL CENTER PUBLICIZED THE FINANCIAL ASSISTANCE POLICY BY PUBLICIZING THE FINANCIAL ASSISTANCE PROGRAM IN THE FOLLOWING MANNER; THE FINANCIAL ASSISTANCE PROGRAM WAS PUBLICIZED ON THE HOSPITAL'S WEBSITE, ON EACH PATIENT BILL AND WITH SIGNS IN REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES. APPLICATIONS ARE GIVEN TO PATIENTS DURING REGISTRATION UPON REQUEST OR CONCERN EXPRESSED ABOUT PAYMENT.
SCHEDULE H, PART V, SECTION B, LINE 16OLATHE MEDICAL CENTER DOES NOT PERMIT ANY OF THE ACTIONS LISTED WITHOUT MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY UNDER THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM.
FieldValueIRS element (for citing)
Facility14FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
THE REHAB PLACE AT OLATHE MEDICAL CENTER
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 REHAB AT OLATHE MEDICAL CENTER
20375 W 151ST STREET SUITE 450OLATHEKS66061INPATIENT/OUTPATIENT CARDIAC REHAB CLINIC
AMBULATORY SURGERY CENTER AT OMC
20805 W 151ST STREET SUITE 101OLATHEKS66061AMBULATORY SURGERY CENTER
PAIN MANAGEMENT CENTER AT OLATHE MED CTR
21080 W 151ST STREETOLATHEKS66061OUTPATIENT PAIN MANAGEMENT CLINIC
HOSPICEHOME HEALTH AT OLATHE MED CTR
20805 W 151ST STREET SUITE 301OLATHEKS66061OUTPATIENT HOSPICE/HOME HEALTH
SLEEP DISORDERS CENTER AT OLATHE MED CTR
20375 W 151ST STREET SUITE 103OLATHEKS66061OUTPATIENT SLEEP DISORDERS CLINIC
THE REHAB PLACE AT SOUTHPARK MED PLAZA
20920 W 151ST STREET SUITE 201OLATHEKS66061OUTPATIENT REHABILITATION CLINIC
THE REHAB PLACE AT SANTA FE COMMONS
13657 MUR-LEN ROADOLATHEKS66062OUTPATIENT REHABILITATION CLINIC
OLATHE MEDICAL PAVILION
21120 W 152ND STREETOLATHEKS66061OUTPATIENT IMAGING CLINIC
WOUND CARE CLINIC AT OLATHE MED CTR
21080 W 151ST STREETOLATHEKS66061OUTPATIENT WOUND CARE CLINIC
OUTPATIENT SERVICES
20375 W 151ST STREET SUITE 150OLATHEKS66061OUTPATIENT INFUSION SERVICES/ OUTPATIENT LABORATORY SERVICES
THE VEIN CLINIC
21080 W 151ST STREETOLATHEKS66061OUTPATIENT VEIN CLINIC
THE REHAB PLACE AT GARDNER
824 MAIN STGARDNERKS66030OUTPATIENT REHABILITATION CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3AOLATHE MEDICAL CENTER, INC. (OMCI) DOES NOT OFFER FREE CARE EXCEPT IN CASE OF DEATH. IN ALL OTHER CASES WE WILL DISCOUNT UP TO 99% OF TOTAL CHARGES FOR PATIENTS AT OR BELOW THE FEDERAL POVERTY GUIDELINES. ALL PATIENTS ARE EXPECTED TO CONTRIBUTE TO THEIR CARE IN ACCORDANCE WITH THEIR ABILITY. EXTRAORDINARY MEDICAL EXPENSES THAT EXCEED 25% OF ANNUAL HOUSEHOLD INCOME, EVEN IF ANNUAL HOUSEHOLD INCOME IS MORE THAN 200% OF THE FEDERAL POVERTY GUIDELINES, MAY ALSO BE ELIGIBLE FOR A FINANCIAL HARDSHIP DISCOUNT.
SCHEDULE H, PART I, LINE 3COLATHE MEDICAL CENTER, INC. (OMCI) OFFERS DISCOUNTED CARE TO ALL INDIVIDUALS WITHOUT INSURANCE, SIMILAR TO MANAGED CARE DISCOUNTS. OMCI'S UNINSURED DISCOUNT APPLIES TO ALL PATIENTS WITHOUT INSURANCE, REGARDLESS OF ABILITY TO PAY, INCLUDING ALL LOW INCOME INDIVIDUALS.
