2013-11-15T11:32:20-06:00 2012-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2012-01-01 480577664 Olathe Medical Center Inc % TIERNEY L GRASSER OLAT 9137914461 20333 W 151ST STREET Suite OLATHE KS 66061 TIERNEY L GRASSER 9137914461 2013-11-15 true Michael J Engle 8162216300 2012 2016-02-25 16:41:14Z TIERNEY L GRASSER 20333 W 151ST STREET OLATHE KS 66106 229721045 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. 16 13 2033 191 146 73893 86951 206081855 209318383 6957138 6035872 1735352 1654398 214848238 217095604 448888 472759 0 0 86678932 85755716 0 0 0 89746021 91658096 176873841 177886571 37974397 39209033 479718616 518440785 163568470 154168945 316150146 364271840 X OLATHE MEDICAL CENTER, INC. IS FOCUSED ON IMPROVING THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION. false false 153393657 472759 209860242 SEE SCHEDULE O 153393657 true true false true false false false false false true true true false false 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 114 0 true 2033 true false false false false false false false false false false X 16 13 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 X J MACK BOWEN 2.0 1.0 X X MICHAEL K KNOP 4.0 1.0 X X PATRICIA A ALL EDD 2.0 0.0 X DONALD E CROSS 2.0 0.0 X BRUCE B SNIDER MD 2.0 0.0 X BRIAN L ROBY 2.0 0.0 X THOMAS K ROGGE 2.0 0.0 X CHIP WOOD 2.0 3.0 X X RICHARD K SUMMERS 2.0 1.0 X X ARTHUR E SWANK 2.0 0.0 X VINCENT DONOFRIO 2.0 0.0 X LAURIE MINARD 2.0 0.0 X JON L STEWART 2.0 0.0 X BRIAN A METZ MD 2.0 0.0 X DAVID R GABOURY 2.0 1.0 X THOMAS N THORNTON 2.0 0.0 X FRANK H DEVOCELLE 27.0 21.0 X 3370702 0 20372 TIERNEY L GRASSER 27.0 21.0 X 406990 0 121439 CATHERINE R WIENS 45.0 0.0 X 174376 0 23235 CHERYL L ROSS 30.0 15.0 X 111035 0 14864 ELAINE PATTON 45.0 0.0 X 202695 0 15696 JOHN STATON 45.0 0.0 X 168205 0 25541 GEORGE DIX 27.0 18.0 X 268097 0 7022 CHERYL A SHARP 27.0 18.0 X 206441 0 11058 MICHAEL L JENSEN 35.0 10.0 X 189481 0 15696 DAVID KLIMEK 30.0 15.0 X 174469 0 22951 JAN O'DELL 45.0 0.0 X 158114 0 23257 RODNEY D CORN 0.0 0.0 X 150524 0 0 5581129 0 301131 51 true true false PHILIPS MEDICAL SYS NORTH SERVICE CONTRACTS 1663559 JE DUNN CONSTRUCTION CONSTRUCTION 11021522 SIEMENS MEDICAL SOLUTIONS SERVICE CONTRACTS 1598464 CERNER CORPORATION SOFTWARE SUPPORT 4905752 JOHNSON COUNTY ANESTHESIA MEDICAL SERVICES 1274929 47 33875 53076 86951 Net Patient Service Revenue 900099 209318237 209318237 Lab & Radiology Fees 621500 146 146 209318383 6687496 6687496 0 0 2310870 2447755 -136885 0 -136885 -136885 9520339 5723 10175665 2021 -655326 3702 -651624 -651624 0 0 0 Cafeteria 900099 609603 609603 Discounts/Rebates 900099 415240 415240 All Other Misc Revenue 900099 766440 126765 639675 1791283 217095604 209860242 146 7148265 460009 460009 12750 12750 0 0 4683723 2553940 2129783 148049 148049 67178390 58844539 8333851 1253957 1078403 175554 6995849 6084963 910886 5495748 4726343 769405 0 275213 275213 108445 108445 0 0 99930 99930 11124181 8219723 2904458 962967 962967 4947744 3157893 1789851 2890693 2890693 0 1883509 1753594 129915 209156 201618 7538 0 152374 117004 35370 3377740 1959089 1418651 0 11597982 10786123 811859 1332210 844883 487327 Bad Debt Expense 13808990 13808990 Medicaid Assessment 1486993 1486993 Medical Supplies 34855723 34849270 6453 Repairs & Maint 1417434 1373487 43947 1126812 925994 200818 177886571 153393657 24492914 0 3701696 4250540 10169427 8301405 0 0 40774105 32635063 0 0 0 0 0 0 5148582 5546175 1506238 2097281 269682057 137386231 122866536 132295826 201161324 237980058 80405569 88268983 6000 0 0 0 13979139 7065454 479718616 518440785 