FURP.ORG / PUBLIC DATA EXPLORER

LABETTE COUNTY MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LABETTE COUNTY MEDICAL CENTER (EIN 48-6099245)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201713199349306906
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T11:12:09-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP666033491ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN486099245EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas MacaronasPersonNm
Person TitleCFOPersonTitleTxt
Phone6204214880PhoneNum
Signature2017-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2017-11-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.172.114.81IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-15IPDt
IP Tm07:58:35IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC25D5B149A5DEB5B624D2ED84480DFAE7FBA67D7AtSubmissionCreationDeviceId
At Submission Filing Device IdC7F69BD11539B5342AA98FD5676A33A3D336D5E8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11902 S US Highway 59AddressLine1Txt
CityParsonsCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67357ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$64,951,330GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.labettehealth.comWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscGovernmentOtherOrganizationDsc
Formation1961FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionMedical care for the southeast Kansas regionActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee656TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,256,172PYContributionsGrantsAmt
CY Contributions Grants$1,203,933CYContributionsGrantsAmt
PY Program Service Revenue$61,075,057PYProgramServiceRevenueAmt
CY Program Service Revenue$62,813,002CYProgramServiceRevenueAmt
PY Investment Income$495,330PYInvestmentIncomeAmt
CY Investment Income$82,758CYInvestmentIncomeAmt
PY Other Revenue$879,265PYOtherRevenueAmt
CY Other Revenue$851,524CYOtherRevenueAmt
PY Total Revenue$63,705,824PYTotalRevenueAmt
CY Total Revenue$64,951,217CYTotalRevenueAmt
PY Grants And Similar Paid$6,988PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$17,979CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$29,741,686PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$31,543,702CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$191,480CYTotalFundraisingExpenseAmt
PY Other Expenses$31,120,342PYOtherExpensesAmt
CY Other Expenses$31,141,499CYOtherExpensesAmt
PY Total Expenses$60,869,016PYTotalExpensesAmt
CY Total Expenses$62,703,180CYTotalExpensesAmt
PY Revenues Less Expenses$2,836,808PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,248,037CYRevenuesLessExpensesAmt
Total Assets BOY$69,057,534TotalAssetsBOYAmt
Total Assets EOY$69,476,651TotalAssetsEOYAmt
Total Liabilities BOY$37,004,143TotalLiabilitiesBOYAmt
Total Liabilities EOY$35,175,223TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,053,391NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,301,428NetAssetsOrFundBalancesEOYAmt
MissionFocusing on the patient and providing exceptional healthcare through effective clinical and financial management.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$53,233,321ExpenseAmt
Grant$17,979GrantAmt
Revenue$62,825,539RevenueAmt
DescLabette County Medical Center operates physician clinics and provides inpatient and outpatient services to the residents of the southeastern Kansas area.Desc
Total Program Service Expenses$53,233,321TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document56IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee656EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Perry Sorrell
President1.00Yes (X)Yes (X)$0$0$0
Dee Bohnenblust
Vice President1.00Yes (X)Yes (X)$0$0$0
Melissa Morris
Treasurer1.00Yes (X)Yes (X)$0$0$0
Marna George
Secretary1.00Yes (X)Yes (X)$0$0$0
Wayne Gilmore OD
Trustee1.00Yes (X)$0$0$0
Jill Thomas
Trustee1.00Yes (X)$0$0$0
Ned Wall
Trustee1.00Yes (X)$0$0$0
Ronald Leonard DO
Trustee1.00Yes (X)$0$0$0
Robert Gibbs MD
Trustee1.00Yes (X)$19,817$0$0
Thomas Macaronas
CFO/COO40.00Yes (X)$197,296$0$25,254
Brian Williams
President/CEO40.00Yes (X)$301,035$0$18,860
Douglas Stacy
CIO40.00$152,968$0$17,900Yes (X)
Kathi McKinney
CNO40.00$152,622$0$15,817Yes (X)
Michael Farris
Physician40.00$493,804$0$24,309Yes (X)
Trevor Bond
Physician40.00$429,775$0$24,018Yes (X)
Philip Gorman
Anesthesiologist40.00$380,938$0$23,670Yes (X)
Roxanne Olmstead
Physician40.00$414,110$0$15,962Yes (X)
Shawn Southwick
Physician40.00$388,411$0$15,846Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,930,776TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$181,636TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K32IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medical Consultants of Kansas LLC
PO Box 21MulvaneKS67110Hospitalist services$630,940
CPSI
PO Box 850309MobileAL36685Computer support services$622,620
Jerry Bouman DO
21004 Ness RoadParsonsKS67357General surgeon$563,717
Spencer Fane Britt & Browne LLP
PO Box 872037Kansas CityMO64187Legal services$398,267
Southeast KS Orthopedic Clinic
PO Box 678PArsonsKS67357Physician services$391,950
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Related Organizations$516,872RelatedOrganizationsAmt
Government Grants$681,603GovernmentGrantsAmt
All Other Contributions$5,458AllOtherContributionsAmt
Total Contributions$1,203,933TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient service revenue621990$59,530,103$59,530,103
340b pharmacy revenue621990$3,042,439$3,042,439
Fitness center713940$114,518$114,518
EHR incentive payments621990$71,442$71,442

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,500TotalRevenueColumnAmt
