2023-11-15T14:07:53-06:00 2022-12-31 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2022-01-01 480577664 OLATHE MEDICAL CENTER INC % MONICA LUBECK OLAT 9133553095 20333 W 151ST STREET OLATHE KS 66061 MONICA LUBECK CHIEF AMBULATORY/LGL 9133553523 2023-11-15 true JASON HANNAGAN XXX-XX-XXXX Michael J Engle P00482834 8162216300 2023-11-15 2 2022 2023-04-26 12:10:37Z JASON HANNAGAN 20333 W 151ST STREET OLATHE KS 66061 397012926 false X WWW.OLATHEHEALTH.ORG X 1948 KS THE MISSION OF OLATHE HEALTH IS TO HELP PEOPLE THROUGH HEALING, HEALTH, AND HAPPINESS. 10 10 2059 250 42407 17175 1191645 656222 316826933 286812692 23742503 31784751 2364951 2063172 344126032 321316837 974886 1652756 0 0 104356248 106081391 0 0 0 174062645 194418126 279393779 302152273 64732253 19164564 747492326 646311638 216121162 204607319 531371164 441704319 X TO HELP PEOPLE THROUGH HEALING, HEALTH AND HAPPINESS. false false 271493930 1652756 287115393 SEE SCHEDULE O 271493930 true true false true false 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SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true false true true 2861020 2861020 0.00990 15615090 9724104 5890986 0.02050 18476110 9724104 8752006 0.03040 214782 214782 0.00070 193816 193816 0.00070 1200278 1200278 0.00420 1608876 1608876 0.00560 20084986 9724104 10360882 0.03600 25000 0.00010 28450 0.00010 221950 0.00080 1000 0.00000 25000 0.00010 49750 0.00020 351150 0.00130 false 4864936 3648702 119294801 144095116 -24800315 X true true 1 1 OLATHE MEDICAL CENTER INC 20333 WEST 151ST STREET OLATHE KS 66061 WWW.OLATHEHEALTH.ORG H-046-002 X X X OLATHE MEDICAL CENTER INC 1 false false true X X X X X X X X X 21 true false false true X SEE SCHEDULE H, PART V, SECTION C X true 22 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 300. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 As part of the community health needs assessment (CHNA), Olathe Medical Center, Inc. (OMCI) conducted a town hall meeting in summer of 2021. The community members invited to this town hall represented the broad interests of the community served by the hospital facility, including individuals with special knowledge and expertise in public health. This includes people representing the following groups: local hospital, public health community, mental health community, free clinics, community-based clinics, service providers, local residents, community leaders, opinion leaders, school leaders, business leaders, local government, faith-based organizations, people with chronic conditions, uninsured community members, low-income residents, and minority groups (including the Deaf community). Section V of the CHNA provides a list of the town hall attendees and notes from the meeting. All priority-setting and scoring processes at the town hall meeting involved the input of key stakeholders in attendance. The meeting included discussion of community health data; reflection on size and seriousness of any health concerns; and discussion of current community health strengths. Participants were then asked to rank the community health concerns cited during the meeting and from the primary and secondary research already completed. A preliminary research survey was conducted by VVV Research LLC on behalf of OMCI. SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.OLATHEHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-SUPPORT/CHNA- CHIP SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.OLATHEHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-SUPPORT/CHNA- CHIP SCHEDULE H, PART V, SECTION B, LINE 11 OMCI began the process to reassess the healthcare needs of its communities in order to identify the top health-need priorities in 2021. OMCI Board of Directors approved the assessment and its results in November 2021. A three-year plan to address these communities will be drafted for the 2023-2025 plan. Currently, OMCI is in year three of the existing improvement plan, which was initiated in 2020. It addresses each health need priority, outlining OMCI's initiative(s) to address the need and the anticipated community impact. You can read the full Community Health Needs Assessment and Community Health Improvement Plan documents on our website at olathehealth.org/community. SCHEDULE H, PART V, SECTION B, LINE 13B When annual household income is more than 300% of the federal poverty guidelines, individuals with extraordinary medical expenses may be eligible, on case-by-case basis, for financial assistance discount or extended payment arrangements. SCHEDULE H, PART V, SECTION B, LINES 16A-C https://www.olathehealth.org/patients-and-visitors/financial-assistance/ 