32857541 27248991 0 0 0 0 126543527 122720339 0 0 0 0 4167402 4199615 0 0 0 0 163568470 154168945 X 313834727 360629084 2197132 3524469 118287 118287 316150146 364271840 479718616 518440785 X 39209033 24966589 -16053928 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X false false false false false false false true 11243 false false 11243 false 204848081 7634012 28819045 241301138 205372989 542648 -1067556 204848081 173991518 7648509 23732962 205372989 124141074 15568905 34281539 173991518 160815611 12063829 -48738366 124141074 1.00000 0.00000 0.00000 false true true 20289149 20289149 136805334 58478767 78326567 10497159 6488356 4008803 91262914 67688937 23573977 10827501 4730171 6097330 132295826 88268983 C 88268983 308043553 24966589 79890280 104856869 203186684 99930 13808990 13908920 217095604 261241363 97284190 97284190 163957173 99930 13829468 13929398 177886571 ENDOWMENT FUNDS 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. LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 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. OTHER - REVENUE INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XI, LINE 2D RELATED ORGANIZATIONS' REVENUE $94,901,442 RENTAL EXPENSES 2,447,755 LOSS ON INVESSTMENT OF EQUITY INVESTEES (17,393,910) LOSS ON EXTINGUISHMENT OF DEBT (65,007) ------------- TOTAL $79,890,280 OTHER - REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1 SCHEDULE D, PART XI, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 13,808,990 OTHER - EXPENSE INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATIONS' EXPENSES $94,901,442 RENTAL EXPENSES 2,447,755 LOSS ON EXTINGUISHMENT OF DEBT (65,007) ------------ TOTAL $97,284,190 OTHER - EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 13,808,990 TRANSFER TO AFFILIATES 20,478 ---------- TOTAL $ 13,829,468 true true X false true X true true false true true 9918 5532 4379926 4379926 0.02670 11636 5570 9787115 6604907 3182208 0.01940 21554 11102 14167041 6604907 7562134 0.04610 35 18673 522870 522870 0.00320 16 892 1839894 1839894 0.01120 1145679 671337 474341 0.00140 143826 143826 0.00090 51 19565 3652269 671337 2980931 0.01670 21605 30667 17819310 7276244 10543065 0.06280 3 40792 40792 0.00020 3 9068 9068 0.00010 7 96 6147 6147 3 1587 1587 16 96 57594 57594 0.00030 true 3022935 0 66473482 69325967 -2852485 X true true 1 1 OLATHE MEDICAL CENTER INC

20333 WEST 151ST STREET OLATHE KS 66061

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INPATIENT/OUTPATIENT MRI SERVICES CARDIAC REHAB AT OLATHE MEDICAL CENTER

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INPATIENT/OUTPATIENT CARDIAC REHAB CLINIC AMBULATORY SURGERY CENTER AT OMC

20805 W 151ST STREET SUITE 101 OLATHE KS 66061

AMBULATORY SURGERY CENTER 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 FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE SCHEDULE H, PART I, LINE 3A OLATHE MEDICAL CENTER, INC. (OMCI) DOES NOT OFFER FREE CARE EXCEPT IN CASE OF DEATH. IN ALL OTHER CASES WE WILL DISCOUNT UP TO 99% OF TOTAL CHARGES FOR PATIENTS AT OR BELOW THE FEDERAL POVERTY GUIDELINES. ALL PATIENTS ARE EXPECTED TO CONTRIBUTE TO THEIR CARE IN ACCORDANCE WITH THEIR ABILITY. EXTRAORDINARY MEDICAL EXPENSES THAT EXCEED 25% OF ANNUAL HOUSEHOLD INCOME, EVEN IF ANNUAL HOUSEHOLD INCOME IS MORE THAN 200% OF THE FEDERAL POVERTY GUIDELINES, MAY ALSO BE ELIGIBLE FOR A FINANCIAL HARDSHIP DISCOUNT. FINANCIAL ASSISTANCE ELIGIBLITY CRITERIA FOR PROVIDING DISCOUNT CARE SCHEDULE H, PART I, LINE 3C OLATHE MEDICAL CENTER, INC. (OMCI) OFFERS DISCOUNTED CARE TO ALL INDIVIDUALS WITHOUT INSURANCE, SIMILAR TO MANAGED CARE DISCOUNTS. OMCI'S UNINSURED DISCOUNT APPLIES TO ALL PATIENTS WITHOUT INSURANCE, REGARDLESS OF ABILITY TO PAY, INCLUDING ALL LOW INCOME INDIVIDUALS. 