Related Or Exempt Func Income$54,500RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$62,813,002TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,221TotalRevenueColumnAmt
Exclusion$70,221ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$232,007RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$232,007RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,007TotalRevenueColumnAmt
Exclusion$232,007ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$12,650OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$113OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$12,537OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,537TotalRevenueColumnAmt
Related Or Exempt Func Income$12,537RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria meals722210$282,954$282,954
Anesthesia services900099$135,859$135,859
Leased employees900099$68,842$68,842

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,862TotalRevenueColumnAmt
Exclusion$131,862ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$619,517OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,951,217TotalRevenueColumnAmt
Related Or Exempt Func Income$62,825,539RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$921,745ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,979TotalAmt
Program Services$13,979ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$905,860TotalAmt
Program Services$19,817ProgramServicesAmt
Management And General$886,043ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,436,901TotalAmt
Program Services$22,767,391ProgramServicesAmt
Management And General$2,558,403ManagementAndGeneralAmt
Fundraising$111,107FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$629,621TotalAmt
Program Services$582,510ProgramServicesAmt
Management And General$44,268ManagementAndGeneralAmt
Fundraising$2,843FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,896,480TotalAmt
Program Services$2,533,980ProgramServicesAmt
Management And General$350,131ManagementAndGeneralAmt
Fundraising$12,369FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,674,840TotalAmt
Program Services$1,452,358ProgramServicesAmt
Management And General$215,394ManagementAndGeneralAmt
Fundraising$7,088FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$529,777TotalAmt
Management And General$529,777ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,158,168TotalAmt
Program Services$5,195,319ProgramServicesAmt
Management And General$948,355ManagementAndGeneralAmt
Fundraising$14,494FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$347,594TotalAmt
Program Services$16,474ProgramServicesAmt
Management And General$321,783ManagementAndGeneralAmt
Fundraising$9,337FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$249,577TotalAmt
Program Services$25,472ProgramServicesAmt
Management And General$216,886ManagementAndGeneralAmt
Fundraising$7,219FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$273,506TotalAmt
Management And General$273,506ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,490,319TotalAmt
Program Services$1,231,378ProgramServicesAmt
Management And General$258,310ManagementAndGeneralAmt
Fundraising$631FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$155,722TotalAmt
Program Services$125,123ProgramServicesAmt
Management And General$27,127ManagementAndGeneralAmt
Fundraising$3,472FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,813,925TotalAmt
Program Services$1,465,833ProgramServicesAmt
Management And General$347,004ManagementAndGeneralAmt
Fundraising$1,088FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,645,183TotalAmt
Program Services$3,692,456ProgramServicesAmt
Management And General$950,404ManagementAndGeneralAmt
Fundraising$2,323FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$474,225TotalAmt
Program Services$264,607ProgramServicesAmt
Management And General$209,606ManagementAndGeneralAmt
Fundraising$12FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Drugs and medical suppl$9,950,621$9,950,621
Repairs and maintenance$1,622,362$1,276,451$345,820$91
Collection fees$1,542,765$1,210,186$332,579
Food and paper goods$498,888$498,888

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,388,867TotalAmt
Program Services$906,478ProgramServicesAmt
Management And General$462,983ManagementAndGeneralAmt
Fundraising$19,406FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$62,703,180TotalAmt
Program Services$53,233,321ProgramServicesAmt
Management And General$9,278,379ManagementAndGeneralAmt
Fundraising$191,480FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$276,329BOYAmt
EOY$75,448EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,032,011BOYAmt
EOY$23,938,821EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,208,395BOYAmt
EOY$9,961,036EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$50,000EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$357,554BOYAmt
EOY$466,247EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,366,341BOYAmt
EOY$1,382,647EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$609,365BOYAmt
EOY$313,389EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$87,289,620LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$56,524,634LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,207,300BOYAmt
EOY$30,764,986EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$1,507,536EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,502,897BOYAmt
EOY$1,016,541EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$69,057,534BOYAmt
EOY$69,476,651EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,654,766BOYAmt
EOY$5,095,802EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$24,993BOYAmt
EOY$101,597EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,205,244BOYAmt
EOY$25,663,001EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,775,742BOYAmt
