2016-11-14T16:13:09-06:00 2015-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2015-01-01 480577664 OLATHE MEDICAL CENTER INC % TIERNEY L GRASSER OLAT 9137914461 20333 W 151ST STREET OLATHE KS 66061 TIERNEY L GRASSER SR VP/CFO 9137914461 2016-11-15 true Michael J Engle P00482834 8162216300 2015 2017-02-10 21:41:12Z TIERNEY L GRASSER 20333 W 151ST STREET OLATHE KS 66061 294269311 false X WWW.OLATHEHEALTH.ORG X 1948 KS TO IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION. 15 15 2168 305 0 0 696433 2435592 223528988 250286401 19079133 10557875 1911853 2211318 245216407 265491186 506194 630021 0 0 88058484 97481886 0 0 0 98645085 114042782 187209763 212154689 58006644 53336497 633633373 671344891 170909786 191402424 462723587 479942467 X OLATHE MEDICAL CENTER, INC. IS FOCUSED ON IMPROVING THE HEALTH OF ALL INDIVIDUALS WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION. false false 188542448 630021 251029254 SEE SCHEDULE O 188542448 true true false true false false false false false true true true false true false false false true false false false false false false false false true true true true true true false false false false false false false false true true false false false false false true true true false false true 147 0 true 2168 true false false false false false false false false false false X 15 15 true false false false true true true true true false false true true true true true true true true false KS X TIERNEY L GRASSER 9137914461 20333 W 151ST STREET OLATHE KS 66061 PATRICIA A ALL EDD TRUSTEE 2.0 0.0 X 0 0 0 MARLIN E BERRY EDD TRUSTEE 2.0 0.0 X 0 0 0 LARRY K BRUBAKER TRUSTEE 2.0 0.0 X 0 0 0 VINCE DONOFRIO TRUSTEE 2.0 0.0 X 0 0 0 DAVID GABOURY TRUSTEE/VICE CHAIRPERSON 2.0 2.0 X X 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233385 0 22477 CATHERINE WIENS VP COMPLIANCE 45.0 0.0 X 220179 0 22477 MOHAMMAD RAHMAN VP/CIO 45.0 0.0 X 273957 0 22477 CHERYL SHARP VP FINANCE 45.0 0.0 X 240276 0 10165 4023503 0 324570 75 false true false JE DUNN CONSTRUCTION 1001 LOCUST KANSAS CITY MO 64106 CONSTRUCTION 5471499 CERNER CORP PO BOX 959167 ST LOUIS MO 63195 SOFTWARE SUPPORT 4657212 MCCOWN GORDON CONSTRUCTION 422 ADMIRAL BLVD KANSAS CITY MO 64106 CONSTRUCTION 2588668 HMN ARCHITECTS 7400 W 110TH ST OVERLAND PARK KS 66210 SERVICE 2687790 SIRIUS COMPUTER SOLUTIONS PO BOX 202289 DALLAS TX 75320 SOFTWARE SUPPORT 2043884 54 2295407 140185 2435592 Net Patient Service Revenue 900099 249277644 249277644 EMR REVENUE 900099 1008757 1008757 250286401 9248305 9248305 0 0 2052072 2164088 -112016 0 -112016 -112016 27900001 23607 26140808 473229 1759193 -449622 1309570 1309570 0 0 0 Cafeteria 900099 590098 590098 Discounts/Rebates 900099 532785 532785 Research Study 900099 24150 24150 1176301 185918 990383 2323334 265491186 251029254 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1861212 Funds Held By Trustee 43103835 Silver Bars Inventory 31075 Investments - Fiserv 556087 Defined Benefit Account 1162279 49528743 323995885 -9574158 86052373 76478215 247517670 69500 17904016 17973516 265491186 306749392 111209433 111209433 195539959 69500 16545230 16614730 212154689 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE HELD FOR FUTURE CAPITAL AND EXPANSION NEEDS. IN ADDITION, THE FUNDS ALSO REPRESENT RESERVES FOR OPERATING NEEDS TO REMAIN FINANCIALLY STABLE. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RELATED ORGANIZATIONS' REVENUE $ 110,899,789 RENTAL EXPENSES $ 2,164,088 LOSS ON INVESTMENT OF EQUITY INVESTEES $ (27,011,504) ------------ TOTAL $ 86,052,373 SCHEDULE D, PART XI, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 16,517,609 RESTRICTED CONTRIBUTION FROM FOUNDATION $ 1,386,407 ------------- TOTAL $ 17,904,016 SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATIONS' EXPENSES $ 109,045,345 RENTAL EXPENSES $ 2,164,088 ------------ TOTAL $ 111,209,433 SCHEDULE D, PART XII, LINE 2D PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 16,517,609 TRANSFER TO AFFILIATES $ 27,621 ------------ TOTAL $ 16,545,230 true true X true X true X true true false true true 3486280 3486280 0.01780 10377310 7069275 3308035 0.01690 13863590 7069275 6794315 0.03470 39 15044 423462 423462 0.00220 19 1279 1269721 1269721 0.00650 1 51 4151182 2587855 1563327 0.00810 9 3513 187874 187874 0.00100 68 19887 6032239 2587855 3444384 0.01780 68 19887 19895829 9657130 10238699 0.05250 4 50947 50947 0.00030 4 8185 8185 11 141 30897 30897 0.00020 5 2535 2535 3 464 76213 76213 0.00040 27 605 168777 168777 0.00090 false 3797081 1630000 86041874 92648599 -6606725 X true true 1 1 OLATHE MEDICAL CENTER INC 20333 WEST 151ST STREET OLATHE KS 66061 WWW.OLATHEHEALTH.ORG H-046-002 X X X OLATHE MEDICAL CENTER INC 1 false false true X X X X X X X X 13 true false false true X www.olathehealth.org/About-Us/CHNACHIP X true 15 true www.olathehealth.org/About-Us/CHNACHIP false false true X 200. 