2022-11-14T08:43:29-06:00 2021-12-31 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2021-01-01 486099245 Labette County Medical Center LABE 6204214880 1902 S US Highway 59 Parsons KS 67357 Thomas Macaronas CFO 6204214880 2022-11-11 1 Thomas Macaronas 999009999 Heather R Eichem P01515553 7852334226 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Labette Health Thomas Macaronas 1902 S US Highway 59 Parsons KS 67357 101579260 0 X www.labettehealth.com X Government 1961 KS Medical care for the southeast Kansas region 9 5 978 55 0 0 5860915 15776661 80728206 84437500 128684 285498 854055 1059963 87571860 101559622 197912 162429 0 0 43743426 47967717 0 0 105203 40023285 41077400 83964623 89207546 3607237 12352076 97513065 105070673 50835480 46041012 46677585 59029661 Focusing on the patient and providing exceptional healthcare through effective clinical and financial management. 0 0 77736209 162429 84437500 Labette County Medical Center operates physician clinics and provides inpatient and outpatient services to the residents of the southeastern Kansas area. 77736209 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 1 1 1 0 0 1 92 0 1 978 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 5 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X Thomas Macaronas 6204214880 1902 S US Highway 59 Parsons KS 67357 Perry Sorrell President 1.00 X X 0 0 0 Dee Bohnenblust Vice President 1.00 X X 0 0 0 Melissa Morris Treasurer 1.00 X X 0 0 0 Marna George Secretary 1.00 X X 0 0 0 Wayne Gilmore OD Trustee 1.00 X 0 0 0 Jill Thomas Trustee 1.00 X 0 0 0 Ned Wall Trustee 1.00 X 0 0 0 Manish Dixit MD Trustee 1.00 X 5396 0 0 Robert Gibbs MD Trustee 1.00 X 12250 0 0 Thomas Macaronas CFO/COO 40.00 X 191532 0 17098 Brian Williams President/CEO 40.00 X 571902 0 81716 Douglas Stacy CIO 40.00 X 184321 0 19585 Kathi McKinney CNO 40.00 X 198584 0 22948 Roseanne Olmstead Physician 40.00 X 475729 0 9716 Robert Legler Physician 40.00 X 490884 0 22462 Philip Gorman Anesthesiologist 40.00 X 431316 0 22654 Logan Wineland Physician 40.00 X 566636 0 15717 Eric Hunn Physician 40.00 X 506124 0 21384 3634674 0 233280 64 0 1 0 Cytocheck Laboratory LLC 1201 Corporate Drive Parsons KS 67357 Laboratory Services 1533784 Spencer Fane Britt and Browne LLP PO Box 872037 Kansas City MO 64187 Legal services 1119158 SilverCreek Medical 2400 N Broadway Pittsburg KS 66762 Billing services 765768 CPSI 54 St Emanuel Street Mobile AL 36602 Computer support services 764066 Melinda Allen Cullins 1361 Country Road 1600 Caney KS 67333 Physician services 476221 28 586005 14581167 609489 586005 15776661 Patient service revenue 622110 77970138 77970138 340b pharmacy revenue 446110 6331988 6331988 Fitness center 713940 80874 80874 54500 54500 84437500 211715 211715 256217 0 256217 256217 256217 93421 19638 73783 73783 73783 Cafeteria meals 722210 257980 257980 Leased employees 900099 128060 128060 417706 417706 803746 101559622 84437500 0 1345461 158429 158429 4000 4000 1323006 16796 1306210 39714430 36521139 3119999 73292 1207514 1175132 30024 2358 3047605 2755498 286577 5530 2675162 2390132 280234 4796 1315856 1315856 7169584 6011683 1157869 32 799710 300183 494379 5148 281390 64158 216496 736 280075 280075 2796184 2524152 268915 3117 82060 68614 13445 1 1182985 1025648 156627 710 3210460 2678166 526194 6100 744980 488073 256879 28 Drugs and medical suppl 15603857 15603857 Collection fees 2718711 2280535 438176 Repairs and maintenance 2206438 1739863 465929 646 Food and paper goods 632190 632190 2052920 1297961 752250 2709 89207546 77736209 11366134 105203 3482463 3562844 38846300 41764699 10142671 11960536 215385 115385 10872218 11145749 2060823 2146911 897871 471576 101890491 69217718 27146344 32672773 3848990 1230200 97513065 105070673 11701823 11832328 9983129 4101740 21707000 24790658 2666300 2943749 4777228 2372537 50835480 46041012 X 44921440 57110565 1756145 1919096 46677585 59029661 97513065 105070673 12352076 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8862 8862 0 Part II-B, Line 1: A portion of the annual dues paid by Labette County Medical Center to various healthcare associations has been identified as lobbying activities by those associations. Labette County Medical Center does not participate in activities supporting a political candidate. 