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OLATHE HEALTH PHYSICIANS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OLATHE HEALTH PHYSICIANS INC (EIN 48-1088982)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349305808
Schema version
2012v2.1
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)
Timestamp2013-11-15T11:50:53-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1
CityKansas CityCity
StateMOState
ZIP Code641062246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN481088982EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Olathe Medical Services IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% TIERNEY L GRASSERInCareOfName
Name ControlOLATNameControl
Phone9137914461Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTIERNEY L GRASSERName
TitleSENIOR VPTitle
Phone9137914461Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael J EngleName
Phone8162216300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIERNEY L GRASSERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line120333 W 151ST STREETAddressLine1
CityOLATHECity
StateKSState
ZIP Code66061ZIPCode
FieldValueIRS element (for citing)
Gross Receipts54659845GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OLATHEHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees684TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI9006TotalGrossUBI
Net Unrelated Business Txbl Income-5708NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year52882853ProgramServiceRevenuePriorYear
Program Service Revenue CY54352260ProgramServiceRevenueCY
Investment Income Prior Year7684InvestmentIncomePriorYear
Investment Income Current Year-18780InvestmentIncomeCurrentYear
Other Revenue Prior Year177602OtherRevenuePriorYear
Other Revenue Current Year281030OtherRevenueCurrentYear
Total Revenue Prior Year53068139TotalRevenuePriorYear
Total Revenue Current Year54614510TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year250GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year61188729SalariesEtcPriorYear
Salaries Etc Current Year62082316SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15258788OtherExpensePriorYear
Other Expenses Current Year15895196OtherExpensesCurrentYear
Total Expenses Prior Year76447767TotalExpensesPriorYear
Total Expenses Current Year77977512TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-23379628RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-23363002RevenuesLessExpensesCY
Total Assets BOY45078054TotalAssetsBOY
Total Assets EOY46244376TotalAssetsEOY
Total Liabilities BOY12393820TotalLiabilitiesBOY
Total Liabilities EOY13401520TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32684234NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY32842856NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF OLATHE MEDICAL SERVICES IS TO IMPROVE THE HEALTH OF ALL SERVED, BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE, IN AN ENVIRONMENT OF TRUST AND COLLABORATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense61292175Expense
Revenue54455249Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense61292175TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees684NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKSStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTIERNEY L GRASSERNamePerson
Telephone Number9137914461TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CHIP WOOD
TRUSTEE/ CHAIRPERSON2.03.0XX000
RICHARD K SUMMERS
TRUSTEE/VICE CHAIRPERSON1.02.0XX000
GERALD W CARSON
TRUSTEE/SEC/TRES DEC'D 12/5/121.01.0XX000
DAVID R GABOURY
TRUSTEE1.02.0X000
KRISTEN GISH HERRON MD
TRUSTEE1.00.0X000
JAMES R HUBBARD
TRUSTEE1.00.0X000
DOUGLAS HUSTON
TRUSTEE1.00.0X000
KENNETH STELZER
TRUSTEE1.01.0X000
CLARK D STEWART
TRUSTEE1.00.0X000
ELAINE TATHAM
TRUSTEE1.01.0X000
FRANK H DEVOCELLE
PRESIDENT/CEO7.041.0X0337070220372
TIERNEY L GRASSER
SENIOR VP/FINANCE9.039.0X0406990121439
PATRICIA A KATZER
VICE PRESIDENT/COO50.00.0X214551016280
JAMES L WETZEL MD
VP OF PHYSICIAN SERVICES50.00.0X326495026950
CHERYL L ROSS
ASSISTANT SECRETARY10.035.0X011103514864
RAVI YARLAGADDA MD
PHYSICIAN50.00.0849785023705X
RICHARD DOWNEY MD
PHYSICIAN50.00.0733358017042X
GREGORY LYNCH MD
PHYSICIAN50.00.0709044067427X
STELLA QUIASON MD
PHYSICIAN50.00.0674031063752X
BRIAN KINDRED MD
PHYSICIAN50.00.0663088060497X
RODNEY D CORN
SR/VP/OPS/RESIGNED 3/4/110.00.001505240X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4170352TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4039251TotalReportableCompFrmRltdOrgs
Total Other Compensation432328TotalOtherCompensation
Number Individuals GT100 K106NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
MCCOWN GORDON CONSTRUCTION
CONSTRUCTION884999
PHYSICIANS REFERENCE LAB
LABORATORY SERVICE587673
CERNER CORPORATION
IT SUPPORT151715
UNITED IMAGING CONSULTANTS
XRAY SERVICES126010
SIRIUS COMPUTER SERVICES
IT SUPPORT121394
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Service Revenue6211105284795652847956
ELECTRONIC MEDICAL RECORDS REVENUE90009914952981495298
OUTSIDE X-RAYS & EKG OVERREADS90009990069006
FieldValueIRS element (for citing)
Total Program Service Revenue54352260TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4005TotalRevenueColumn
Exclusion$4,005ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other22550Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other45335Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-22785Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-22785TotalRevenueColumn
