FURP.ORG / PUBLIC DATA EXPLORER

LABETTE COUNTY MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
LABETTE COUNTY MEDICAL CENTER (EIN 48-6099245)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202213189349303051
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T08:43:29-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1623 SW 10th Ave Suite 300AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN486099245EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Labette County Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLABEBusinessNameControlTxt
Phone6204214880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11902 S US Highway 59AddressLine1Txt
CityParsonsCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67357ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas MacaronasPersonNm
Person TitleCFOPersonTitleTxt
Phone6204214880PhoneNum
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstThomasPersonFirstNm
Person LastMacaronasPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2022-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Labette HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerThomas MacaronasPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11902 S US Highway 59AddressLine1Txt
CityParsonsCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67357ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$101,579,260GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.labettehealth.comWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscGovernmentOtherOrganizationDsc
Formation1961FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionMedical care for the southeast Kansas regionActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee978TotalEmployeeCnt
Total Volunteers55TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,860,915PYContributionsGrantsAmt
CY Contributions Grants$15,776,661CYContributionsGrantsAmt
PY Program Service Revenue$80,728,206PYProgramServiceRevenueAmt
CY Program Service Revenue$84,437,500CYProgramServiceRevenueAmt
PY Investment Income$128,684PYInvestmentIncomeAmt
CY Investment Income$285,498CYInvestmentIncomeAmt
PY Other Revenue$854,055PYOtherRevenueAmt
CY Other Revenue$1,059,963CYOtherRevenueAmt
PY Total Revenue$87,571,860PYTotalRevenueAmt
CY Total Revenue$101,559,622CYTotalRevenueAmt
PY Grants And Similar Paid$197,912PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$162,429CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$43,743,426PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$47,967,717CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$105,203CYTotalFundraisingExpenseAmt
PY Other Expenses$40,023,285PYOtherExpensesAmt
CY Other Expenses$41,077,400CYOtherExpensesAmt
PY Total Expenses$83,964,623PYTotalExpensesAmt
CY Total Expenses$89,207,546CYTotalExpensesAmt
PY Revenues Less Expenses$3,607,237PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,352,076CYRevenuesLessExpensesAmt
Total Assets BOY$97,513,065TotalAssetsBOYAmt
Total Assets EOY$105,070,673TotalAssetsEOYAmt
Total Liabilities BOY$50,835,480TotalLiabilitiesBOYAmt
Total Liabilities EOY$46,041,012TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$46,677,585NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$59,029,661NetAssetsOrFundBalancesEOYAmt
MissionFocusing on the patient and providing exceptional healthcare through effective clinical and financial management.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$77,736,209ExpenseAmt
Grant$162,429GrantAmt
Revenue$84,437,500RevenueAmt
DescLabette County Medical Center operates physician clinics and provides inpatient and outpatient services to the residents of the southeastern Kansas area.Desc
Total Program Service Expenses$77,736,209TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document92IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee978EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Thomas MacaronasBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6204214880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11902 S US Highway 59AddressLine1Txt
CityParsonsCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67357ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Perry Sorrell
President1.00Yes (X)Yes (X)$0$0$0
Dee Bohnenblust
Vice President1.00Yes (X)Yes (X)$0$0$0
Melissa Morris
Treasurer1.00Yes (X)Yes (X)$0$0$0
Marna George
Secretary1.00Yes (X)Yes (X)$0$0$0
Wayne Gilmore OD
Trustee1.00Yes (X)$0$0$0
Jill Thomas
Trustee1.00Yes (X)$0$0$0
Ned Wall
Trustee1.00Yes (X)$0$0$0
Manish Dixit MD
Trustee1.00Yes (X)$5,396$0$0
Robert Gibbs MD
Trustee1.00Yes (X)$12,250$0$0
Thomas Macaronas
CFO/COO40.00Yes (X)$191,532$0$17,098
Brian Williams
President/CEO40.00Yes (X)$571,902$0$81,716
Douglas Stacy
CIO40.00$184,321$0$19,585Yes (X)
Kathi McKinney
CNO40.00$198,584$0$22,948Yes (X)
Roseanne Olmstead
Physician40.00$475,729$0$9,716Yes (X)
Robert Legler
Physician40.00$490,884$0$22,462Yes (X)
Philip Gorman
Anesthesiologist40.00$431,316$0$22,654Yes (X)
Logan Wineland
Physician40.00$566,636$0$15,717Yes (X)
Eric Hunn
Physician40.00$506,124$0$21,384Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,634,674TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$233,280TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K64IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Cytocheck Laboratory LLC
1201 Corporate DriveParsonsKS67357Laboratory Services$1,533,784
Spencer Fane Britt and Browne LLP
PO Box 872037Kansas CityMO64187Legal services$1,119,158
SilverCreek Medical
2400 N BroadwayPittsburgKS66762Billing services$765,768
CPSI
54 St Emanuel StreetMobileAL36602Computer support services$764,066
Melinda Allen Cullins
