FURP.ORG / PUBLIC DATA EXPLORER

LABETTE COUNTY MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LABETTE COUNTY MEDICAL CENTER (EIN 48-6099245)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201603199349303400
Schema version
2015v2.1
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)
Return2016-11-14T10:17:14-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2016-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
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$63,707,079GrossReceiptsAmt
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 Employee631TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$739,894PYContributionsGrantsAmt
CY Contributions Grants$1,256,172CYContributionsGrantsAmt
PY Program Service Revenue$56,454,973PYProgramServiceRevenueAmt
CY Program Service Revenue$61,075,057CYProgramServiceRevenueAmt
PY Investment Income-$510,318PYInvestmentIncomeAmt
CY Investment Income$495,330CYInvestmentIncomeAmt
PY Other Revenue$806,539PYOtherRevenueAmt
CY Other Revenue$879,265CYOtherRevenueAmt
PY Total Revenue$57,491,088PYTotalRevenueAmt
CY Total Revenue$63,705,824CYTotalRevenueAmt
PY Grants And Similar Paid$10,188PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,988CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,216,036PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,741,686CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$192,714CYTotalFundraisingExpenseAmt
PY Other Expenses$30,914,889PYOtherExpensesAmt
CY Other Expenses$31,120,342CYOtherExpensesAmt
PY Total Expenses$61,141,113PYTotalExpensesAmt
CY Total Expenses$60,869,016CYTotalExpensesAmt
PY Revenues Less Expenses-$3,650,025PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,836,808CYRevenuesLessExpensesAmt
Total Assets BOY$67,841,752TotalAssetsBOYAmt
Total Assets EOY$69,057,534TotalAssetsEOYAmt
Total Liabilities BOY$38,625,169TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,004,143TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,216,583NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,053,391NetAssetsOrFundBalancesEOYAmt
MissionFocusing on the patient and providing exceptional healthcare through effective clinical and financial management.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$51,227,009ExpenseAmt
Grant$6,988GrantAmt
Revenue$61,489,742RevenueAmt
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$51,227,009TotalProgramServiceExpensesAmt
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 Organizations0GrantsToOrganizationsInd
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 Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee631EmployeeCnt
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 (19 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
Treasurer1.00Yes (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)$15,701$0$12,000
Vince Schibi
Trustee through 01/08/20151.00Yes (X)$0$0$0
Thomas Macaronas
CFO/COO40.00Yes (X)$202,881$0$21,430
Jodi Schmidt
President/CEO through 01/04/201540.00Yes (X)$133,833$0$20,827
Brian Williams
President/CEO beginning 09/01/201540.00Yes (X)$103,692$0$413
Douglas Stacy
CIO40.00$152,369$0$19,628Yes (X)
Michael Farris
Physician40.00$480,844$0$19,792Yes (X)
Trevor Bond
Physician40.00$449,878$0$19,689Yes (X)
Philip Gorman
Anesthesiologist40.00$427,824$0$19,598Yes (X)
Paras Shah
Physician40.00$378,428$0$18,575Yes (X)
Shawn Southwick
Physician40.00$362,790$0$19,303Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,708,240TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$171,255TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K39IndivRcvdGreaterThan100KCnt
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
CPSI
PO Box 850309MobileAL36685Computer support services$688,437
Medical Consultants of Kansas LLC
PO Box 20077WichitaKS67208Hospitalist services$677,898
Jerry Bouman DO
21004 Ness RoadParsonsKS67357General surgeon$606,340
Claims Professionally Reviewed LLC
1412 SW Eagles ParkwayGrain ValleyMO64029Coding services$393,722
Spencer Fane Britt & Browne LLP
PO Box 872037Kansas CityMO64187Legal services$366,232
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Related Organizations$462,491RelatedOrganizationsAmt
Government Grants$769,599GovernmentGrantsAmt
All Other Contributions$24,082AllOtherContributionsAmt
Total Contributions$1,256,172TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient service revenue621990$58,632,001$58,632,001
340b pharmacy revenue621990$1,758,360$1,758,360
EHR incentive payments621990$506,177$506,177
Fitness center713940$122,696$122,696

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,823TotalRevenueColumnAmt
Related Or Exempt Func Income$55,823RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$61,075,057TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,645TotalRevenueColumnAmt
Exclusion$80,645ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$237,806RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$237,806RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$237,806TotalRevenueColumnAmt
Exclusion$237,806ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$415,940OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,255OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$414,685OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$414,685TotalRevenueColumnAmt
Related Or Exempt Func Income$414,685RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria meals722210$268,080$268,080
Other621990$233,044$233,044
Leased employees900099$140,335$140,335
FieldValueIRS element (for citing)
Other Revenue Total$641,459OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,705,824TotalRevenueColumnAmt
Related Or Exempt Func Income$61,489,742RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$959,910ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,988TotalAmt
Program Services$2,988ProgramServicesAmt

