2024-11-06T14:04:32-06:00 2023-12-31 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2023-01-01 486099245 Labette County Medical Center LABE 6204214880 1902 S US Highway 59 Parsons KS 67357 Janet Soper CFO 6204214880 2024-11-04 1 0 Heather R Eichem P01515553 7852334226 2024-11-04 2023 2024-10-15 13:58:12Z Labette Health Janet Soper 1902 S US Highway 59 Parsons KS 67357 97301403 0 X www.labettehealth.com X Government 1961 KS Medical care for the southeast Kansas region 9 5 1040 48 0 0 5498026 1547138 87651453 93730851 196935 814111 1094426 1205453 94440840 97297553 4159116 1067518 0 0 49836432 52371745 0 0 94619 42858087 46100605 96853635 99539868 -2412795 -2242315 123945132 120258973 72522203 71098889 51422929 49160084 We are dedicated to providing exceptional healthcare - centered around you. 0 0 87722239 1067518 93730851 Labette County Medical Center operates physician clinics and provides inpatient and outpatient services to the residents of the southeastern Kansas area. 87722239 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 87 0 1 1040 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 5 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 1 1 1 1 0 X Janet Soper 6204214880 1902 S US Highway 59 Parsons KS 67357 Perry Sorrell President 1.00 X X 0 0 0 Dee Bohnenblust Vice President 1.00 X X 0 0 0 Melissa Morris Treasurer 1.00 X X 0 0 0 Marna George Secretary 1.00 X X 0 0 0 Wayne Gilmore OD Trustee 1.00 X 0 0 0 Jill Thomas Trustee 1.00 X 0 0 0 Ned Wall Trustee 1.00 X 0 0 0 Manish Dixit MD Trustee 1.00 X 19825 0 0 Robert Gibbs MD Trustee 1.00 X 0 0 0 Thomas Macaronas CFO/COO through Sept. 2023 40.00 X 152577 0 46408 Brian Williams President/CEO 40.00 X 573564 0 81506 Janet Soper CFO beginning Oct. 2023 40.00 X 119060 0 29007 Douglas Stacy CIO/VP LH Medical Group 40.00 X 164093 0 34160 Kathi McKinney CNO 40.00 X 163771 0 37284 Scott Coates Physician 40.00 X 487811 0 26380 Philip Gorman Physician 40.00 X 440140 0 51380 Marc Hoffmeister Physician 40.00 X 553938 0 32248 Logan Wineland Physician 40.00 X 746505 0 26380 Eric Hunn Physician 40.00 X 699256 0 26380 4120540 0 391133 73 0 1 0 Payrhealth LLC 2121 Lomans Crossing Rd Austin TX 78734 Collection Services 908060 CPSI 54 St Emanuel Street Mobile AL 36602 Computer support services 826623 Spencer Fane Britt and Browne LLP PO Box 872037 Kansas City MO 64187 Legal services 558740 Walgreens Pharmacy 1528 Main St Parsons KS 67357 Pharmacy Services 543109 Southeast Kansas Orthopedic Clinic PO Box 678 Parsons KS 67357 Physician services 433950 31 348640 1081662 116836 1547138 Patient service revenue 622110 84814641 84814641 340b pharmacy revenue 456110 8759778 8759778 Fitness center 713940 101932 101932 54500 54500 93730851 810039 810039 283006 0 283006 283006 283006 7922 3850 4072 4072 4072 Cafeteria meals 722210 272225 272225 Leased employees 900099 166437 166437 483785 483785 922447 97297553 93730851 0 2019564 1067518 1067518 1433817 19825 1413992 43038499 39537647 3439617 61235 958872 862326 94953 1593 4006560 3614879 386082 5599 2933997 2623078 306856 4063 582202 582202 7395651 6109410 1286229 12 579946 110810 464817 4319 272629 65547 204379 2703 311092 311092 2023905 1791549 229661 2695 130210 113109 17085 16 1685242 1481160 201049 3033 4435747 3898578 529185 7984 872411 459004 413371 36 Drugs and medical suppl 18027999 18027999 Collection fees 3019984 2581451 438533 Repairs and maintenance 2622833 2016703 605316 814 Medicaid provider asses 1899344 1899344 2241410 1442302 798591 517 99539868 87722239 11723010 94619 4766502 5062546 36964293 35983258 11267085 10099142 50000 50000 10978325 10846580 1985559 1941474 502663 542918 128670244 75851951 54642520 52818293 2788185 2914762 123945132 120258973 12411180 10297787 143461 33519 28070856 29477000 16988442 16322064 1324587 1384563 13583677 13583956 72522203 71098889 X 50105452 47795546 1317477 1364538 51422929 49160084 123945132 120258973 -2242315 -20530 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12923 12923 0 Part II-B, Line 1: A portion of the annual dues paid by Labette County Medical Center to various healthcare associations has been identified as lobbying activities by those associations. Labette County Medical Center does not participate in activities supporting a political candidate. 