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      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER - RECONCILIATION OF REVENUE PER AUDITED F/S AND TAX RETURN</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8</ReturnReference>
        <Explanation>GAIN(LOSS) ON INVESTMENT OF EQUITY INVESTEES (22,871,625) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,212,693 NET ASSETS RELEASED- CAPITAL 29,765 ------------- TOTAL $(21,629,167)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER - REVENUE INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 2D</ReturnReference>
        <Explanation>RELATED ORGANIZATIONS' REVENUE 96,982,030 RENTAL EXPENSES 2,388,189 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 735,718 LOSS ON INVESTMENT OF EQUITY INVESTEES (22,871,625) LOSS ON TERMINATION OF INTEREST RATE SWAP (874,900) ------------- TOTAL $76,359,412</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER - EXPENSE INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>RELATED ORGANIZATIONS' EXPENSES 96,982,030 RENTAL EXPENSES 2,388,189 ---------- TOTAL $99,370,219</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER - EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII, LINE 4B</ReturnReference>
        <Explanation>LOSS ON TERMINATION OF INTEREST RATE SWAP 874,900 TRANSFER TO AFFILIATES 28,293 -------- TOTAL $903,193</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>false</FPGReferenceFreeCare>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent250>X</Pcent250>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <NumberOfActivitiesOrPrograms>9569</NumberOfActivitiesOrPrograms>
        <PersonsServed>5050</PersonsServed>
        <TotalCommunityBenefitExpense>4451928</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>4451928</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02520</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <NumberOfActivitiesOrPrograms>11304</NumberOfActivitiesOrPrograms>
        <PersonsServed>5357</PersonsServed>
        <TotalCommunityBenefitExpense>10438915</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6347778</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4091137</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02310</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>20873</NumberOfActivitiesOrPrograms>
        <PersonsServed>10407</PersonsServed>
        <TotalCommunityBenefitExpense>14890843</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6347778</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8543065</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04830</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>32</NumberOfActivitiesOrPrograms>
        <PersonsServed>12661</PersonsServed>
        <TotalCommunityBenefitExpense>246903</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>246903</NetCommunityBenefitExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>18</NumberOfActivitiesOrPrograms>
        <PersonsServed>921</PersonsServed>
        <TotalCommunityBenefitExpense>1446504</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1446504</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00820</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2387634</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1790454</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>597180</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00180</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>220563</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>220563</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>50</NumberOfActivitiesOrPrograms>
        <PersonsServed>13582</PersonsServed>
        <TotalCommunityBenefitExpense>4301604</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1790454</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2511150</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01120</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>20923</NumberOfActivitiesOrPrograms>
        <PersonsServed>23989</PersonsServed>
        <TotalCommunityBenefitExpense>19192447</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8138232</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11054215</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05950</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>149</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>149</NetCommunityBuildingExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>11011</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>11011</NetCommunityBuildingExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>7</NumberOfActivitiesOrPrograms>
        <PersonsServed>20</PersonsServed>
        <TotalCommunityBuildingExpense>6648</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6648</NetCommunityBuildingExpense>
      </CommunitySupport>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>1503</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1503</NetCommunityBuildingExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <NumberOfActivitiesOrPrograms>13</NumberOfActivitiesOrPrograms>
        <PersonsServed>20</PersonsServed>
        <TotalCommunityBuildingExpense>19311</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>19311</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2478722</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>65395871</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>70939643</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-5543772</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>OLATHE MEDICAL CENTER INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>20333 W 151ST STREET</AddressLine1>