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$569,635TotalAmt
Program Services$27,701ProgramServicesAmt
Management And General$541,934ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,558,434TotalAmt
Program Services$21,917,817ProgramServicesAmt
Management And General$2,532,916ManagementAndGeneralAmt
Fundraising$107,701FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$603,923TotalAmt
Program Services$563,513ProgramServicesAmt
Management And General$37,641ManagementAndGeneralAmt
Fundraising$2,769FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,389,453TotalAmt
Program Services$2,111,363ProgramServicesAmt
Management And General$267,715ManagementAndGeneralAmt
Fundraising$10,375FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,620,241TotalAmt
Program Services$1,418,326ProgramServicesAmt
Management And General$194,946ManagementAndGeneralAmt
Fundraising$6,969FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$883,925TotalAmt
Management And General$883,925ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$100,370TotalAmt
Program Services$10,190ProgramServicesAmt
Management And General$90,180ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$264,891TotalAmt
Program Services$24,443ProgramServicesAmt
Management And General$232,470ManagementAndGeneralAmt
Fundraising$7,978FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$184,794TotalAmt
Program Services$27,196ProgramServicesAmt
Management And General$150,618ManagementAndGeneralAmt
Fundraising$6,980FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$245,750TotalAmt
Management And General$245,750ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,412,660TotalAmt
Program Services$1,166,855ProgramServicesAmt
Management And General$245,208ManagementAndGeneralAmt
Fundraising$597FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$104,923TotalAmt
Program Services$87,500ProgramServicesAmt
Management And General$15,940ManagementAndGeneralAmt
Fundraising$1,483FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,710,817TotalAmt
Program Services$1,382,512ProgramServicesAmt
Management And General$327,279ManagementAndGeneralAmt
Fundraising$1,026FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,595,534TotalAmt
Program Services$3,652,990ProgramServicesAmt
Management And General$940,246ManagementAndGeneralAmt
Fundraising$2,298FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$474,137TotalAmt
Program Services$290,449ProgramServicesAmt
Management And General$183,676ManagementAndGeneralAmt
Fundraising$12FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Drugs and medical suppl$10,014,207$10,014,207
Purchased services$6,143,744$5,002,357$1,122,101$19,286
Repairs and maintenance$1,707,075$1,401,567$305,444$64
Collection fees$1,285,018$866,533$418,485

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,992,497TotalAmt
Program Services$1,254,502ProgramServicesAmt
Management And General$712,819ManagementAndGeneralAmt
Fundraising$25,176FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$60,869,016TotalAmt
Program Services$51,227,009ProgramServicesAmt
Management And General$9,449,293ManagementAndGeneralAmt
Fundraising$192,714FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,138,430BOYAmt
EOY-$276,329EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,758,152BOYAmt
EOY$24,032,011EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,384,778BOYAmt
EOY$9,208,395EOYAmt

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$371,610BOYAmt
EOY$357,554EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,345,985BOYAmt
EOY$1,366,341EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$608,665BOYAmt
EOY$609,365EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$86,470,110LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$54,262,810LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,448,190BOYAmt
EOY$32,207,300EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,735,942BOYAmt
EOY$1,502,897EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$67,841,752BOYAmt
EOY$69,057,534EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,880,361BOYAmt
EOY$5,654,766EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$60,004BOYAmt
EOY$24,993EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,235,780BOYAmt
EOY$25,205,244EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,253,751BOYAmt
EOY$5,775,742EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$195,273BOYAmt
EOY$343,398EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,625,169BOYAmt
EOY$37,004,143EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,861,396BOYAmt
EOY$30,845,944EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$355,187BOYAmt
EOY$1,207,447EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,216,583BOYAmt
EOY$32,053,391EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$67,841,752BOYAmt
EOY$69,057,534EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,836,808ReconcilationRevenueExpnssAmt
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$12,249OtherActivitiesAmt
Total Lobbying Expenditures$12,249TotalLobbyingExpendituresAmt
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$55,584,962OtherCostOrOtherBasisAmt
Depreciation$30,805,049DepreciationAmt
Book Value$24,779,913BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,930,592OtherCostOrOtherBasisAmt
Depreciation$23,457,761DepreciationAmt
Book Value$6,472,831BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$105,530OtherCostOrOtherBasisAmt
Book Value$105,530BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,207,300TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated third-party payor settlementsDesc
Amt$343,398Amt
FieldValueIRS element (for citing)
Total Liability$343,398TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$63,705,824TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$63,705,824RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$63,705,824TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$60,869,016TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$60,869,016ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$60,869,016TotalExpensesPerForm990Amt

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$741,041TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$84,874DirectOffsettingRevenueAmt
Net Community Benefit Expns$656,167NetCommunityBenefitExpnsAmt
Total Expense0.01080TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,980,272TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,366,529DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,613,743NetCommunityBenefitExpnsAmt
Total Expense0.05940TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,721,313TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,451,403DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,269,910NetCommunityBenefitExpnsAmt
Total Expense0.07020TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,896TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,505DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,391NetCommunityBenefitExpnsAmt
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$8,895,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,163,220DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,731,787NetCommunityBenefitExpnsAmt
Total Expense0.04490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,084TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,084NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,974,987TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,183,725DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,791,262NetCommunityBenefitExpnsAmt
Total Expense0.04600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,696,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,635,128DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,061,172NetCommunityBenefitExpnsAmt
Total Expense0.11620TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,456,130BadDebtExpenseAmt
Bad Debt Expense Attributable$245,613BadDebtExpenseAttributableAmt
Reimbursed By Medicare$20,051,573ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,108,836CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$942,737MedicareSurplusOrShortfallAmt