17 THE IMAGING CENTER AT OLATHE MEDICAL CTR 20375 W 151ST STREET SUITE 150 OLATHE KS 66061 INPATIENT/OUTPATIENT INTENSIVE CARDIAC REHAB 20375 W 151ST STREET SUITE 200 OLATHE KS 66061 OUTPATIENT REHABILITATION OUTPATIENT SURGERY CENTER AT OMC 20805 W 151ST STREET SUITE 101 OLATHE KS 66061 OUTPATIENT SURGERY DEPARTMENT PAIN MANAGEMENT CENTER AT OLATHE MED CTR 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT PAIN SLEEP DISORDERS CENTER AT OLATHE MED CTR 20375 W 151ST STREET SUITE 103 OLATHE KS 66061 OUTPATIENT SLEEP DISORDERS OLATHE HEALTH REHAB SVCS AT SOUTHPARK 20920 W 151ST STREET SUITE 201 OLATHE KS 66061 OUTPATIENT REHABILITATION OLATHE HEALTH REHAB SVCS AT SANTA FE COM 13657 MUR-LEN ROAD OLATHE KS 66062 OUTPATIENT REHABILITATION OLATHE HEALTH PAVILION 21120 W 152ND STREET OLATHE KS 66061 OUTPATIENT IMAGING CLINIC WOUND HEALING CENTER AT OLATHE MED CTR 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT WOUND CARE CLINIC OUTPATIENT SERVICES 20375 W 151ST STREET SUITE 150 OLATHE KS 66061 OUTPATIENT LABORATORY SERVICES THE VEIN CARE CENTER 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT VEIN CLINIC OLATHE HEALTH REHAB SVCS AT GARDNER 824 MAIN ST GARDNER KS 66030 OUTPATIENT HOSPICE HOUSE 15310 S MARION STREET OLATHE KS 66061 HOSPICE OLATHE HEALTH REHAB SVCS AT COLLEGE PT 23450 COLLEGE BOULEVARD OLATHE KS 66061 OUTPATIENT MEDICAL ONCOLOGY AT OLATHE MEDICAL CTR 15123 S OMC PARKWAY OLATHE KS 66061 OUTPATIENT RADIATION ONCOLOGY AT OLATHE MEDICAL CTR 15123 S OMC PARKWAY OLATHE KS 66061 OUTPATIENT YMCA REHAB LOCATION 21400 W 153RD STREET OLATHE KS 66061 OUTPATIENT SCHEDULE H, PART I, LINE 3C See Part V, Section B, Line 13 for the list of factors used in the eligibility criteria explained in the FAP for providing free and discount care. SCHEDULE H, PART I, LINE 7, COLUMN F The bad debt expense is not considered a community benefit expense and is not included in Schedule H, Part I, Line 7. The amount excluded is $13,105,770. SCHEDULE H, PART I, LINE 7 The costing methodology used to calculate the amounts contained in the table of Part I, Line 7, of Schedule H, is a cost accounting system. SCHEDULE H, PART I, LINE 7G No physician clinic costs are included in the Community Benefit expenses. SCHEDULE H, PART II Olathe Medical Center, Inc. (OMCI) is committed to improving the community we serve. The organization is 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 2022 include: 1) Our involvement in several area economic development councils. 2) Our support of the Health Partnership clinic, a federally qualified health center serving the uninsured patient's health needs of our community. 3) Participation in the Boys & Girls Club of Kansas City, the Salvation Army's homeless shelter and Adopt-A-Family program, the Lion's Club health fair and TLC, a local housing facility for troubled children. We continue to support the Miracle League, which is a baseball program for severely disabled children. 4) Partnered with the Olathe Fire Department and Olathe School District to distribute free bicycle helmets to children during a drive-thru event. OMCI also works with the Fire Department to provide a nurse practitioner who works with the Fire Department to provide care to residents in the Olathe community. 5) Leadership and participation in our area's emergency preparedness efforts by coordinating extensive drills to practice our response to potential situations. SCHEDULE H, PART III, LINE 2 A cost accounting system is used to calculate the amount of OMCI's bad debt expense. SCHEDULE H, PART III, LINE 3 The amount included on Line 3 that could be attributed to patients eligible under the organization's financial assistance policy was estimated by analyzing all private pay patient charges at cost less the cost for those patients that were eligible for financial assistance. This amount was then multiplied by the percentage of what has been historically collected from uninsured patients. The majority of the uninsured patients do not have the ability to pay and if the patients completed the financial assistance application they would be eligible for financial assistance. SCHEDULE H, PART III, LINE 4 AS OF JANURY 1, 2023, A MEMBER SUBSTITUTION OCCURRED MAKING THE UNIVERSITY OF KANSAS HEALTH SYSTEM (UKHS) THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS SUPPORTED ORGANIZATIONS, INCLUDING OLATHE MEDICAL CENTER, INC. UKHS OPERATES ON A FYE OF 6.30.2023, THEREFORE IT WAS DETERMINED OLATHE HEALTH SYSTEM, INC. WOULD NOT AUDIT THE FINANCIAL REPORTS AS OF 12.31.22 BUT WOULD BE INCLUDED IN THE AUDIT OF UKHS FINANCIAL REPORTING