Exclusion-$22,785ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Research Study900099147891147891
ALL OTHER MISC REVENUE900099133139$133,139

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column133139TotalRevenueColumn
Exclusion$133,139ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue281030TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54614510TotalRevenueColumn
Related Or Exempt Function Income54491145RelatedOrExemptFunctionIncome
Unrelated Business Revenue9006UnrelatedBusinessRevenue
Exclusion$114,359ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total506392Total
Program Services406468ProgramServices
Management And General99924ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total52955890Total
Program Services40727656ProgramServices
Management And General12228234ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total889563Total
Program Services875735ProgramServices
Management And General13828ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5034715Total
Program Services4806774ProgramServices
Management And General227941ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2695756Total
Program Services2571129ProgramServices
Management And General124627ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total153125Total
Program Services8004ProgramServices
Management And General145121ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25140Total
Management And General25140ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2473566Total
Program Services1094771ProgramServices
Management And General1378795ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total294580Total
Management And General294580ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1042562Total
Program Services208052ProgramServices
Management And General834510ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total779929Total
Program Services24808ProgramServices
Management And General755121ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2598079Total
Program Services2390809ProgramServices
Management And General207270ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total79690Total
Program Services3017ProgramServices
Management And General76673ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total166720Total
Program Services164183ProgramServices
Management And General2537ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total103061Total
Program Services103061ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2339821Total
Program Services2193115ProgramServices
Management And General146706ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total979337Total
Program Services917933ProgramServices
Management And General61404ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES32135893213589
PROVISION FOR BAD DEBT10046431004643
REPAIRS & MAINTENANCE37732935367023659
Dues and Licenses20716318438122782

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total56862Total
Program Services40377ProgramServices
Management And General16485ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total77977512Total
Program Services61292175ProgramServices
Management And General16685337ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY719366BOY
EOY1318446EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3986101BOY
EOY3717249EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY869053BOY
EOY773125EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY493097BOY
EOY530934EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49784589LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15551298LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34535624BOY
EOY34233291EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY108336BOY
EOY62748EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4366477BOY
EOY5608583EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY45078054BOY
EOY46244376EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10968699BOY
EOY11910703EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY100009BOY
EOY83456EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1325112BOY
EOY1407361EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12393820BOY
EOY13401520EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32684234BOY
EOY32842856EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32684234BOY
EOY32842856EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45078054BOY
EOY46244376EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-23363002ReconcilationRevenueExpenses
Reconcilation Other Changes23521624ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total2650Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49741247CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51256321CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50771296CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52873808CurrentTaxYearMinus1Year
Current Tax Year54307358CurrentTaxYear
Total258950030Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49743747CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51256321CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50771446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52873808CurrentTaxYearMinus1Year
Current Tax Year54307358CurrentTaxYear
Total258952680Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509258952680PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22953CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36260CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7948CurrentTaxYearMinus1Year