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 $11,487,506.
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. OUR EMPLOYEES ARE INVOLVED IN A VARIETY OF ACTIVITIES IN OUR COMMUNITY THAT SUPPORT THE GENERAL ECONOMIC IMPROVEMENT OF OUR COMMUNITY, AND THE HEALTH, WELL BEING AND SAFETY OF OUR AREA'S RESIDENTS. IN ADDITION WE SUPPORT PROGRAMS AND OTHER ORGANIZATIONS THAT REACH OUT TO OUR CITIZENS IN NEED. A FEW EXAMPLES OF OMCI'S INVOLVEMENT IN 2013 INCLUDE: 1) OUR INVOLVEMENT IN SEVERAL AREA ECONOMIC DEVELOPMENT COUNCILS. 2) OUR SUPPORT OF JOHNSON COUNTY HEALTH PARTNERSHIPS, A CLINIC SERVING THE UNINSURED OF OUR COMMUNITY. 3) PARTICIPATION IN THE BOYS AND GIRLS CLUB, THE SALVATION ARMY'S HOMELESS SHELTER AND ADOPT-A-FAMILY PROGRAM, AND TLC, A LOCAL HOUSING FACILITY FOR TROUBLED CHILDREN. WE ALSO HELPED DEVELOP THE MIRACLE LEAGUE, WHICH IS A BASEBALL PROGRAM FOR SEVERLY DISABLED CHILDREN. 4) LEADERSHIP AND PARTICIPATION IN OUR AREA'S EMERGENCY PREPAREDNESS EFFORT BY COORDINATING EXTENSIVE DRILLS TO PRACTICE OUR RESPONSE TO POTENTIAL SITUATIONS.
SCHEDULE H, PART III, LINE 2THE 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, LINE 4SEE PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8PART III, 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 SHORTFALL 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 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545 ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS AND INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD.
SCHEDULE H, PART III, LINE 9BBEFORE PLACEMENT WITH COLLECTION AGENCIES, OMCI PATIENT FINANCIAL SERVICES OFFERS VARIOUS OPTIONS FOR PATIENTS WITH FINANCIAL DIFFICULTIES. IN ADDITION TO OFFERING OUR OWN FINANCIAL ASSISTANCE TO QUALIFYING INDIVIDUALS, OMCI 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 OMCI IDENTIFY INDIVIDUALS THAT MAY NEED ASSISTANCE THAT HAVE NOT COMPLETED AN APPLICATION. IN ADDITION, OMCI OFFERS EXTENDED PAYMENT PLANS WITHOUT INTEREST TO ALL INDIVIDUALS. OMCI 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 CREATES 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. Informally, OMCI 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. The OMCI community advisory group is represented by a diverse set of individuals representing the deaf, Hispanic, African-American, and uninsured. In 2012 and 2013, OMCI conducted a more formal process of assessment. In partnership with the Johnson County Department of Health, the Miami County Department of Health, and with the help of VVV Research and Development, OMCI conducted a Community Health Needs Assessment for our primary service area (southwest Johnson County). This was done by performing research and collecting health data for our area, and actively seeking input from the community through a survey and town hall meetings. The research, survey and town hall meetings helped develop a clearer picture of the health priorities of residents OF OUR SERVICE AREA. Below are the top three health need priorities in the primary service areas of OMCI. Health Need Priorities - OMCI 1. Increase access to care for the uninsured and underinsured and address the lack of mental health services 2. Decrease obesity rate among residents and increase access to healthy food 3. PROVIDE Additional services for seniors In the fall of 2013, OMCI 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 OMCI Board of Trustees in October 2013. This is a three-year plan, which begins implementation in 2014. It speaks to each health need priority, outlining OMCI's initiative(s) to address the need and the anticipated community impact. You can read the full Community Health Needs Assessment and Community Health Improvement Plan documents on our website at olathehealth.org/community.