          <City>OLATHE</City>
          <State>KS</State>
          <ZIPCode>66061</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>OLATHE MEDICAL CENTER INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>250.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitOtherActions>X</PermitOtherActions>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>13</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE REHAB PLACE AT OLATHE MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20375 W 151ST STREET SUITE 151</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHABILITATION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE IMAGING CENTER AT OLATHE MEDICAL CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20375 W 151ST STREET SUITE 150</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>INPATIENT/OUTPATIENT MRI SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CARDIAC REHAB AT OLATHE MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20375 W 151ST STREET SUITE 450</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>INPATIENT/OUTPATIENT CARDIAC REHAB CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>AMBULATORY SURGERY CENTER AT OMC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20805 W 151ST STREET SUITE 101</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>AMBULATORY SURGERY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PAIN MANAGEMENT CENTER AT OLATHE MED CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>21080 W 151ST STREET</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PAIN MANAGEMENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOSPICEHOME HEALTH AT OLATHE MED CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20805 W 151ST STREET SUITE 301</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT HOSPICE/HOME HEALTH</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SLEEP DISORDERS CENTER AT OLATHE MED CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20375 W 151ST STREET SUITE 103</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SLEEP DISORDERS CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE REHAB PLACE AT SOUTHPARK MED PLAZA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20920 W 151ST STREET SUITE 201</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHABILITATION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE REHAB PLACE AT SANTA FE COMMONS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>13657 MUR-LEN ROAD</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66062</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHABILITATION CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OLATHE MEDICAL PAVILION</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>21120 W 152ND STREET</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT IMAGING CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>WOUND CARE CLINIC AT OLATHE MED CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>21080 W 151ST STREET</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT WOUND CARE CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OUTPATIENT SERVICES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20375 W 151ST STREET SUITE 150</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT INFUSION SERVICES/ OUTPATIENT LABORATORY SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE VEIN CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>21080 W 151ST STREET</AddressLine1>
            <City>OLATHE</City>
            <State>KS</State>
            <ZIPCode>66061</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT VEIN CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE</Identifier>
        <ReturnReference>SCHEDULE H, PART I, LINE 3C</ReturnReference>
        <Explanation>OLATHE 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, INLUDING ALL LOW INCOME INDIVIDUALS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>THE BAD DEBT EXPENSE IS NOT CONSIDERED A COMMUNITY BENEFIT EXPENSE AND IS NOT INCLUDED IN SCHEDULE H, PART I, LINE 7.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7</Identifier>
        <Explanation>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST ACCOUNTING SYSTEM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7G</Identifier>
        <Explanation>NONE OF THE SUBSIDIZED HEALTH SERVICES COSTS ARE ATTRIBUTABLE TO PHYSICIAN CLINICS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BUILDING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE H, PART II</ReturnReference>
        <Explanation>Olathe 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; the health, well being and safety of our area's residents; as well as supporting programs and other organizations that reach out to our citizens in need. A few examples of OMCI's involvement in 2011 include: 1) OUR INVOLVEMENT IN SEVERAL AREA ECONOMIC DEVELOPMENT COUNCILS AND A CONTINUED COLLABORATION WITH KANSAS STATE UNIVERSITY AT THEIR BIOSCIENCES CAMPUS IN NORTHWEST OLATHE, INCLUDING PROGRAMS REGARDING FOOD SAFETY. 2) OUR SUPPORT OF JOHNSON COUNTY HEALTH PARTNERSHIP, 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. 4) LEADERSHIP AND PARTICIPATION IN OUR AREA'S EMERGENCY PREPAREDNESS EFFORT BY COORDINATING EXTENSIVE DRILLS TO PRACTICE OUR RESPONSE TO POTENTIAL SITUATIONS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 4</ReturnReference>