Current Tax Year4005CurrentTaxYear
Total95144Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22953CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36260CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7948CurrentTaxYearMinus1Year
Current Tax Year4005CurrentTaxYear
Total95144Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year16183CurrentTaxYear
Total16183Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years91748CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74908CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years214272CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year177338CurrentTaxYearMinus1Year
Current Tax Year281030CurrentTaxYear
Total839296Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49858448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51355207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51021978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53059094CurrentTaxYearMinus1Year
Current Tax Year54608576CurrentTaxYear
Total259903303Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99634PublicSupportPercentage509
Prior Year Support Percentage0.99723PriorYearSupportPercentage
Investment Income Percentage0.00037InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00046PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5703834OtherCostOrOtherBasis
Book Value5703834BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27925157OtherCostOrOtherBasis
Depreciation5563478Depreciation
Book Value22361679BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5347070OtherCostOrOtherBasis
Depreciation2052179Depreciation
Book Value3294891BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10445402OtherCostOrOtherBasis
Depreciation7818186Depreciation
Book Value2627216BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis363126OtherCostOrOtherBasis
Depreciation117455Depreciation
Book Value245671BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34233291TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Deferred Benefits5264685
Other Receivables343898
FieldValueIRS element (for citing)
Total Book Value Other Assets5608583TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to AffiliatesDescription
Amount$1,407,361Amount
FieldValueIRS element (for citing)
Total Of Amounts1407361TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt308043553TotRevenueEtcAuditedFinclStmt
Other Revenues254433686OtherRevenues
Revenue Not Rptd F990254433686RevenueNotRptdF990
Revenue Subtotal53609867RevenueSubtotal
Other Revenues Not Included1004643OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1004643RevenueNotRptdOnFinStmt
Total Revenue Per Form99054614510TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt261241363TotExpensesEtcAuditedFinclStmt
Other Expenses Included184268494OtherExpensesIncluded
Expenses Not Rptd F990184268494ExpensesNotRptdF990
Expenses Subtotal76972869ExpensesSubtotal
Other Expenses Not Included1004643OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1004643ExpensesNotRptdOnFinStmt
Total Expenses Per Form99077977512TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
UNCERTAIN TAX POSITIONS DISCLOSURESCHEDULE 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.
OTHER-REVENUE INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XI, LINE 2DRELATED ORGANIZATIONS' REVENUE $ 254,433,686
OTHER-REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XI, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 1,004,643
OTHER-EXPENSES INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XII, LINE 2DRELATED ORGANIZATION EXPENSES $ 184,268,494
OTHER-EXPENSES INCLUDED ON FORM 99O, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 1,004,643

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FRANK H DEVOCELLE
PRESIDENT/CEO0827087011961402424001000203720339107402074339
RODNEY D CORN
SR/VP/OPS/RESIGNED 3/4/1100000150524000001505240153209
TIERNEY L GRASSER
SENIOR VP/FINANCE03229020561170279710948690265700528429018981
PATRICIA A KATZER
VICE PRESIDENT/COO19299402031501242025000137800230831000
JAMES L WETZEL MD
VP OF PHYSICIAN SERVICES28899803183305664025000244500353445000
RAVI YARLAGADDA MD
PHYSICIAN848945000840000237050873490000
RICHARD DOWNEY MD
PHYSICIAN7247840008574000170420750400000
GREGORY LYNCH MD
PHYSICIAN70603401750012600419160255110776471000
STELLA QUIASON MD
PHYSICIAN67059901500019320422410215110737783000
BRIAN KINDRED MD
PHYSICIAN66007801750012600392920212050723585000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION FROM A RELATED ORGANIZATIONFORM 990, PART VII; SCHEDULE J, PART I, LINE 3 AND PART IITHE COMPENSATION BEING REPORTED FOR FRANK H DEVOCELLE, RODNEY D CORN AND TIERNEY L GRASSER IS FROM OLATHE MEDICAL CENTER, INC., A RELATED TAX EXEMPT ORGANIZATION. OLATHE MEDICAL CENTER, INC. USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS TO ESTABLISH COMPENSATION AND BENEFITS FOR ALL OFFICERS OF OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATED CORPORATIONS. THE COMPENSATION COMMITTEE APPROVES AND ESTABLISHES ALL COMPENSATION AND BENEFITS FOR OFFICERS OF OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATED COMPANIES. THE COMPENSATION COMMITTEE UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN CONTRACT AND COMPENSATION SURVEYS TO ESTABLISH FAIR MARKET VALUE SALARIES AND BENEFITS FOR OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATES' OFFICERS.