AUDIT OF 6.30.2023. SCHEDULE H, PART III, LINE 8 Medicare allowable costs were calculated using a cost accounting system. Shortfalls arise from payments that are less than the costs to provide the services. The shortfalls should be considered community benefit as they must be absorbed in order to continue providing care to our community. It is also implied in Internal Revenue Service ruling 69-545 which established the community benefit standard for tax-exempt hospitals and indicates that participation in publicly-financed programs, such as Medicare, is evidence that a hospital meets the community benefit standard. SCHEDULE H, PART III, LINE 9B Before placement with collection agencies, OMCI Patient Financial Services offers various options for patients with financial challenges. An internal short-term four-month payment plan is offered to those patients who express the need for help in meeting the financial obligation. If the four-month payment option would cause a financial hardship, an extended payment option through a third party is available at no cost or interest to the patient. The third-party vendor offers a hardship option to those patients who express the inability to manage the monthly payments. In addition to offering our own internal short term financial assistance and the extended payment option through a third party, OMCI contracts with an outside agency that screens individuals for eligibility for programs such as Medicaid, Disability and Crime Victim's Compensation and then helps and supports the patient through the application process. OMCI has language written in their collection agency contract that states, "Agency agrees to comply with the Internal Revenue Code 501(r)(6) and will not perform Extraordinary Collection Actions ("ECA") before Client has made reasonable efforts to determine whether the patient/debtor ("individual") is eligible for assistance under its financial assistance policy ("FAP") and will not engage in ECAs. If Client determines that the individual does not qualify or is unable to determine whether an individual qualifies, the Agency may, upon direction from Client engage in collection activities." If the collection agency is notified by the patient/debtor that this created an undue financial hardship or burden due to a change in their income or assets, the agency will notify OMCI and await further direction from the hospital. SCHEDULE H, PART VI, LINE 2 Olathe Medical Center, Inc. (OMCI) is continually assessing the health needs of the communities it serves in a variety of ways. OMCI is involved in multiple health fairs, medical seminars and other community outreach activities that involve screenings, questionnaires and general conversation that help us understand the needs of groups and individuals. The pandemic required us to adapt our format to virtual presentations and drive-thru events. The OMCI Community Advisory Council meets on a regular basis. Participants represent a diverse community, including the Deaf, Hispanic, African-American, and uninsured. OMCI launched its fourth formal assessment of the health of the communities we serve in 2021 to begin implementation in 2023. With the help of VVV Research and Development, OMCI conducted a community health needs assessment for our primary service area (southwest Johnson and Miami Counties). This was done by performing research and collecting health data for our area, and actively seeking input from the community through an online survey and town hall meetings. This CHNA was approved by the board in November 2021. OMCI is in year three of its third Community Health Improvement Plan. The research, survey and town hall meetings conducted in 2018 helped develop a picture of the health-related priorities of residents in our service area. Below are the top four health need priorities in the primary service area for OMCI for the 2020 - 2022 Community Health Improvement Plan. Health Need Priorities 2020-2022- OMCI 1. Mental health, including diagnosis, screening, data, treatment and after-care 2. Opioid/drug abuse, specifically meth and marijuana, and vaping 3. Chronic care management 4. Suicide prevention 5. Healthcare transportation 6. Affordable access to insurance 7. Homeless shelters 8. Obesity, healthy eating and physical activity 9. Health, wellness and prevention In 2020, OMCI launched its third Community Health Improvement Plan (CHIP). As a way to organize the health need priorities in a way where we incorporated further clarification from the community, OMCI categorized them in the following way in the CHIP: 1. Behavioral health: a. Mental