EOY$4,261,496EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$343,398BOYAmt
EOY$53,327EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,004,143BOYAmt
EOY$35,175,223EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,845,944BOYAmt
EOY$32,638,430EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,207,447BOYAmt
EOY$1,662,998EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,053,391BOYAmt
EOY$34,301,428EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$69,057,534BOYAmt
EOY$69,476,651EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,248,037ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$12,503OtherActivitiesAmt
Total Lobbying Expenditures$12,503TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA portion of annual dues paid by Labette County Medical Center to various healthcare associations has been identified as lobbying activities by those associations. Labette County Medical Center does not participate in activities supporting a political candidate.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$849,026OtherCostOrOtherBasisAmt
Book Value$849,026BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,876,787OtherCostOrOtherBasisAmt
Depreciation$33,464,236DepreciationAmt
Book Value$22,412,551BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,412,528OtherCostOrOtherBasisAmt
Depreciation$23,060,398DepreciationAmt
Book Value$7,352,130BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$151,279OtherCostOrOtherBasisAmt
Book Value$151,279BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,764,986TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated third-party payor settlementsDesc
Amt$53,327Amt
FieldValueIRS element (for citing)
Total Liability$53,327TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$64,937,238TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$64,937,238RevenueSubtotalAmt
Other Revenues Not Included$13,979OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$13,979RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$64,951,217TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$62,689,201TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$62,689,201ExpensesSubtotalAmt
Other Expenses Not Included$13,979OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$13,979ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$62,703,180TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 4b - Other Adjustments:Contribution to Foundation 13,979.
Part XII, Line 4b - Other Adjustments:Contribution to Foundation 13,979.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$534,181TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$85,756DirectOffsettingRevenueAmt
Net Community Benefit Expns$448,425NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,536,841TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,748,575DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,788,266NetCommunityBenefitExpnsAmt
Total Expense0.04450TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,071,022TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,834,331DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,236,691NetCommunityBenefitExpnsAmt
Total Expense0.05170TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,131TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,345DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,786NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,569,370TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,600,778DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,968,592NetCommunityBenefitExpnsAmt
Total Expense0.03140TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,294TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,294NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,654,795TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,624,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,030,672NetCommunityBenefitExpnsAmt
Total Expense0.03240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,725,817TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,458,454DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,267,363NetCommunityBenefitExpnsAmt
Total Expense0.08410TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,855,409BadDebtExpenseAmt
Bad Debt Expense Attributable$285,541BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,113,715ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$18,059,788CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,053,927MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Labette County Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.labettehealth.com/about-community-health-needs.htmlOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.labettehealth.com/about-community-health-needs.htmlStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.labettehealth.com/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.labettehealth.com/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.labettehealth.com/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Labette County Medical CenterPart V, Section B, Line 5: The County Health rankings, along with a number of additional community health indicators from the Kansas Department of Health and Environment and other agencies, were reviewed to provide insight into the current situation of the community. Furthermore, the Medical Center asked for input from many key community members by way of community meetings, telephone interviews and e-mail correspondence. The individuals invited to these meetings included a Medical Center board member, local medical professionals, the City Manager, Chief of Police, members of the Chamber of Commerce, religious leaders, a County Commissioner, and the Recreation Commission.