949808 949808 88358192 47842940 40515252 38096779 28009011 10087768 1265465 1265465 52818293 Lease liability to related third-parties 13583956 13583956 X Part X, Line 2: Labette Health is exempt from federal income taxes pursuant to Sections 115 and 501(a) of the Internal Revenue Code. Management is not aware of any uncertainties in income tax positions. 1 1 1 X 1 X 1 1 0 0 477148 233934 243214 0.00240 14157742 10201124 3956618 0.03970 14634890 10435058 4199832 0.04210 2188 0 2188 0.00000 0 21634832 17952558 3682274 0.03700 221122 221122 0.00220 21858142 17952558 3905584 0.03920 36493032 28387616 8105416 0.08130 1 4343162 434316 16510248 15175434 1334814 X 1 1 1 1 Labette County Medical Center 1902 S US Highway 59 Parsons KS 67657 X X X Labette County Medical Center 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X http://www.labettehealth.com/about-community-health-needs.html X 1 22 1 http://www.labettehealth.com/about-community-health-needs.html 0 1 X 150.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X http://www.labettehealth.com/ X http://www.labettehealth.com/ X http://www.labettehealth.com/ X X X X X X 1 X 0 X X X 1 X 0 0 Labette County Medical Center Part V, Section B, Line 5: Labette County Medical Center evaluated the Community Health Needs Assessment by surveying its constituents through personal feedback, surveys, and organization and community town hall meetings. Those involved in the feedback process were Brian Williams, President/CEO, Krista Postai with Community Health Center of Southeast Kansas, Matt Atteberry with Labette Center for Mental Health, Kelly Bradford with Four County Mental Health, personnel with Labette Health Department, and superintendents for each school district in Labette, Montgomery and Neosho counties. To identify the broad interests of the community, a survey was held through Facebook in November 2021. Labette County Medical Center Part V, Section B, Line 11: Part V, Section B, Line 11:The following is a desciption of actions taken during 2023 to address the needs identified in the most recently conducted CHNA.Labette Health's Community Health Needs Assessment 2023 Implementation Plan identified two priority health issues: Diabetes/Obesity and Heart Disease/Stroke. The hospital actively worked to address each of the priorities through improved access to care and health-related resources, community engagement and education initiatives, and through additional community, hospital, clinic and facility-based programs available to the communities served.Diabetes/Obesity Held four, six-week Diabetes Self-Management Classes that included food demonstrations and educational materials. Labette Health's registered/licensed dietitian, an internal medicine physician, and board-certified diabetes provider gave presentations to various civic groups and at community events.Participation at our Rector Center Diabetes Education Center increased 36% from the previous year. Instructional hours increased an average of 5.4 hours/per week.Rector Center Diabetes Center referrals increased with the addition of a board-certified diabetes advanced-practical nurse and pharmacist as part of the education and care team. Created customized care plans to manage patients with diabetes through the diabetes care team consisting of a pharmacist, diabetes board-certified APRN and registered/licensed dietitian.Increased community memberships at our fitness and aquatics center that includes personal fitness plans, aquasize classes and learn to swim classes in partnership with the American Red Cross.Heart Disease/Stroke Provided COPD/Smoking Cessation educational booklets to inpatients.Promoted Stroke Awareness educational information to the communities via social media and newspaper ads during National Stroke Month.Provided stroke symptoms on in-house television.Provided stroke video during televised sporting events.Provided stroke awareness educational items at community events/fairs. Increased community memberships at our fitness and aquatics center that includes personal fitness plans, aquasize classes, and learn to swim classes in partnership with the American Red Cross.Additional Community Participation During 2023, Labette Health's Summer Food Program served 6,400 meals and snacks to school age children