2018-11-15T13:21:04-06:00 2017-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2017-01-01 481155548 MIAMI COUNTY MEDICAL CENTER INC % TIERNEY L GRASSER MIAM 9137914461 2100 BAPTISTE DRIVE PAOLA KS 66071 TIERNEY L GRASSER SR VP/CFO 9137914461 2018-11-15 true Michael J Engle P00482834 8162216300 167.68.126.162 43372220183195000030 2018-11-15 P 2FDF6C8628F65582BED0B107C709513F48D8570B 876A1D03DE60EC9B40C6AE3A7A8021F568D68EEB 2017 2019-02-21 02:37:17Z TIERNEY L GRASSER 20333 W 151ST STREET OLATHE KS 66061 26463695 false X WWW.OLATHEHEALTH.ORG X 1994 KS TO IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION. 5 5 151 27 175 0 25211 68447 23319638 23334536 2324554 2708931 73851 183530 25743254 26295444 51811 46651 0 0 10341121 10596037 0 0 0 11470054 12420550 21862986 23063238 3880268 3232206 65245421 71742674 6251244 3318544 58994177 68424130 X 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. false false 18830728 46651 23334536 SEE SCHEDULE O 18830728 true true false true false false false false false true true true false false true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 28 0 true 151 true false false false false false false false false false false X 5 5 true false true false true true true true true false false true true true true true true true true false KS X TIERNEY L GRASSER 9137914461 20333 W 151ST STREET OLATHE KS 66061 X GARY FRENCH TRUSTEE 1.0 0.0 X 0 0 0 DENISE GERMAN RNC TRUSTEE/VICE-CHAIRPERSON 1.0 0.0 X X 0 0 0 STEPHEN M MILLER TRUSTEE/SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 JACK TINNEL TRUSTEE/CHAIRPERSON 2.0 1.0 X X 0 0 0 CHIP WOOD TRUSTEE 1.0 2.0 X 0 0 0 FRANK H DEVOCELLE PRESIDENT/CEO 5.0 40.0 X 0 1061749 19467 TIERNEY L GRASSER SVP/CHIEF FINANCIAL OFFICER 5.0 40.0 X 0 1100368 33200 JAMES WETZEL SVP/CHIEF MEDICAL OFFICER 5.0 40.0 X 0 552707 29575 DAVID PURSELL VP/GENERAL COUNSEL 5.0 40.0 X 0 311886 24115 PAUL LUCE VICE PRESIDENT/COO - MCMC 45.0 0.0 X 187336 0 20829 STACEY GRAY PHARMACY MANAGER 45.0 0.0 X 141256 0 18229 AUBREY SLAYMAN DIRECTOR OF PATIENT CARE 45.0 0.0 X 109349 0 24461 TERESA POMATTO PHYSICAL THERAPIST 40.0 0.0 X 95326 0 25489 533267 3026710 195365 3 false true false SOUTHWEST KS EMER PHYS PO BOX 341246 DETROIT MI 48267 ER PHYSICIAN SERVICE 2075872 LEGACY CONTRACTORS 907 N PEARL STE 4 PAOLA KS 66071 CONSTRUCTION 470777 P1 GROUP INC 16210 W 108TH ST LENEXA KS 66219 SERVICE CONTRACTS 342438 SHARED MEDICAL SERVICES INC PO BOX 330 COTTAGE GROVE WI 53527 MRI SERVICES 318340 ENTERPRISE COMMUNICATIONS INC 993 NE DELTA SCHOOL RD LEES SUMMIT MO 64064 OUTSIDE SERVICES 141923 8 68225 222 68447 Net Patient Service Revenue 900099 23334536 23334536 23334536 1635848 1635848 0 0 124743 168251 -43508 0 -43508 -43508 1073083 1073083 1073083 1073083 0 0 0 0 0 0 0 0 0 REBATES 900099 21462 21462 CAFETERIA SALES 722514 20403 20403 LAB INCOME 621500 175 175 184998 184998 227038 26295444 23334536 175 2892286 43651 43651 3000 3000 0 0 208165 181603 26562 110481 110481 8399414 6600720 1798694 159379 139049 20330 1186342 1035018 151324 532256 464364 67892 311065 311065 14825 14825 37903 37903 0 0 13101 13101 3638251 3125024 513227 0 100486 100486 926653 316950 609703 0 0 578866 483777 95089 13282 2616 10666 0 0 102491 89418 13073 0 1103308 962576 140732 135756 118440 17316 Bad Debt Expense 2600744 2600744 Medical Supplies 2309176 2309115 61 Medicaid Assessment 71942 71942 Dues & Subscriptions 77944 49448 28496 384757 132787 251970 23063238 18830728 4232510 0 1258602 693167 0 0 0 0 3029623 2984989 0 0 0 0 0 0 748626 757232 171714 105412 26306757 18138860 7141973 8167897 47902976 53150805 4525008 5751756 0 0 0 0 466899 131416 65245421 71742674 2164364 2012695 0 0 0 0 3230770 0 0 0 0 0 0 0 0 0 856110 1305849 6251244 3318544 X 58993835 68356501 342 67629 0 0 58994177 68424130 65245421 71742674 3232206 6197747 X false true X true false X false false false false false true 3537 false false false 3537 false SCHEDULE C, PART II-B, LINE 1F THE LOBBYING EXPENDITURES ARE THE PORTION OF HOSPITAL ASSOCIATION DUES THAT RELATE TO LOBBYING. 