MIAMI COUNTY MEDICAL CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MIAMI COUNTY MEDICAL CENTER INC (EIN 48-1155548)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201843199349311004
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T13:21:04-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 641062246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481155548 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIAMI COUNTY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % TIERNEY L GRASSER | InCareOfNm |
| Business Name Control | MIAM | BusinessNameControlTxt |
| Phone | 9137914461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 BAPTISTE DRIVE | AddressLine1Txt |
| City | PAOLA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66071 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIERNEY L GRASSER | PersonNm |
| Person Title | SR VP/CFO | PersonTitleTxt |
| Phone | 9137914461 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael J Engle | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43372220183195000030 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2FDF6C8628F65582BED0B107C709513F48D8570B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 876A1D03DE60EC9B40C6AE3A7A8021F568D68EEB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIERNEY L GRASSER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20333 W 151ST STREET | AddressLine1Txt |
| City | OLATHE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,463,695 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OLATHEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 151 | TotalEmployeeCnt |
| Total Volunteers | 27 | TotalVolunteersCnt |
| Total Gross UBI | $175 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,211 | PYContributionsGrantsAmt |
| CY Contributions Grants | $68,447 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,319,638 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,334,536 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,324,554 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,708,931 | CYInvestmentIncomeAmt |
| PY Other Revenue | $73,851 | PYOtherRevenueAmt |
| CY Other Revenue | $183,530 | CYOtherRevenueAmt |
| PY Total Revenue | $25,743,254 | PYTotalRevenueAmt |
| CY Total Revenue | $26,295,444 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $51,811 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $46,651 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,341,121 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,596,037 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,470,054 | PYOtherExpensesAmt |
| CY Other Expenses | $12,420,550 | CYOtherExpensesAmt |
| PY Total Expenses | $21,862,986 | PYTotalExpensesAmt |
| CY Total Expenses | $23,063,238 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,880,268 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,232,206 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $65,245,421 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,742,674 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,251,244 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,318,544 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,994,177 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $68,424,130 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MIAMI COUNTY MEDICAL CENTER, INC. IS FOCUSED ON IMPROVING THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $18,830,728 | ExpenseAmt |
| Grant | $46,651 | GrantAmt |
| Revenue | $23,334,536 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $18,830,728 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 151 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIERNEY L GRASSER | PersonNm |
| Phone | 9137914461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20333 W 151ST STREET | AddressLine1Txt |
| City | OLATHE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GARY FRENCH | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DENISE GERMAN RNC | ||||||||
| TRUSTEE/VICE-CHAIRPERSON | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| STEPHEN M MILLER | ||||||||
| TRUSTEE/SECRETARY/TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JACK TINNEL | ||||||||
| TRUSTEE/CHAIRPERSON | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHIP WOOD | ||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| FRANK H DEVOCELLE | ||||||||
| PRESIDENT/CEO | 5.0 | 40.0 | $0 | $1,061,749 | $19,467 | Yes (X) | ||
| TIERNEY L GRASSER | ||||||||
| SVP/CHIEF FINANCIAL OFFICER | 5.0 | 40.0 | $0 | $1,100,368 | $33,200 | Yes (X) | ||
| JAMES WETZEL | ||||||||
| SVP/CHIEF MEDICAL OFFICER | 5.0 | 40.0 | $0 | $552,707 | $29,575 | Yes (X) | ||
| DAVID PURSELL | ||||||||
| VP/GENERAL COUNSEL | 5.0 | 40.0 | $0 | $311,886 | $24,115 | Yes (X) | ||
| PAUL LUCE | ||||||||
| VICE PRESIDENT/COO - MCMC | 45.0 | 0.0 | $187,336 | $0 | $20,829 | Yes (X) | ||
| STACEY GRAY | ||||||||
| PHARMACY MANAGER | 45.0 | 0.0 | $141,256 | $0 | $18,229 | Yes (X) | ||
| AUBREY SLAYMAN | ||||||||
| DIRECTOR OF PATIENT CARE | 45.0 | 0.0 | $109,349 | $0 | $24,461 | Yes (X) | ||
| TERESA POMATTO | ||||||||
| PHYSICAL THERAPIST | 40.0 | 0.0 | $95,326 | $0 | $25,489 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $533,267 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,026,710 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $195,365 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUTHWEST KS EMER PHYS | |||||
| PO BOX 341246 | DETROIT | MI | 48267 | ER PHYSICIAN SERVICE | $2,075,872 |
| LEGACY CONTRACTORS | |||||
| 907 N PEARL STE 4 | PAOLA | KS | 66071 | CONSTRUCTION | $470,777 |
| P1 GROUP INC | |||||
| 16210 W 108TH ST | LENEXA | KS | 66219 | SERVICE CONTRACTS | $342,438 |
| SHARED MEDICAL SERVICES INC | |||||
| PO BOX 330 | COTTAGE GROVE | WI | 53527 | MRI SERVICES | $318,340 |
| ENTERPRISE COMMUNICATIONS INC | |||||
| 993 NE DELTA SCHOOL RD | LEES SUMMIT | MO | 64064 | OUTSIDE SERVICES | $141,923 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $68,225 | RelatedOrganizationsAmt |
| All Other Contributions | $222 | AllOtherContributionsAmt |