1361 Country Road 1600CaneyKS67333Physician services$476,221
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Related Organizations$586,005RelatedOrganizationsAmt
Government Grants$14,581,167GovernmentGrantsAmt
All Other Contributions$609,489AllOtherContributionsAmt
Noncash Contributions$586,005NoncashContributionsAmt
Total Contributions$15,776,661TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient service revenue622110$77,970,138$77,970,138
340b pharmacy revenue446110$6,331,988$6,331,988
Fitness center713940$80,874$80,874

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,500TotalRevenueColumnAmt
Related Or Exempt Func Income$54,500RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$84,437,500TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$211,715TotalRevenueColumnAmt
Exclusion$211,715ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$256,217RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$256,217RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$256,217TotalRevenueColumnAmt
Exclusion$256,217ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$93,421OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$19,638OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$73,783OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,783TotalRevenueColumnAmt
Exclusion$73,783ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria meals722210$257,980$257,980
Leased employees900099$128,060$128,060

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$417,706TotalRevenueColumnAmt
Exclusion$417,706ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$803,746OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,559,622TotalRevenueColumnAmt
Related Or Exempt Func Income$84,437,500RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,345,461ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$158,429TotalAmt
Program Services$158,429ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,000TotalAmt
Program Services$4,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,323,006TotalAmt
Program Services$16,796ProgramServicesAmt
Management And General$1,306,210ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,714,430TotalAmt
Program Services$36,521,139ProgramServicesAmt
Management And General$3,119,999ManagementAndGeneralAmt
Fundraising$73,292FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,207,514TotalAmt
Program Services$1,175,132ProgramServicesAmt
Management And General$30,024ManagementAndGeneralAmt
Fundraising$2,358FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,047,605TotalAmt
Program Services$2,755,498ProgramServicesAmt
Management And General$286,577ManagementAndGeneralAmt
Fundraising$5,530FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,675,162TotalAmt
Program Services$2,390,132ProgramServicesAmt
Management And General$280,234ManagementAndGeneralAmt
Fundraising$4,796FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,315,856TotalAmt
Management And General$1,315,856ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,169,584TotalAmt
Program Services$6,011,683ProgramServicesAmt
Management And General$1,157,869ManagementAndGeneralAmt
Fundraising$32FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$799,710TotalAmt
Program Services$300,183ProgramServicesAmt
Management And General$494,379ManagementAndGeneralAmt
Fundraising$5,148FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$281,390TotalAmt
Program Services$64,158ProgramServicesAmt
Management And General$216,496ManagementAndGeneralAmt
Fundraising$736FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$280,075TotalAmt
Management And General$280,075ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,796,184TotalAmt
Program Services$2,524,152ProgramServicesAmt
Management And General$268,915ManagementAndGeneralAmt
Fundraising$3,117FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,060TotalAmt
Program Services$68,614ProgramServicesAmt
Management And General$13,445ManagementAndGeneralAmt
Fundraising$1FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,182,985TotalAmt
Program Services$1,025,648ProgramServicesAmt
Management And General$156,627ManagementAndGeneralAmt
Fundraising$710FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,210,460TotalAmt
Program Services$2,678,166ProgramServicesAmt
Management And General$526,194ManagementAndGeneralAmt
Fundraising$6,100FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$744,980TotalAmt
Program Services$488,073ProgramServicesAmt
Management And General$256,879ManagementAndGeneralAmt
Fundraising$28FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Drugs and medical suppl$15,603,857$15,603,857
Collection fees$2,718,711$2,280,535$438,176
Repairs and maintenance$2,206,438$1,739,863$465,929$646
Food and paper goods$632,190$632,190

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,052,920TotalAmt
Program Services$1,297,961ProgramServicesAmt
Management And General$752,250ManagementAndGeneralAmt
Fundraising$2,709FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$89,207,546TotalAmt
Program Services$77,736,209ProgramServicesAmt
Management And General$11,366,134ManagementAndGeneralAmt
Fundraising$105,203FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,482,463BOYAmt
EOY$3,562,844EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$38,846,300BOYAmt
EOY$41,764,699EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,142,671BOYAmt
EOY$11,960,536EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$215,385BOYAmt
EOY$115,385EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$10,872,218BOYAmt
EOY$11,145,749EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,060,823BOYAmt