300. X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, OLATHE MEDICAL CENTER CONDUCTED A TOWN HALL MEETING ON THURSDAY, NOVEMBER 1, 2012. THE COMMUNITY MEMBERS INVITED TO THIS TOWN HALL REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING INDIVIDUALS WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH. THIS INCLUDES PEOPLE REPRESENTING THE FOLLOWING GROUPS: LOCAL HOSPITAL, PUBLIC HEALTH COMMUNITY, MENTAL HEALTH COMMUNITY, FREE CLINICS, COMMUNITY-BASED CLINICS, SERVICE PROVIDERS, LOCAL RESIDENTS, COMMUNITY LEADERS, OPINIONLEADERS, SCHOOL LEADERS, BUSINESS LEADERS, LOCAL GOVERNMENT, FAITH-BASED ORGANIZATIONS AND PERSONS (OR ORGANIZATIONS SERVING THEM), PEOPLE WITH CHRONIC CONDITIONS, UNINSURED COMMUNITY MEMBERS, LOW INCOME RESIDENTS, AND MINORITY GROUPS. SECTION V OF THE CHNA PROVIDES A LIST OF THE TOWN HALL ATTENDEES AND NOTES FROM THE MEETING. ALL PRIORITY-SETTING AND SCORING PROCESSES AT THE TOWN HALL MEETING INVOLVED THE INPUT OF KEY STAKEHOLDERS IN ATTENDANCE. THE MEETING INCLUDED A DISCUSSION OF COMMUNITY HEALTH DATA; REFLECTION ON SIZE AND SERIOUSNESS OF ANY HEALTH CONCERNS; AND DISCUSSION OF CURRENT COMMUNITY HEALTH STRENGTHS. PARTICIPANTS WERE THEN ASKED TO RANK THE COMMUNITY HEALTH CONCERNS CITED DURING THE MEETING AND FROM THE PRIMARY AND SECONDARY RESEARCH ALREADY COMPLETED. (PRIMARY RESEARCH SURVEY WAS CONDUCTED DURING SEPTEMBER-NOVEMBER 2012 BY ETC INSTITUTE ON BEHALF OF OLATHE HEALTH SYSTEM.) PREPARATION OF THE NEXT CHNA WAS STARTED WITH A TOWN HALL MEETING DURING SEPTEMBER 2015. A PRELIMINARY RESEARCH SURVEY WAS CONDUCTED BY VVV RESEARCH LLC ON BEHALF OF OLATHE HEALTH SYSTEM. SCHEDULE H, PART V, SECTION B, LINE 11 In the fall of 2013, OMCI developed a Community Health Improvement Plan to address the top health-need priorities that were identified through the assessment described above. It was approved by the OMCI Board of Trustees in October 2013. This is a three-year plan, which began implementation in 2014. It speaks to each health need priority, outlining OMCIs initiative(s) to address the need and the anticipated community impact. You can read the full Community Health Needs Assessment and Community Health Improvement Plan documents on our website at www.olathehealth.org/About-Us/CHNACHIP. OMCI BEGAN THE PRELIMINARY WORK FOR THE NEXT CHNA IN THE FALL OF 2015. THIS PLAN WILL BE PRESENTED TO THE OMCI BOARD OF TRUSTEES IN NOVEMBER OF 2016. SCHEDULE H, PART V, SECTION B, LINE 13B WHEN ANNUAL HOUSEHOLD INCOME IS MORE THAN 300% OF THE FEDERAL POVERTY GUIDELINES, INDIVIDUALS WITH EXTRAORDINARY MEDICAL EXPENSES MAY BE ELIGIBLE, ON A CASE BY CASE BASIS, FOR A FINANCIAL ASSISTANCE DISCOUNT OR EXTENDED PAYMENT ARRANGEMENTS. SCHEDULE H, PART V, SECTION B, LINES 16A-C www.olathehealth.org/Patients-And-Visitors/Financial-Assistance SCHEDULE H, PART V, SECTION B, LINE 18 OLATHE MEDICAL CENTER DOES NOT PERMIT ANY OF THE ACTIONS LISTED WITHOUT MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENTS ELIBIBILITY UNDER THE FACILITYS FINANCIAL ASSISTANCE PROGRAM. SCHEDULE H, PART V, SECTION B, LINE 22D THE HOSPITAL UTILIZED THE LOOK BACK METHOD FOR ALL INSURANCE COMPANIES TO DETERMINE THE MAXIMUM AMOUNT THAT COULD BE CHARGED. 15 THE REHAB PLACE AT OLATHE MEDICAL CENTER 20375 W 151ST STREET SUITE 151 OLATHE KS 66061 OUTPATIENT REHABILITATION CLINIC THE IMAGING CENTER AT OLATHE MEDICAL CTR 20375 W 151ST STREET SUITE 150 OLATHE KS 66061 INPATIENT/OUTPATIENT MRI SERVICES CARDIAC REHAB AT OLATHE MEDICAL CENTER 20375 W 151ST STREET SUITE 450 OLATHE KS 66061 INPATIENT/OUTPATIENT CARDIAC REHAB CLINIC AMBULATORY SURGERY CENTER AT OMC 20805 W 151ST STREET SUITE 101 OLATHE KS 66061 OUTPATIENT SURGERY DEPARTMENT PAIN MANAGEMENT CENTER AT OLATHE MED CTR 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT PAIN MANAGEMENT CLINIC HOSPICEHOME HEALTH AT OLATHE MED CTR 20805 W 151ST STREET SUITE 301 OLATHE KS 66061 OUTPATIENT HOSPICE/HOME HEALTH SLEEP DISORDERS CENTER AT OLATHE MED CTR 20375 W 151ST STREET SUITE 103 OLATHE KS 66061 OUTPATIENT SLEEP DISORDERS CLINIC THE REHAB PLACE AT SOUTHPARK MED PLAZA 20920 W 151ST STREET SUITE 201 OLATHE KS 66061 OUTPATIENT REHABILITATION CLINIC THE REHAB PLACE AT SANTA FE COMMONS 13657 MUR-LEN ROAD OLATHE KS 66062 OUTPATIENT REHABILITATION CLINIC OLATHE MEDICAL PAVILION 21120 W 152ND STREET OLATHE KS 66061 OUTPATIENT IMAGING CLINIC WOUND CARE CLINIC AT OLATHE MED CTR 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT WOUND CARE CLINIC OUTPATIENT SERVICES 20375 W 151ST STREET SUITE 150 OLATHE KS 66061 OUTPATIENT INFUSION SERVICES/ OUTPATIENT LABORATORY SERVICES THE VEIN CLINIC 21080 W 151ST STREET OLATHE KS 66061 OUTPATIENT VEIN CLINIC THE REHAB PLACE AT GARDNER 824 MAIN ST GARDNER KS 66030 OUTPATIENT REHABILITATION CLINIC HOSPICE HOUSE 15310 S MARION STREET OLATHE KS 66061 HOSPICE SCHEDULE H, PART I, LINE 3C SEE PART VI, SECTION B, LINE 13 FOR THE LIST OF FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNT CARE. SCHEDULE H, PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSE IS NOT CONSIDERED A COMMUNITY BENEFIT EXPENSE AND IS NOT INCLUDED IN SCHEDULE H, PART I, LINE 7. THE AMOUNT EXCLUDED IS $16,517,609. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST ACCOUNTING SYSTEM. SCHEDULE H, PART I, LINE 7G NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE COMMUNITY BENEFIT EXPENSES. SCHEDULE H, PART II OLATHE MEDICAL CENTER, INC. (OMCI) IS COMMITTED TO IMPROVING THE COMMUNITY WE SERVE. OUR EMPLOYEES ARE INVOLVED IN A VARIETY OF ACTIVITIES IN OUR COMMUNITY THAT SUPPORT THE GENERAL ECONOMIC IMPROVEMENT OF OUR COMMUNITY; THE HEALTH, WELL BEING AND SAFETY OF OUR AREAS RESIDENTS; AS WELL AS SUPPORTING PROGRAMS AND OTHER ORGANIZATIONS THAT REACH OUT TO OUR CITIZENS IN NEED. A FEW EXAMPLES OF OMCIS INVOLVEMENT IN 2015 INCLUDE: 1) OUR INVOLVEMENT IN SEVERAL AREA ECONOMIC DEVELOPMENT COUNCILS AND A CONTINUED COLLABORATION WITH KANSAS STATE UNIVERSITY WITH THE BIOSCIENCES CAMPUS IN NORTHWEST OLATHE. 2) OUR SUPPORT OF JOHNSON COUNTY HEALTH PARTNERSHIPS, A CLINIC SERVING THE UNINSURED OF OUR COMMUNITY. 3) PARTICIPATION IN THE BOYS AND GIRLS CLUB, THE SALVATION ARMYS HOMELESS SHELTER AND ADOPT-A-FAMILY PROGRAM, AND TLC, A LOCAL HOUSING FACILITY FOR TROUBLED CHILDREN. WE ALSO HELPED DEVELOP THE MIRACLE LEAGUE, WHICH IS A BASEBALL PROGRAM FOR SEVERLY DISABLED CHILDREN. 4) LEADERSHIP AND PARTICIPATION IN OUR AREAS EMERGENCY PREPAREDNESS EFFORT BY COORDINATING EXTENSIVE DRILLS TO PRACTICE OUR RESPONSE TO POTENTIAL SITUATIONS. SCHEDULE H, PART III, LINE 2 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST ACCOUNTING SYSTEM. SCHEDULE H, PART III, LINE 3 THE AMOUNT INCLUDED ON LINE 3 THAT COULD BE ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS ESTIMATED BY ANALYZING ALL PRIVATE PAY PATIENT CHARGES AT COST LESS THE COST FOR THOSE PATIENTS THAT WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. THIS AMOUNT WAS THEN MULTIPLIED BY THE PERCENTAGE OF WHAT HAS BEEN HISTORICALLY COLLECTED FROM UNINSURED PATIENTS. THE MAJORITY OF THE UNINSURED PATIENTS DO NOT HAVE THE ABILITY TO PAY AND IF THE PATIENTS COMPLETED THE FINANCIAL ASSISTANCE APPLICATION THEY WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART III, LINE 4 SEE PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 PART III, LINE 8 MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN THE COSTS TO PROVIDE THE SERVICES. WE ACCEPT ALL MEDICARE PATIENTS KNOWING THAT THE COST OF PROVIDING THE CARE MAY EXCEED THE PAYMENT WE RECEIVE FROM THE MEDICARE PROGRAM. THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT AS MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. IT IS ALSO IMPLIED IN INTERNAL REVENUE SERVICE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545 ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS AND INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD. SCHEDULE H, PART III, LINE 9B BEFORE PLACEMENT WITH COLLECTION AGENCIES, Olathe Medical Center, Inc. (OMCI) PATIENT FINANCIAL SERVICES OFFERS VARIOUS OPTIONS FOR PATIENTS WITH FINANCIAL DIFFICULTIES. IN ADDITION TO OFFERING OUR OWN FINANCIAL ASSISTANCE TO QUALIFYING INDIVIDUALS, OMCI CONTRACTS WITH AN AGENCY THAT SCREENS INDIVIDUALS FOR ELIGIBILITY FOR PROGRAMS LIKE MEDICAID, DISABILITY, AND CRIME VICTIMS COMPENSATION AND THEN HELPS THEM THROUGH THE APPLICATION PROCESS. THE USE OF PROPENSITY TO PAY SOFTWARE ALSO HELPS OMCI IDENTIFY INDIVIDUALS THAT MAY NEED ASSISTANCE THAT HAVE NOT COMPLETED AN APPLICATION. OMCI HAS LANGUAGE WRITTEN IN THIR COLLECTION AGENCY CONTRACT THAT STATES, 'IF THE COLLECTION AGENCY LEARNS A PATIENT/DEBTOR HAS NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET HIS FINANCIAL OBLIGATION, THE AGENCY WILL NOT PURSUE COLLECTION ACTIVITIES AGAINST THE PATIENT/DEBTOR, UNLESS OR UNTIL THE AGENCY LEARNS THAT THE PATIENT/DEBTOR HAS INCOME OR ASSETS TO MEET THE OBLIGATION.' IF THE COLLECTION AGENCY IS NOTIFIED BY THE PATIENT/DEBTOR THAT THIS CREATES AN UNDUE FINANCIAL HARDSHIP OR BURDEN DUE TO A CHANGE IN THEIR INCOME OR ASSETS, THE AGENCY WILL NOTIFY OMCI AND AWAIT FURTHER DIRECTION FROM THE HOSPITAL. SCHEDULE H, PART VI, LINE 2 Olathe Medical Center, Inc. (OMCI) is continually assessing the health needs of the communities it serves in a variety of ways. OMCI is involved in multiple health fairs, medical seminars and other community outreach activities that involve screenings, questionnaires and general conversation that help us understand the needs of groups and individuals. The OMCI Community Advisory Council includes a diverse set of individuals representing the deaf, Hispanic, African-American, and uninsured. In 2015, OMCI conducted its second formal assessment of the health of the communities we serve. With the help of VVV Research and Development, OMCI conducted a community health needs assessment for our primary service area (southwest Johnson and Miami Counties). This was done by performing research and collecting health data for our area, and actively seeking input from the community through an online survey and town hall meetings. The research, survey and town hall meetings helped develop a clearer picture of the health-related priorities of residents in our service area. Below are the top four health need priorities in the primary service area for OMCI. Health Need Priorities- OMCI 1. Increase awareness of and access to multi-lingual healthcare services and culturally competent healthcare providers. 