and their caregivers while offering education regarding healthy eating and exercising.Labette Health continued to provide telehealth services in order to reach at-risk individuals who have limited access to transportation.Labette Health continued offering assistance to patients who are uninsured or under-insured. Individuals were provided assistance with the application for Medicaid based on personal data provided and discounted rates were offered to those individuals.Educational opportunities were provided to medical professionals and clinical staff in order to assist them in meeting the health needs of the community.Vaccination clinics were held at various clinic locations as well as the main campus hospital and at-home visits for at-risk individuals who were unable to leave their home.Free Prostate Clinic was held in October for those who qualified including educational materials.Free Kids Public Safety Camp was held in Labette County and Montgomery County that included community members, civic groups and public safety employees throughout the primary service area.Free sports physicals were held at all clinic locations as well as a sports injury clinic at our main campus. 10 1 - Independence Health Center 510 N Peter Pan Road Independence KS 67301 Emergency, outpatient services and rural health clinic 2 - Labette Health Physicians Group 1902 S Hwy 59 Bldg E Parsons KS 67357 Physician and rural health clinic 3 - Cherryvale Clinic 209 E Main Street Cherryvale KS 67335 Rural health clinic 4 - Chanute Clinic and Express Care 2613 South Santa Fe Avenue Chanute KS 66720 Rural health clinic 5 - St Paul Clinic 200 Carroll St Paul KS 66771 Rural health clinic 6 - Chetopa Clinic 613 Maple Street Chetopa KS 67336 Rural health clinic 7 - Women's and Children's Clinic 209 N 6th Street Suite 103 Independence KS 67301 Rural health clinic 8 - Altamont Clinic 607 E 4th Street Altamont KS 67330 Rural health clinic 9 - Erie Clinic 324 S Main Street Erie KS 66733 Rural health clinic 10 - Oswego Clinic and Express Care 608 Commercial Oswego KS 67356 Rural health clinic Part I, Line 7: Financial assistance at cost was determined by utilizing departmental cost-to-charge ratios for financial assistance provided in areas that are reported as subsidized health services. An overall cost-to-charge ratio derived from Worksheet 2 was used to determine the cost of financial assistance provided for services not reported as subsidized health services.Unreimbursed Medicaid costs were also determined using a blend of cost-to-charge ratios for certain services and an overall cost-to-charge ratio derived from Worksheet 2 for all other services.The cost of providing subsidized health services was determined using a cost-to-charge ratio for each service.Actual costs and revenues were utilized for all other items reported on line 7. Part I, Line 7g: Subsidized health services are comprised of services that Labette Health provides despite a financial loss to the organization. These services include outpatient physician clinics. The cost of outpatient physician clinics amounts to $18,145,097. Part II, Community Building Activities: N/A Part III, Line 4: Labette Health provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. Labette Health estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each type of payor.Part III, Line 2:The provision for bad debts is related to accounts that have been deemed uncollectible during the year. The uncollectible amount is then written off pursuant to Labette Health's policy. The cost of bad debt expense was determined using the overall cost-to-charge ratio derived from Worksheet 2 applied to all charges that were deemed uncollectible during the year.Part III, Line 3:Bad debt expense attributable to patients eligible under Labette Health's financial assistance policy was determined using an estimated 10% of total bad debts. Labette Health takes steps to assist individuals who are believed to qualify for financial assistance prior to writing accounts off as uncollectible.All non-reimbursed costs for treatment of patients in our community provides a community benefit since patients unwilling or unable to pay have received a valuable service at no cost or at a reduced cost to them. This improves the health of our community