ESTABLISHMENT OF OFFICER COMPENSATIONFORM 990, PART VII; SCHEDULE J, PART I, LINE 3 AND PART IITHE COMPENSATION BEING REPORTED FOR PATRICIA A KATZER AND JAMES L WETZEL MD WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF OLATHE MEDICAL CENTER, INC. THE COMPENSATION COMMITTEE UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT, THIRD PARTY SALARY SURVEYS AND WRITTEN CONTRACTS IN THE ESTABLISHMENT OF THEIR COMPENSATION.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4B & PART IIA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS PREVIOUSLY PROVIDED TO FRANK H DEVOCELLE, PRESIDENT AND CEO. INCLUDED IN HIS COMPENSATON IN 2012 IS $2,389,228 IN SERP PAYOUT WHICH REPRESENTS THE VALUE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AND REPRESENTS HIS 40 YEARS OF SERVICE TO THE ORGANIZATION. $2,074,339 OF THIS AMOUNT HAS PREVIOUSLY BEEN REPORTED IN MR. DEVOCELLE'S COMPENSATION AS SUPPLEMENTAL INCOME IN PREVIOUS YEARS' 990 TAX RETURNS. The total compensation of $150,524 for Rodney D. Corn is a SERP payout. Mr. Corn left the Organization in 2011 and met the requirements for payment in 2012. $153,209 of this amount has previously been reported in Mr. Corn's compensation as supplemental income in previous years. A 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 24 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 2012, THERE WAS A PAYOUT OF $23,554 AND AN ACCRUAL OF $94,869.
COMPENSATION REPORTED IN PRIOR YEAR FORM 990SCHEDULE J, PART II, COLUMN FCOMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS GENERALLY REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS PAID TO THE INDIVIDUAL. AS A RESULT OF THE REPORTING REQUIREMENT, AN ORGANIZATION COULD BE REQUIRED TO REPORT THE SAME COMPENSATION AMOUNTS ON THE FORM 990 FOR TWO DIFFERENT YEARS. The amounts reported in column F: include SERP amounts and capital accumulation amounts which were reported in previous 990s as deferred compensation.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AOLATHE MEDICAL SERVICES, INC. (OMSI) CARRIES OUT THEIR MISSION BY PROVIDING PHYSICIAN AND ANCILLARY SERVICES TO THE GENERAL PUBLIC IN THEIR SERVICE AREA REGARDLESS OF RACE, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. OMSI NOT ONLY PROVIDES PHYSICIAN AND ANCILLARY SERVICES IN THE OLATHE, KANSAS AREA BUT ALSO IN RURAL AND/OR MEDICALLY UNDERSERVED AREAS IN THE SURROUNDING COUNTIES. IN 2012, OMSI PROVIDED PHYSICIAN AND ANCILLARY SERVICES AS FOLLOWS: PROGRAM NAME NUMBER OF VISITS PRIMARY CARE PHYSICIAN SERVICES 294,018 SPECIALISTS PHYSICIAN SERVICES 101,408 OMSI'S CONTRIBUTIONS TO THE HEALTH OF THE COMMUNITIES INCLUDES: CHARITY AND UNCOMPENSATED CARE OLATHE MEDICAL SERVICE'S MISSION IS TO PROVIDE QUALITY AND COMPASSIONATE HEALTH CARE SERVICES TO INDIVIDUALS IN THE COMMUNITIES IT SERVES. OLATHE MEDICAL SERVICES PROVIDES HEALTH CARE TO INDIVIDUALS WHO HAVE INADEQUATE RESOURCES TO AFFORD THE SERVICES AND ARE UNINSURED OR UNDERINSURED OR PARTICIPATE IN GOVERNMENTAL HEALTH PROGRAMS FOR THE POOR, ELDERLY OR DISABLED. UNCOMPENSATED CARE TO THE POOR INCLUDES THE COST OF PROVIDING CARE TO PATIENTS WHO MEET THE GUIDELINES OF THE OLATHE MEDICAL SERVICES' CHARITY CARE PROGRAM AND THE COST OF PROVIDING CARE IN EXCESS OF REIMBURSEMENT TO PARTICIPANTS IN THE MEDICAID PROGRAM AND OTHER INDIGENT PUBLIC PROGRAMS SUCH AS FREE CLINICS. CHARITY CARE PROVIDED AT COST $684,000 MEDICAID COST IN EXCESS OF PAYMENTS $ 980,000 PROVISION OF CARE IN RURAL HEALTH CLINICS Olathe Medical Services, Inc. has 5 rural health clinics operating in areas designated as medically underserved. These clinics help meet the needs of their respective communities by providing primary care physicians and mid-level providers, lab services and x-ray services. RURAL HEALTH CARE CLINICS COST IN EXCESS OF PAYMENTS $1,478,000 EDUCATIONAL SUPPORT IN ADDITION TO PROVIDING UNCOMPENSATED CARE FOR PATIENTS IN NEED, OLATHE MEDICAL SERVICES PROVIDES OTHER HEALTH CARE RELATED BENEFITS TO THE COMMUNITIES IT SERVES BY PROVIDING EDUCATION FOR A VARIETY OF MEDICAL PROFESSIONALS, INCLUDING MEDICAL STUDENTS' HEALTH CARE SCREENINGS, NURSING STUDENTS, MID-LEVEL PROVIDERS, AND PHYSICIANS. THE COST OF THIS SUPPORT IS $376,000.