| Total Contributions | $68,447 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $23,334,536 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,334,536 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,334,536 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,635,848 | TotalRevenueColumnAmt |
| Exclusion | $1,635,848 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $124,743 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $168,251 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$43,508 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$43,508 | TotalRevenueColumnAmt |
| Exclusion | -$43,508 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,073,083 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,073,083 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,073,083 | TotalRevenueColumnAmt |
| Exclusion | $1,073,083 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| REBATES | 900099 | $21,462 | $21,462 | |
| CAFETERIA SALES | 722514 | $20,403 | $20,403 | |
| LAB INCOME | 621500 | $175 | $175 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,998 | TotalRevenueColumnAmt |
| Exclusion | $184,998 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $227,038 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,295,444 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,334,536 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $175 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,892,286 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,651 | TotalAmt |
| Program Services | $43,651 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Program Services | $3,000 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,165 | TotalAmt |
| Program Services | $181,603 | ProgramServicesAmt |
| Management And General | $26,562 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,481 | TotalAmt |
| Management And General | $110,481 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,399,414 | TotalAmt |
| Program Services | $6,600,720 | ProgramServicesAmt |
| Management And General | $1,798,694 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,379 | TotalAmt |
| Program Services | $139,049 | ProgramServicesAmt |
| Management And General | $20,330 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186,342 | TotalAmt |
| Program Services | $1,035,018 | ProgramServicesAmt |
| Management And General | $151,324 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,256 | TotalAmt |
| Program Services | $464,364 | ProgramServicesAmt |
| Management And General | $67,892 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,065 | TotalAmt |
| Management And General | $311,065 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,825 | TotalAmt |
| Management And General | $14,825 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,903 | TotalAmt |
| Management And General | $37,903 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,101 | TotalAmt |
| Management And General | $13,101 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,638,251 | TotalAmt |
| Program Services | $3,125,024 | ProgramServicesAmt |
| Management And General | $513,227 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,486 | TotalAmt |
| Program Services | $100,486 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $926,653 | TotalAmt |
| Program Services | $316,950 | ProgramServicesAmt |
| Management And General | $609,703 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,866 | TotalAmt |
| Program Services | $483,777 | ProgramServicesAmt |
| Management And General | $95,089 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,282 | TotalAmt |
| Program Services | $2,616 | ProgramServicesAmt |
| Management And General | $10,666 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,491 | TotalAmt |
| Program Services | $89,418 | ProgramServicesAmt |
| Management And General | $13,073 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,103,308 | TotalAmt |
| Program Services | $962,576 | ProgramServicesAmt |
| Management And General | $140,732 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,756 | TotalAmt |
| Program Services | $118,440 | ProgramServicesAmt |
| Management And General | $17,316 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt Expense | $2,600,744 | $2,600,744 | |
| Medical Supplies | $2,309,176 | $2,309,115 | $61 |
| Medicaid Assessment | $71,942 | $71,942 | |
| Dues & Subscriptions | $77,944 | $49,448 | $28,496 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,757 | TotalAmt |
| Program Services | $132,787 | ProgramServicesAmt |
| Management And General | $251,970 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,063,238 | TotalAmt |
| Program Services | $18,830,728 | ProgramServicesAmt |
| Management And General | $4,232,510 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,258,602 | BOYAmt |
| EOY | $693,167 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,029,623 | BOYAmt |
| EOY | $2,984,989 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,626 | BOYAmt |
| EOY | $757,232 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,714 | BOYAmt |
| EOY | $105,412 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,306,757 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,138,860 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,141,973 | BOYAmt |
| EOY | $8,167,897 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,902,976 | BOYAmt |
| EOY | $53,150,805 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,525,008 | BOYAmt |
| EOY | $5,751,756 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,899 | BOYAmt |
| EOY | $131,416 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,245,421 | BOYAmt |
| EOY | $71,742,674 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,164,364 | BOYAmt |
| EOY | $2,012,695 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,230,770 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $856,110 | BOYAmt |
| EOY | $1,305,849 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,251,244 | BOYAmt |
| EOY | $3,318,544 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,993,835 | BOYAmt |