health, including diagnosis, screening, data, treatment and after-care. b. Opioid/drug abuse, specifically meth and marijuana, and vaping. c. Suicide prevention 2. Physical health: a. Health wellness and prevention b. Obesity c. Chronic care management 3. Access to care: a. Healthcare transportation b. Affordable access to health insurance c. Homeless shelters To address the first priority of mental health, OMCI began addressing this through increased collective community education, prevention, response and treatment for mental health conditions. One response involved the Olathe Health Family Medicine Clinics screening patients during wellness visits using the PHQ-9 depression screening, continue enhancements to care management for patients with mental illness through implementation of behavioral health care management for patients with mental health conditions. In 2022, the goal was to assess 80% of patients ages 12 and older annually for depression. Screenings were conducted at nearly 99% of all patient visits. For patients identified, they are followed-up with every three months to check in. The next step in this is to evaluate and expand resources available for these patients. Another key response is to work with community health partners to support patients within the Olathe Health network, specifically focusing on those with depression/anxiety diagnosis, those who have that diagnosis plus a chronic medical condition and those who have more than four chronic conditions by identifying key community partners and develop process for collaborating to increase access and enhance patient care. A third response to this involved working with community health partners to offer Mental Health First Aid community program. Funds from OMCI helped provide educators within the Olathe School District the opportunity to participate in this program through Johnson County Mental Health Center. An additional response to this was launching an online resource guide to provide the community with a single source for accessing key behavioral health services. An audit of the data was conducted in Q4 of 2022. The final response to address this health priority was to coordinate with Olathe Health Family Medicine to investigate telemedicine opportunities for behavioral health services. Olathe Health launched telehealth services in May 2020. The second health priority under behavioral health is to address the rise in the abuse and misuse of opioids and vaping devices. To do this, we must partner with key community entities to reduce the use of other illegal drugs, specifically methamphetamines and marijuana. The most effective way for a hospital to address this is to partner with our medical providers. Through the creation of the OMCI Physician Opioid Task Force, this group can review prescription practices and provide appropriate education. This group developed a plan and infrastructure to monitor patients who have and do not have a controlled substance agreement. Once in place, it can be evaluated and a baseline can be developed to measure success and develop communication plans to educate providers. The goal is to reduce the number of prescriptions to patients without a controlled substance agreement. This group launched an opioid toolkit through the EMR to help providers better monitor this information in a more user-friendly way. In 2022, the task force reviewed the data to set future goals. Another key response was to partner with local groups to promote safe drug take back practices. Through partnership with the Olathe Police Department, OMCI hosted two National Drug Take Base event on its campus in April and October of 2022. The Olathe Police Department gathered approximately 600 pounds of unwanted/unused medication. OMCI also partnered with Johnson County Health Department and others to promote safe disposal sites across Johnson County. Information about both of these programs was distributed to providers and office staff so they can educate patients about these options. OMCI continues to be involved with groups such as the Olathe Communities that Care Coalition which focuses on a number of initiatives to promote safe and healthy communities. They focus on underage activities related to drugs and alcohol use in teens. To address suicide prevention, OMCI needs to partner with key community stakeholders to reduce the incidence of suicide and connect those with suicide ideation with the appropriate resources for assistance. The response is to work with community partners to develop a rapid response process to help with Olathe Health patients in crisis within our