        <Explanation>THE SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. THE SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AN OVERALL COST TO CHARGE RATIO IS USED TO CALCULATE THE BAD DEBT EXPENSE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 9B</ReturnReference>
        <Explanation>BEFORE 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 (LIKELIHOOD TO PAY) SOFTWARE ALSO HELPS OMCI IDENTIFY INDIVIDUALS THAT MAY NEED ASSISTANCE THAT HAVE NOT COMPLETED AN APPLICATION. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART V, SECTION B, LINE 9</Identifier>
        <Explanation>OLATHE MEDICAL CENTER, INC. (OMCI) DOES NOT OFFER FREE CARE EXCEPT IN THE CASE OF DEATH AND NO ASSETS OR INSURANCE ARE AVAILABLE. IN ALL OTHER CASES WE WILL DISCOUNT UP TO 99.9% 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART V, SECTION B, LINE 13G</Identifier>
        <Explanation>OLATHE MEDICAL CENTER (OMCI) 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART V, SECTION B, LINE 15E</Identifier>
        <Explanation>OLATHE MEDICAL CENTER (OMCI) DOES NOT PERMIT ANY OF THE ACTIONS LISTED WITHOUT MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENTS ELIGIBILITY UNDER THE FACILITYS FINANCIAL ASSISTANCE PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART V, SECTION B, LINE 19D</Identifier>
        <Explanation>THE HOSPITAL UTILIZED A DISCOUNT OF 55% FOR UNINSURED AND FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS BASED ON AN OVERALL WRITE-OFF PERCENTAGE FOR COMMERCIAL PAYORS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 2</ReturnReference>
        <Explanation>OLATHE MEDICAL CENTER, INC. (OMCI) WORKS VERY CLOSELY WITH THE JOHNSON COUNTY HEALTH DEPARTMENT IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY. IN A MORE GRASSROOTS EFFORT, OMCI ALSO USES QUESTIONNAIRES AT VARIOUS COMMUNITY-BASED HEALTH FAIRS AND PUBLIC EVENTS TO BETTER UNDERSTAND THE HEALTHCARE NEEDS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 3</ReturnReference>
        <Explanation>PATIENTS OF OLATHE MEDICAL CENTER, INC. (OMCI) ARE MADE AWARE OF ALL OPPORTUNITIES AVAILABLE FOR FINANCIAL ASSISTANCE IN A VARIETY OF WAYS. THERE ARE SIGNS IN THE REGISTRATION AREAS TO NOTIFY PATIENTS AND VISITORS OF THE AVAILABILITY OF ASSISTANCE PROGRAMS. EVERY BILLING STATEMENT CONTAINS A NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN ADDITIONAL INFORMATION OR APPLY. APPLICATIONS AND INSTRUCTIONS ARE AVAILABLE ON THE MEDICAL CENTER'S WEBSITE, IN BOTH ENGLISH AND SPANISH. PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND SOCIAL WORKERS ARE TRAINED TO PROVIDE APPLICATIONS TO PATIENTS IF THEY EXPRESS ANY CONCERN REGARDING ABILITY TO PAY FOR SERVICES, OR MAY BE REFERRED TO AN AGENCY THE MEDICAL CENTER CONTRACTS WITH TO HELP INDIVIDUALS THROUGH THE APPLICATION PROCESS FOR PROGRAMS LIKE MEDICAID AND DISABILITY. PATIENTS THAT CALL OUR PATIENT FINANCIAL SERVICES DEPARTMENT EXPRESSING CONCERNS ABOUT BEING ABLE TO PAY FOR THEIR SERVICE OR EXPRESS THEY ARE EXPERIENCING A FINANCIAL HARDSHIP ARE ADVISED OF OUR ASSISTANCE POLICY AND ENCOURAGED TO APPLY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 4</ReturnReference>
        <Explanation>Olathe Medical Center, Inc.'s (OMCI) primary service area consists of southwest Johnson County and Miami County in Kansas. Johnson County is considered affluent compared to most counties of Kansas, but the southwestern 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: 5.5% Miami County: 5.7% Young Children Living Below Poverty Level Johnson County: 8.7% Miami County: 10.6% Uninsured Adult Population Rate (2009) Johnson County: 11.7% Miami County: 14.8%</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 5</ReturnReference>
        <Explanation>In addition to the items listed above, Olathe Medical Center (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. OMC is a large supporter of area School Nursing programs, Healthcare scholarships and provides 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, Grace United Methodist Church, Lion's Club and Olathe District Schools.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 6</ReturnReference>
        <Explanation>OLATHE MEDICAL CENTER 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 OLATHE MEDICAL CENTER, TAKE A LEADERSHIP ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED. OHSI HOSPITALS AND CLINICS ARE VERY INVOLVED WITH COMMUNITY OUTREACH EDUCATION AND SCREENING PROGRAMS ACROSS THE ENTIRE SERVICE AREA. WE COLLABORATE WITH AREA COMPANIES AND OTHER HEALTH-RELATED SERVICE PROVIDERS TO PROVIDE EDUCATION AND SCREENINGS TO THE PUBLIC. OHSI POSITIONS ITSELF AS NOT ONLY A PROVIDER OF CARE, BUT A RESOURCE FOR EDUCATION AND PREVENTION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 7</ReturnReference>
        <Explanation>OMCI IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE, BUT WE MAKE OUR REPORT AVAILABLE TO ANYONE INTERESTED AT WWW.OLATHEHEALTH.ORG.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <AddressUS>
          <AddressLine1>1700 WEST SHERIDAN ST</AddressLine1>
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          <State>KS</State>
          <ZIPCode>66061</ZIPCode>
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        <EINOfRecipient>480697986</EINOfRecipient>
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        <AmountOfCashGrant>40000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>47149</AmountOfNonCashAssistance>