EOY$2,146,911EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$897,871BOYAmt
EOY$471,576EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$101,890,491LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$69,217,718LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,146,344BOYAmt
EOY$32,672,773EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,848,990BOYAmt
EOY$1,230,200EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$97,513,065BOYAmt
EOY$105,070,673EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,701,823BOYAmt
EOY$11,832,328EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,983,129BOYAmt
EOY$4,101,740EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,707,000BOYAmt
EOY$24,790,658EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,666,300BOYAmt
EOY$2,943,749EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$4,777,228BOYAmt
EOY$2,372,537EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,835,480BOYAmt
EOY$46,041,012EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,921,440BOYAmt
EOY$57,110,565EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,756,145BOYAmt
EOY$1,919,096EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,677,585BOYAmt
EOY$59,029,661EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$97,513,065BOYAmt
EOY$105,070,673EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$12,352,076ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$8,862OtherActivitiesAmt
Total Lobbying Expenditures$8,862TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$949,808OtherCostOrOtherBasisAmt
Book Value$949,808BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,216,229OtherCostOrOtherBasisAmt
Depreciation$43,332,616DepreciationAmt
Book Value$16,883,613BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,564,980OtherCostOrOtherBasisAmt
Depreciation$25,885,102DepreciationAmt
Book Value$13,679,878BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,159,474OtherCostOrOtherBasisAmt
Book Value$1,159,474BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,672,773TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationLabette Health is exempt from federal income taxes pursuant to Sections 115 and 501(a) of the Internal Revenue Code.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$486,539TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$155,899DirectOffsettingRevenueAmt
Net Community Benefit Expns$330,640NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,009,796TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,254,144DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,755,652NetCommunityBenefitExpnsAmt
Total Expense0.05330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,496,335TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,410,043DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,086,292NetCommunityBenefitExpnsAmt
Total Expense0.05700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,245TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,693DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,552NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,548,748TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,546,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,002,148NetCommunityBenefitExpnsAmt
Total Expense0.04490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$103,527TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$103,527NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,714,520TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,557,293DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,157,227NetCommunityBenefitExpnsAmt
Total Expense0.04660TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,210,855TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,967,336DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,243,519NetCommunityBenefitExpnsAmt
Total Expense0.10360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,434,076BadDebtExpenseAmt
Bad Debt Expense Attributable$443,408BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,041,140ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,950,090CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,091,050MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Labette County Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11902 S US Highway 59AddressLine1Txt
CityParsonsCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67657ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Labette County Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA Conducted0CHNAConductedInd
Organization Incur Excise TaxYes (1)OrganizationIncurExciseTaxInd
Form4720 FiledYes (1)Form4720FiledInd
Excise Report Form4720 For All$50,000ExciseReportForm4720ForAllAmt
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.labettehealth.com/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.labettehealth.com/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.labettehealth.com/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Labette County Medical CenterPart 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 Clancie Sorrell, Marketing Intern, Kerri Beardmore, Marking Director, Brian Williams, President/CEO, Krista Postai with Community Health Center of Southeast Kansas, Matt Atteberry with Labette Center for Mental Health, and Kelly Bradford with Four County Mental Health, and Lisa Hoppock with Labette Health Department. The Labette Health Department was unable to attend therefore was invited to participate in online survey to address and suggest the needs of the community. In addition, we involved students, employees, community leaders, and organization leadership from key local organizations.