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
Strategy Attached0StrategyAttachedInd
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 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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 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: During 2015, Labette Health continued to focus on refining community data, using its findings to address the needs of our PSA and SSA. In addition, the Board of Trustees successfully conducted and completed an intense CEO search. Other patient and community focused efforts during 2015 included improving the access to patient care in Parsons as well as Independence, KS. Labette Health also stepped up and began to develop a plan to offer Emergency Care to the citizens of Independence in response to the loss of their Hospital. The Hospital also improved outcomes by reducing readmissions and increasing patient safety, implemented inpatient hospice for those patients in need, continued our community education in the areas of diabetis and trauma injury provider education, and increased our involvment with Meals on Wheels and the Summer Food program for the school age population.
Labette County Medical CenterPart V, Section B, Line 22d: The maximum amounts that can be charged by Labette Health to FAP-eligible individuals for emergency or other medically necessary care is calculated by multiplying gross charges for such care by the amounts generally billed percentage. This percentage is calculated annually as follows: Sum of all claims paid in full (including payments from beneficiaries and insureds) by Medicare fee-for-service and private payors during the prior fiscal year divided by the sum of gross charges for those claims.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 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

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 37,000 people and the secondary service area (SSA) has an approximate population of 55,000 people. Labette County has an approximate population of 21,000 and the city of Parsons has an approximate population of 10,000 people. The median income for the PSA is approximately $42,400 while the county and state median are $41,400 and $52,000 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 4.4%. The PSA multicultural composition reflects that as of 2015 14.7% 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 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 (8 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$202,881$0$0$0$0$0$10,711$0$10,719$0$224,311$0$0$0
Jodi Schmidt
President/CEO through 01/04/2015$33,456$0$0$0$100,377$0$20,000$0$827$0$154,660$0$72,427$0
Douglas Stacy
CIO$152,369$0$0$0$0$0$9,101$0$10,527$0$171,997$0$0$0
Michael Farris
Physician$469,360$0$0$0$11,484$0$8,000$0$11,792$0$500,636$0$0$0
Trevor Bond
Physician$410,884$0$0$0$38,994$0$8,000$0$11,689$0$469,567$0$0$0
Philip Gorman
Anesthesiologist$357,866$0$36,000$0$33,958$0$8,000$0$11,598$0$447,422$0$0$0
Paras Shah
Physician$350,845$0$0$0$27,583$0$8,000$0$10,575$0$397,003$0$0$0
Shawn Southwick
Physician$362,250$0$0$0$540$0$8,000$0$11,303$0$382,093$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bJodi Schmidt, former CEO, was eligible to receive IRC section 457(f) pension plan contributions of up of $30,000 annually at the discretion of the Board of Trustees. She terminated employment during 2015 and received a payout from this plan in the amount of $100,068. Brian 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. No contributions were made to Brian's IRC section 457(f) plan during 2015.
Part I, Line 7Physicians and anesthesiologists are eligible for incentive bonuses based on their production.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Labette County KansasBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN486040264BondIssuerEIN
CUSIP505392BR0CUSIPNum
Bond Issued2007-07-19BondIssuedDt
Issue Price$25,463,276IssuePriceAmt
PurposeRefund Series A, 1996 bonds issued on 07/15/1996, construct/remodel facilityPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$25,463,276TotalProceedsAmt
In Reserve Fund$1,799,483InReserveFundAmt
Issuance Costs From Proceeds$474,901IssuanceCostsFromProceedsAmt
Capital Expenditures$16,954,849CapitalExpendituresAmt
Other Spent Proceeds$6,244,890OtherSpentProceedsAmt
Substantial Completion2010SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: Labette County, Kansas Date the Rebate Computation was Performed: 09/10/2012
Schedule K, Part IIThe difference between Part I, column (e) and Part II, line 3 is due to the accumulation of investment income.

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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Emily Brown
Family member of Ned Wall, Trustee$74,619Employment0
Brenda Schibi
Family member of Vince Schibi, Trustee through 01/08/2015$42,375Employment0

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 11Form 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

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Labette Health Regional Partnerships IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19401 Indian Creek Parkway BuildingAddressLine1Txt
CityOverland ParkCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66210ZIPCd
FieldValueIRS element (for citing)
EIN464050502EIN
Primary ActivitiesOperating a medical office building utilized for health care servicesPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 11a, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Labette County Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
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$364,175InvolvedAmt
Method Of Amount DeterminationActual amount owedMethodOfAmountDeterminationTxt