2. Improve access to behavioral health services, including case management, diagnostic services, overcoming stigma, funding and placement. 3. Decrease the obesity rate in our community by changing healthy eating and physical activity behaviors through interactive education, access and policy. 4. Increase access to affordable care. In 2014, OMCI began implementation of its first Community Health Improvement Plan. To address obesity, OMCI partnered with the Olathe School District to introduce families with young children to the Fitastic Program, which teaches healthy habits such as limited screen time and appropriate servings of fruits and vegetables. The goal for 2014 was to provide information to 50 percent of the elementary schools in the OMCI service area with Fitastic program information. In 2015, the goal was to provide information to 75 percent of the elementary schools in the OMCI service area, which expanded the Fitastic program to the DeSoto school district. OMCI also utilized its primary care clinics to integrate healthy behavior goals into patients electronic medical records. This goal of having 45% of pediatric patients ages 5 to 18 years old was not able to be tracked accurately due to the restrictions IN the current electronic medical record. Other initiatives addressing this goal included partnering with the City of Olathe to support the community garden program. In 2015, OMCI continued to support community events that had a focus on physical activity including the Olathe Medical Center Womens Triathlon and Garmin Marathon and Kids Fun Run. The second main initiative for OMCI was access to care and mental health. In 2014, OMCI partnered with the Olathe Fire Department to create a program for individuals who would call 911 or go to the emergency room for non-emergent reasons. This program involves a non-emergency, mobile integrated health vehicle responding to non-emergency situations and follow up with people who are unlikely to comply with physician instructions. OMCI helped the fire department formalize the process for this program in 2014 and also makes an annual significant monetary donation to cover the salary of the nurse practitioner providing this care. In 2015, this program reached 3,000 individuals. OMCI also addressed this need by increasing access to behavioral health resources at its outpatient clinics. In 2015, OMCI added a licensed psychologist who works with people of all ages at one of its primary care clinics. OMCI also identified other partners in care for inpatients suffering from mental illness and are continuing to work with those partners to finalize a partnership agreement for inpatient services. Another focus for OMCI to increase access to care for uninsured/underinsured individuals in 2014 was to contract with an outside company to assist patients in applying and qualifying for the Healthcare Insurance Marketplace. In 2015, OMCI contracted with Resolute Group for on-site services to patients and community members who qualify for potential Affordable Care Act options. OMCI also utilized additional efforts to increase access to care and address mental health through its involvement with the Olathe Latino Coalition, Title 1 elementary schools within the Olathe School District and the Health Partnership Clinic of Johnson County. To enhance senior services, OMCI opened a new free-standing inpatient hospice house on its campus in late 2014. The house met a large need in the community for hospice care, as there was no option for the residents within OMCIs primary service area for inpatient hospice services. In 2015, the hospice facility provided care for more than 320 patients. OMCI is also supporting expansion of Cedar Lake Village, a partnership with the Evangelical Lutheran Good Samaritan Society, a senior living retirement community with multiple levels of care. The expansion includes 29,000 square foot memory care neighborhood. OMCI has also incorporated changes within the hospital to better care for seniors, including those with memory care needs, including a senior-friendly emergency room and dementia kits on the nursing units. SCHEDULE H, PART VI, LINE 3 PATIENTS OF OLATHE MEDICAL CENTER, INC. (OMCI) ARE MADE AWARE OF ALL OPPORTUNITIES AVAILABLE FOR FINANCIAL ASSISTANCE IN A VARIETY OF WAYS. THERE ARE SIGNS IN THE REGISTRATION AREAS TO NOTIFY PATIENTS AND VISITORS OF THE AVAILABILITY OF ASSISTANCE PROGRAMS. EVERY BILLING STATEMENT CONTAINS A NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN ADDITIONAL INFORMATION OR APPLY. APPLICATIONS AND INSTRUCTIONS ARE AVAILABLE ON THE MEDICAL CENTERS WEBSITE, IN BOTH ENGLISH AND SPANISH. PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND SOCIAL WORKERS ARE TRAINED TO PROVIDE APPLICATIONS TO PATIENTS IF THEY EXPRESS ANY CONCERN REGARDING ABILITY TO PAY FOR SERVICES, OR MAY BE REFERRED TO