SCHEDULE H, PART 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 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 portion, and certainly Miami County, are less affluent. For example, 27% of the students in the Olathe School District (southern Johnson County) live at, or below, the federal poverty level. The Olathe School District also represents a very diverse culture; more than 60 languages are spoken by students in the Olathe School District and more than 20% speak English as a second language. Olathe has a higher than average percentage of members of the deaf community than most cities. This is due, in part, to the Kansas School for the Deaf being located in Olathe. To support the deaf community, Olathe Medical Center has a nationally recognized group of sign language specialists. The language access department is also staffed with Spanish interpreters for the growing Hispanic community served by the medical center. The medical center conducts a deaf advisory committee and members of the deaf community serve on the OMC Community Advisory Council. Below is a listing of economic levels for area residents. Time period: 2006 - 2010 Source: factfinder2.census.gov People Living Below Poverty Level Johnson County: 6.4% Miami County: 9.0% Young Children Living Below Poverty Level Johnson County: 8.4% Miami County: 14.5% Uninsured Adult Population Rate (2009) Johnson County: 8.6% Miami County: 9.6%
SCHEDULE H, PART VI, LINE 5In addition to the items listed above, Olathe Medical Center, Inc. (OMCI) 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. OMCI is the largest supporter of area School Nurses Funds, and provide athletic trainers to area school sports programs. The Community Outreach Department of OMCI conducts an average of seven health fairs and/or community screenings per month. The community health fairs are organized in conjunction with a variety of other area agencies, such as: Olathe Fire Department, Olathe Parks and Recreation, Center of Grace United Methodist, Lion's Club, Olathe District Schools, and several others. Employees of OMCI serve on a variety of community committees and Boards whose focus is on improving community health. This includes Communities that Care, Olathe YMCA, Johnson County Department of Health & Environment, and more.
SCHEDULE H, PART VI, LINE 6OLATHE MEDICAL CENTER, INC. (OMCI) IS A PART OF OLATHE HEALTH SYSTEM, INC. (OHSI) WHICH CONSISTS OF TWO HOSPITALS AND A NETWORK OF 38 CLINICS. OHSI AND ITS AFFILIATES, INCLUDING OMCI, 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 AND ITS AFFILIATES POSITIONS ITSELF AS NOT ONLY A PROVIDER OF CARE, BUT A RESOURCE FOR EDUCATION AND PREVENTION.
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 (18 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
OLATHE PUBLIC SCHOOLS FOUNDATION
315 N LINDENWOODOLATHEKS66062481190090501(C)(3)$70,000CMTY WELLNESS
OLATHE DISTRICT SCHOOLS
1700 WEST SHERIDAN STOLATHEKS66061480697986GOVERNMENT$40,000CMTY WELLNESS
KANSAS SCHOOL FOR THE DEAF ENDOWMENT
450 E PARKOLATHEKS66061481044911501(C)(3)$10,000CMTY WELLNESS
OTTAWA USD 290
1120 SOUTH ASH STREETOTTAWAKS66067486037952GOVERNMENT$10,000CMTY WELLNESS
KIDS TLC INC
480 S ROGERS RDOLATHEKS66062480774593501(C)(3)$20,000CMTY WELLNESS