as a whole. Part III, Line 8: Medicare allowable costs were determined by using amounts from Labette Health's Medicare cost report as filed with the Medicare Administrative Contractor. The Medicare cost report apportions actual costs to the Medicare program using charges for ancillary services and patient days for nursing services. Any shortfalls are considered a community benefit.Revenue included in Medicare Cost Report $16,510,248Fee schedule revenue excluded from Medicare Cost Report 1,258,456Total Medicare revenue 17,768,704Expenses included in Medicare Cost Report $15,175,434Fee schedule expense excluded from Medicare Cost Report 2,590,392Total Medicare expense 17,765,826Total net Medicare income 2,878 Part III, Line 9b: Labette Health's collection policy contains provisions on the collection practices for patients who are known to qualify for charity care or financial assistance. The charity care policy states that the patient must cooperate with Labette Health to provide the information and documentation necessary to apply for other existing financial resources that may be available to pay for health care services, such as Medicaid. Then the information is gathered and assessed in order to determine eligibility for charity care. Whenever possible, prior to admission, Labette Health will conduct a pre-admission interview with the patient, the guarantor, and or legal representative. Those patients who may qualify for financial assistance from a governmental program will be referred to the appropriate program, prior to the consideration for charity care. Part VI, Line 2: N/A Part VI, Line 3: All uninsured individuals are asked if they have any desire to complete a financial assistance application and/or are advised of the process to apply for Medicaid. When a patient has the desire or need to apply for Medicaid, Labette Health refers them to the Social Security Department to begin the application process. When a patient applies for Medicaid, they are asked to let Labette Health know of their decision and then their financial assistance application can be completed and processed after all information has been received. If an application is found to be incomplete, a letter is sent to the applicant advising them of the incomplete status and addressing the needed items for completion. During the social service intake/discharge planning process a social worker assists the uninsured in applying for any appropriate governmental program or Labette Health's financial assistance program. Part VI, Line 4: We operate an acute care hospital with provider clinics in Labette County (population of 19,728), an off-campus emergency room and clinic in Montgomery County (population of 30,568), and clinics in Neosho County (population of 15,420) and Crawford County (population of 38,764).Our service area spans over six counties (Labette, Montgomery, Neosho, Wilson, Allen, and Crawford) with a primary service area (PSA) of 65,716 people and a secondary service area (SSA) of 59,558 people.20.8% of our PSA is over 65 years old, while 49.8% of our PSA is female. The median household income of our PSA is $54,183.20.3% of our SSA is over 65 years old, while 50.1% of our SSA is female. The median household income of our SSA is $53,426.Poverty levels range from 15.0% in Neosho County to 16.9% in Montgomery County. The poverty level for our principle site of Labette County is 15.2%. Part VI, Line 5: The Board of Trustees is appointed by the County Commissioners and is comprised of 9 members, all of whom live in the county and are not employed by the Hospital. All employees sign a conflict of interest statement. Labette Health's medical staff is open with the exception of Radiology and Anesthesiology. Any profit margin, whether operational or in total, that Labette Health may experience is reinvested into operations. No one individual or one organization benefits from the profit margin but rather the institution and our patients are the beneficiaries. Part VI, Line 6: N/A 1 Labette Health Foundation 1902 South US Highway 59 Parsons KS 67357 481009259 501(c)(3) 42100 0 Consulting expenses and other assistance Community Foundation for Independence PO Box 1003 Independence KS 67301 205218378 501(c)(3) 50000 0 Cash donation for Central Parks