BUSINESS RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2FRANK H DEVOCELLE AND TIERNEY L GRASSER HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVE AS OFFICERS FOR OLATHE HEALTH DEVELOPMENT CORPORATION AND OLATHE MEDICAL CENTER DOCTOR'S BUILDING CONDOMINIUM OWNERS ASSOCIATION, INC., WHICH ARE RELATED FOR PROFIT COMPANIES.
MEMBERFORM 990, PART VI, SECTION A, LINE 6OLATHE MEDICAL CENTER, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF OLATHE MEDICAL SERVICES, INC.
MEMBER MAY ELECT GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7AOLATHE MEDICAL CENTER, INC. IS THE SOLE MEMBER OF OLATHE MEDICAL SERVICES, INC. AND HAS THE RIGHT TO ELECT OR APPOINT ALL THE BOARD OF TRUSTEES.
GOVERNING BODY DECISIONS SUBJECT TO APPROVAL OF MEMBERFORM 990, PART VI, SECTION A, LINE 7BOLATHE MEDICAL CENTER, INC. IS THE SOLE MEMBER, AND HAS THE RIGHT TO APPROVE OLATHE MEDICAL SERVICES, INC.'S BYLAWS AND ARTICLES OF INCORPORATION AND ALSO APPROVE OLATHE MEDICAL SERVICES' BOARD MEMBERS AND CERTAIN CAPITAL EXPENDITURES OVER $500,000.
FORM 990 REVIEW PROCESSFORM 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. (Olathe Medical Services, Inc.'s 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.
CONFLICT OF INTEREST POLICYFORM 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.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & BTHE COMPENSATION COMMITTEE OF THE OLATHE MEDICAL CENTER, INC. (OLATHE MEDICAL SERVICES, INC.'S SOLE MEMBER) IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF OLATHE MEDICAL CENTER, INC. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE CEO AND OTHER OFFICERS OF THE COPRORATION'S COMPENSATION IN ACCORDANCE WITH THEIR COMPENSATION POLICY. THE COMPENSATION COMMITTEE REVIEWS THIRD PARTY SALARY SURVEYS, USES INDEPENDENT CONSULTANTS AND ALSO UTILIZES WRITTEN CONTRACTS FOR THE CEO AND THE VP/PHYSICIAN SERVICES TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION, SALARY RANGES AND BENEFITS.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5TRANSFER FROM AFFILIATE $23,521,624

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
OLATHE MEDICAL CENTER INC
20333 W 151ST STOLATHEKS66061480577664HOSPITALKS501(C)(3)3OHSItrue
OLATHE HEALTH SYSTEM INC
20333 W 151ST STOLATHEKS66061480979845SUPPORT ORGKS501(C)(3)11BNAfalse
MIAMI COUNTY MEDICAL CENTER INC
2100 BAPTISTE DRIVEPAOLAKS66071481155548HOSPITALKS501(C)(3)3OMCItrue
OLATHE MEDICAL CENTER CHARITABLE FDN
20333 W 151ST STOLATHEKS66061481136010FUNDRAISINGKS501(C)(3)7OMCItrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
OMC DOCTOR'S BLDG CONDO OWNERS ASSOC INC
20333 W 151ST STOLATHEKS66061363445097REAL ESTATEKSOMCIC CORPORATION000.00000true
OLATHE HEALTH DEVELOPMENT CORPORATION
20333 W 151ST STOLATHEKS66061363445097MEDICAL SERVICESKSOMCIC CORPORATION000.00000true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OLATHE MEDICAL CENTER
C23521624COST
OLATHE MEDICAL CENTER
M91527COST
OLATHE MEDICAL CENTER
N1334505COST
OLATHE MEDICAL CENTER
O12163616COST
OLATHE MEDICAL CENTER
Q9930406COST
MIAMI COUNTY MEDICAL CENTER
P74695COST
MIAMI COUNTY MEDICAL CENTER
N87238COST