51635212 67287 8867799 2400000 58170298 47717171 475000 3443041 51635212 46075614 1573840 67717 47717171 42519913 700000 2867243 11542 46075614 34895600 681000 6961043 17730 42519913 0.99884 0.00116 false false 2419375 2419375 12409720 9666280 2743440 10625295 7903599 2721696 852367 568981 283386 8167897 Investment in SSGA 5751756 F 5751756 0 Due to Affiliates 1305849 1305849 402804626 6197747 372992567 379190314 23614312 13101 2668031 2681132 26295444 339373797 318924404 318924404 20449393 13101 2600744 2613845 23063238 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 true true X true X true X true true true false true true 376132 376132 0.01840 2099285 778967 1320318 0.06450 2475417 778967 1696450 0.08290 13658 13658 0.00070 129205 129205 0.00630 58988 58988 0.00290 25400 25400 0.00120 227251 227251 0.01110 2702668 778967 1923701 0.09400 2 649 649 1 2095 2095 3 2744 2744 true 742615 555000 7171728 9585521 -2413793 X true true 1 1 MIAMI COUNTY MEDICAL CENTER 2100 BAPTISTE DRIVE PAOLA KS 66071 WWW.OLATHEHEALTH.ORG H-061-001 X X X MIAMI COUNTY MEDICAL CENTER 1 false false true X X X X X X X X X 16 true false false true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 150. 300. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), 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 4 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 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. true PAOLA USD #368 PO BOX 268 PAOLA KS 66071 480720746 GOVERNMENT 30711 FMV SPORTS MEDICINE COMMUNITY WELLNESS OSAWATOMIE USD #367 1200 TROJAN DRIVE OSAWATOMIE KS 66064 480698824 GOVERNMENT 30711 FMV SPORTS MEDICINE COMMUNITY WELLNESS LAKEMARY CENTER 100 LAKEMARY DR PAOLA KS 66071 237423516 501(C)(3) 7500 COMMUNITY WELLNESS PAOLA USD # 368 PO BOX 268 PAOLA KS 66071 480720746 GOVERNMENT 5100 COMMUNITY WELLNESS OSAWATOMIE USD# 367 1200 TROJAN DR OSAWATOMIE KS 66064 480698824 GOVERNMENT 5100 COMMUNITY WELLNESS 3 SCHEDULE I, PART I, LINE 2 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. false true false false false false false false false FRANK H DEVOCELLE PRESIDENT/CEO 0 719184 0 182833 0 159732 0 2500 0 16967 0 1081216 0 0 TIERNEY L GRASSER SVP/CHIEF FINANCIAL OFFICER 0 406556 0 61598 0 632214 0 2500 0 30700 0 1133568 0 497565 JAMES WETZEL SVP/CHIEF MEDICAL OFFICER 0 409080 0 70410 0 73217 0 2500 0 27075 0 582282 0 0 DAVID PURSELL VP/GENERAL COUNSEL 0 308138 0 0 0 3748 0 2500 0 21615 0 336001 0 0 PAUL LUCE VICE PRESIDENT/COO - MCMC 158946 0 25000 0 3390 0 2500 0 18329 0 208165 0 0 0 STACEY GRAY PHARMACY MANAGER 138337 0 2661 0 258 0 2500 0 15729 0 159485 0 0 0 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. SEE SCHEDULE L PART V SCHEDULE L, PART IV (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 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 OLATHE MEDICAL CENTER INC 20333 W 151ST ST OLATHE KS 66061 480577664 HOSPITAL KS 501(C)(3) 3 OHSI 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 true OLATHE HEALTH CHARITABLE FOUNDATION 20333 W 151ST ST OLATHE KS 66061 481136010 FUNDRAISING KS 501(C)(3) 12A OMCI true OMC DOCTOR'S BLDG CONDO OWNERS ASSOC 20333 W 151ST ST OLATHE KS 66061 481244766 REAL ESTATE KS N/A C CORPORATION true OLATHE HEALTH DEVELOPMENT CORPORATION 20333 W 151ST ST OLATHE KS 66061 363445097 MEDICAL SERVICES KS N/A C CORPORATION true false false false false false false false false false false false false true true true true true false true OLATHE MEDICAL CENTER INC M 198449 COST OLATHE MEDICAL CENTER INC N 627713 COST OLATHE MEDICAL CENTER INC O 1690358 COST OLATHE MEDICAL CENTER INC P 208613 COST OLATHE MEDICAL CENTER INC Q 3058889 COST OLATHE MEDICAL CENTER INC R 11175457 COST OLATHE MEDICAL CENTER INC S 6203597 COST OLATHE HEALTH SYSTEM INC M 311065 COST OLATHE HEALTH SYSTEM INC S 255101 COST OLATHE HEALTH PHYSICIANS INC N 92194 COST OLATHE HEALTH PHYSICIANS INC S 80864 COST OLATHE HEALTH CHARITABLE FOUNDATION C 68225 COST