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 $13,808,990.00 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. COMMUNITY BUILDING ACTIVITIES 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 AREA'S RESIDENTS; AS WELL AS SUPPORTING PROGRAMS AND OTHER ORGANIZATIONS THAT REACH OUT TO OUR CITIZENS IN NEED. A FEW EXAMPLES OF OMCI'S INVOLVEMENT IN 2012 INCLUDE: 1) OUR INVOLVEMENT IN SEVERAL AREA ECONOMIC DEVELOPMENT COUNCILS AND WORK WITH JOHNSON COUNTY COMMUNITY COLLEGE ON A COLLABORATIVE BASIS ON CAMPUS. 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 ARMY'S 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 AREA'S EMERGENCY PREPAREDNESS EFFORT BY COORDINATING EXTENSIVE DRILLS TO PRACTICE OUR RESPONSE TO POTENTIAL SITUATIONS. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 2 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART III, LINE 2, OF SCHEDULE H, IS A COST ACCOUNTING SYSTEM. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 57% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 70% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. IN ADDITION, THE SYSTEM'S WRITE-OFFS INCREASED APPROXIMATELY $4,903,000 FROM APPROXIMATELY $11,737,000 FOR THE YEAR ENDED DECEMBER 31, 2011, TO APPROXIMATELY $16,640,000 FOR THE YEAR ENDED DECEMBER 31, 2012. BOTH INCREASES WERE THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS IN FISCAL YEAR 2012. PATIENTS IN FISCAL YEAR 2012. MEDICARE SHORTFALL 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. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9B BEFORE PLACEMENT WITH COLLECTION AGENCIES, 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. IN ADDITION, OMCI OFFERS EXTENDED PAYMENT PLANS WITHOUT INTEREST TO ALL INDIVIDUALS. OMCI HAS LANGUAGE WRITTEN IN THEIR COLLECTION AGENCY CONTRACT THAT STATES, "IF THE COLLECTION AGENCY LEARNS A PATIENT/DEBTOR HAS NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET HIS FINANCIAL OBLIGATION, THE AGENCY WILL NOT PURSUE COLLECTION ACTIVITIES AGAINST THE PATIENT/DEBTOR, UNLESS OR UNTIL THE AGENCY LEARNS THAT THE PATIENT/DEBTOR HAS INCOME OR ASSETS TO MEET THE OBLIGATION." IF THE COLLECTION AGENCY IS NOTIFIED BY THE PATIENT/DEBTOR THAT THIS 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 V, SECTION B, LINE 10 OLATHE MEDICAL CENTER, INC. (OMCI) DOES NOT OFFER FREE CARE EXCEPT IN CASE OF DEATH. IN ALL OTHER CASES WE WILL DISCOUNT UP TO 99% OF TOTAL CHARGES FOR PATIENTS AT OR BELOW THE FEDERAL POVERTY GUIDELINES. ALL PATIENTS ARE EXPECTED TO CONTRIBUTE TO THEIR CARE IN ACCORDANCE WITH THEIR ABILITY. EXTRAORDINARY MEDICAL EXPENSES THAT EXCEED 25% OF ANNUAL HOUSEHOLD INCOME, EVEN IF ANNUAL HOUSEHOLD INCOME IS MORE THAN 200% OF THE FEDERAL POVERTY GUIDELINES, MAY ALSO BE ELIGIBLE FOR A FINANCIAL HARDSHIP DISCOUNT. SCHEDULE H, PART V, SECTION B, LINE 16 OLATHE MEDICAL CENTER, INC. (OMCI) DOES NOT PERMIT ANY OF THE ACTIONS LISTED WITHOUT MAKING A REASONABLE EFFORT TO DETERMINE THE PATIENT'S ELIGIBILITY UNDER THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM. NEEDS ASSESSMENT 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. Informally, OMCI is involved in multiple health fairs and other community outreach activities that involve screenings, questionnaires and general conversation that help us understand the needs of groups and individuals. The OMCI community advisory group is represented by a diverse set of individuals