949808 949808 60216229 43332616 16883613 39564980 25885102 13679878 1159474 1159474 32672773 X Part X, Line 2: Labette Health is exempt from federal income taxes pursuant to Sections 115 and 501(a) of the Internal Revenue Code. 1 1 1 X 1 X 1 1 0 0 486539 155899 330640 0.00370 11009796 6254144 4755652 0.05330 11496335 6410043 5086292 0.05700 58245 10693 47552 0.00050 4000 4000 0.00000 20548748 16546600 4002148 0.04490 103527 103527 0.00120 20714520 16557293 4157227 0.04660 32210855 22967336 9243519 0.10360 1 4434076 443408 19041140 16950090 2091050 X 1 1 1 1 Labette County Medical Center 1902 S US Highway 59 Parsons KS 67657 X X X Labette County Medical Center 1 0 0 0 1 1 50000 1 X 150.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X http://www.labettehealth.com/ X http://www.labettehealth.com/ X http://www.labettehealth.com/ X X X X X X 1 X 0 X X 1 X 0 0 Labette County Medical Center Part V, Section B, Line 5: Labette County Medical Center evaluated the Community Health Needs Assessment by surveying its constituents through personal feedback, surveys, and organization and community town hall meetings. Those involved in the feedback process were 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 Center Part 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. 10 1 - Independence Health Center 510 N Peter Pan Road Independence KS 67301 Emergency, outpatient services and rural health clinic 2 - Labette Health Physicians Group 1902 S Hwy 59 Bldg E Parsons KS 67357 Physician and rural health clinic 3 - Cherryvale Clinic 209 E Main Street Cherryvale KS 67335 Rural health clinic 4 - St Paul Clinic 200 Carroll St Paul KS 66771 Rural health clinic 5 - Altamont Clinic 607 E 4th Street Altamont KS 67330 Rural health clinic 6 - Erie Clinic 324 S Main Street Erie KS 66733 Rural health clinic 7 - Chanute Clinic and Express Care 2613 South Santa Fe Avenue Chanute KS 66720 Rural health clinic 8 - Women's and Children's Clinic 209 N 6th Street Suite 103 Independence KS 67301 Rural health clinic 9 - Oswego Clinic and Express Care 608 Commercial Oswego KS 67356 Physician and rural health clinic 10 - Chetopa Clinic 613 Maple Street Chetopa KS 67336 Physician and rural health clinic Part I, Line 7: Financial assistance at cost was determined by utilizing departmental cost-to-charge ratios for financial assistance provided in areas that are reported as subsidized health services. An overall cost-to-charge ratio derived from Worksheet 2 was used to determine the cost of financial assistance provided for services not reported as subsidized health services.Unreimbursed Medicaid costs were also determined using a blend of cost-to-charge ratios for certain services and an overall cost-to-charge ratio derived from Worksheet 2 for all other services.The cost of providing subsidized health services was determined using a cost-to-charge ratio for each service.Actual costs and revenues were utilized for all other items reported on line 7. Part I, Line 7g: Subsidized health services are comprised of services that Labette Health provides despite a financial loss to the organization. These services include outpatient physician clinics. The cost of outpatient physician clinics amounts to $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 1 Labette Health Foundation 1902 South US Highway 59 Parsons KS 67357 481009259 501(c)(3) 36173 0 Consulting expenses and other assistance Community Health Center of Southeast Kansas PO Box 1832 Pittsburg KS 66762 753002264 501(c)(3) 35000 0 Funding for the John U Parolo Education Center Labette County Emergency Assistance Center PO Box 271 Parsons KS 67357 481233718 501(c)(3) 0 6481 Amount paid Food Food to serve needy individuals Community Foundation for Independence PO Box 1003 Independence KS 67301 205218378 501(c)(3) 25000 0 Cash donation