| EOY | $68,356,501 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342 | BOYAmt |
| EOY | $67,629 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,994,177 | BOYAmt |
| EOY | $68,424,130 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,245,421 | BOYAmt |
| EOY | $71,742,674 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,232,206 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $6,197,747 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $3,537 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $3,537 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1F | FormAndLineReferenceDesc |
| Explanation | THE LOBBYING EXPENDITURES ARE THE PORTION OF HOSPITAL ASSOCIATION DUES THAT RELATE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $51,635,212 | BeginningYearBalanceAmt |
| Contributions | $67,287 | ContributionsAmt |
| Investment Earnings Or Losses | $8,867,799 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,400,000 | OtherExpendituresAmt |
| End Year Balance | $58,170,298 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $47,717,171 | BeginningYearBalanceAmt |
| Contributions | $475,000 | ContributionsAmt |
| Investment Earnings Or Losses | $3,443,041 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $51,635,212 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $46,075,614 | BeginningYearBalanceAmt |
| Contributions | $1,573,840 | ContributionsAmt |
| Investment Earnings Or Losses | $67,717 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $47,717,171 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,519,913 | BeginningYearBalanceAmt |
| Contributions | $700,000 | ContributionsAmt |
| Investment Earnings Or Losses | $2,867,243 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,542 | OtherExpendituresAmt |
| End Year Balance | $46,075,614 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $34,895,600 | BeginningYearBalanceAmt |
| Contributions | $681,000 | ContributionsAmt |
| Investment Earnings Or Losses | $6,961,043 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $17,730 | OtherExpendituresAmt |
| End Year Balance | $42,519,913 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.99884 | BoardDesignatedBalanceEOYPct |
| Term Endowment Balance EOY | 0.00116 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,419,375 | OtherCostOrOtherBasisAmt |
| Book Value | $2,419,375 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,409,720 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,666,280 | DepreciationAmt |
| Book Value | $2,743,440 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,625,295 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,903,599 | DepreciationAmt |
| Book Value | $2,721,696 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $852,367 | OtherCostOrOtherBasisAmt |
| Depreciation | $568,981 | DepreciationAmt |
| Book Value | $283,386 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,167,897 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in SSGA | Desc |
| Book Value | $5,751,756 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $5,751,756 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Affiliates | Desc |
| Amt | $1,305,849 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,305,849 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $402,804,626 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $6,197,747 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $372,992,567 | OtherRevenueAmt |
| Revenue Not Reported | $379,190,314 | RevenueNotReportedAmt |
| Revenue Subtotal | $23,614,312 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $13,101 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $2,668,031 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,681,132 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,295,444 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $339,373,797 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $318,924,404 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $318,924,404 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,449,393 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $13,101 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $2,600,744 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,613,845 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $23,063,238 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | THE ENDOWMENT FUNDS ARE HELD FOR FUTURE CAPITAL AND EXPANSION NEEDS. IN ADDITION, THE FUNDS ALSO REPRESENT RESERVES FOR OPERATING NEEDS TO REMAIN FINANCIALLY STABLE. |
| 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. |
| SCHEDULE D, PART XI, LINE 2D | RELATED ORGANIZATIONS' REVENUE $ 442,466,281 ELIMINATIONS ( 69,641,965) RENTAL EXPENSES 168,251 ------------ TOTAL $ 372,992,567 |
| SCHEDULE D, PART XI, LINE 4B | BAD DEBT EXPENSE $ 2,600,744 TEMPORARILY RESTRICTED CONTRIBUTIONS 67,287 ------------- TOTAL $ 2,668,031 |
| SCHEDULE D, PART XII, LINE 2D | RELATED ORGANIZATIONS' EXPENSES $ 327,330,058 ELIMINATIONS ( 8,573,905) RENTAL EXPENSES 168,251 ------------ TOTAL $ 318,924,404 |
| SCHEDULE D, PART XII, LINE 4B | BAD DEBT EXPENSE $ 2,600,744 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $376,132 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $376,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01840 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,099,285 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $778,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,320,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06450 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,475,417 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $778,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,696,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,658 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $129,205 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $129,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,988 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $227,251 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $227,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,702,668 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $778,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,923,701 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09400 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $649 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,095 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,095 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,744 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,744 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $742,615 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $555,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,171,728 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,585,521 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,413,793 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIAMI COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 BAPTISTE DRIVE | AddressLine1Txt |