Sports Complex Labette Health Health Endowment Association 1902 South US Highway 59 Parsons KS 67357 853078800 501(c)(3) 846395 0 Cash donation and capital asset donations for facility project Independence Community College Foundation 1057 West College Avenue Independence KS 67301 480759236 501(c)(3) 125000 0 Cash donation for Field House Next Project 4 Part I, Line 2: The Medical Center monitors the use of grant funds by requiring receipts and other supporting documentation before disbursing any requested funds. X X X 0 1 0 0 0 0 0 1 0 Logan Wineland Physician 589315 0 157190 0 0 0 8000 0 18380 0 772885 0 0 0 Eric Hunn Physician 453783 0 245473 0 0 0 8000 0 18380 0 725636 0 0 0 Brian Williams President/CEO 463564 0 110000 0 0 0 80000 0 1506 0 655070 0 0 0 Marc Hoffmeister Physician 216012 0 337926 0 0 0 14000 0 18248 0 586186 0 0 0 Scott Coates Physician 445109 0 42702 0 0 0 8000 0 18380 0 514191 0 0 0 Philip Gorman Physician 440140 0 0 0 0 0 33000 0 18380 0 491520 0 0 0 Kathi McKinney CNO 163771 0 0 0 0 0 29516 0 7768 0 201055 0 0 0 Thomas Macaronas CFO/COO through Sept. 2023 152577 0 0 0 0 0 29516 0 16892 0 198985 0 0 0 Douglas Stacy CIO/VP LH Medical Group 164093 0 0 0 0 0 26216 0 7944 0 198253 0 0 0 Part I, Line 4b Brian Williams, current CEO, is eligible to receive IRC section 457(f) retirement plan contributions of up to $30,000 annually at the discretion of the Board of Trustees. $30,000 was contributed to Brian's IRC section 457(f) plan during 2023. Part I, Line 7 Physicians and anesthesiologists are eligible for incentive bonuses based on their production. A Labette County Kansas 486040264 NoneAvail 2017-01-26 15000000 Partial refund of Series A and B, 2007 bonds issued 0 0 0 B Labette County Kansas 486040264 NoneAvail 2020-06-02 10000000 Financing of capital projects 0 0 0 C Labette County Kansas 486040264 NoneAvail 2021-11-09 9918000 Partial refund of Series 2016 bonds and financing of capital projects 0 0 0 A 3543000 15000000 240000 14760000 2010 0 1 1 1 B 1079000 10000000 174000 9826000 2023 0 0 0 1 C 819000 9918000 173680 2019424 7740672 71 2023 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Robert Gibbs Trustee Recruiting assitance loan X 50000 50000 0 1 1 50000 Emily Brown Family member of Ned Wall, Trustee 87655 Employment 0 Tracy Gilmore Family member of Wayne Gilmore, Trustee 114854 Employment 0 Form 990, Part VI, Section A, line 7a Members of the Board of Trustees are appointed by the Commissioners of Labette County, Kansas. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b Form 990 is reviewed by the CFO and Controller and is provided to the Board prior to filing. Form 990, Part VI, Section B, line 12c A conflict of interest disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each member of the Board of Trustees upon election and annually thereafter. Form 990, Part VI, Section B, line 15 The Board of Trustees is responsible for determining the job performance standards for the CEO and fixing compensation according to the organization's policies. The CEO utilizes market studies to determine the compensation of the CFO and key employees. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. FORM 990, PART XII, LINE 2C The Medical Center has made no changes to the oversight process or selection process during the tax year. Labette Health Regional Partnerships Inc 1000 Walnut Kansas City MO 64106 464050502 Operating a medical office building utilized for health care services KS 501(c)(3) Line 12b, II Labette County Medical Center 1 Southeast Kansas Regional Health Inc 1902 S US Highway 59 Parsons KS 67357 813739559 Provide healthcare facilities and services KS 501(c)(3) Line 12b, II Labette County Medical Center 1 Labette Health Endowment Association 1902 S US Highway 59 Parsons KS 67357 853078800 Facilitate an expansion and renovation of Labette Health property KS 501(c)(3) Line 12a, I Labette County Medical Center 1 0 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 Labette Health Regional Partnerships Inc K 47234 Actual amount paid Labette Health Endowment Association B 846395 Cash paid Southeast Kansas Regional Health D 459110 Actual amount owed Labette Health Endowment Association K 191607 Actual amount owed Labette Health Regional Partnerships Inc D 46303 Actual amount owed