representing the deaf, Hispanic, African-American, and uninsured. During 2012, OMCI also began a more formal process of assessment. In partnership with the Johnson County Department of Health, the Miami County Department of Health, and with the help of VVV Research and Development, OMCI conducted a Community Health Needs Assessment for our primary service area (southwest Johnson County AND MIAMI COUNTY). This was done by performing research and collecting health data for our area, and actively seeking input from the community through a survey and town hall meetings. The research, survey and town hall meetings helped develop a clearer picture of the health priorities of residents OF OUR SERVICE AREA. Below are the top three health need priorities in the primary service areas of OMCI. Health Need Priorities - OMCI 1. Increase access to care for the uninsured and underinsured and address the lack of mental health services 2. Decrease obesity rate among residents and increase access to healthy food 3. PROVIDE Additional services for seniors Olathe Medical Center is in the process of developing a Community Health Improvement Plan (CHIP) to address the health need priorities that were identified through this assessment. You can read the full Community Health Needs Assessment report on our website at olathehealth.org/community. The Community Health Improvement Plan will also be posted there before the end of 2013. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 CENTER'S 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. COMMUNITY INFORMATION 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, 27% 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, Olathe Medical Center 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 OMC Community Advisory Council. Below is a listing of economic levels for area residents. Time period: 2006 - 2010 Source: factfinder2.census.gov People Living Below Poverty Level Johnson County: 5.5% Miami County: 5.7% Young Children Living Below Poverty Level Johnson County: 8.7% Miami County: 10.6% Uninsured Adult Population Rate (2009) Johnson County: 11.7% Miami County: 14.8% also be posted there before the end of 2013. PROMOTION OF COMMUNITY HEALTH 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 provide 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, Lion's Club, Olathe District Schools, and several others. AFFILIATED HEALTH CARE SYSTEM 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 33 CLINICS. OHSI AND ITS AFFILIATES, INCLUDING OMCI, 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 AND ITS AFFILIATES POSITIONS ITSELF AS NOT ONLY A PROVIDER OF CARE, BUT A RESOURCE FOR EDUCATION AND PREVENTION. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 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) 70000 CMTY WELLNESS OLATHE DISTRICT SCHOOLS 1700 WEST SHERIDAN ST OLATHE KS 66061 480697986 GOVERNMENT 21613 BOOK SPORTS MEDICINE CMTY WELLNESS KANSAS SCHOOL FOR THE DEAF 450 E PARK OLATHE KS 66061 486037952 GOVERNMENT 10000 CMTY WELLNESS OTTAWA USD 290 1120 SOUTH ASH STREET OTTAWA KS 66067 486037952 GOVERNMENT 10000 CMTY WELLNESS KIDS TLC INC 480 S ROGERS RD OLATHE KS 66062 480774593 501(C)(3) 30000 CMTY WELLNESS MID-AMERICA NAZARENE COLLEGE 2030 E COLLEGE WAY OLATHE KS 66062 480730814 501(C)(3) 32250 CMTY WELLNESS HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY 7171 WEST 95TH STREET SUITE 100 OVERLAND PARK KS 66216 481115529 501(C)(3) 20000 CMTY WELLNESS DESOTO USD 232 35200 WEST 91ST STREET DESOTO KS 66018 GOVERNMENT 19291 BOOK SPORTS MEDICINE CMTY WELLNESS AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALAS TX 75231 135613797 501(C)(3) 10000 CMTY WELLNESS OLATHE CHAMBER OF COMMERCE 1 WEST 106TH STREET Olathe KS 66061 480357594 501(C)(6) 13000 CMTY WELLNESS JOHNSON COUNTY OLD SETTLERS 14712 South Village Olathe KS 66061 486108713 501(C)(4) 10000 CMTY WELLNESS JOHNSON COUNTY COMMUNITY COLLEGE 12345 COLLEGE BLVD OVERLAND PARK KS 66210 237164614 501(C)(3) 26500 CMTY WELLNESS FESTIVAL ON THE TRAIL 952 LINCOLN LANE GARDNER KS 66030 270680384 501(C)(4) 10000 CMTY WELLNESS OLATHE DISTRICT SCHOOLS 1700 WEST SHERIDAN STREET OLATHE KS 66061 480697986 GOVERNMENT 40000 CMTY WELLNESS SALVATION ARMY 101 W LINWOOD KANSAS CITY MO 64111 440545998 501(C)(3) 30000 CMTY WELLNESS THE MIRACLE LEAGUE 1506 KLONDIKE ROAD SUITE 105 CONYERS GA 30094 900680027 501(C)(3) 50000 CMTY WELLNESS DEAF CULTURAL CENTER 455 EAST PARK STREET OLATHE KS 66062 486082776 501(C)(3) 5100 CMTY WELLNESS 14 3 SCHOLARSHIPS 17 12750 PROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S. SCHEDULE I, PART I, LINE 2 SCHEDULE I, PART II OLATHE MEDICAL CENTER, INC. PROVIDED SPORTS TRAINERS TO LOCAL HIGH SCHOOLS. SCHEUDLE I, PART III FOR ALL SCHOLARSHIPS, THE ORGANIZATION CAREFULLY SELECTS THE RECIPIENTS OF THE FUNDS AND A CHECK IS WRITTEN DIRECTLY TO THE ORGANIZATION OR INDIVIDUAL. X true true X X X X X false true false false false false false false false FRANK H DEVOCELLE 827087 0 119614 0 2424001 0 0 0 20372 0 3391074 0 2074339 0 RODNEY D CORN 0 0 0 0 150524 0 0 0 0 0 150524 0 153209 0 TIERNEY L GRASSER 322902 0 56117 0 27971 0 94869 0 26570 0 528429 0 18981 0 CATHERINE R WIENS 158700 0 13801 0 1875 0 2500 0 20735 0 197611 0 0 0 ELAINE PATTON 180339 0 14378 0 7978 0 2500 0 13196 0 218391 0 0 0 GEORGE DIX 267005 0 0 0 1092 0 0 0 7022 0 275119 0 0 0 CHERYL A SHARP 186554 0 18077 0 1810 0 2500 0 8558 0 217499 0 0 0 MICHAEL L JENSEN 175912 0 12229 0 1340 0 2500 0 13196 0 205177 0 0 0 DAVID KLIMEK 159101 0 13449 0 1919 0 2500 0 20451 0 197420 0 0 0 JOHN STATON 155948 0 10786 0 1471 0 2500 0 23041 0 193746 0 0 0 JAN O'DELL 148007 0 8841 0 1266 0 2500 0 20757 0 181371 0 0 0 SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A OLATHE MEDICAL CENTER, INC. PAYS FOR HEALTH AND SOCIAL CLUB DUES FOR FRANK H DEVOCELLE, A PORTION OF WHICH IS REPORTED AS TAXABLE INCOME AND IS INCLUDED IN HIS W-2 INCOME. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B & PART II A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS PREVIOUSLY PROVIDED TO FRANK H DEVOCELLE, PRESIDENT AND CEO. INCLUDED IN HIS COMPENSATON IN 2012 IS $2,389,228 IN SERP PAYOUT WHICH REPRESENTS THE VALUE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AND REPRESENTS HIS 40 YEARS OF SERVICE TO THE ORGANIZATION. $2,074,339 OF THIS AMOUNT HAS PREVIOUSLY BEEN REPORTED IN MR. DEVOCELLE'S COMPENSATION AS SUPPLEMENTAL INCOME IN PREVIOUS YEARS' 990 TAX RETURNS. The total compensation of $150,524 for Rodney D. Corn is a SERP payout. Mr. Corn left the Organization in 2011 and met the requirements for payment in 2012. $153,209 of this amount has previously been reported in Mr. Corn's compensation as supplemental income in previous years. A SERP IS PROVIDED TO TIERNEY L GRASSER, SENIOR VICE PRESIDENT/FINANCE 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 24 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 2012, THERE WAS A PAYOUT OF $23,554 AND AN ACCRUAL OF $94,869. COMPENSATION REPORTED IN PRIOR YEAR FORM 990 SCHEDULE J, PART II, COLUMN F COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS GENERALLY REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS PAID TO THE INDIVIDUAL. AS A RESULT OF THE REPORTING REQUIREMENT, AN ORGANIZATION COULD BE REQUIRED TO REPORT THE SAME COMPENSATION AMOUNTS ON THE FORM 990 FOR TWO CONSECUTIVE YEARS. THE AMOUNTS REPORTED IN COLUMN F: INCLUDE INCENTIVE AMOUNTS AND CAPITAL ACCUMULATION AMOUNTS WHICH WERE REPORTED IN PREVIOUS 990S AS DEFERRED COMPENSATION. A CITY OF OLATHE (SERIES 2008B) 486034756 679390GX6 2008-02-27 24140141 SEE PART VI false false false B CITY OF OLATHE (SERIES 2008C) 486034756 679390HB3 2008-05-08 36015000 SEE PART VI true false false C CITY OF OLATHE (SERIES 2010A&B) 486034756 679390HK3 2010-10-29 32463901 SEE PART VI true false false D CITY OF OLATHE (SERIES 2012A&B) 486034756 679390JG0 2012-02-28 36829130 SEE PART VI false false false A 4155000 0 24140141 0 0 0 101830 0 0 0 24038311 0 2007 true false true true B 13295000 0 36015149 0 0 0 231459 0 0 0 35783690 0 2004 true false true true C 4900000 0 32505589 0 8840 0 448522 20650 0 10961033 21066542 0 2012 true false true true D 0 0 36829130 0 0 0 429130 0 0 0 36400000 0 2010 true false true true A false false true true false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00000 0.00000 0.00000 false false false true 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 AMERICA 16.33 false true false 0 false true C false true true false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true BOND ISSUES SCHEDULE K, PART I, COLUMN F A - Proceeds were used to currently refund Series 2004A and 2004B bonds issued 7/29/04. B - Proceeds were used to currently refund Series 2002A bonds issued 9/27/02. C - Proceeds used to currently refund Series 2000A bonds issued 10/20/00 and to construct hospital new Critical Care Unit and Energy Plant expansion. D - Proceeds used to currently refund Series 2008A bonds issued 1/30/08. E - Proceeds used to currently refund $12,870,000 of Series 2008C bonds issued 5/8/08 and $3,130,000 of Series 2010B bonds issued 10/29/10. PROCEEDS SCHEDULE K, PART II, LINE 3 B - Series 2008C: Issue price plus $149 interest earned C - Series 2010A&B: Issue price plus $41,688 interest earned ARBITRAGE SCHEDULE K, PART IV, COLUMN B Line 2c, Date the rebate computation was performed: 6/1/2012 Line 3, Variable rate issue C - The 2010 issue consisted of $16,000,000 of fixed rate series 2010A bonds and $16,000,000 of variable rate demand series 2010B bonds, both issued 10/29/10. A CITY OF OLATHE (SERIES 2012C) 486034756 2012-09-05 16000000 SEE SCHEDULE O false false false A 0 0 16000000 0 0 0 0 0 0 0 16000000 0 2012 true false true true A false true true true false 0 false false false true A false true false false 0 false 0 false true A true 0 SEE SCHEDULE L PART V BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV TRANSACTION 1 (A) OLATHE WOMEN'S CLINIC (OWC) (B) BRUCE B SNIDER MD IS AN OFFICER OF OWC AND A TRUSTEE OF OMCI (C) $114,503 (D) OWC LEASES SPACE FROM OMCI (E) NO TRANSACTION 2 (A) BANK OF AMERICA (BOA) (B) J MACK BOWEN IS AN OFFICER OF BOA AND A TRUSTEE OF OMCI (C) $180,905 (D) BANK FEES PAID TO BOA BY OMCI (E) NO TRANSACTION 3 (A) MELISSA KINZER (B) MELISSA KINZER IS THE DAUGHTER OF RODNEY D CORN, A FORMER OFFICER OF OMCI (C) $70,804 (D) MELISSA KINZER IS AN EMPLOYEE OF OMCI (E) NO TRANSACTION 4 (A) DAVID HANSON (B) DAVID HANSON IS THE SON-IN-LAW OF FRANK H DEVOCELLE, AN OFFICER OF OMCI (C) $77,245 (D) DAVID HANSON IS AN EMPLOYEE OF OMCI (E) NO TRANSACTION 5 (A) MIDWEST EAR NOSE & THROAT (MENT) (B) BRIAN A METZ MD IS A >5% PARTNER IN MENT AND A TRUSTEE OF OMCI (C) $243,750 (D) MENT RENTS SPACE FROM OMCI (E) NO ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 