AN AGENCY THE MEDICAL CENTER CONTRACTS WITH TO HELP INDIVIDUALS THROUGH THE APPLICATION PROCESS FOR PROGRAMS LIKE MEDICAID AND DISABILITY. PATIENTS THAT CALL OUR PATIENT FINANCIAL SERVICES DEPARTMENT EXPRESSING CONCERNS ABOUT BEING ABLE TO PAY FOR THEIR SERVICES OR EXPRESS THAT THEY ARE EXPERIENCING A FINANCIAL HARDSHIP ARE ADVISED OF OUR ASSISTANCE POLICY AND ENCOURAGED TO APPLY. SCHEDULE H, PART VI, LINE 4 Olathe Medical Center, Inc.s (OMCI) primary service area consists of southwest Johnson County and Miami County in Kansas. Johnson County is considered affluent compared to most counties of Kansas, but the southwestern portion, and certainly Miami County, are less affluent. For example, 28% of the students in the Olathe School District (southern Johnson County) live at, or below, the federal poverty level. The Olathe School District also represents a very diverse culture; more than 60 languages are spoken by students in the Olathe School District and more than 20% speak English as a second language. Olathe has a higher than average percentage of members of the deaf community than most cities. This is due, in part, to the Kansas School for the Deaf being located in Olathe. To support the deaf community, OMCI has a nationally recognized group of sign language specialists. The language access department is also staffed with Spanish interpreters for the growing Hispanic community served by the medical center. The medical center conducts a deaf advisory committee and members of the deaf community serve on the OMCI Community Advisory Council. In 2014, representatives from OMCI began participating in the deaf health literacy group, which includes representatives from the Kansas School for the Deaf, the deaf community and the Deaf Community Cultural Center. In 2015, three healthcare-related workshops were hosted and a health fair, which offered free health screenings specific to this demographic. In addition to promoting community health within the deaf community, OMC also provides a primary care physician to the Kansas School for the Deaf who sees patients weekly at the school. Below is a listing of economic levels for area residents. Time period: 2014 Source: factfinder2.census.gov People Living Below Poverty Level Johnson County: 6.5% Miami County: 9.3% Young Children Living Below Poverty Level Johnson County: 7.8% Miami County: 13.6% Uninsured Adult Population Rate (2014) Johnson County: 8.2% Miami County: 9.6% SCHEDULE H, PART VI, LINE 5 In addition to the items listed above, Olathe Medical Center, Inc. (OMCI) takes a very active role in support of local, regional and national not-for-profit organizations with a focus on improving health and supporting those in need. OMCI is the largest supporter of area School Nurses Funds and provides athletic trainers to area school sports programs. The Community Outreach Department of OMCI conducts an average of seven health fairs and/or community screenings per month. The community health fairs are organized in conjunction with a variety of other area agencies, such as: Olathe Fire Department, Olathe Parks and Recreation, Center of Grace United Methodist Church, Lions Club, Olathe District Schools, Boys & Girls Club of Olathe and several others. Employees of OMCI serve on a variety of community committees and Boards whose focus is on improving community health. This includes Communities that Care, Olathe YMCA, Johnson County Department of Health & Environment, KidsTLC, and more. SCHEDULE H, PART VI, LINE 6 Olathe Medical Center, Inc. (OMCI) IS A PART OF OLATHE HEALTH SYSTEM, INC. (OHSI) WHICH CONSISTS OF TWO HOSPITALS AND A NETWORK OF 38 CLINICS. OHSI AND ITS AFFILIATES, INCLUDING OLATHE MEDICAL CENTER, TAKE A LEADERSHIP ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED. OHSI HOSPITALS AND CLINICS ARE VERY INVOLVED WITH COMMUNITY OUTREACH EDUCATION AND SCREENING PROGRAMS ACROSS THE ENTIRE SERVICE AREA. WE COLLABORATE WITH AREA COMPANIES AND OTHER HEALTH-RELATED SERVICE PROVIDERS TO PROVIDE EDUCATION AND SCREENINGS TO THE PUBLIC. OHSI POSITIONS ITSELF AS NOT ONLY A PROVIDER OF CARE, BUT A RESOURCE FOR EDUCATION AND PREVENTION. SCHEDULE H, PART VI, LINE 7 Olathe Medical Center, Inc. (OMCI) IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE, BUT WE MAKE OUR REPORT AVAILABLE TO ANYONE INTERESTED AT WWW.OLATHEHEALTH.ORG. true OLATHE PUBLIC SCHOOLS FOUNDATION 315 N LINDENWOOD OLATHE KS 66062 481190090 501(C)(3) 110000 COMMUNITY WELLNESS OLATHE DISTRICT SCHOOLS 1700 W SHERIDAN ST OLATHE KS 66061 480697986 GOVERNMENT 258713 FMV SPORTS MEDICINE COMMUNITY WELLNESS KANSAS SCHOOL FOR THE DEAF 450 E PARK OLATHE KS 66061 141044911 501(C)(3) 10000 COMMUNITY WELLNESS OTTAWA USD 290 1120 S ASH ST OTTAWA KS 66067 486037952 GOVERNMENT 10000 COMMUNITY WELLNESS KIDS TLC INC 480 S ROGERS RD OLATHE KS 66062 480774593 501(C)(3) 21750 COMMUNITY WELLNESS MID-AMERICA NAZARENE COLLEGE 2030 E COLLEGE WAY OLATHE KS 66062 480730814 501(C)(3) 51500 COMMUNITY WELLNESS HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY 407 S