Labette County Medical CenterPart V, Section B, Line 6a: Oswego Community Hospital
Labette County Medical CenterPart V, Section B, Line 6b: Labette County Public Health Department and Labette Center for Mental Health
Labette County Medical CenterPart V, Section B, Line 11: Labette County Medical Center, d/b/a Labette Health, is continually seeking feedback from the communities we serve via community based meetings, surveys and hospital/community committees. We encourage our providers and key staff to maintain active memberships in local organizations as another venue to assess the impact of our organization. Through internal committees, our staff and Board Members are apprised of and become part of solutions to improvement initiatives for county health rankings and social needs of the communities served. The hospital continues to improve outcomes by reducing readmissions and increasing patient safety, implementing inpatient hospice for those patients in need, continue our community education in the areas of diabetes and trauma injury, and increase our involvement with Meals on Wheels and the Summer Food Program for the school age population. The Labette Health Board of Trustees recently established a new organization called the Labette Health Patient and Family Advisory Council (PFAC). The Councils mission is to advise Labette Health to improve the quality of service and safety, improve systems of care, and to educate health care professionals and staff on the patients and families' perception of their healthcare experience. It is the desire of Administration that the Council will work as partners with Labette Health to: Strengthen communication and collaboration among patients, families, caregivers and staff; Promote patient and family advocacy and involvement; and,Propose and participate in programs, services and policies. The Council will be comprised of a broad base of 8-15 patients and/or family members including a Board of Trustee liaison and 4-6 staff members from Labette Health. Meeting will be monthly with Annual Priorities/Goals of Developing an annual plan to include goals and objectives to be drafted by co-chairs and brought to the Labette Health Quality Council for review, revision and approval; Provide at least an annual report to Labette Health Quality Council outlining successes, challenges and future plans; and, this plan and report will be filtered up to the Board of Trustees following Labette Health's Performance Improvement PlanIn 2016 we continued the development of our plans improving the access to patient care in Parsons, KS as well as in Independence, KS. Labette Health stepped up and finalized a plan and began construction of an Emergency Care Facility in Independence to serve the citizens of Independence in response to the loss of their hospital.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Labette Health Physicians Group
1902 S Hwy 59 Bldg EParsonsKS67357Physician and rural health clinic
2 - St Paul Clinic
200 CarrollSt PaulKS66771Rural health clinic
3 - Cherryvale Clinic
209 E MainCherryvaleKS67335Rural health clinic
4 - Express Care Clinic
2100 Commerce DrParsonsKS67357Physician clinic
5 - Independence Clinic & Express Care
209 E Laurel StIndependenceKS67301Physician clinic/Rural health clinic
6 - Altamont Clinic
607 E 4th StAltamontKS67330Physician clinic

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Financial assistance at cost was determined by utilizing departmental cost-to-charge ratios for financial assistance provided in areas that are reported as subsidized health services. An overall cost-to-charge ratio derived from Worksheet 2 was used to determine the cost of financial assistance provided for services not reported as subsidized health services.Unreimbursed Medicaid costs were also determined using a blend of cost-to-charge ratios for certain services and an overall cost-to-charge ratio derived from Worksheet 2 for all other services.The cost of providing subsidized health services was determined using a cost-to-charge ratio for each service.Actual costs and revenues were utilized for all other items reported on line 7.