locations. Create resources for crisis management for clinic staff for suicidality including but not limited to iPad assessment in clinics, direct hotline, etc. Through a partnership with KVC Behavioral Health Systems, we are creating a policy to solidify a rapid response process that can be initiated when someone presents to an Olathe Health location and is a danger to themselves or others but not necessarily in need of police involvement. While progress on this effort was made, completing and implementing this policy was put on hold due to other COVID-19 initiatives within both organizations. Under the next heading of physical activity, OMCI focused on enhancing collaborative communication about accessible health wellness and prevention opportunities to encourage community members to engage and sustain positive behavior change. One effective way to provide this education is through the online resource guide that launched in December 2020. In addition to providing resources, there are opportunities to highlight community partnerships (such as the ones OMCI has with City of Olathe Parks and Recreation and the Johnson County Park & Recreation Departments) and promote events. OMCI also set a goal to participate in 25 community-based activities to provide preventative health and wellness screenings and/or education. In 2022, OMCI participated in or hosted nearly 90 events. Another key response was to focus on enhancing food access, including fruits and vegetables, and education on how to prepare healthy meals. OMCI approached this by screening Olathe Health Family Medicine patients for food insecurity. This screening process was launched in January 2020. In 2022, approximately 120 patients were screened positive for food insecurity, a slight increase. OMCI also chose to focus on education to youth and young families in the community by promoting the 1-2-3-4-5-Fit-TASTIC Program. The goal for 2022 was to promote this program and healthy lifestyle changes at five family-friendly community outreach events. This goal was met. OMCI provides many community sponsorship dollars and resources to partners with an emphasis on activities that encourage physical a SCHEDULE H, PART VI, LINE 3 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 or visit our Patient Financial Services department expressing concerns about being able to pay for their services or express that they are experiencing a financial hardship are advised of our assistance policy and encouraged to apply. SCHEDULE H, PART VI, LINE 4 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 portions, and certainly Miami County, are less affluent. For example, 15.5% of the students in the Olathe School District (southern Johnson County) are on free and reduced lunch. This is lower than previous years. However, funding provided during 2021 allowed all students in the school district access to free meals. The Olathe School District also represents a very diverse culture; more than 75 languages identified as the students' primary language in Olathe Schools. Below is a listing of economic levels for area residents. Time period: 2020 American Community Survey 5-Year Estimates Source: data.census.gov People Living Below Poverty Level Johnson County: 4.9% Miami County: 6.9% Young Children Living Below Poverty Level Johnson County: 5.4% Miami County: 8.2% Uninsured Adult Population Rate (2020) Johnson County: 5.8% Miami County: 5.8% SCHEDULE H, PART VI, LINE 5 In addition to the items listed above, Olathe Medical Center, Inc. (OMCI) takes an active role in support of local, regional and national not-for-profit organizations with a focus on improving health and supporting those in need. OMCI provides financial support to area school nurses' funds and provides athletic trainers to area school sports programs. The Community Outreach Department of OMCI conducts health fairs and/or community screenings in conjunction with a variety of other area agencies, which were adapted to accommodate pandemic restrictions. OMCI supports organizations whose focus is on improving community health with financial contributions and service. Communities that Care, Olathe YMCA, Johnson County Department of Health & Environment, KidsTLC, Olathe Public Schools Foundation and Economic Development Council for DeSoto are some of those organizations. SCHEDULE H, PART VI, LINE 6 Olathe Medical Center, Inc. (OMCI) is part of Olathe Health System, Inc. (OHSI). OHSI consists of two hospitals and a network of 40 clinics including 3 rural health clinics. OHSI and its affiliates, including OMCI, take a leadership role in promoting the