MID-AMERICA NAZARENE COLLEGE
2030 E COLLEGE WAYOLATHEKS66062480730814501(C)(3)$81,500CMTY WELLNESS
HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY
7171 WEST 95TH STREET SUITE 100OVERLAND PARKKS66216481115529501(C)(3)$25,000CMTY WELLNESS
GARDNER DISTRICT SCHOOLS
231 E MADISON STGARDNERKS66030GOVERNMENTCMTY WELLNESS$9,795BOOKSPORTS MEDICINE
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUEDALASTX75231135613797501(C)(3)$10,000CMTY WELLNESS
OLATHE CHAMBER OF COMMERCE
1 WEST 106TH STREETOlatheKS66061480357594501(C)(6)$13,000CMTY WELLNESS
JOHNSON COUNTY OLD SETTLERS
14712 South VillageOlatheKS66061486108713501(C)(4)$10,000CMTY WELLNESS
JOHNSON COUNTY COMMUNITY COLLEGE
12345 COLLEGE BLVDOVERLAND PARKKS66210237164614501(C)(3)$25,000CMTY WELLNESS
FESTIVAL ON THE TRAIL
952 LINCOLN LANEGARDNERKS66030270680384501(C)(4)$10,000CMTY WELLNESS
OLATHE DISTRICT SCHOOLS
1700 WEST SHERIDAN STREETOLATHEKS66061480697986GOVERNMENTCMTY WELLNESS$43,422BOOKSPORTS MEDICINE
SALVATION ARMY
101 W LINWOODKANSAS CITYMO64111440545998501(C)(3)$20,000CMTY WELLNESS
THE MIRACLE LEAGUE
1506 KLONDIKE ROAD SUITE 105CONYERSGA30094900680027501(C)(3)$25,000CMTY WELLNESS
DEAF CULTURAL CENTER
455 EAST PARK STREETOLATHEKS66062486082776501(C)(3)$6,500CMTY WELLNESS
OTTAWA UNIVERSITY
1001 S CEDAROTTAWAKS66067480543772501(C)(3)$10,000CMTY WELLNESS
FieldValueIRS element (for citing)
Total501c3 Org15Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient9RecipientCnt
Cash Grant$8,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationSCHEDULE I, PART II OLATHE MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS. GRANTS ARE ALSO GIVEN TO LOCAL CHARITIES AND CIVIC ORGANIZATIONS. THERE IS NO FORMAL MONITORING PROCESS, EXCEPT SEEING THE IMPACT OF THE FUNDS IN THE LOCAL COMMUNITY. SCHEUDLE I, PART III FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE ORGANIZATION OR INDIVIDUAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
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 (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FRANK H DEVOCELLE
PRESIDENT/CEO$737,614$0$160,010$0$38,243$0$0$0$14,626$0$950,494$0$0$0
TIERNEY L GRASSER
SENIOR VP/FINANCE$334,671$0$63,891$0$29,277$0$97,325$0$19,746$0$544,910$0$16,662$0
JOHN STATON
VP/CLINICAL SERVICES$167,251$0$17,095$0$5,934$0$2,500$0$15,187$0$207,967$0$0$0
CATHERINE R WIENS
CHIEF CORP COMPLIANCE OFFICER$165,320$0$15,554$0$6,295$0$2,500$0$15,187$0$204,856$0$0$0
CHERYL SHARP
CHIEF FINANCIAL OFFICER$191,108$0$20,061$0$5,037$0$2,500$0$4,722$0$223,428$0$0$0
ELAINE PATTON
DIRECTOR OF CLINICAL SYSTEMS$168,857$0$21,934$0$9,469$0$2,500$0$9,371$0$212,130$0$0$0
MICHAEL J JENSEN
CHIEF OPS & DEVELOP OFFICER$175,661$0$14,945$0$5,238$0$2,500$0$8,891$0$207,235$0$0$0
DAVID KLIMEK
CHIEF HUMAN RESOURCES OFFICER$167,299$0$17,746$0$7,172$0$2,500$0$15,367$0$210,084$0$0$0
GEORGE DIX
CHIEF INFORMATION OFFICER$168,079$0$15,980$0$1,935$0$0$0$2,730$0$188,724$0$0$0
JAN O'DELL
CHIEF OF SURGICAL & OB SVCS$146,747$0$10,104$0$7,217$0$2,500$0$15,367$0$181,935$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1AOLATHE MEDICAL CENTER, INC. PAYS FOR HEALTH AND SOCIAL CLUB DUES FOR FRANK H DEVOCELLE, A PORTION OF WHICH IS REPORTED AS TAXABLE INCOME AND IS INCLUDED IN HIS W-2 INCOME.