| City | PAOLA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66071 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.OLATHEHEALTH.ORG | WebsiteAddressTxt |
| State License | H-061-001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIAMI COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MIAMI COUNTY MEDICAL CENTER, INC (MCMCI) CONDUCTED A TOWN HALL MEETING ON THURSDAY, OCT. 22, 2015. 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. 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 MCMCI. |
| 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 | MCMCI DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN EARLY 2016 TO ADDRESS THE TOP HEALTH-NEED PRIORITIES THAT WERE IDENTIFIED THROUGH THE ASSESSMENT DESCRIBED ABOVE. THE MCMCI BOARD OF TRUSTEES APPROVED IT IN NOVEMBER 2016. THIS IS A THREE-YEAR PLAN, WHICH BEGAN IN 2017, SPEAKS TO EACH HEALTH NEED PRIORITY, OUTLINING MCMCIS 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 | WWW.OLATHEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| LOUISBURG REHAB OF MIAMI CTY MEDICAL CTR | ||||
| 102 W CRESTVIEW CIRCLE | LOUISBURG | KS | 66053 | OUTPATIENT REHABILITATION CLINIC |
| OSAWATOMIE REHAB OF MIAMI CTY MED CENTER | ||||
| 539 MAIN STREET | OSAWATOMIE | KS | 66064 | OUTPATIENT REHABILITATION CLINIC |
| PAOLA REHAB OF MIAMI CTY MEDICAL CTR | ||||
| 1312 KANSAS AVENUE | PAOLA | KS | 66071 | OUTPATIENT REHABILITATION CLINIC |
| SPRING HILL REHAB OF MIAMI CTY MED CTR | ||||
| 22378 S HARRISON | SPRING HILL | KS | 66083 | OUTPATIENT REHABILITATION CLINIC |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | SEE PART VI, 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 $2,600,744. |
| 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 | MIAMI COUNTY MEDICAL CENTER, INC. (MCMCI) IS COMMITTED TO IMPROVING THE COMMUNITY WE SERVE. OUR EMPLOYEES ARE INVOLVED IN A VARIETY OF ACTIVITIES IN OUR COMMUNITY THAT SUPPORT THE GENERAL ECONOMIC IMPROVEMENT OF OUR COMMUNITY; THE HEALTH, WELL-BEING AND SAFETY OF OUR AREAS RESIDENTS; AS WELL AS SUPPORTING PROGRAMS AND OTHER ORGANIZATIONS THAT REACH OUT TO OUR CITIZENS IN NEED. A FEW EXAMPLES OF MCMCIS INVOLVEMENT IN 2017 INCLUDE: 1) INVOLVEMENT IN THE MIAMI COUNTY ECONOMIC DEVELOPMENT ADVISORY BOARD AND LOCAL CIVIC ORGANIZATIONS. 2) OUR SUPPORT OF THE HEALTH PARTNERSHIP CLINIC, SERVING THE UNINSURED OF OUR COMMUNITY. 3) OUR SUPPORT OF LAKEMARY CENTER, A NONPROFIT SERVING CHILDREN AND ADULTS WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES. 4) LEADERSHIP PARTICIPATION ON THE BOARD OF DIRECTORS FOR THE ELIZABETH LAYTON CENTER, A NONPROFIT COMMUNITY MENTAL HEALTH CENTER SERVING THE MENTAL HEALTH TREATMENT NEEDS OF THE RESIDENTS OF THE COMMUNITIES IT SERVES. 5) PARTICIPATION IN COMMUNITY ORGANIZATIONS AND EVENTS THROUGH DONATIONS AND BY PROVIDING HEALTH EDUCATION AND SERVICES, INCLUDING THE MIAMI COUNTY CANCER FOUNDATION. 6) LEADERSHIP AND PARTICIPATION ON OUR AREAS EMERGENCY PREPAREDNESS EFFORTS BY COORDINATING EXTENSIVE DRILLS TO PRACTICE OUR RESPONSE TO POTENTIAL SITUATIONS. 7) PARTICIPATION IN THE PAOLA PATHWAYS ORGANIZATION, A GROUP RESPONSIBLE FOR DEVELOPING WALKING AND BIKING TRAILS IN AND AROUND PAOLA. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART III, LINE 2, OF SCHEDULE H, IS A COST ACCOUNTING SYSTEM. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | THE AMOUNT INCLUDED ON LINE 3 THAT COULD BE ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS 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, SECTION A, LINE 4 | SEE PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| 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. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THAT THE COST OF PROVIDING THE CARE MAY EXCEED THE PAYMENT WE RECEIVE FROM THE MEDICARE PROGRAM. THE SHORTFALLS SHOULD BE CONSIDERED COMMUNITY BENEFIT AS MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. IT IS ALSO IMPLIED IN INTERNAL REVENUE SERVICE RULING 69-545 ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS AND INDICATES THAT PARTICIPATION IN PUBLICALLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. |
| SCHEDULE H, PART III, SECTION B, LINE 9B | BEFORE PLACEMENT WITH COLLECTION AGENCIES, MCMCI PATIENT FINANCIAL SERVICES OFFERS VARIOUS OPTIONS FOR PATIENTS WITH FINANCIAL DIFFICULTIES. IN ADDITION TO OFFERING OUR OWN FINANCIAL ASSISTANCE TO QUALIFYING INDIVIDUALS, MCMCI CONTRACTS WITH AN AGENCY THAT SCREENS INDIVIDUALS FOR ELIGIBILITY FOR PROGRAMS LIKE MEDICAID, DISABILITY AND CRIME VICTIMS COMPENSATION AND THEN HELPS THEM THROUGH THE APPLICATION PROCESS. THE USE OF PROPENSITY TO PAY SOFTWARE ALSO HELPS MCMCI IDENTIFY INDIVIDUALS THAT MAY NEED ASSISTANCE THAT HAVE NOT COMPLETED AN APPLICATION. MCMCI HAS LANGUAGE WRITTEN IN THEIR COLLECTION AGENCY CONTRACT THAT STATES, "IF THE COLLECTION AGENCY LEARNS A PATIENT/DEBTOR HAS NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET HIS FINANCIAL OBLIGATION, THE AGENCY WILL NOT PURSUE COLLECTION ACTIVITIES AGAINST THE PATIENT/DEBTOR, UNLESS OR UNTIL THE AGENCY LEARNS THAT THE PATIENT/DEBTOR HAS INCOME OR ASSETS TO MEET THE OBLIGATION." IF THE COLLECTION AGENCY IS NOTIFIED BY THE PATIENT/DEBTOR THAT THIS CREATED AN UNDUE FINANCIAL HARDSHIP OR BURDEN DUE TO A CHANGE IN THEIR INCOME OR ASSETS, THE AGENCY WILL NOTIFY MCMCI AND AWAIT FURTHER DIRECTION FROM THE HOSPITAL. |