CLAIRBORNE RD OLATHE KS 66062 481115529 501(C)(3) 25000 COMMUNITY WELLNESS GARDNER DISTRICT SCHOOLS 231 E MADISON ST GARDNER KS 66030 480699834 GOVERNMENT 54805 FMV SPORTS MEDICINE COMMUNITY WELLNESS AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 10000 COMMUNITY WELLNESS JOHNSON COUNTY OLD SETTLERS 14712 S VILLAGE OLATHE KS 66061 486108713 501(C)(4) 10000 COMMUNITY WELLNESS JOHNSON COUNTY COMMUNITY COLLEGE 12345 COLLEGE BLVD OVERLAND PARK KS 66210 237164614 501(C)(3) 25000 COMMUNITY WELLNESS FESTIVAL ON THE TRAIL 925 LINCOLN LANE GARDNER KS 66030 270680384 501(C)(4) 10000 COMMUNITY WELLNESS THE MIRACLE LEAGUE 1506 KLONDIKE ROAD CONYERS GA 30094 900680027 501(C)(3) 25000 COMMUNITY WELLNESS OTTAWA UNIVERSITY 1001 S CEDAR ST OTTAWA KS 66067 480543772 501(C)(3) 10000 COMMUNITY WELLNESS ST THOMAS AQUINAS SCHOOL 11411 PFLUMM RD OVERLAND PARK KS 66215 460422866 501(C)(3) 64178 FMV SPORTS MEDICINE COMMUNITY WELLNESS OLATHE FIRE DEPARTMENT 100 E SANTA FE ST 148 NORTH NETTLETON OLATHE KS 66061 486082776 GOVERNMENT 36245 COMMUNITY WELLNESS SAFE HOME INC PO BOX 4563 OVERLAND PARK KS 66204 480917798 501(C)(3) 10000 COMMUNITY WELLNESS CITY OF OLATHE 100 E SANTA FE ST OLATHE KS 66061 486082776 GOVERNMENT 75000 COMMUNITY WELLNESS SPRING HILL DISTRICT SCHOOLS 101 E SOUTH ST SPRING HILL KS 66083 486034756 GOVERNMENT 59889 FMV SPORTS MEDICINE COMMUNITY WELLNESS DEAF CULTURAL CENTER 455 E PARK ST OLATHE KS 66061 486282776 501(C)(3) 7500 COMMUNITY WELLNESS OLATHE PARKS & RECREATION 100 E SANTA FE OLATHE KS 66061 486082776 GOVERNMENT 25000 COMMUNITY WELLNESS 19 2 SCHOLARSHIPS 18 18250 SCHEDULE I, PART I, LINE 2 OLATHE MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS. GRANTS ARE ALSO GIVEN TO LOCAL CHARITIES AND CIVIC ORGANIZATIONS. THERE IS NOT FORMAL MONITORING PROCESS, EXCEPT SEEING THE IMPACT OF THE FUNDS IN THE LOCAL COMMUNITY. SCHEDULE I, PART III FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE INSITUTION OF HIGHER LEARNING. X true true X X X X X false true false false false false false false false DOROTHY CAREY SR VP/CHIEF NURSING OFFICER 221238 0 31954 0 10650 0 2500 0 15129 0 281471 0 0 0 FRANK H DEVOCELLE PRESIDENT/CEO 689583 0 192540 0 136390 0 2500 0 19102 0 1040115 0 0 0 TIERNEY L GRASSER SVP/CHIEF FINANCIAL OFFICER 391368 0 65285 0 40859 0 68144 0 23817 0 589472 0 26643 0 MICHAEL JENSEN VP MARKETING/EXTERNAL AFFAIRS 195825 0 29273 0 1673 0 2500 0 12930 0 242201 0 0 0 DAVID KLIMEK VP HUMAN RESOURCES 202662 0 25977 0 4746 0 2500 0 19977 0 255862 0 0 0 JAN O'DELL VP SURGICAL & OB SERVICES 164981 0 16108 0 4103 0 2500 0 20485 0 208177 0 0 0 JOHN STATON SENIOR VP OPERATIONS 199928 0 28595 0 3154 0 15114 0 22308 0 269099 0 0 0 JAMES L WETZEL MD SVP/CHIEF MEDICAL OFFICER 394514 0 44127 0 61382 0 2500 0 22814 0 525337 0 0 0 CATHERINE WIENS VP COMPLIANCE 191436 0 27089 0 1655 0 2500 0 19977 0 242656 0 0 0 MOHAMMAD RAHMAN VP/CIO 253452 0 18834 0 1671 0 2500 0 19977 0 296434 0 0 0 CHERYL SHARP VP FINANCE 211455 0 24963 0 3859 0 2500 0 7665 0 250441 0 0 0 SCHEDULE J, PART I, LINE 1A OLATHE MEDICAL CENTER, INC. PAYS FOR SOCIAL CLUB DUES FOR FRANK H. DEVOCELLE, A PORTION OF WHICH IS REPORTED AS TAXABLE INCOME AND IS INCLUDED IN HIS W-2 INCOME. CLUB DUES ARE PAID FOR JAMES L. WETZEL AND JAN O'DELL AND ARE INCLUDED IN THEIR W-2S. THE DUES PAID WERE FOR A PORTION OF A YMCA MEMBERSHIP AND THE BENEFIT IS AVAILABLE TO ALL EMPLOYEES. SCHEDULE J, PART I, LINE 4B A SERP IS PROVIDED TO TIERNEY L GRASSER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER, WHICH IS FUNDED OVER A SHORT TIME PERIOD BASED UPON THE IMPLEMENTATION DATE OF THE SERP IN 2005. MS. GRASSER'S CAREER SERVICE AT OLATHE MEDICAL CENTER, INC. AND ITS AFFILIATED ENTITIES IS CURRENTLY AT 27 YEARS, MOST OF WHICH DID NOT INCLUDE FUNDING FOR THE SERP BENEFIT. A MAJORITY OF THE DEFERRED COMPENSATION IS DUE TO FUNDING OF THE SERP BENEFIT FOR PRIOR YEARS OF SERVICE. IN 2015, THERE WAS A PAYOUT OF $32,779 FROM THE SERP. A 457F PLAN WAS STARTED IN 2015 AND $65,643 WAS ACCRUED FOR THE BENEFIT OF TIERNEY L. GRASSER AND $12,614 FOR JOHN STATON, SENIOR VICE PRESIDENT OPERATIONS. A SERP IS PROVIDED TO FRANK H. DEVOCELLE, PRESIDENT/CEO, AND JAMES WETZEL, SVP/CHIEF MEDICAL OFFICER. FRANK H. DEVOCELL AND JAMES WETZEL ARE VESTED IN THE SERP IN THE YEAR EARNED. IN 2015, THERE WAS A PAYOUT OF $102,191 TO FRANK H. DEVOCELLE AND $52,755 TO JAMES WETZEL FROM THE SERP, WHICH IS REPORTED AS TAXABLE INCOME AND IS INCLUDED IN THEIR W-2 . A CITY OF OLATHE KANSAS (SERIES 2008B) 486034756 679390GX6 2008-02-27 24140141 SEE PART VI false false false B CITY OF OLATHE KANSAS (SERIES 2008C) 486034756 679390HB3 2008-05-08 36015000 SEE PART VI false false false C CITY OF OLATHE KANSAS (SERIES 2010A&B) 486034756 679390HK3 2010-10-29 32463901 SEE PART VI false false false D CITY OF OLATHE KANSAS (SERIES 2012A&B) 486034756 679390JG0 2012-02-28 36829131 SEE PART VI false false false A 6975000 0 24140141 0 0 0 101830 0 0 0 24038311 0 2007 true false true true B 13295000 0 36015000 0 0 0 231459 0 0 0 35783541 0 2004 true false true