Part I, Line 7g:Subsidized health services are comprised of services that Labette Health provides despite a financial loss to the organization. These services include outpatient physician clinics.
Part II, Community Building Activities:N/A
Part III, Line 4:Labette Health provides for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. Labette Health estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each type of payor.Part III, Line 2:The provision for bad debts is related to accounts that have been deemed uncollectible during the year. The uncollectible amount is then written off pursuant to Labette Health's policy. The cost of bad debt expense was determined using the overall cost-to-charge ratio derived from Worksheet 2 applied to all charges that were deemed uncollectible during the year.Part III, Line 3:Bad debt expense attributable to patients eligible under Labette Health's financial assistance policy was determined using an estimated 10% of total bad debts. Labette Health takes steps to assist individuals who are believed to qualify for financial assistance prior to writing accounts off as uncollectible.All non-reimbursed costs for treatment of patients in our community provides a community benefit since patients unwilling or unable to pay have received a valuable service at no cost or at a reduced cost to them. This improves the health of our community as a whole.
Part III, Line 8:Medicare allowable costs were determined by using amounts from Labette Health's Medicare cost report as filed with the Medicare Administrative Contractor. The Medicare cost report apportions actual costs to the Medicare program using charges for ancillary services and patient days for nursing services. Any shortfalls are considered a community benefit.
Part III, Line 9b:Labette Health's collection policy contains provisions on the collection practices for patients who are known to qualify for charity care or financial assistance. The charity care policy states that the patient must cooperate with Labette Health to provide the information and documentation necessary to apply for other existing financial resources that may be available to pay for health care services, such as Medicaid. Then the information is gathered and assessed in order to determine eligibility for charity care. Whenever possible, prior to admission, Labette Health will conduct a pre-admission interview with the patient, the guarantor, and or legal representative. Those patients who may qualify for financial assistance from a governmental program will be referred to the appropriate program, prior to the consideration for charity care.
Part VI, Line 2:N/A
Part VI, Line 3:All uninsured individuals are asked if they have any desire to complete a financial assistance application and/or are advised of the process to apply for Medicaid. When a patient has the desire or need to apply for Medicaid, Labette Health refers them to the Social Security Department to begin the application process. When a patient applies for Medicaid, they are asked to let Labette Health know of their decision and then their financial assistance application can be completed and processed after all information has been received. If an application is found to be incomplete, a letter is sent to the applicant advising them of the incomplete status and addressing the needed items for completion. During the social service intake/discharge planning process a social worker assists the uninsured in applying for any appropriate governmental program or Labette Health's financial assistance program.
Part VI, Line 4:Based on the Stark II definition (the area composed of the lowest number of contiguous zip codes from which we draw at least 90% of our inpatients) the primary service area (PSA) has an approximate population of 34,000 people and the secondary service area (SSA) has an approximate population of 29,000 people. The total service area has an approximate populatoin of 64,000. Labette County has an approximate population of 21,000 and the city of Parsons has an approximate population of 12,000 people. The median income for the PSA is approximately $41,600 while the county and state median are $41,500 and $50,600 respectively. Within the PSA approximately 18.0% of the population is below 100% of the federal poverty guidelines and approximately 37.0% is below 200%. Area unemployment has been over 6.0% since September 2016 compared to the state-wide average of 3.7%. The PSA multicultural composition reflects that as of 2016 15.1% of the population will be non-white. Based on the most current Primary Care Health Professional Underserved Area Report, Labette County was deemed as a low income population designation in October 2008, and all contiguous counties carry the same designation. The closest hospitals are located in Oswego, Neodesha, and Chanute and are approximately 19, 32 and 37 miles away respectively.
Part VI, Line 5:The Board of Trustees is appointed by the County Commissioners and is comprised of 9 members, all of whom live in the county and are not employed by the Hospital. All employees sign a conflict of interest statement. Labette Health's medical staff is open with the exception of Radiology and Anesthesiology. Any profit margin, whether operational or in total, that Labette Health may experience is reinvested into operations. No one individual or one organization benefits from the profit margin but rather the institution and our patients are the beneficiaries.