| SCHEDULE H, PART VI, LINE 2 | MIAMI COUNTY MEDICAL CENTER, INC. (MCMCI) IS CONTINUALLY ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES IN A VARIETY OF WAYS. INFORMALLY, MCMCI IS INVOLVED IN MULTIPLE HEALTH FAIRS AND OTHER COMMUNITY OUTREACH ACTIVITIES THAT INVOLVE SCREENINGS, QUESTIONNAIRES AND GENERAL CONVERSATION THAT HELP US UNDERSTAND THE NEEDS OF GROUPS AND INDIVIDUALS. ALSO, THE MCMCI COMMUNITY ADVISORY COUNCIL MEETS ON A REGULAR BASIS WITH REPRESENTATIVES FROM A DIVERSE GROUP OF INDIVIDUALS WHO PROVIDE HELPFUL INPUT FROM THE ORGANIZATIONS AND COMMUNITIES THEY REPRESENT. IN 2015, MCMCI CONTINUED ITS FORMAL PROCESS OF ASSESSMENT. IN PARTNERSHIP WITH THE MIAMI COUNTY DEPARTMENT OF HEALTH, AND WITH THE HELP OF VVV RESEARCH AND DEVELOPMENT, MCMCI CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR ITS PRIMARY SERVICE AREA (MIAMI COUNTY). THIS WAS DONE BY PERFORMING RESEARCH, COLLECTING HEALTH DATA FOR THE AREA AND ACTIVELY SEEKING INPUT FROM THE COMMUNITY THROUGH A SURVEY AND TOWN HALL MEETINGS. THE BOARD APPROVED THE CHNA IN NOVEMBER 2015. THE RESEARCH, SURVEY AND TOWN HALL MEETINGS HELPED DEVELOP A CLEARER PICTURE OF OUR SERVICE AREAS AND THE HEALTH PRIORITIES OF RESIDENTS. BELOW ARE THE TOP FOUR HEALTH NEED PRIORITIES IN THE PRIMARY SERVICE AREAS OF MCMCI. HEALTH NEED PRIORITIES 2017-2019- MCMCI 1. INCREASE ACCESS TO BEHAVIORAL HEALTH, SUBSTANCE ABUSE AND CRISIS INTERVENTION THROUGH THE EXPANSION OF PREVENTION AND EDUCATION. 2. IMPROVE AND EXPAND ACCESS TO PRIMARY CARE SERVICES. 3. DECREASE TOBACCO USE. 4. DECREASE OBESITY RATE AMONG RESIDENTS AND INCREASE ACCESS TO HEALTHY FOOD. IN THE 2016, MCMCI DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO ADDRESS THE TOP HEALTH-NEED PRIORITIES THAT WERE IDENTIFIED THROUGH THE ASSESSMENT DESCRIBED ABOVE. IT WAS APPROVED BY THE MCMCI BOARD OF TRUSTEES IN NOVEMBER 2016. THIS IS A THREE-YEAR PLAN THAT BEGAN IMPLEMENTATION IN 2017 AND SPEAKS TO EACH HEALTH NEED PRIORITY, OUTLINING MCMCIS 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. IN 2017, MCMCI BEGAN IMPLEMENTATION OF ITS CHIP. THE FIRST PRIORITY FOR THE COMMUNITY WAS INCREASED ACCESS TO BEHAVIORAL HEALTH, SUBSTANCE ABUSE AND CRISIS INTERVENTION THROUGH THE EXPANSION OF PREVENTION AND EDUCATION. THE FIRST RESPONSE FOR MCMCI WAS TO PARTNER WITH ELIZABETH LAYTON CENTER AND SUPPORT THEIR EFFORTS TO INCREASE THE NUMBER OF NON-MEDICAL CRISIS BEDS AVAILABLE IN THE COUNTY. AFTER FURTHER DISCUSSIONS WITH THE COMMUNITY STAKEHOLDERS AND MCMCI LEADERSHIP, WE EXPANDED THAT RESPONSE TO SUPPORT LOCAL AND STATE INITIATIVES TO ADD BEHAVIORAL HEALTH CRISIS BEDS TO SERVE THE COUNTY. THE GOAL FOR 2017 WAS TO PARTICIPATE IN 90% OF THE DESIGNATED MEETINGS ON BEHALF OF OLATHE HEALTH WITH ELIZABETH LAYTON CENTER, OSAWATOMIE STATE HOSPITAL AND THE BEHAVIORAL HEALTH TASK FORCE THROUGH THE KANSAS HOSPITAL ASSOCIATION (KHA). REPRESENTATIVES FROM MCMCIS LEADERSHIP TEAM PARTICIPATED IN MORE THAN 90% OF THESE MEETINGS ON BEHALF OF OLATHE HEALTH. IN ADDITION, THERE WAS ALSO PARTICIPATION ON KHAS PATIENT QUALITY AND SAFETY COMMITTEE. THE SECOND RESPONSE TO ADDRESS BEHAVIORAL HEALTH ACCESS WAS TO DETERMINE THE FEASIBILITY OF ADDING A GERIATRIC PSYCHIATRY UNITY ON THE CAMPUS OF MCMC. IN JUNE 2017, IT WAS DETERMINED THIS WAS NOT A FEASIBLE DUE TO A NUMBER OF CONSTRAINTS INCLUDING PLACEMENT FOR PATIENTS POST-TREATMENT. THE THIRD RESPONSE WAS TO DEVELOP AND ESTABLISH A BEHAVIORAL HEALTH COALITION IN MIAMI COUNTY. THE GOAL FOR 2017 WAS TO ESTABLISH THE COALITION BY MAY 1, 2017, WHICH WAS ACHIEVED BY IDENTIFYING APPROPRIATE COMMUNITY MEMBERS, LAW ENFORCEMENT AND MENTAL HEALTH CENTER REPRESENTATIVES WILLING TO SERVE ON A COALITION. THE SECOND PORTION OF THE GOAL, WHICH WAS TO DEVELOP A STRATEGIC PLAN BY DEC. 31, 2017, WAS NOT MET DUE TO A NUMBER OF CONFLICTS INCLUDING MEETING SCHEDULES. THE COALITION IS SET TO MEET IN 2018 AND CONTINUE WORK ON DEVELOPING THE STRATEGIC PLAN. IN ADDITION TO THIS COALITION, THERE ARE ONGOING MEETINGS BETWEEN MCMCI PERSONNEL, INCLUDING EMERGENCY CENTER, NURSING LEADERSHIP AND QUALITY, TO ENSURE SAFE AND APPROPRIATE TREATMENT IS AVAILABLE FOR MENTAL HEALTH PATIENTS IN CRISIS. THERE WERE A NUMBER OF ADDITIONAL EFFORTS TO SUPPORT THIS PRIORITY INCLUDING REGULAR PARTICIPATION IN THE MIAMI COUNTY CONNECT KANSAS COALITION. THIS GROUPS PRIMARY FOCUS FOR 2017 WAS TO SUPPORT MIAMI COUNTY THRIVE, WHICH IS A PROGRAM DESIGNED TO BREAK THE CYCLE OF GENERATIONAL POVERTY. MCMCI ALSO SUPPORTED PREVENTION OF UNDERAGE ALCOHOL USE THROUGH FINANCIAL SUPPORT OF AFTER PROM ACTIVITIES AT LOCAL HIGH SCHOOLS. WITHIN THE PRIMARY CARE CLINICS IN MIAMI AND LINN COUNTIES, EACH PATIENT, AGE 12 AND OLDER, UNDERGOES A DEPRESSION SCREENING USING THE STANDARDIZED TOOL CALLED THE PHQ-2. IF PATIENTS SCORE ANYTHING OTHER THAN A ZERO THEN A FULL PHQ-9 (9 QUESTION STANDARDIZED TOOL) TO FURTHER EVALUATE THE PATIENTS SYMPTOMS. PATIENTS WITH KNOWN DEPRESSION ARE FOLLOWED FOR DEPRESSION MANAGEMENT AND FOLLOW-UP OCCURS EVERY 4 MONTHS. THE SECOND PRIORITY TO ADDRESS WAS IMPROVING AND EXPANDING ACCESS TO PRIMARY CARE SERVICES. THE FIRST RESPONSE WAS TO RE-LOCATE THE FAMILY MEDICINE OFFICE IN PAOLA TO A MORE VISIBLE AND CONVENIENT LOCATION. THE GOAL FOR 2017 WAS TO OPEN THE NEW CLINIC BY DEC. 31, 2017. CONSTRUCTION DELAYS DUE TO WEATHER CONDITIONS IMPACTED THIS GOAL. THOUGH CONSTRUCTION WAS COMPLETED BY DEC. 31, 2017, THE CLINIC WAS NOT ABLE TO OPEN UNTIL EARLY JANUARY 2018. THE SECOND RESPONSE WAS TO EXPAND PRIMARY CARE SERVICES AVAILABLE FOR PEDIATRIC PATIENTS. THE GOAL FOR 2017 WAS TO INCREASE PEDIATRIC VISITS IN OLATHE HEALTH FAMILY MEDICINE CLINICS IN MIAMI AND LINN COUNTIES BY 3% OVER 2016. THROUGH THE ADDITION OF PEDIATRIC PROVIDERS AND EDUCATION IN THE COMMUNITY ABOUT THESE PROVIDERS, PEDIATRIC VISITS INCREASED BY 4% IN 2017. ADDITIONAL EFFORTS FOR THIS PRIORITY INCLUDED ENHANCED COLLABORATION AND PLANNING BETWEEN HEALTH PARTNERSHIP CLINIC AND OLATHE HEALTH LOCATIONS TO BETTER MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ANOTHER