for Central Parks Sports Complex 4 Part I, Line 2: The Medical Center monitors the use of grant funds by requiring receipts and other supporting documentation before disbursing any requested funds. X X X 0 1 0 0 0 0 0 1 0 Brian Williams President/CEO 424615 0 9000 0 138287 0 80000 0 1716 0 653618 0 0 0 Logan Wineland Physician 431027 0 42100 0 93509 0 8000 0 7717 0 582353 0 0 0 Eric Hunn Physician 400646 0 53705 0 51773 0 6730 0 14654 0 527508 0 0 0 Robert Legler Physician 158844 0 188013 0 144027 0 8000 0 14462 0 513346 0 0 0 Roseanne Olmstead Physician 376961 0 58850 0 39918 0 8000 0 1716 0 485445 0 0 0 Philip Gorman Anesthesiologist 339442 0 25250 0 66624 0 8000 0 14654 0 453970 0 0 0 Kathi McKinney CNO 139216 0 40250 0 19118 0 10010 0 12938 0 221532 0 0 0 Thomas Macaronas CFO/COO 153446 0 28250 0 9836 0 11098 0 6000 0 208630 0 0 0 Douglas Stacy CIO 145943 0 25250 0 13128 0 6647 0 12938 0 203906 0 0 0 Part I, Line 4b Brian Williams, current CEO, is eligible to receive IRC section 457(f) retirement plan contributions of up to $30,000 annually at the discretion of the Board of Trustees. $30,000 was contributed to Brian's IRC section 457(f) plan during 2021. Part I, Line 7 Physicians and anesthesiologists are eligible for incentive bonuses based on their production. A Labette County Kansas 486040264 NoneAvail 2017-01-26 15000000 Partial refund of Series A and B, 2007 bonds issued 0 0 0 B Labette County Kansas 486040264 NoneAvail 2020-06-02 10000000 Financing of capital projects 0 0 0 C Labette County Kansas 486040264 NoneAvail 2021-11-09 9918000 Partial refund of Series 2016 bonds and financing of capital projects 0 0 0 A 2198000 15000000 240000 14760000 2010 0 1 1 1 B 300000 2370660 174000 2196660 0 0 0 1 C 9918000 177328 7740672 2000052 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Schedule K, Part II The difference between Part I, column (e) and Part II, line 3 is due to the accumulation of investment income. Robert Gibbs Trustee Recruiting assitance loan X 50000 50000 0 1 1 Brian Williams Officer Retention loan X 200000 65385 0 1 1 115385 Emily Brown Family member of Ned Wall, Trustee 77922 Employment 0 Tracy Gilmore Family member of Wayne Gilmore, Trustee 114140 Employment 0 X Capital assets 1 586005 Amount paid for capi 0 0 0 Form 990, Part VI, Section A, line 7a Members of the Board of Trustees are appointed by the Commissioners of Labette County, Kansas. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b Form 990 is reviewed by the CEO, CFO, and Controller and is provided to the Board prior to filing. Form 990, Part VI, Section B, line 12c A conflict of interest disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each member of the Board of Trustees upon election and annually thereafter. Form 990, Part VI, Section B, line 15 The Board of Trustees is responsible for determining the job performance standards for the CEO and fixing compensation according to the organization's policies. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XII, Line 2c The Medical Center has made no changes to the oversight process or selection process during the tax year. Labette Health Regional Partnerships Inc 1000 Walnut Kansas City MO 64106 464050502 Operating a medical office building utilized for health care services KS 501(c)(3) Line 12b, II Labette County Medical Center 1 Southeast Kansas Regional Health Inc 1902 S US Highway 59 Parsons KS 67357 813739559 Provide healthcare facilities and services KS 501(c)(3) Line 12b, II Labette County Medical Center 1 Labette Health Endowment Association 1902 S US Highway 59 Parsons KS 67357 853078800 Facilitate an expansion and renovation of Labette Health property KS 501(c)(3) Line 12a, I Labette County Medical Center 1 0 1 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 Labette Health Regional Partnerships Inc D 144376 Actual amount owed Labette Health Regional Partnerships Inc K 52567 Actual amount paid Labette Health Endowment Association B 54902 Cash paid Labette Health Endowment Association C 586005 Amount paid for capital assets