THE MISSION OF OLATHE MEDICAL CENTER, INC. IS TO IMPROVE THE HEALTH OF ALL INDIVIDUALS IN THE COMMUNITIES WE SERVE BY PROVIDING COMPASSIONATE, QUALITY HEALTHCARE IN AN ENVIRONMENT OF TRUST AND COLLABORATION. PROGRAM SERVICE ACCOMPLISHMENTS 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 2012, OLATHE MEDICAL CENTER PROVIDED 40,998 DAYS OF INPATIENT CARE, 146,756 OUTPATIENT VISITS RESULTING IN 592,752 OUTPATIENT PROCEDURES, 41,888 EMERGENCY VISITS, 9,227 HOSPICE VISITS, AND 34,235 HOME HEALTH VISITS TO THE COMMUNITY. BUSINESS RELATIONSHIPS 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 FOR OLATHE HEALTH DEVELOPMENT CORPORATION AND OLATHE MEDICAL CENTER DOCTOR'S BUILDING CONDOMINIUM OWNERS ASSOCIATION, INC. WHICH ARE RELATED FOR PROFIT COMPANIES. MEMBER 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. MEMBER MAY ELECT GOVERNING BODY 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 AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF OLATHE MEDICAL CENTER, INC. GOVERNING BODY DECISIONS SUBJECT TO APPROVAL OF MEMBER 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 CENTER'S BOARD MEMBERS. FORM 990 REVIEW PROCESS 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 & 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. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C The purpose of the Organization's Conflict of Interest Policy is to protect the organization's 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 Organization's 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & B 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. IN 2012, THE COMMITTEE REVIEWED THIRD PARTY SALARY SURVEYS TO REVIEW THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES OF THE CORPORATION TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION, SALARY RANGES AND BENEFITS. COMPENSATION FOR SUCH OFFICERS IS APPROVED BY THE COMMITTEE, AND INFORMATION OF THEIR FINDINGS IS AVAILABLE TO ALL BOARD MEMBERS. IN ADDITION, THE CORPORATION HAS A WRITTEN CONTRACT WITH THE CEO. AVAILABILITY OF DOCUMENTS 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. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 8 GAIN(LOSS) ON INVESTMENT OF EQUITY INVESTEES (17,393,910) NET ASSETS RELEASED- CAPITAL 12,645 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 1,327,337 ------------ TOTAL $ (16,053,928) MIAMI COUNTY MEDICAL CENTER INC 2100 BAPTISTE DRIVE PAOLA KS 66071 481155548 HOSPITAL KS 510(c)(3) 3 OMCI true OLATHE HEALTH SYSTEM INC 20333 W 151ST STREET OLATHE KS 66061 480979845 SUPPORT ORG KS 510(c)(3) 11B NA false OLATHE MEDICAL SERVICES INC 20333 W 151ST STREET OLATHE KS 66061 481088982 CLINICS KS 510(c)(3) 9 OMCI true OLATHE MEDICAL CENTER CHARITABLE FDN 20333 W 151ST STREET OLATHE KS 66061 481136010 FUNDRAISING KS 510(c)(3) 7 OMCI true OLATHE HEALTH DEVELOPMENT CORPORATION 20333 W 151ST STREET OLATHE KS 66061 363445097 MEDICAL SERVICES KS OHSI C CORPORATION 0 0 0.00000 false 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 false true true true true true true false OLATHE MEDICAL SERVICES A(IV) 670521 COST OLATHE MEDICAL SERVICES B 23521624 COST OLATHE MEDICAL SERVICES L 91527 COST OLATHE MEDICAL SERVICES N 663984 COST OLATHE MEDICAL SERVICES O 12163616 COST OLATHE MEDICAL SERVICES P 9930406 COST MIAMI COUNTY MEDICAL CENTER L 183720 COST MIAMI COUNTY MEDICAL CENTER N 93996 COST MIAMI COUNTY MEDICAL CENTER O 2800443 COST MIAMI COUNTY MEDICAL CENTER P 3107011 COST OLATHE MEDICAL CENTER CHARITABLE FOUNDATION B 274417 COST OLATHE MEDICAL CENTER CHARITABLE FOUNDATION O 134564 COST