ADDITIONAL EFFORT INCLUDED THE AVAILABILITY OF SAME-DAY APPOINTMENTS AT OLATHE HEALTH FAMILY MEDICINE CLINICS FOR PATIENTS TO HAVE EASIER ACCESS TO THEIR PROVIDERS. THE THIRD PRIORITY IDENTIFIED THROUGH THE CHNA WAS DECREASING TOBACCO USE. THE RESPONSE FOR THIS INCLUDED IDENTIFYING PATIENTS WITHIN THE FAMILY MEDICINE CLINICS AND PROVIDING APPROPRIATE TOBACCO CESSATION COUNSELING. IN 2017, THE GOAL WAS TO INCREASE THE NUMBER OF PATIENTS RECEIVING TOBACCO CESSATION COUNSELING BY 50% OVER 2016. THE GOAL WAS MISSED, BUT PROGRESS WAS MADE BY PROVIDING APPROPRIATE COUNSELING TO 29% MORE PATIENTS IN 2017 THAN IN 2016. THE FOURTH PRIORITY WAS PROVIDING AFFORDABLE HEALTHY EATING OPTIONS AND NUTRITIONAL EDUCATION TO DECREASE THE OBESITY RATE IN MIAMI AND LINN COUNTIES. THE FIRST RESPONSE WAS TO INCREASE THE NUMBER OF PEOPLE ENROLLED IN DIABETES EDUCATION AT MCMCI, WHICH PROVIDES EDUCATION ABOUT EATING HEALTHY, HOW TO READ NUTRITION LABELS AND HOW TO PREPARE HEALTHY, AFFORDABLE MEALS. THE GOAL FOR 2017 WAS TO INCREASE THE NUMBER OF PEOPLE ENROLLED IN THE PROGRAM BY 20% OVER 2016. THE GOAL WAS NOT MET. THERE WAS A 15% DECREASE IN PROGRAM ENROLLMENT IN 2017. FACTORS IMPACTING THIS GOAL INCLUDED FREE PROGRAMS BEING OFFERED AT NEARBY FACILITIES, ECONOMIC BARRIERS FOR PATIENTS, AND DECREASED REFERRALS FROM PRIMARY CARE PROVIDERS. THE SECOND RESPONSE TO THIS PRIORITY WAS TO INCREASE THE NUMBER OF PRIMARY CARE PATIENTS WHO HAVE A BLOOD PRESSURE BELOW 140/90. HOWEVER, DUE TO THE SUCCESS WITH THE BLOOD PRESSURE METRIC (71.3% OF PATIENTS HAVE A BLOOD PRESSURE BELOW 140/90), THE CHIP PLANNING TEAM AGREED TO TARGET A DIFFERENT OBESITY-RELATED METRIC TO BETTER ADDRESS THIS COMMUNITY NEED. THE NEW METRIC IDENTIFIED IN 2017 WAS THE HEMOGLOBIN A1C. THE FOCUS WILL BE TO INCREASE THE NUMBER OF DIABETIC PATIENTS WHO HAVE A HEMOGLOBIN A1C UNDER 9. IN 2017, 29.5% OF DIABETIC PATIENTS WERE HITTING THIS METRIC. MCMCI SUPPORTED ADDITIONAL EFFORTS INCLUDING FINANCIALLY SUPPORTING THE WALKING TRAIL SYSTEM IN PAOLA TO ADD ADDITIONAL MILES OF WALKING TRAILS AROUND LAKE MIOLA. IT ALSO PROVIDED LEADERSHIP PARTICIPATION ON THE PLANNING TASK FORCE. MCMCI ALSO PROVIDED FINANCIAL SUPPORT IN THE FORM OF MEMBERSHIP SCHOLARSHIPS TO THE OZONE, THE COUNTYS ONLY SPORTS AND FITNESS FACILITY WITH FITNESS EQUIPMENT, DAYCARE, GYMNASIUM, LAP POOL AND SPORTS PROGRAMMING. AS BEING ONE OF THE LARGEST EMPLOYERS IN THE COUNTY, MCMCI OFFERS ITS EMPLOYEES A VARIETY OF HEALTH EDUCATION PROGRAM AND CLASSES. EMPLOYEES ALSO HAVE THE OPPORTUNITY TO HAVE ONE-ON-ONE COACHING AND FACE-TO-FACE COACHING SESSIONS ABOUT THEIR HEALTH. EACH YEAR, EMPLOYEES HAVE THE OPPORTUNITY TO TAKE A FREE HEALTH RISK ASSESSMENT, WHICH INCLUDES BLOOD PRESSURE, GLUCOSE AND CHOLESTEROL TESTING FOR EMPLOYEES AND THEIR SPOUSES. |
| SCHEDULE H, PART VI, LINE 3 | PATIENTS OF MIAMI COUNTY MEDICAL CENTER, INC. (MCMCI) 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 CENTERS WEBSITE, IN BOTH ENGLISH AND SPANISH. PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND SOCIAL WORKERS ARE TRAINED TO PROVIDE APPLICATIONS TO PATIENTS IF THEY EXPRESS ANY CONCERN REGARDING ABILITY TO PAY FOR SERVICES, OR MAY BE REFERRED TO AN AGENCY THE MEDICAL CENTER CONTRACTS WITH TO HELP INDIVIDUALS THROUGH THE APPLICATION PROCESS FOR PROGRAMS LIKE MEDICAID AND DISABILITY. PATIENTS THAT CALL OUR PATIENT FINANCIAL SERVICES DEPARTMENT EXPRESSING CONCERNS ABOUT BEING ABLE TO PAY FOR THEIR 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 | MIAMI COUNTY MEDICAL CENTER, INC. (MCMCI) SERVES THE PEOPLE OF MIAMI AND LINN COUNTIES IN KANSAS. MIAMI AND LINN COUNTIES ARE BOTH LOCATED IN RURAL AREAS OF THE STATE OF KANSAS AND ARE BOTH FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OF KANSAS. MCMCI IS THE ONLY HOSPITAL IN THESE TWO COUNTIES. HOWEVER, THERE ARE SEVERAL OTHER HOSPITALS LOCATED IN NEARBY METROPOLITAN AREAS, INCLUDING OLATHE AND OVERLAND PARK, KANSAS, AND KANSAS CITY, MISSOURI. IN ADDITION TO THE GENERAL HEALTHCARE SERVICES PROVIDED BY THE HOSPITAL AND ITS ASSOCIATED PHYSICIANS, MCMCI SERVES A DIVERSE POPULATION OF MENTALLY DISABLED PATIENTS. THE OSAWATOMIE STATE HOSPITAL, LAKEMARY CENTER, MEDICALODGE OF PAOLA AND THE TRI-KO ARE ALL ORGANIZATIONS LOCATED IN THE PRIMARY SERVICE AREA. MCMCI SUPPORTS EACH OF THESE ORGANIZATIONS BY PROVIDING MEDICAL CARE TO THEIR RESIDENTS, IN ADDITION TO FINANCIAL CONTRIBUTIONS TO SUPPORT PROGRAMS FOR THEIR RESIDENTS. BELOW IS A LISTING OF ECONOMIC LEVELS FOR AREA RESIDENTS. TIME PERIOD: 2012-2016 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES SOURCE: FACTFINDER.CENSUS.GOV PEOPLE LIVING BELOW POVERTY LEVEL MIAMI COUNTY: 9.6% LINN COUNTY: 15.0% YOUNG CHILDREN LIVING BELOW POVERTY LEVEL MIAMI COUNTY: 14.4% LINN COUNTY: 13.7% UNINSURED ADULT POPULATION RATE MIAMI COUNTY: 6.9% LINN COUNTY: 8.8% |
| SCHEDULE H, PART VI, LINE 5 | IN ADDITION TO THE ITEMS LISTED ABOVE, MIAMI COUNTY MEDICAL CENTER TAKES A VERY ACTIVE ROLE IN SUPPORT OF LOCAL, REGIONAL AND NATIONAL NOT-FOR-PROFIT ORGANIZATIONS WITH A FOCUS ON IMPROVING HEALTH AND SUPPORTING THOSE IN NEED. MCMCI PROVIDES SUPPORT FINANCIALLY AND THROUGH VOLUNTEERING TIME AND TALENTS TO MULTIPLE AREA ORGANIZATIONS. MCMCI PROVIDES ATHLETIC TRAINERS TO AREA SCHOOL SPORTS PROGRAMS. MCMCI STAFF MEMBERS ARE INVOLVED IN SEVERAL HEALTH FAIRS AND/OR COMMUNITY SCREENINGS EACH YEAR. THE COMMUNITY HEALTH FAIRS ARE ORGANIZED IN CONJUNCTION WITH A VARIETY OF OTHER AREA AGENCIES, SUCH AS: MIAMI COUNTY EMERGENCY MEDICAL SERVICES, EAST CENTRAL KANSAS AREA OF AGING, K-STATE RESEARCH & EXTENSION OFFICE, UNITED WAY, LOCAL SCHOOL DISTRICTS, COUNTY AGENCIES AND SEVERAL OTHERS. |
| SCHEDULE H, PART VI, LINE 6 | MIAMI COUNTY MEDICAL CENTER, INC. (MCMCI) IS PART OF OLATHE HEALTH SYSTEM, INC. (OHSI). THIS CONSISTS OF TWO HOSPITALS AND A NETWORK OF 39 CLINICS. OHSI AND ITS AFFILIATES, INCLUDING MCMCI, TAKE A LEADERSHIP ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED. OHSI HOSPITALS AND CLINICS ARE VERY INVOLVED WITH COMMUNITY OUTREACH EDUCATION AND SCREENING PROGRAMS ACROSS THE ENTIRE SERVICE AREA. WE COLLABORATE WITH AREA COMPANIES AND OTHER HEALTH-RELATED SERVICE PROVIDERS TO PROVIDE EDUCATION AND SCREENINGS TO THE PUBLIC. OHSI POSITIONS ITSELF AS NOT ONLY A PROVIDER OF CARE, BUT A RESOURCE FOR EDUCATION AND PREVENTION. |