health of the communities served. OHSI hospitals and clinics are 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. SCHEDULE H, PART VI, LINE 7 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. true OLATHE DISTRICT SCHOOLS 1700 W SHERIDAN ST OLATHE KS 66061 480697986 GOVERNMENT 410239 FMV SPORTS MEDICINE COMMUNITY WELLNESS GARDNER DISTRICT SCHOOLS 231 E MADISON ST GARDNER KS 66030 480699834 GOVERNMENT 82481 FMV SPORTS MEDICINE COMMUNITY WELLNESS SPRING HILL DISTRICT SCHOOLS 101 E SOUTH ST SPRING HILL KS 66083 480723504 GOVERNMENT 82481 FMV SPORTS MEDICINE COMMUNITY WELLNESS KIDS TLC INC 480 S ROGERS RD OLATHE KS 66062 480774593 501(C)(3) 10000 COMMUNITY WELLNESS MID -AMERICA NAZARENE COLLEGE 2030 E COLLEGE WAY OLATHE KS 66062 480730814 501(C)(3) 36250 COMMUNITY WELLNESS HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY 407 S CLAIRBORNE RD OLATHE KS 66062 481115529 501(C)(3) 25000 COMMUNITY WELLNESS JOHNSON COUNTY COMMUNITY COLLEGE 12345 COLLEGE BLVD OLATHE KS 66210 237164614 501 (C)(3) 10000 COMMUNITY WELLNESS OLATHE DISTRICT SCHOOLS 1700 W SHERIDAN ST OLATHE KS 66061 480697986 GOVERNMENT 40000 COMMUNITY WELLNESS YMCA OF GREATER KC 3100 BROADWAY NO 1020 KANSAS CITY MO 64111 440546002 501(C)(3) 8500 COMMUNITY WELLNESS OLATHE FIRE DEPARTMENT 100 E SANTA FE ST OLATHE KS 66061 486082776 GOVERNMENT 125000 COMMUNITY WELLNESS OLATHE HEALTH CHARITABLE FOUNDATION 20333 W 151ST STREET OLATHE KS 66061 481136010 501(C)(3) 496408 ASSET TRANSFER CENTER OF GRACE 520 S HARRISON ST OLATHE KS 66061 481251324 501(C)(3) 10000 COMMUNITY WELLNESS OLATHE PUBLIC SCHOOLS FOUNDATION 315 N LINWOOD OLATHE KS 66061 481190090 501(C)(3) 70750 COMMUNITY WELLNESS OLATHE CHAMBER OF COMMERCE 1 WEST 106TH ST OLATHE KS 66061 480357594 501(C)(6) 19550 COMMUNITY WELLNESS JOHNSON COUNTY OLD SETTLERS 14712 S WILLAGE OLATHE KS 66061 486108713 501(C)(4) 10000 COMMUNITY WELLNESS CITY OF OLATHE POLICE 100 E SANTA FE ST OLATHE KS 66061 486082776 GOVERNMENT 63680 COMMUNITY WELLNESS CITY OF OLATHE PARKS & RECREATION 100 E SANTA FE ST OLATHE KS 66061 486082776 GOVERNMENT 20000 COMMUNITY WELLNESS 15 2 SCHOLARSHIPS 13 13000 SCHEDULE I, PART I, LINE 2 OLATHE MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS. GRANTS ARE ALSO GIVEN TO LOCAL CHARITIES AND CIVIC ORGANIZATIONS. DIRECTORS, OFFICERS AND EMPLOYEES OF OLATHE MEDICAL CENTER GENERALLY ARE INVOLVED IN THE ACTIVITIES OF THE VARIOUS GRANTEE ORGANIZATIONS. FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE INSITUTION OF HIGHER LEARNING. X X X X X false true false false false false false false false STANLEY HOLM PRESIDENT/CEO 0 951080 0 430222 0 18363 0 232884 0 25800 0 1658349 0 0 KRYSTAL CLAYMORE TREASURER/CFO 0 478752 0 670166 0 2405 0 116357 0 22442 0 1290122 0 0 JASON HANNAGAN SECRETARY/CHIEF LEGAL OFFICER 0 521334 0 685208 0 1088 0 129090 0 25627 0 1362347 0 0 JEFF DOSSETT CHIEF OPERATING OFFICER 0 383369 0 538364 0 6194 0 84223 0 25342 0 1037492 0 0 CHRISTINE COURTNEY CHIEF NURSING OFFICER 0 338000 0 475873 0 2440 0 70871 0 24831 0 912015 0 0 ELIZABETH LONG CHIEF MEDICAL OFFICER 0 569304 0 0 0 1965 0 0 0 25188 0 596457 0 0 PHILIP SCHNEIDER PHARMACY DIRECTOR 214528 0 100510 0 2224 0 8946 0 21146 0 347354 0 0 0 BARBARA SHIELDS SR DIRECTOR PATIENT ACCESS 161308 0 93451 0 2977 0 7403 0 20763 0 285902 0 0 0 SHAWN TURNER SR DIRECTOR BIOMED ENGINEERING 148334 0 90569 0 323 0 7177 0 20230 0 266633 0 0 0 KATIE ALDIS SR DIRECTOR OF DIAGNOSTIC SERV 181382 0 116698 0 1982 0 8432 0 23604 0 332098 0 0 0 DOUGLAS HEAD DIRECTOR OF SECURITY 161583 0 76243 0 4467 0 6790 0 11704 0 260787 0 0 0 CAROL POWELL CLIN DIR OF CARDIO SVC LINE 159053 0 72501 0 3237 0 6536 0 13127 0 254454 0 0 0 ANNETTE OSBERN SR DIRECTOR NURSING OPERATIONS 162942 0 100258 0 483 0 7590 0 24350 0 295623 0 0 0 AUBREE SLAYMAN SR DIRECTOR NURSING OPERATIONS 162228 0 100878 0 970 0 7922 0 21399 0 293397 0 0 0 STEVEN BLACK DIRECTOR OF ONCOLOGY SERVICES 187139 0 87745 0 2013 0 7765 0 10201 0 294863 0 0 0 SCHEDULE J, PART I, LINE 4B THE FOLLOWING AMOUNTS WERE ACCRUED IN 2022 TO A 457(F) PLAN FOR THE BENEFIT OF THE SENIOR EXECUTIVE LEADERSHIP AND WERE INCLUDED AS DEFERRED INCOME ON SCHEDULE J FOR THE FOLLOWING: STANLEY HOLM, PRESIDENT AND CHIEF EXECUTIVE OFFICER, $199,268; KRYSTAL CLAYMORE, CHIEF FINANCIAL OFFICER, $85,538; JEFF DOSSETT, CHIEF OPERATING OFFICER, $59,431; CHRISTINE COURTNEY, CHIEF NURSING OFFICER $48,839 AND JASON HANNAGAN, CHIEF LEGAL COUNSEL $92,861. A CITY OF OLATHE KANSAS 486034756 2017-02-28 56505000 SEE PART VI false false false B CITY OF OLATHE KANSAS 486034756 2017-12-28 16190000 SEE PART VI true false false C CITY OF OLATHE KANSAS 486034756 