SCHEDULE J, PART I, LINE 4B & PART IIA SERP IS PROVIDED TO TIERNEY L GRASSER, SENIOR VICE PRESIDENT/FINANCE WHICH IS FUNDED OVER A SHORT TIME PERIOD BASED UPON THE IMPLEMENTATION DATE OF THE SERP IN 2005. MS. GRASSER'S CAREER SERVICE AT OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATED ENTITIES IS CURRENTLY AT 25 YEARS, MOST OF WHICH DID NOT INCLUDE FUNDING FOR THE SERP BENEFIT. A MAJORITY OF THE DEFERRED COMPENSATION IS DUE TO FUNDING OF THE SERP BENEFIT FOR PRIOR YEARS OF SERVICE. IN 2013, THERE WAS A PAYOUT OF $19,932 AND AN ACCRUAL OF $97,325.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF OLATHE (SERIES 2008B)
A486034756679690GX62008-02-27$24,140,141SEE PART VIfalsefalsefalse
CITY OF OLATHE (SERIES 2008C)
B486034756679390HB32008-05-08$36,015,000SEE PART VIYes (true)falsefalse
CITY OF OLATHE (SERIES 2010A&B)
C486034756679390HK32010-10-29$32,463,901SEE PART VIYes (true)falsefalse
CITY OF OLATHE (SERIES 2012A&B)
D486034756679390JG02012-02-28$36,829,130SEE 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 CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$5,110,000$0$24,140,141$0$0$0$101,830$0$0$0$24,038,311$02006Yes (true)falseYes (true)Yes (true)
B$425,000$12,870,000$36,015,149$0$0$0$231,459$0$0$0$35,783,690$02004Yes (true)falseYes (true)Yes (true)
C$1,770,000$3,130,000$32,505,589$0$8,840$0$448,522$20,650$0$10,961,033$21,066,542$02012Yes (true)falseYes (true)Yes (true)
D$1,070,000$0$36,829,130$0$0$0$429,130$0$0$0$36,400,000$02010Yes (true)falseYes (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 OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)false0falsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)
DfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (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/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndNo Rebate DueNoRebateDueInd
0
AfalseYes (true)falsefalsefalse0falseYes (true)
BANK OF AMERICA
BfalseYes (true)Yes (true)Yes (true)false0falseYes (true)8.3falseYes (true)
0
CfalseYes (true)falsefalse0falseYes (true)Yes (true)
0
DfalseYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN FA - Proceeds were used to currently refund Series 2004A and 2004B bonds issued 7/29/04. B - Proceeds were used to currently refund Series 2002A bonds issued 9/27/02. C - Proceeds used to currently refund Series 2000A bonds issued 10/20/00 and to construct hospital new Critical Care Unit and Energy Plant expansion. D - Proceeds used to currently refund Series 2008A bonds issued 1/30/08. E - Proceeds used to currently refund $12,870,000 of Series 2008C bonds issued 5/8/08 and $3,130,000 of Series 2010B bonds issued 10/29/10.
SCHEDULE K, PART II, LINE 3C - Series 2010A&B: Issue price plus $41,688 interest earned
SCHEDULE K, PART IV, COLUMN BLine 2c, Column C - Date the rebate computation was performed: 6/1/2012 Line 3, Variable rate issue C - The 2010 issue consisted of $16,000,000 of fixed rate series 2010A bonds and $16,000,000 of variable rate demand series 2010B bonds, both issued 10/29/10. D - The 2012 issue consists of 2012A $19,865,000 fixed rate issue and 2012B $15,525,000 fixed rate to March 1, 2017 (mandatory tender date) variable rate thereafter.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF OLATHE (SERIES 2012C)BusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN486034756BondIssuerEIN
Bond Issued2012-09-05BondIssuedDt
Issue Price$16,000,000IssuePriceAmt
PurposeSEE SCHEDULE OPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,435,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$16,000,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$16,000,000OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2012SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Exception To RebateYes (true)ExceptionToRebateInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

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) OLATHE WOMEN'S CLINIC (OWC) (B) BRUCE B SNIDER MD IS AN OFFICER OF OWC AND A TRUSTEE OF OMCI (C) $169,673 (D) OWC LEASES SPACE FROM OMCI (E) NO TRANSACTION 2 (A) BANK OF AMERICA (BOA) (B) J MACK BOWEN IS AN OFFICER OF BOA AND A TRUSTEE OF OMCI (C) $316,594 (D) BANK FEES PAID TO BOA BY OMCI (E) NO TRANSACTION 3 (A) MIDWEST EAR NOSE & THROAT (MENT) (B) BRIAN A METZ MD IS A >5% PARTNER IN MENT AND A TRUSTEE OF OMCI (C) $246,631 (D) MENT RENTS SPACE FROM OMCI (E) NO TRANSACTION 4 (A) DAVID HANSON (B) DAVID HANSON IS THE SON-IN-LAW OF FRANK H DEVOCELLE, AN OFFICER OF OMCI (C) $93,791 (D) DAVID HANSON IS AN EMPLOYEE OF OMCI (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 AREA. OLATHE MEDICAL CENTER IS A JOINT COMMISSION ACCREDITED HOSPITAL AND IS LICENSED FOR 300 INPATIENT BEDS. PROGRAM SERVICE EXPENSES ARE ALL RELATED TO THE PROVISION OF HEALTHCARE SERVICES. IN 2013, OLATHE MEDICAL CENTER PROVIDED 39,325 DAYS OF INPATIENT CARE, 144,133 OUTPATIENT VISITS RESULTING IN 591,313 OUTPATIENT PROCEDURES, 41,150 EMERGENCY VISITS, 9,011 HOSPICE VISITS, AND 34,362 HOME HEALTH VISITS TO THE COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2FRANK H DEVOCELLE AND TIERNEY L GRASSER HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVE AS AN OFFICER OR DIRECTOR FOR OLATHE HEALTH DEVELOPMENT CORPORATION AND OLATHE MEDICAL CENTER DOCTOR'S BUILDING CONDOMINIUM OWNERS ASSOCIATION, INC. WHICH ARE RELATED FOR PROFIT COMPANIES.