true C 4900000 0 32505588 0 0 0 448522 20650 0 10961033 21075384 0 2012 true false true true D 3305000 0 36829131 0 0 0 429131 0 0 0 36400000 0 2010 true false true true A false false true true false 0 false false false true B 0 C false false true true false 0 false false false true D false false true true false 0 false false false true A false true false false 0 false 0 false true B false true true true BANK OF AMERICANA 8.3 false true false 0 false true C false true true false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, COLUMN F A - Proceeds were used to currently refund Series 2004A and 2004B bonds issued 7/29/14. B - Proceeds were used to currently refund Series 2002A bonds issued 9/27/02. C - Proceeds used to currently refund Series 2000A bonds issued 12/20/2000 and to acquire, construct and equip health care facilities. D - Proceeds used to currently refund Series 2008A bonds issued 1/30/08. E - Proceeds used to currently refund Series 2008C bonds issued 5/8/08 and Series 2010B bonds issued 10/29/10. F - Proceeds used to acquire, construct and equip certain health facilities. G - Proceeds used to acquire, construct and equip certain health facilities. SCHEDULE K, PART II, LINE 3 C - Series 2010A&B: Amount is not equal to the issue price due to investment earnings earned during the project period. F - Series 2014B: Amount is not equal to the issue price due to investment earnings earned during the project period. G - Series 2014A: Amount is not equal to the issue price due to investment earnings earned during the project period. SCHEDULE K, PART III A - SERIES 2008B: THIS SECTION IS COMPLETED ONLY FOR THE PORTION OF THE 2008B BONDS ALLOCABLE TO OLATHE MEDICAL CENTER THAT WAS USED TO REFINANCE PROJECTS ORIGINALLY FINANCED BY THE 2004A BONDS. THE PORTION OF THE 2008B BONDS ALLOCATED TO REFINANCE THE 2004B BONDS WAS USED TO FINANCE PROJECTS ORIGINALLY FINANCED BY BONDS ISSUED PRIOR TO JANUARY 1, 2003. B - SERIES 2008C: THE 2008C BONDS WERE USED TO REFINANCE PROJECTS ORIGINALLY FINANCED WITH BONDS PRIOR TO JANUARY, 1, 2003. C - SERIES 2010A&B: THIS SECTION IS COMPLETED ONLY FOR THE PROJECTS FINANCED WITH 2010AB BONDS. THE PROJECTS THAT WERE REFINANCED BY THE 2010AB BONDS WERE ORIGINALLY FINANCED WITH BONDS ISSUED PRIOR TO JANUARY 1, 2003. E - SERIES 2012C: THIS SECTION IS COMPLETED ONLY FOR THE PORTION OF THE 2012C BONDS ALLOCABLE TO THE NEW MONEY PORTION OF THE 2010A/B BONDS. THE REFUNDING PORTION OF THE 2010A/B BONDS REFINANCED BONDS ORIGINALLY ISSUED PRIOR TO JANUARY 1, 2003. THE 2012C BONDS ALSO REFINANCED THE 2008C BONDS WHICH WERE ISSUED PRIOR TO JANUARY 1, 2003. F - SERIES 2014B: THE PROJECT HAS NOT BEEN COMPLETED AS OF THE FISCAL YEAR END 12/31/2015. G - SERIES 2014A: THE PROJECT HAS NOT BEEN COMPLETED AS OF THE FISCAL YEAR END 12/31/2015. SCHEDULE K, PART IV, LINE 2C C - SERIES 2010A&B: THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED AS OF 6/1/2012. A CITY OF OLATHE KANSAS (SERIES 2012C) 486034756 2012-09-05 16000000 SEE PART VI false false false B CITY OF OLATHE KANSAS (SERIES 2014B) 486034756 2014-12-23 23550000 SEE PART VI false false false C CITY OF OLATHE KANSAS (SERIES 2014A) 486034756 2015-01-08 23550000 SEE PART VI false false false A 7605000 0 16000000 0 0 0 0 0 0 0 16000000 0 2012 true false true true B 0 0 23849286 0 0 0 225000 0 0 1902932 0 21721354 false false false true C 0 0 23838656 0 0 0 192745 0 0 2513852 0 21132059 false false false true A false false true true false 0 false false false true B 0 C 0 A false true false false 0 false 0 false true B false true true false 0 false 0 false true C false true true false 0 false 0 false true A true B true C true SEE SCHEDULE L PART V SCHEDULE L, PART IV TRANSACTION 1 (A) DAVID HANSON (B) DAVID HANSON IS THE SON-IN-LAW OF FRANK H. DEVOCELLE, AN OFFICER OF OMCI (C) $99,605 (D) DAVID HANSON IS AN EMPLOYEE OF OMCI (E) NO TRANSACTION 2 (A) HEIDI HANSON (B) HEIDI HANSON IS THE DAUGHTER OF FRANK H. DEVOCELLE, AN OFFICER OF OMCI (C) $43,409 (D) HEIDI HANSON IS AN EMPLOYEE OF OMCI (E) NO TRANSACTION 3 (A) JAMIE O'DELL (B) JAMIE O'DELL IS THE DAUGHTER OF JAN O'DELL, A KEY EMPLOYEE OF OMCI (C) $12,135 (D) JAMIE O'DELL IS AN EMPLOYEE OF OMCI (E) NO FORM 990, PART III, LINE 4A OLATHE MEDICAL CENTER, INC. (OMCI) OPERATES AN ACUTE CARE HOSPITAL IN OLATHE, KANSAS, WHICH WAS FOUNDED IN 1948 BY THE COMMUNITY. OMCI CARRIES OUT THEIR MISSION BY PROVIDING QUALITY AND COMPASSIONATE INPATIENT, OUTPATIENT, EMERGENCY CARE, HOSPICE AND HOME HEALTH SERVICES TO RESIDENTS IN JOHNSON COUNTY AND MIAMI COUNTY, KANSAS AND SURROUNDING AREA. OLATHE MEDICAL CENTER IS A JOINT COMMISSION ACCREDITED HOSPITAL AND IS LICENSED FOR 300 INPATIENT BEDS. PROGRAM SERVICE EXPENSES ARE ALL RELATED TO THE PROVISION OF HEALTHCARE SERVICES. IN 2015, OLATHE MEDICAL CENTER PROVIDED 41,918 DAYS OF INPATIENT CARE, 145,080 OUTPATIENT VISITS RESULTING IN 606,435 OUTPATIENT PROCEDURES, 39,792 EMERGENCY VISITS, 8,196 HOSPICE VISITS AND 34,385 HOME HEALTH VISITS TO THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 