| SCHEDULE H, PART VI, LINE 7 | MCMCI 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| PAOLA USD #368 | ||||||||||
| PO BOX 268 | PAOLA | KS | 66071 | 480720746 | GOVERNMENT | $30,711 | FMV | SPORTS MEDICINE | COMMUNITY WELLNESS | |
| OSAWATOMIE USD #367 | ||||||||||
| 1200 TROJAN DRIVE | OSAWATOMIE | KS | 66064 | 480698824 | GOVERNMENT | $30,711 | FMV | SPORTS MEDICINE | COMMUNITY WELLNESS | |
| LAKEMARY CENTER | ||||||||||
| 100 LAKEMARY DR | PAOLA | KS | 66071 | 237423516 | 501(C)(3) | COMMUNITY WELLNESS | $7,500 | |||
| PAOLA USD # 368 | ||||||||||
| PO BOX 268 | PAOLA | KS | 66071 | 480720746 | GOVERNMENT | COMMUNITY WELLNESS | $5,100 | |||
| OSAWATOMIE USD# 367 | ||||||||||
| 1200 TROJAN DR | OSAWATOMIE | KS | 66064 | 480698824 | GOVERNMENT | COMMUNITY WELLNESS | $5,100 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MIAMI COUNTY MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS IN ADDITION TO PROVIDING FUNDS TO ALLOW THE PURCHASE OF DEFIBRILLATORS FOR EASY ACCESS AT SCHOOL SPORTING EVENTS. MIAMI COUNTY MEDICAL CENTER ALSO PROVIDED FUNDS FOR LAKEMARY CENTER, A NOT-FOR-PROFIT LOCATED IN PAOLA WHO PROVIDE CARE FOR DEVELOPMENTALLY DISABLED ADULTS TO BUILD A CLIMBING WALL TO PROVIDE EXERCISE FOR THEIR CLIENTS. FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE UNIVERSITY ON BEHALF OF THE INDIVIDUAL SELECTED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANK H DEVOCELLE | ||||||||||||||
| PRESIDENT/CEO | $0 | $719,184 | $0 | $182,833 | $0 | $159,732 | $0 | $2,500 | $0 | $16,967 | $0 | $1,081,216 | $0 | $0 |
| TIERNEY L GRASSER | ||||||||||||||
| SVP/CHIEF FINANCIAL OFFICER | $0 | $406,556 | $0 | $61,598 | $0 | $632,214 | $0 | $2,500 | $0 | $30,700 | $0 | $1,133,568 | $0 | $497,565 |
| JAMES WETZEL | ||||||||||||||
| SVP/CHIEF MEDICAL OFFICER | $0 | $409,080 | $0 | $70,410 | $0 | $73,217 | $0 | $2,500 | $0 | $27,075 | $0 | $582,282 | $0 | $0 |
| DAVID PURSELL | ||||||||||||||
| VP/GENERAL COUNSEL | $0 | $308,138 | $0 | $0 | $0 | $3,748 | $0 | $2,500 | $0 | $21,615 | $0 | $336,001 | $0 | $0 |
| PAUL LUCE | ||||||||||||||
| VICE PRESIDENT/COO - MCMC | $158,946 | $0 | $25,000 | $0 | $3,390 | $0 | $2,500 | $0 | $18,329 | $0 | $208,165 | $0 | $0 | $0 |
| STACEY GRAY | ||||||||||||||
| PHARMACY MANAGER | $138,337 | $0 | $2,661 | $0 | $258 | $0 | $2,500 | $0 | $15,729 | $0 | $159,485 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VII & SCHEDULE J, PART I, LINE 3 | THE COMPENSATION BEING REPORTED FOR FRANK H DEVOCELLE, TIERNEY L GRASSER, JAMES L WETZEL, MD AND DAVID PURSELL IS FROM OLATHE HEALTH SYSTEM, INC., A RELATED TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC. OLATHE HEALTH SYSTEM, INC. USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS TO ESTABLISH AND APPROVE COMPENSATION AND BENEFITS FOR ALL OFFICERS OF OLATHE HEALTH SYSTEM, INC. AND ITS AFFILIATED COPRORATIONS. THE COMMITTEE UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN CONTRACT FOR THE CEO AND COMPENSATION SURVERYS TO ESTABLISH FAIR MARKET VALUE SALARIES AND BENEFITS FOR OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATES OFFICERS. |
| SCHEDULE J, PART I, LINE 4B | FRANK H. DEVOCELLE, JAMES WETZEL AND TIERNEY GRASSER PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), IN WHICH THEY ARE FULLY VESTED. IN 2017, THERE WAS A PAYOUT OF $ 120,400 TO FRANK H. DEVOCELLE, $623,353 TO TIERNEY L. GRASSER, OF THIS AMOUNT $497,565 WAS PREVIOUSLY REPORTED ON PRIOR YEARS FORM 990'S AS DEFERRED COMPENSATION AS REQUIRED, AND $58,040 TO JAMES WETZEL, WHICH IS REPORTED AS TAXABLE COMPENSATION AND INCLUDED IN THEIR W-2. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEE SCHEDULE L PART V | PersonNm |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | (A) ROBYN LUCE (B) ROBYN LUCE IS THE SPOUSE OF PAUL LUCE, AN OFFICER OF MIAMI COUNTY MEDICAL CENTER, INC. (C) $16,132 (D) COMPENSATION (E) NO (A) PATRICIA DIEHM (B) PATRICIA DIEHM IS THE SISTER-IN-LAW OF PAUL LUCE, AN OFFICER OF MIAMI COUNTY MEDICAL CENTER, INC. (C) $94,349 (D) COMPENSATION (E) NO | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | MIAMI COUNTY MEDICAL CENTER, INC. OPERATES AN ACUTE CARE HOSPITAL IN PAOLA, KANSAS. MIAMI COUNTY MEDICAL CENTER, INC. CARRIES OUT ITS MISSION BY PROVIDING QUALITY AND COMPASSIONATE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS IN MIAMI COUNTY, KANSAS AND THE SURROUNDING AREA. MIAMI COUNTY MEDICAL CENTER, INC. IS A JOINT COMMISSION ACCREDITED HOSPITAL AND IS LICENSED FOR 39 BEDS AND CURRENTLY STAFFS 18 INPATIENT BEDS. PROGRAM SERVICES EXPENSE IS ALL RELATED TO THE PROVISION OF HEALTHCARE SERVICES. IN 2017, MIAMI COUNTY MEDICAL CENTER, INC. PROVIDED 1245 DAYS OF INPATIENT CARE, PROVIDED 55,943 OUTPATIENT PROCEDURES, AND 8569 EMERGENCY VISITS TO THE COMMUNITY. EDUCATIONAL SUPPORT IN ADDITION TO PROVIDING UNCOMPENSATED CARE FOR PATIENTS IN NEED, THE MEDICAL CENTER PROVIDES OTHER HEALTH CARE RELATED BENEFITS TO THE COMMUNITIES IT SERVES BY PROVIDING 24-HOUR EMEGENCY CARE OPEN EVERY DAY TO THE PUBLIC REGARDLESS OF ABILITY TO PAY. THE MEDICAL CENTER ALSO PROVIDES EDUCATION FOR A VARIETY OF MEDICAL PROFESSIONALS, HEALTH CARE SCREENINGS AND EDUCATION PROGRAMS FOR THE GENERAL PUBLIC AND SUPPORT GROUP SPONSORSHIPS. SPORTS NET MIAMI COUNTY MEDICAL CENTER PROVIDES ATHLETIC TRAINING STAFF FOR AREA HIGH SCHOOLS AND JUNIOR HIGH SCHOOOLS DURING THE SCHOOL YEAR THROUGH ITS SPORTS NET PROGRAM. IN 2017, $58,988 OF ATHLETIC TRAINER SERVICES WAS PROVIDED TO THE SCHOOLS IN THE MIAMI COUNTY MEDICAL CENTERS SERVICE AREA. CONTRIBUTIONS MIAMI COUNTY MEDICAL CENTER SUPPORTS A VARIETY OF SOCIAL, EDUCATION AND CIVIC HEALTHCARE RELATED ORGANIZATIONS WITHIN ITS SERVICE AREA. IN 2017, $43,651 WAS CONTRIBUTED TO VARIOUS AGENCIES AND CHARITABLE ORGANIZATIONS AND $3,000 IN SCHOLARSHIPS. |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS: FRANK H DEVOCELLE AND TIERNEY L GRASSER SERVE AS AN OFFICER OR DIRECTOR FOR RELATED FOR-PROFIT COMPANIES. FRANK H DEVOCELLE, TIERNEY L GRASSER, JAMES L. WETZEL, MD, DAVID PURSELL, JACK TINNEL AND CHIP WOOD HAVE BUSINESS RELATIONSHIPS SERVING ON THE BOARDS OF RELATED NOT-FOR-PROFIT ENTITIES. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE GOVERNING DOCUMENTS HAVE BEEN REVISED AS FOLLOWS: 1. THE SOLE MEMBER CHANGED TO OLATHE HEALTH SYSTEM, INC. 2. CHANGE TO THE MAXIMUM NUMBER OF TRUSTEES 3. CHANGES TO THE QUALIFICATIONS OF TRUSTEES AND LIMITATIONS ON BOARD MEMBERSHIP. 4. CHANGES TO THE COMMITTEES AUTHORIZED BY THE BOARD, AND TO THE EXPRESS AUTHORIZATIONS GRANTED. 5. CHANGES TO OFFICERS OF THE CORPORATION |