        <MethodOfValuation>BOOK</MethodOfValuation>
        <DescriptionOfNonCashAssistance>SPORTS MEDICINE</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>CMTY WELLNESS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>JOHNSON CO COMM COLLEGE FOUNDATION</BusinessNameLine1>
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          <AddressLine1>12345 COLLEGE BLVD</AddressLine1>
          <City>OVERLAND PARK</City>
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          <ZIPCode>66210</ZIPCode>
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        <AmountOfCashGrant>35000</AmountOfCashGrant>
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        <PurposeOfGrant>CMTY WELLNESS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>AMERICAN HEART ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>7272 GREENVILLE AVENUE</AddressLine1>
          <City>DALLAS</City>
          <State>TX</State>
          <ZIPCode>75231</ZIPCode>
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        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
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        <PurposeOfGrant>CMTY WELLNESS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>FESTIVAL ON THE TRAIL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>952 LINCOLN LANE</AddressLine1>
          <City>GARDNER</City>
          <State>KS</State>
          <ZIPCode>66030</ZIPCode>
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        <EINOfRecipient>270680384</EINOfRecipient>
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        <PurposeOfGrant>CMTY WELLNESS</PurposeOfGrant>
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          <AddressLine1>1120 SOUTH ASH ST</AddressLine1>
          <City>OTTAWA</City>
          <State>KS</State>
          <ZIPCode>66067</ZIPCode>
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        <EINOfRecipient>486037952</EINOfRecipient>
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        <PurposeOfGrant>CMTY WELLNESS</PurposeOfGrant>
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        <PurposeOfGrant>CMTY WELLNESS</PurposeOfGrant>
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          <City>GARDNER</City>
          <State>KS</State>
          <ZIPCode>66030</ZIPCode>
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        <MethodOfValuation>BOOK</MethodOfValuation>
        <DescriptionOfNonCashAssistance>SPORTS MEDICINE</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>CMTY WELLNESS</PurposeOfGrant>
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      <TotalNbrOf501C3AndGovtGrants>9</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>3</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIPS</TypeOfGrant>
        <NumberOfRecipients>14</NumberOfRecipients>
        <AmountOfCashGrant>11750</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S.</Identifier>
        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>OLATHE MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS. FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE ORGANIZATION OR INDIVIDUAL.</Explanation>
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    </IRS990ScheduleI>
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        <NontaxableBenefitsFilingOrg>15616</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>185315</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>12677</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SOCIAL CLUB DUES</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>OLATHE 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B &amp; PART II</ReturnReference>
        <Explanation>A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IS PROVIDED TO FRANK H DEVOCELLE WHICH IS FUNDED OVER A SHORT TIME PERIOD BASED UPON THE IMPLEMENTATION DATE OF THE SERP IN 2005. MR. DEVOCELLE'S CAREER SERVICE AT OLATHE MEDICAL CENTER AND ITS AFFILIATED ENTITIES IS CURRENTLY AT 40 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. A SERP is also provided to Tierney L Grasser 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 23 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. OFFICER SERP FRANK H DEVOCELLE $267,908 (AT LEAST 90% ATTRIBUTABLE TO UNDER FUNDING IN PRIOR YEARS) TIERNEY L GRASSER $ 68,226 (AT LEAST 85% ATTRIBUTABLE TO UNDER FUNDING IN PRIOR YEARS) RODNEY D CORN $ 4,134</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION REPORTED IN PRIOR YEAR FORM 990</Identifier>
        <ReturnReference>SCHEDULE J, PART II, COLUMN F</ReturnReference>
        <Explanation>COMPENSATION 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 CONSECUTIVE YEARS. The amounts reported in column F: include incentive amounts and capital accumulation amounts which were reported in previous 990s as deferred compensation.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>RETIREMENT AND OTHER DEFERRED COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART II, COLUMN C</ReturnReference>
        <Explanation>COLUMN (C) REFLECTS SERP PAYMENTS (SEE ABOVE FOR FURTHER EXPLANATION) AND OTHER DEFERRED COMPENSATION. TOTAL SERP OTHER COLUMN C FRANK H DEVOCELLE $267,908 $21,429 $289,337 RODNEY D CORN 4,134 2,055 6,189 TIERNEY L GRASSER 68,226 16,662 84,888 CATHERINE R WIENS -0- 2,000 2,000 ELAINE PATTON -0- 2,000 2,000 PEGGY DONOVAN -0- 2,000 2,000 CHERYL A SHARP -0- 2,000 2,000 MICHAEL L JENSEN -0- 2,000 2,000 PHIL SCHNEIDER -0- 2,000 2,000 DAVID KLIMEK -0- 2,000 2,000</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF OLATHE KANSAS</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>486034756</IssuerEIN>