Labette County Medical CenterPart V, Section B, Line 11: Part V, Section B, Line 11:The following is a desciption of actions taken during 2021 to address the needs identified in the most recently conducted CHNA.As in 2020, the ongoing efforts to respond to and mitigate COVID-19 hampered the Hospital's ability to focus on addressing the needs identified by the CHNA. As resources allowed, the Medical Center continued to conduct community and workplace based screenings as well as providing public awareness education about obesity, mental health, lifestyle changes, alcohol and tobacco use, and post pandemic stress. In addition to these efforts, the Hospital took part in the following activities:Summer food program: During 2021, the Medical Center set up between 5 and 9 sites to provide hot meals to children and adults. These sites served 5,708 meals for children, 250 meals for adults, and 683 afternoon snacks. The Hospital continued to supplement the program with education about healthy eating and the importance of physical activity and exercise. The Medical Center partnered with community groups such as the local rec center, library, and local churches to assist with site management. In addition, the Medical Center was also able to provide employment opportunities for the local youth. During the holidays, the Medical Center's staff provided a diabetes support group called Taste of the Holidays.Throughout 2021, the Medical Center held vaccination events at local clinics in order to promote vaccinations for all in the community.The Medical Center also created The Center of Rehabilitation Excellence (CORE) in order to provide a less restrictive and easy to access facility to keep the public engaged and active.The Medical Center continued to provide telehealth services in order to reach at-risk individuals who have limited access to transportation.The Medical Center continued offering assistance to patients who are un-insured 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.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Independence Health Center
510 N Peter Pan RoadIndependenceKS67301Emergency, outpatient services and rural health clinic
2 - Labette Health Physicians Group
1902 S Hwy 59 Bldg EParsonsKS67357Physician and rural health clinic
3 - Cherryvale Clinic
209 E Main StreetCherryvaleKS67335Rural health clinic
4 - St Paul Clinic
200 CarrollSt PaulKS66771Rural health clinic
5 - Altamont Clinic
607 E 4th StreetAltamontKS67330Rural health clinic
6 - Erie Clinic
324 S Main StreetErieKS66733Rural health clinic
7 - Chanute Clinic and Express Care
2613 South Santa Fe AvenueChanuteKS66720Rural health clinic
8 - Women's and Children's Clinic
209 N 6th Street Suite 103IndependenceKS67301Rural health clinic
9 - Oswego Clinic and Express Care
608 CommercialOswegoKS67356Physician and rural health clinic
10 - Chetopa Clinic
613 Maple StreetChetopaKS67336Physician and rural health clinic

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $17,250,151.
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 $19,041,140Fee schedule revenue excluded from Medicare Cost Report 1,344,403Total Medicare revenue 20,385,543Expenses included in Medicare Cost Report $16,950,090Fee schedule expense excluded from Medicare Cost Report 2,792,887Total Medicare expense 19,742,977Total net Medicare income 642,566
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 19,912), an off-campus emergency room and clinic in Montgomery County (population of 31,156), and clinics in Neosho (population of 15,784) and Crawford Counties (population of 39,110).Our service area spans over six counties (Labette, Montgomery, Neosho, Wilson, Allen, and Crawford) with a primary service area (PSA) of 66,852 people and a secondary service area (SSA) of 60,100 people.20.2% of our PSA is over 65 years old, while 49.9% of our PSA is female. The median household income of our PSA is $47,567.20.1% of our SSA is over 65 years old, while 50.1% of our SSA is female. The median household income of our SSA is $46,760.Poverty levels range from 13.8% in Neosho County to 17.8% in Montgomery County. The poverty level for our principle site of Labette County is 14%.