2019-08-15 30000000 SEE PART VI false false false D CITY OF OLATHE KANSAS 486034756 2019-12-19 9110000 SEE PART VI false false false A 6760000 0 56505000 0 0 0 477528 0 0 0 56027472 0 2012 true true true true B 5670000 9000000 16190000 0 0 0 161740 0 0 0 16028260 0 2012 false true true true C 4365000 0 30237011 0 0 0 283976 0 0 29952998 36 0 2021 false false true true D 70000 0 9110000 0 0 0 110000 0 0 0 9000000 0 2012 true false true true A false true true true false 0.01460 0.00000 0.01460 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true D false false true true false 0 false false false true A false true true false 0 false 0 true true B false true false false 0 false 0 true true C false true true false 0 false 0 false true D false true false false 0 false 0 true true A true B true C true D true SCHEDULE K, PART I, LINE A, COLUMN F - GROUP 1 REFUND 2008B BONDS ISSUED 2/27/2008, 2008C BONDS ISSUED 5/8/2008, 2010B BONDS ISSUED 10/29/2010 AND 2012B BONDS ISSUED 2/28/2012. SCHEDULE K, PART I, LINE B, COLUMN F - GROUP 1 REFUND 2010A BONDS ISSUED 10/29/2010. SCHEDULE K, PART I, LINE C, COLUMN F - GROUP 1 TO ACQUIRE, CONSTRUCT, IMPROVE, EXTEND, REPAIR, EQUIP AND FURNISH CERTAIN HEALTH FACILITIES. SCHEDULE K, PART I, LINE D, COLUMN F - GROUP 1 REFUND 2017B BONDS ISSUED 12/28/2017. SCHEDULE K, PART IV, LINE 2(C), COLUMN A - GROUP 1 THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 2/1/2018. SCHEDULE K, PART IV, LINE 2(C), COLUMN B - GROUP 1 THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 9/1/2020. SCHEDULE K, PART IV, LINE 2(C), COLUMN C - GROUP 1 THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 9/1/2022. A CITY OF OLATHE KANSAS 486034756 2022-07-14 65800000 SEE PART VI false false false A 0 0 65824142 0 0 0 526427 0 0 18705116 45172444 1420156 2022 true false false true A false true true true true true 0.00000 0.00000 0.00000 false false false true A false true true false 0 false 0 false true A true SCHEDULE K, PART I, COLUMN A - GROUP 2 PART I, LINE A, COLUMN (F): TO ACQUIRE, CONSTRUCT, IMPROVE, EXTEND, REPAIR, EQUIP AND FURNISH CERTAIN HEALTH FACILITIES; TO REFUND 2012A BONDS ISSUED 2/28/2012, 2014A BONDS ISSUED 1/8/2015, AND 2014B BONDS ISSUED 12/23/2014. FORM 990, PART III, LINE 4A 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 AREAS. OLATHE MEDICAL CENTER IS A JOINT COMMISSION ACCREDITED HOSPITAL AND IS LICENSED FOR 300 INPATIENT BEDS. PROGRAM SERVICE EXPENSES ARE ALL REALTED TO THE PROVISION OF HEALTHCARE SERVICES. IN 2022, OLATHE MEDICAL CENTER PROVIDED 37,576 DAYS OF INPATIENT CARE, 663,273 OUTPATIENT PROCEDURES, 35,797 EMERGENCY PATIENTS, 2,105 DAYS OF HOSPICE HOUSE SERVICE 9,416 HOSPICE VISITS AND 25,778 HOME HEALTH VISITS TO THE COMMUNITY. FORM 990, PART IV, LINE 20B AS OF JANURY 1, 2023, A MEMBER SUBSTITUTION OCCURRED MAKING THE UNIVERSITY OF KANSAS HEALTH SYSTEM (UKHS) THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS SUPPORTED ORGANIZATIONS, INCLUDING OLATHE MEDICAL CENTER, INC. UKHS OPERATES ON A FYE OF 6.30.2023, THEREFORE IT WAS DETERMINED OLATHE HEALTH SYSTEM, INC. WOULD NOT AUDIT THE FINANCIAL REPORTS AS OF 12.31.22 BUT WOULD BE INCLUDED IN THE UKHS FINANCIAL REPORTING AUDIT OF 6.30.2023. FORM 990, PART VI, SECTION A, LINE 2 STANLEY HOLM, KRYSTAL CLAYMORE AND JEFF DOSSETT HAD A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVED AS AN OFFICER OR DIRECTOR FOR OLATHE HEALTH DEVELOPMENT CORPORATION AND OLATHE MEDICAL CENTER DOCTOR'S BUILDING CONDOMINIUM OWNERS ASSOCIATION, INC. WHICH ARE RELATED FOR-PROFIT COMPANIES. STANLEY HOLM, KRYSTAL CLAYMORE, JEFF DOSSETT, CHRISTINE COURTNEY, JASON HANNAGAN AND ELIZABETH LONG WERE OR ARE EMPLOYED BY OLATHE HEALTH SYSTEM, INC. CREATING AN EMPLOYER/EMPLOYEE BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 OLATHE HEALTH SYSTEM, INC. A 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A OLATHE HEALTH SYSTEM, INC., THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC., HAS THE RIGHT TO ELECT ALL OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B OLATHE HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF OMCI, HAS THE RIGHT TO APPROVE OLATHE MEDICAL CENTER, INC.'S BYLAWS AND ARTICLES OF INCORPORATION AND CERTAIN OTHER FINANCIAL TRANSACTIONS, POLICIES AND CONSULTANTS. FORM 990, PART VI, SECTION A, LINE 9 STANLEY HOLM 25116 W. 105TH TERRACE, OLATHE, KS 66061 KRYSTAL CLAYMORE 13105 W. 127TH PLACE, OVERLAND PARK, KS 66213 FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS MANAGEMENT HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE UNIVERSITY OF KANSAS HEALTH SYSTEM BECAME THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS ENTITIES ON JANUARY 1, 2023. THE PARENT COMPANY, OLATHE HEALTH SYSTEM, INC. WAS DISSOLVED IN JUNE 2023. THE BOARD AND ITS AUDIT AND COMPLIANCE COMMITTEE USED TO REVIEW AND APPROVE THE FORM 990 PRIOR TO SUBMISSION TO THE IRS. THE 2022 FORM 990 WILL BE REVIEWED AND APPROVED BY THE UNIVERSITY OF KANSAS HEALTH SYSTEM BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C 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 DIRECTORS 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 BOARD OF DIRECTORS 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 DIRECTOR 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 BOARD OF DIRECTORS THEN IN OFFICE, WITHOUT COUNTING THE VOTE OF THE INTERESTED DIRECTOR: A. THAT THE PROPOSED TRANSACTION IS IN THE ORGANIZATION'S BEST INTERESTS AND FOR ITS OWN BENEFIT, AND B. THAT, AFTER REASONABLE INVESTIGATION, THE BOARD HAS DETERMINED THAT THE ORGANIZATION CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE PERSONNEL AND COMPENSATION COMMITTEE OF THE BOARD IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD AND REVIEWS AND APPROVES THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE CORPORATION'S COMPENSATION IN ACCORDANCE WITH THEIR COMPENSATION POLICY. THE COMMITTEE UTILIZES THIRD PARTY SALARY SURVEYS TO REVIEW THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES OF THE CORPORATION TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION, SALARY RANGES AND BENEFITS. COMPENSATION FOR SUCH OFFICERS IS APPROVED BY THE COMMITTEE, AND INFORMATION OF THEIR FINDINGS IS AVAILABLE TO ALL BOARD MEMBERS. IN ADDITION, THE CORPORATION HAS A WRITTEN CONTRACT WITH THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 TRANSFERS TO AFFILIATES $ ( 31,544,450) GAIN(LOSS) ON EQUITY INVESTEES $ ( 1,848,482) CHANGE IN TEMPORARILY-RESTRICTED NET ASSETS $ 20,564 -------------- $ ( 33,372,368) FORM 990, PART XII, LINE 2C AND 3B THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WAS ESTABLISHED AND HAS OVERSIGHT OF THE AUDIT PROCESS, INCLUDING SELECTION OF THE INDEPENDENT ACCOUNTANT. AS OF JANURY 1, 2023, A MEMBER SUBSTITUTION OCCURRED MAKING THE UNIVERSITY OF KANSAS HEALTH SYSTEM (UKHS) THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS SUPPORTED ORGANIZATIONS, INCLUDING OLATHE MEDICAL CENTER, INC. UKHS OPERATES ON A FYE OF 6.30.2023, THEREFORE IT WAS DETERMINED OLATHE HEALTH SYSTEM, INC. WOULD NOT AUDIT THE FINANCIAL REPORTS AS OF 12.31.22 BUT WOULD BE INCLUDED IN THE AUDIT OF UKHS FINANCIAL REPORTING AUDIT OF 6.30.2023. OLATHE HEALTH SYSTEM, INC. COMPLIED WITH THE SINGLE AUDIT PROVISIONS THROUGH INCLUSION IN TUKHS SINGLE AUDIT TO INCLUDE OHSI CALENDAR YEAR 2022. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:28573552 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:12548747 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PROFESSIONAL FEES TOTAL FEES:7461681 MIAMI COUNTY MEDICAL CENTER INC 2100 BAPTISTE DRIVE PAOLA KS 66071 481155548 HOSPITAL KS 501(C)(3) 3 OHSI true OLATHE HEALTH SYSTEM INC 20333 W 151ST STREET OLATHE KS 66061 480979845 SUPPORT ORG KS 501(C)(3) 12C NA false OLATHE HEALTH PHYSICIANS INC 20333 W 151ST STREET OLATHE KS 66061 481088982 CLINICS KS 501(C)(3) 10 OHSI true OLATHE HEALTH CHARITABLE FOUNDATION 20333 W 151ST STREET OLATHE KS 66061 481136010 FUNDRAISING KS 501(C)(3) 12A OMCI true OLATHE HEALTH DEVELOPMENT CORPORATION 20333 W 151ST STREET OLATHE KS 66061 363445097 MEDICAL SERVI KS OHSI C CORPORATION 0 0 true OMC DOCTOR'S BLDG CONDO OWNERS ASSOC INC 20333 W 151ST STREET OLATHE KS 66061 481244766 REAL ESTATE KS OMCI C CORPORATION 0 0 1.00000 true true true true false false false false false true false false true true true true true true true true OLATHE HEALTH CHARITABLE FOUNDATION INC C 656222 COST OLATHE HEALTH PHYSICIANS INC I 4422389 COST MIAMI COUNTY MEDICAL CENTER INC L 303041 COST OLATHE HEALTH PHYSICIANS INC L 82394 COST OLATHE HEALTH PHYSICIANS INC M 1783117 COST OLATHE HEALTH PHYSICIANS INC N 801389 COST MIAMI COUNTY MEDICAL CENTER INC N 250556 COST OLATHE HEALTH PHYSICIANS INC O 3102142 COST MIAMI COUNTY MEDICAL CENTER INC O 1229371 COST OLATHE HEALTH PHYSICIANS INC P 264352 COST MIAMI COUNTY MEDICAL CENTER INC Q 8061689 COST OLATHE HEALTH CHARITABLE FOUNDATION INC P 397860 COST OLATHE HEALTH CHARITABLE PHYSICIANS INC Q 16486248 COST MIAMI COUNTY MEDICAL CENTER INC Q 16241996 COST OLATHE HEALTH CHARITABLE FOUNDATION INC R 153169 COST OLATHE HEALTH PHYSICIANS INC S 30245490 COST OLATHE HEALTH CHARITABLE FOUNDATION INC S 446528 COST OLATHE HEALTH CHARITABLE FOUNDATION INC B 496408 COST OLATHE HEALTH CHARITABLE FOUNDATION INC A(IV) 8084 COST