        <CUSIPNumber>679390GH1</CUSIPNumber>
        <DateIssued>2008-01-30</DateIssued>
        <IssuePrice>40001708</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF OLATHE KANSAS</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>486034756</IssuerEIN>
        <CUSIPNumber>679390GX6</CUSIPNumber>
        <DateIssued>2008-02-27</DateIssued>
        <IssuePrice>24140141</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF OLATHE KANSAS</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>486034756</IssuerEIN>
        <CUSIPNumber>679390HB3</CUSIPNumber>
        <DateIssued>2008-05-08</DateIssued>
        <IssuePrice>36015000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF OLATHE KANSAS</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>486034756</IssuerEIN>
        <CUSIPNumber>679390HK3</CUSIPNumber>
        <DateIssued>2010-10-29</DateIssued>
        <IssuePrice>32463901</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>2335000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>40335963</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>351630</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>39984333</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>3240000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>24140141</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>101930</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>24038311</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>36015000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>285000</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>35730000</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>32502247</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>457359</IssuanceCostsFromProceeds>
        <CreditEnhancement>20650</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>4932048</CapitalExpenditures>
        <OtherSpentProceeds>21066542</OtherSpentProceeds>
        <AmountUnspent>6025647</AmountUnspent>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>BANK OF AMERICA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>16.33</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>true</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SEE SCHEDULE L PART V</NamePerson>
        </NameOfInterestedPerson>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS WITH INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>TRANSACTION 1 (A) OLATHE WOMEN'S CLINIC (OWC) (B) BRUCE B SNIDER MD IS AN OFFICER OF OWC AND A TRUSTEE OF OMCI (C) $106,734 (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)/(D) $767,684 BANK FEES PAID TO BOA BY OMCI $ 846 INTEREST INCOME RECEIVED BY OMCI FROM BOA (E) NO TRANSACTION 3 (A) MELISSA KINZER (B) MELISSA KINZER IS THE DAUGHTER OF RODNEY D CORN, AN OFFICER OF OMCI (C) $77,591 (D) MELISSA KINZER IS AN EMPLOYEE OF 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) $90,871 (D) DAVID HANSON IS AN EMPLOYEE OF OMCI (E) NO TRANSACTION 5 (A) MIDWEST EAR NOSE &amp; THROAT (MENT) (B) BRIAN A METZ MD IS A &gt;5% PARTNER IN MENT AND A TRUSTEE OF OMCI (C) $230,514 (D) MENT RENTS SPACE FROM OMCI (E) NO</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>THE MISSION OF OLATHE MEDICAL CENTER, INC. IS TO IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>OLATHE MEDICAL CENTER, INC. (OMCI) OPERATES AN ACUTE CARE HOSPITAL IN OLATHE, KANSAS, WHICH WAS FOUNDED IN 1948 BY THE COMMUNITY. OMCI CARRIES OUT THEIR MISSION BY PROVIDING QUALITY AND COMPASSIONATE INPATIENT, OUTPATIENT, EMERGENCY CARE, HOSPICE AND HOME HEALTH SERVICES TO RESIDENTS IN JOHNSON COUNTY AND MIAMI COUNTY, KANSAS AND SURROUNDING 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 2011, OLATHE MEDICAL CENTER PROVIDED 42,119 DAYS OF INPATIENT CARE, 146,079 OUTPATIENT VISITS RESULTING IN 590,001 OUTPATIENT PROCEDURES, 41,125 EMERGENCY VISITS, 8,934 HOSPICE VISITS, AND 30,213 HOME HEALTH VISITS TO THE COMMUNITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>FRANK H DEVOCELLE, RODNEY D CORN, TIERNEY L GRASSER, MICHAEL K KNOP AND BRIAN A METZ MD HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVE AS AN OFFICER OR DIRECTOR FOR OLATHE HEALTH DEVELOPMENT CORPORATION, HEALTH ACCESS, INC., OR OLATHE MEDICAL CENTER DOCTOR'S BUILDING CONDOMINIUM OWNERS ASSOCIATION, INC., WHICH ARE RELATED FOR PROFIT COMPANIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>OLATHE HEALTH SYSTEM, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER MAY ELECT GOVERNING BODY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>OLATHE HEALTH SYSTEM, INC. BEING 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING BODY DECISIONS SUBJECT TO APPROVAL OF MEMBER</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>OLATHE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>The 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 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>The purpose of the Organization's Conflict of Interest Policy is to protect the organization's interest when it is contemplating a decision or entering into a transaction or arrangement that might benefit the private interest of any person in a position of authority over the organization, or might result in a possible excess benefit transaction. Corporate officers and members of the Board of 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; B</ReturnReference>