FORM 990, PART VI, SECTION A, LINE 6OLATHE HEALTH SYSTEM, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7AOLATHE HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC. HAS THE RIGHT TO ELECT ALL THE BOARD OF TRUSTEES AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF OLATHE MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7BOLATHE HEALTH SYSTEM, INC. IS THE SOLE MEMBER, AND HAS THE RIGHTS TO APPROVE OLATHE MEDICAL CENTER, INC.'S BYLAWS AND ARTICLES OF INCORPORATION AND ALSO APPROVE OLATHE MEDICAL CENTER'S BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BThe tax return form 990 is reviewed by the Audit and compliance Committee of the Olathe Medical Center, Inc. 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 12CThe purpose of the Organization's Conflict of Interest Policy is to protect the organization's interest when it is contemplating a decision or entering into a transaction or arrangement that might benefit the private interest of any person in a position of authority over the organization, or might result in a possible excess benefit transaction. Corporate officers and members of the Board of 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 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 trustees then in office, without counting the vote of the interested trustee, 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 COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD, REVIEWS AND APPROVES THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE CORPORATION'S COMPENSATION IN ACCORDANCE WITH THEIR COMPENSATION POLICY. IN 2012, THE COMMITTEE REVIEWED 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 8GAIN(LOSS) ON INVESTMENT OF EQUITY INVESTEES $(15,441,030) NET ASSETS RELEASED- CAPITAL $ 1,533,250 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS $ (1,404,166) ------------ TOTAL $(15,311,946)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
MIAMI COUNTY MEDICAL CENTER INC
2100 BAPTISTE DRIVEPAOLAKS66071481155548HOSPITALKS510(c)(3)3OMCIYes (true)
OLATHE HEALTH SYSTEM INC
20333 W 151ST STREETOLATHEKS66061480979845SUPPORT ORGKS510(c)(3)11BNAfalse
OLATHE MEDICAL SERVICES INC
20333 W 151ST STREETOLATHEKS66061481088982CLINICSKS510(c)(3)9OMCIYes (true)
OLATHE MEDICAL CENTER CHARITABLE FDN
20333 W 151ST STREETOLATHEKS66061481136010FUNDRAISINGKS510(c)(3)7OMCIYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
OLATHE HEALTH DEVELOPMENT CORPORATION
20333 W 151ST STREETOLATHEKS66061363445097MEDICAL SERVICESKSOHSIC 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 OrgYes (true)GiftGrntOrCapContriToOthOrgInd
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 OrgYes (true)RentalOfFacilitiesToOthOrgInd
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 OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
OLATHE MEDICAL SERVICES
A(IV)$593,876COST
OLATHE MEDICAL SERVICES
B$22,193,453COST
OLATHE MEDICAL SERVICES
L$72,483COST
OLATHE MEDICAL SERVICES
N$2,182,997COST
OLATHE MEDICAL SERVICES
O$12,723,293COST
OLATHE MEDICAL SERVICES
P$7,233,460COST
MIAMI COUNTY MEDICAL CENTER
L$168,235COST
MIAMI COUNTY MEDICAL CENTER
N$345,431COST
MIAMI COUNTY MEDICAL CENTER
O$2,747,364COST
MIAMI COUNTY MEDICAL CENTER
P$3,346,543COST
OLATHE MEDICAL CENTER CHARITABLE FOUNDATION
B$293,925COST
OLATHE MEDICAL CENTER CHARITABLE FOUNDATION
O$164,643COST
OLATHE MEDICAL CENTER CHARITABLE FOUNDATION
C$482,819COST