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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Labette Health Foundation
1902 South US Highway 59ParsonsKS67357481009259501(c)(3)$36,173$0Consulting expenses and other assistance
Community Health Center of Southeast Kansas
PO Box 1832PittsburgKS66762753002264501(c)(3)$35,000$0Funding for the John U Parolo Education Center
Labette County Emergency Assistance Center
PO Box 271ParsonsKS67357481233718501(c)(3)$0$6,481Food to serve needy individualsAmount paidFood
Community Foundation for Independence
PO Box 1003IndependenceKS67301205218378501(c)(3)$25,000$0Cash donation for Central Parks Sports Complex
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Medical Center monitors the use of grant funds by requiring receipts and other supporting documentation before disbursing any requested funds.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Brian Williams
President/CEO$424,615$0$9,000$0$138,287$0$80,000$0$1,716$0$653,618$0$0$0
Logan Wineland
Physician$431,027$0$42,100$0$93,509$0$8,000$0$7,717$0$582,353$0$0$0
Eric Hunn
Physician$400,646$0$53,705$0$51,773$0$6,730$0$14,654$0$527,508$0$0$0
Robert Legler
Physician$158,844$0$188,013$0$144,027$0$8,000$0$14,462$0$513,346$0$0$0
Roseanne Olmstead
Physician$376,961$0$58,850$0$39,918$0$8,000$0$1,716$0$485,445$0$0$0
Philip Gorman
Anesthesiologist$339,442$0$25,250$0$66,624$0$8,000$0$14,654$0$453,970$0$0$0
Kathi McKinney
CNO$139,216$0$40,250$0$19,118$0$10,010$0$12,938$0$221,532$0$0$0
Thomas Macaronas
CFO/COO$153,446$0$28,250$0$9,836$0$11,098$0$6,000$0$208,630$0$0$0
Douglas Stacy
CIO$145,943$0$25,250$0$13,128$0$6,647$0$12,938$0$203,906$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bBrian 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 2021.
Part I, Line 7Physicians and anesthesiologists are eligible for incentive bonuses based on their production.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Labette County Kansas
A486040264NoneAvail2017-01-26$15,000,000Partial refund of Series A and B, 2007 bonds issued000
Labette County Kansas
B486040264NoneAvail2020-06-02$10,000,000Financing of capital projects000
Labette County Kansas
C486040264NoneAvail2021-11-09$9,918,000Partial refund of Series 2016 bonds and financing of capital projects000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$2,198,000$15,000,000$240,000$14,760,00020100Yes (1)Yes (1)Yes (1)
B$300,000$2,370,660$174,000000Yes (1)$2,196,660
C$9,918,000$177,328$7,740,672Yes (1)00Yes (1)$2,000,052

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part IIFormAndLineReferenceDesc
ExplanationThe difference between Part I, column (e) and Part II, line 3 is due to the accumulation of investment income.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Robert Gibbs
TrusteeRecruiting assitance loanYes (X)$50,000$50,0000Yes (1)Yes (1)
Brian Williams
OfficerRetention loanYes (X)$200,000$65,3850Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$115,385TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Emily Brown
Family member of Ned Wall, Trustee$77,922Employment0
Tracy Gilmore
Family member of Wayne Gilmore, Trustee$114,140Employment0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescCapital assetsDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$586,005NoncashContributionsRptF990Amt
Method Of Determining RevenuesAmount paid for capiMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 7aMembers of the Board of Trustees are appointed by the Commissioners of Labette County, Kansas.
Form 990, Part VI, Section A, line 8bThere are no committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bForm 990 is reviewed by the CEO, CFO, and Controller and is provided to the Board prior to filing.
Form 990, Part VI, Section B, line 12cA 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 15The Board of Trustees is responsible for determining the job performance standards for the CEO and fixing compensation according to the organization's policies.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XII, Line 2cThe Medical Center has made no changes to the oversight process or selection process during the tax year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Labette Health Regional Partnerships Inc
1000 WalnutKansas CityMO64106464050502Operating a medical office building utilized for health care servicesKS501(c)(3)Line 12b, IILabette County Medical CenterYes (1)
Southeast Kansas Regional Health Inc
1902 S US Highway 59ParsonsKS67357813739559Provide healthcare facilities and servicesKS501(c)(3)Line 12b, IILabette County Medical CenterYes (1)
Labette Health Endowment Association
1902 S US Highway 59ParsonsKS67357853078800Facilitate an expansion and renovation of Labette Health propertyKS501(c)(3)Line 12a, ILabette County Medical CenterYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Labette Health Regional Partnerships Inc
D$144,376Actual amount owed
Labette Health Regional Partnerships Inc
K$52,567Actual amount paid
Labette Health Endowment Association
B$54,902Cash paid
Labette Health Endowment Association
C$586,005Amount paid for capital assets