| FORM 990, PART VI, SECTION A, LINE 6 | OLATHE HEALTH SYSTEM, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | OLATHE HEALTH SYSTEM, INC. BEING THE SOLE MEMBER OF MIAMI COUNTY MEDICAL CENTER, INC. HAS THE RIGHT TO ELECT ALL THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | OLATHE HEALTH SYSTEM, INC. IS THE SOLE MEMBER, AND HAS THE RIGHT TO APPROVE MIAMI COUNTY MEDICAL CENTER, INC.S BYLAWS AND ARTICLES OF INCORPORATION AND ALSO TO APPROVE MIAMI COUNTY MEDICAL CENTERS BOARD MEMBERS, AND HAS AUTHORITY OVER CERTAIN TRANSACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN IS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE OLATHE HEALTH SYSTEM, INC. BOARD ON BEHALF OF ALL OF ITS AFFILIATES PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE AUDIT & COMPLAINCE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS OF OLATHE HEALTH SYSTEM, INC. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE PURPOSE OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING A DECISION OR ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY PERSON IN A POSITION OF AUTHORITY OVER THE ORGANIZATION, OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. CORPORATE OFFICERS AND MEMBERS OF THE BOARD OF TRUSTEES REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A DISCLOSURE OF INFORMATION FORM ANNUALLY. A SUMMARY OF THE ANNUAL DISCLOSURES OF INFORMATION IS PROVIDED TO THE FULL BOARD FOR REVIEW AT LEAST ONE TIME PER YEAR. THE CONFLICT OF INTEREST POLICY CALLS FOR ANY INTERESTED PERSON TO DISCLOSE THE EXISTENCE OF A FINANCIAL RELATIONSHIP OR COMPETITIVE INTEREST IN CONNECTION WITH ANY PENDING TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT THAT GAVE RISE TO THE DISCLOSURE. WHEN A TRANSACTION INVOLVES AN INTERESTED PARTY, THE FOLLOWING PROCEDURES ARE FOLLOWED: 1. THE INTERESTED PARTY LEAVES THE MEETING AFTER PROVIDING ANY MATERIAL FACTS OR DISCUSSION REGARDING THE MATTER THAT GIVES RISE TO THE INTEREST UNLESS REQUESTED TO STAY BY THE REMAINING BOARD OR COMMITTEE MEMBERS. 2. IF APPROPRIATE, THE BOARD MAY APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION; 3. THE INTERESTED TRUSTEE MAY NOT VOTE ON THE MATTER THAT GIVES RISE TO THE INTEREST. 4. IN ORDER TO APPROVE THE TRANSACTION, THE BOARD MUST FIRST FIND, BY A MAJORITY VOTE OF THE TRUSTEES THEN IN OFFICE, WITHOUT COUNTING THE VOTE OF THE INTERESTED TRUSTEE, a. THAT THE PROPOSED TRANSACTION IS IN THE ORGANIZATIONS 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 EFFORTS UNDER THE CIRCUMSTANCES. |
| FORM 990, PART VI, SECTION C, LINES 15A & 15B | COMPENSATION FOR THE PRESIDENT, CEO AND MCMCI OFFICERS IS REVIEWED AND APPROVED BY THE COMPENSATION AND BENEFITS COMMITTEE OF OLATHE HEALTH SYSTEM, INC, MIAMI COUNTY MEDICAL CENTER,INC.S SOLE MEMBER. OLATHE HEALTH SYSTEM INC.S COMPENSATION AND BENEFITS COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF THE OLATHE HEALTH SYSTEM, INC. BOARD. THE COMPENSATION AND BENEFITS COMMITTEE DETERMINES COMPENSATION FOR THE PRESIDENT, CEO AND MIAMI COUNTY MEDICAL CENTER,INC.S OFFICERS USING A VARIETY OF METHODS SUCH AS THIRD PARTY SALARY SURVEYS, INDEPENDENT CONSULTANTS AND UTILIZATION OF WRITTEN CONTRACTS FOR THE CEO AND OLATHE HEALTH PHYSICIAN, INC. OFFICERS TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION, SALARY RANGES AND BENEFITS, UTILIZATION OF WRITTEN CONTRACTS FOR THE CEO AND MIAMI COUNTY MEDICAL CENTER,INC.S OFFICERS TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION, SALARY RANGES AND BENEFITS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENT ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL PROFESSIONAL FEES TOTAL FEES:2165038 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:859936 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:613277 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OLATHE MEDICAL CENTER INC | ||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 480577664 | HOSPITAL | KS | 501(C)(3) | 3 | OHSI | Yes (true) |
| OLATHE HEALTH SYSTEM INC | ||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 480979845 | SUPPORT ORG | KS | 501(C)(3) | 12B | NA | false |
| OLATHE HEALTH PHYSICIANS INC | ||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 481088982 | CLINICS | KS | 501(C)(3) | 10 | OHSI | Yes (true) |
| OLATHE HEALTH CHARITABLE FOUNDATION | ||||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 481136010 | FUNDRAISING | KS | 501(C)(3) | 12A | OMCI | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| OMC DOCTOR'S BLDG CONDO OWNERS ASSOC | |||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 481244766 | REAL ESTATE | KS | N/A | C CORPORATION | Yes (true) |
| OLATHE HEALTH DEVELOPMENT CORPORATION | |||||||||
| 20333 W 151ST ST | OLATHE | KS | 66061 | 363445097 | MEDICAL SERVICES | KS | N/A | C CORPORATION | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| OLATHE MEDICAL CENTER INC | ||
| M | $198,449 | COST |
| OLATHE MEDICAL CENTER INC | ||
| N | $627,713 | COST |
| OLATHE MEDICAL CENTER INC | ||
| O | $1,690,358 | COST |
| OLATHE MEDICAL CENTER INC | ||
| P | $208,613 | COST |
| OLATHE MEDICAL CENTER INC | ||
| Q | $3,058,889 | COST |
| OLATHE MEDICAL CENTER INC | ||
| R | $11,175,457 | COST |
| OLATHE MEDICAL CENTER INC | ||
| S | $6,203,597 | COST |
| OLATHE HEALTH SYSTEM INC | ||
| M | $311,065 | COST |
| OLATHE HEALTH SYSTEM INC | ||
| S | $255,101 | COST |
| OLATHE HEALTH PHYSICIANS INC | ||
| N | $92,194 | COST |
| OLATHE HEALTH PHYSICIANS INC | ||
| S | $80,864 | COST |
| OLATHE HEALTH CHARITABLE FOUNDATION | ||
| C | $68,225 | COST |