Part VI, Line 6:N/A

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Labette Health Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11902 South Highway 59AddressLine1Txt
CityParsonsCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67357ZIPCd
FieldValueIRS element (for citing)
Recipient EIN481009259RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$13,979CashGrantAmt
Purpose Of GrantIndependence facility construction costsPurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Thomas Macaronas
CFO/COO$175,496$0$21,800$0$0$0$12,453$0$12,801$0$222,550$0$0$0
Brian Williams
President/CEO$290,000$0$10,000$0$1,035$0$17,500$0$1,360$0$319,895$0$0$0
Douglas Stacy
CIO$147,810$0$3,850$0$1,308$0$3,143$0$14,757$0$170,868$0$0$0
Kathi McKinney
CNO$146,622$0$6,000$0$0$0$9,026$0$6,791$0$168,439$0$0$0
Michael Farris
Physician$468,722$0$7,000$0$18,082$0$8,000$0$16,309$0$518,113$0$0$0
Trevor Bond
Physician$389,000$0$38,333$0$2,442$0$8,000$0$16,018$0$453,793$0$0$0
Philip Gorman
Anesthesiologist$343,096$0$32,250$0$5,592$0$8,000$0$15,670$0$404,608$0$0$0
Roxanne Olmstead
Physician$329,339$0$53,133$0$31,638$0$8,000$0$7,962$0$430,072$0$0$0
Shawn Southwick
Physician$387,871$0$0$0$540$0$8,000$0$7,846$0$404,257$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bBrian Williams, current CEO, is eligible to receive IRC section 457(f) pension plan contributions of up to $30,000 annually at the discretion of the Board of Trustees. $10,000 was contributed to to Brian's IRC section 457(f) plan during 2016.
Part I, Line 7Physicians and anesthesiologists are eligible for incentive bonuses based on their production.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Labette County Kansas
A486040264505392BR02007-07-19$25,463,276Refund Series A, 1996 bonds issued on 07/15/1996, construct/remodel facility000
Labette County Kansas
B4860402642016-12-29$9,021,000Partial refund of Series A, 2007 bonds issued000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$25,463,276$1,799,483$474,901$16,954,849$6,244,8902010Yes (1)0Yes (1)Yes (1)
B$9,021,000$180,649$8,840,35120100Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: Labette County, Kansas Date the Rebate Computation was Performed: 09/10/2012ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonRobert GibbsPersonNm
Relationship With OrgTrusteeRelationshipWithOrgTxt
Loan PurposeRecruiting assitance loanLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$50,000OriginalPrincipalAmt
Balance Due$50,000BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$50,000TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonEmily BrownPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily member of Ned Wall, TrusteeRelationshipDescriptionTxt
Transaction$73,310TransactionAmt
TransactionEmploymentTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 7aMembers of the Board of Trustees are appointed by the Commissioners of Labette County, Kansas
Form 990, Part VI, Section A, line 8bThere are no committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bForm 990 is reviewed by the CEO and CFO and is provided to the governing body prior to filing.
Form 990, Part VI, Section B, line 12cA conflict of interest disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each member of the Board of Trustees upon election and annually thereafter.
Form 990, Part VI, Section B, line 15The Board of Trustees is responsible for determining the job performance standards for the CEO and fixing compensation according to the organization's policies.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Labette Health Regional Partnerships Inc
9401 Indian Creek Parkway BuildingOverland ParkKS66210464050502Operating a medical office building utilized for health care servicesKS501(c)(3)Line 12a, ILabette County Medical CenterYes (1)
Southeast Kansas Regional Health Inc
1902 S US Highway 59ParsonsKS67357813739559Provide healthcare facilities and servicesKS501(c)(3)Line 12a, ILabette County Medical CenterYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Labette Health Regional Partnerships IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeDTransactionTypeTxt
Involved$359,889InvolvedAmt
Method Of Amount DeterminationActual amount owedMethodOfAmountDeterminationTxt