2 FRANK H DEVOCELLE AND TIERNEY L GRASSER HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY SERVE AS AN OFFICER OR DIRECTOR OF RELATED FOR PROFIT COMPANIES. FORM 990, PART VI, SECTION A, LINE 6 OLATHE HEALTH SYSTEM, INC. A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A OLATHE HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF OLATHE MEDICAL CENTER, INC. HAS THE RIGHT TO ELECT ALL THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B OLATHE HEALTH SYSTEM, INC. IS THE SOLE MEMBER, AND HAS THE RIGHTS TO APPROVE OLATHE MEDICAL CENTER, INC.S BYLAWS AND ARTICLES OF INCORPORATION AND ALSO APPROVE OLATHE MEDICAL CENTERS BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN FORM 990 IS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE OLATHE MEDICAL CENTER, INC. BOARD ON BEHALF OF ALL OF ITS AFFILIATES PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE AUDIT AND COMPLIANCE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS OF OLATHE MEDICAL CENTER, INC. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE PURPOSE OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING A DECISION OR ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY PERSON IN A POSITION OF AUTHORITY OVER THE ORGANIZATION, OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. CORPORATE OFFICERS AND MEMBERS OF THE BOARD OF TRUSTEES REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A DISCLOSURE OF INFORMATION FORM ANNUALLY. A SUMMARY OF THE ANNUAL DISCLOSURES OF INFORMATION IS PROVIDED TO THE FULL BOARD FOR REVIEW AT LEAST ONE TIME PER YEAR. THE CONFLICT OF INTEREST POLICY CALLS FOR ANY INTERESTED PERSON TO DISCLOSE THE EXISTENCE OF A FINANCIAL RELATIONSHIP OR COMPETITIVE INTEREST IN CONNECTION WITH ANY PENDING TRANSACTION OR ARRANGEMENT. THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT THAT GAVE RISE TO THE DISCLOSURE. WHEN A TRANSACTION INVOLVES AN INTERESTED PARTY, THE FOLLOWING PROCEDURES ARE FOLLOWED: 1. THE INTERESTED PARTY LEAVES THE MEETING AFTER PROVIDING ANY MATERIAL FACTS OR DISCUSSION REGARDING THE MATTER THAT GIVES RISE TO THE INTEREST UNLESS REQUESTED TO STAY BY THE REMAINING BOARD OR COMMITTEE MEMBERS. 2. IF APPROPRIATE, THE BOARD MAY APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION; 3. THE INTERESTED TRUSTEE MAY NOT VOTE IN THE MATTER THAT GIVES RISE TO THE INTEREST. 4. IN ORDER TO APPROVE THE TRANSACTION, THE BOARD MUST FIRST FIND, BY A MAJORITY VOTE OF THE TRUSTEES THEN IN OFFICE, WITHOUT COUNTING THE VOTE OF THE INTERESTED TRUSTEE. A. THAT THE PROPOSED TRANSACTION IS IN THE ORGANIZATIONS BEST INTERESTS AND FOR ITS OWN BENEFIT, AND B. THAT, AFTER REASONABLE INVESTIGATION, THE BOARD HAS DETERMINED THAT THE ORGANIZATION CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15a & 15B ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD, REVIEWS AND APPROVES THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE CORPORATION'S COMPENSATION IN ACCORDANCE WITH THEIR COMPENSATION POLICY. THE COMMITTEE REVIEWS THIRD PARTY SALARY SURVEYS TO REVIEW THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES OF THE CORPORATION TO DETERMINE THE FAIR MARKE VALUE OF THE CURRENT COMPENSATION, SALARY RANGES AND BENEFITS. COMPENSATION FOR SUCH OFFICERS IS APPROVED BY THE COMMITTEE, AND INFORMATI OF THEIR FINDINGS IS AVAILABLE TO ALL BOARD MEMBERS. IN ADDITION, THE CORPORATION HAS A WRITTEN CONTRACT WITH THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 GAIN(LOSS) ON INVESTMENT OF EQUITY INVESTEES $(27,011,504) CHANGE IN INTEREST IN FOUNDATION ASSETS $ 468,045 ------------- $(26,543,459) MIAMI COUNTY MEDICAL CENTER INC 2100 BAPTISTE DRIVE PAOLA KS 66071 481155548 HOSPITAL KS 501(C)(3) 3 OMCI true OLATHE HEALTH SYSTEM INC 20333 W 151ST STREET OLATHE KS 66061 480979845 SUPPORT ORG KS 501(C)(3) 11B NA false OLATHE MEDICAL SERVICES 20333 W 151ST STREET OLATHE KS 66061 481088982 CLINICS KS 501(C)(3) 9 OMCI true OLATHE MEDICAL CTR CHARITABLE FDN 20333 W 151ST STREET OLATHE KS 66061 481136010 FUNDRAISING KS 501(C)(3) 11A OMCI true OLATHE HEALTH DEVELOPMENT CORPORATION 20333 W 151ST STREET OLATHE KS 66061 363445097 MEDICAL SERVI KS OHSI C CORPORATION 0 0 true OMC DOCTOR'S BLDG CONDO OWNERS ASSOC INC 20333 W 151ST STREET OLATHE KS 66061 481244766 REAL ESTATE KS OMCI C CORPORATION 0 0 1.00000 true true true true false false false false false true true false true true true true true true true false OLATHE MEDICAL SERVICES A(IV) 660715 COST OLATHE MEDICAL SERVICES B 26048001 COST OLATHE MEDICAL SERVICES I 577639 COST OLATHE MEDICAL SERVICES L 89738 COST OLATHE MEDICAL SERVICES N 2043232 COST OLATHE MEDICAL SERVICES O 5875418 COST OLATHE MEDICAL SERVICES P 17956537 COST MIAMI COUNTY MEDICAL CENTER L 220873 COST MIAMI COUNTY MEDICAL CENTER N 410967 COST MIAMI COUNTY MEDICAL CENTER O 1573939 COST MIAMI COUNTY MEDICAL CENTER P 2103637 COST OLATHE MEDICAL CENTER CHARITABLE FOUNDATION B 88352 COST OLATHE MEDICAL SERVICES P 17956537 COST MIAMI COUNTY MEDICAL CENTER P 2103637 COST OLATHE MEDICAL CENTER CHARITABLE FOUNDATION O 52652 COST