        <Explanation>THE 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 2011, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>UNREALIZED GAIN LOSS ON EQUITY INVESTMENTS (10,604,324) GAIN(LOSS) ON INVESTMENT OF EQUITY INVESTEES (22,871,625) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,212,693 NET ASSETS RELEASED- CAPITAL 29,765 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 901,357 ------------ TOTAL $(33,332,134)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SCHEDULE K SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>PART I, BOND ISSUES ALL PART I NOTATIONS ARE MADE IN COLUMN (f) OF PART I. PART II, PROCEEDS LINE 3, TOTAL PROCEEDS OF ISSUE A - INCLUDES INVESTMENT EARNINGS OF $334,255 FROM THE YEARS 2008, 2009 AND 2010. D - INCLUDES INVESTMENT EARNINGS OF $38,346 FROM THE YEARS 2010 AND 2011. LINE 11, OTHER SPENT PROCEEDS B - OTHER THAN ISSUANCE COSTS, THE ENTIRE PROCEEDS WERE USED TO CURRENTLY REFUND SERIES 2004A BONDS ISSUED 07/29/2004 AND REFUND SERIES 2004B BONDS ISSUED 07/29/2004. C - OTHER THAN ISSUANCE COSTS, THE ENTIRE PROCEEDS WERE USED TO CURRENTLY REFUND SERIES 2002A BONDS ISSUED 09/27/2002. D - $21,066,542 OF THE PROCEEDS WERE USED TO CURRENTLY REFUND SERIES 2000A BONDS ISSUED 12/20/2000. LINE 14, WERE THE BONDS ISSUED AS PART OF A CURRENT REFUNDING ISSUE? B, C, D - SEE COMMENTS UNDER PART II, LINE 11, OTHER SPENT PROCEEDS ABOVE. PART IV, ARBITRAGE LINE 2, IS THE BOND ISSUE A VARIABLE RATE ISSUE? D - THE ISSUE CONSISTS OF $16,000,000 OF FIXED RATE SERIES 2010A BONDS AND $16,000,000 OF VARIABLE RATE DEMAND SERIES 2010B BONDS, BOTH ISSUED OCTOBER 29, 2010.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:J MACK BOWEN TITLE:TRUSTEE/TREASURER HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JAMES R HUBBARD TITLE:TRUSTEE/SECRETARY HOURS:1</Explanation>
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      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MICHAEL K KNOP TITLE:TRUSTEE/CHAIRPERSON HOURS:2</Explanation>
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      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KENNETH J KOVACH TITLE:TRUSTEE/RESIGNED 6/21/11 HOURS:1</Explanation>
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      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CHIP WOOD TITLE:TRUSTEE HOURS:2</Explanation>
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      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:RICHARD K SUMMERS TITLE:TRUSTEE/VICE-CHAIRPERSON HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:THOMAS J DAVIES TITLE:TRUSTEE/RESIGNED 5/18/11 HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:FRANK H DEVOCELLE TITLE:PRESIDENT/CEO HOURS:23</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:RODNEY D CORN TITLE:SR VP/OPS/RESIGNED 3/4/11 HOURS:18</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:TIERNEY L GRASSER TITLE:SENIOR VP/FINANCE HOURS:23</Explanation>
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        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CHERYL L ROSS TITLE:ASSISTANT SECRETARY HOURS:14</Explanation>
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          <State>KS</State>
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        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>OMC DOCTOR'S BLDG CONDO OWNERS ASSOC INC</BusinessNameLine1>
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          <State>KS</State>
          <ZIPCode>66061</ZIPCode>
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      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
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        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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          <BusinessNameLine1>MIAMI COUNTY MEDICAL CENTER INC</BusinessNameLine1>
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        <AmountInvolved>1228049</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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          <BusinessNameLine1>MIAMI COUNTY MEDICAL CENTER INC</BusinessNameLine1>
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        <AmountInvolved>4635786</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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          <BusinessNameLine1>OLATHE MEDICAL SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A(IV)</TransactionType>
        <AmountInvolved>570847</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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      </TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>OLATHE MEDICAL CENTER CHARITABLE FOUNDATION</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>OLATHE MEDICAL CENTER CHARITABLE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
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        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MIAMI COUNTY MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>H</TransactionType>
        <AmountInvolved>321550</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OLATHE MEDICAL SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>6144593</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>OLATHE MEDICAL CENTER CHARITABLE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>138661</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>