2023-11-15T15:35:42-06:00 2022-12-31 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2022-01-01 481136010 OLATHE HEALTH CHARITABLE FOUNDATION % MONICA LUBECK OLAT 9133553095 20333 W 151ST STREET OLATHE KS 66061 MONICA LUBECK CHIEF AMBULATORY/LEG 9137914461 2023-11-15 true JASON HANNAGAN XXX-XX-XXXX Michael J Engle P00482834 8162216300 2023-11-15 2 2022 2023-04-26 12:10:37Z MICHAEL JENSEN 20333 W 151ST STREET OLATHE KS 66061 1229854 false X WWW.OLATHEHEALTH.ORG X 1993 KS OHCF RAISES & DISTRUBUTES FUNDS DIRECTLY TO OLATHE MEDICAL CENTER, INC., OLATHE HEALTH PHYSICIANS, INC. & MIAMI COUNTY MEDICAL CENTER, INC., ALL RELATED 501(C)(3) ENTITIES. 11 11 3 85 0 470074 1023218 0 0 759941 123546 -110816 -138304 1119199 1008460 620036 359469 0 0 253175 375262 0 0 543851 133546 271386 1006757 1006117 112442 2343 5228145 4816518 143998 589467 5084147 4227051 X OHCF RAISES AND DISTRIBUTES FUNDS DIRECTLY TO OLATHE MEDICAL CENTER, INC., OLATHE HEALTH PHYSICIANS, INC. AND MIAMI COUNTY MEDICAL CENTER, INC., ALL RELATED 501(C)(3) ENTITIES. false false 359469 359469 0 SEE SCHEDULE O 359469 true true false false false false false false false true true false false false true false false false false false false false false false true false false true false true false false false false false false false false false false false false false true true true false false true 6 0 true 3 true false false false false false true true false false false false false false X 11 11 true false true false true true true true true false false true true true true true true true true false KS X MONICA LUBECK 9133553523 20333 W 151ST STREET OLATHE KS 66061 KRYSTAL CLAYMORE CFO/SECRETARY/TREASURER 3.0 47.0 X 0 1151323 138799 STELLA G QUIASON MD DIRECTOR 1.0 50.0 X 0 804598 73578 MICHAEL JENSEN CHIEF STRATEGY OFFICER 5.0 45.0 X 0 681506 68647 ROB WYRICK EXECUTIVE DIRECTOR 45.0 0.0 X 216571 0 22877 JOHN N BARNES DIRECTOR/CHAIRPERSON 1.0 0.0 X X 0 0 0 ROBERT BROGDEN DIRECTOR 1.0 0.0 X 0 0 0 MILTON B GRIN MD DIRECTOR 1.0 0.0 X 0 0 0 J MICHAEL HASKIN DIRECTOR 1.0 0.0 X 0 0 0 BRIAN J LEE DIRECTOR 1.0 0.0 X 0 0 0 JASON PARKER DIRECTOR 1.0 0.0 X 0 0 0 J JOSEPH HANNAH DDS DIRECTOR/VICE CHAIRPERSON 2.0 0.0 X X 0 0 0 TODD KNAPPENBERGER DVM DIRECTOR 1.0 0.0 X 0 0 0 GLENN STOCKTON DIRECTOR 1.0 0.0 X 0 0 0 CURTIS SUMMERS DIRECTOR 1.0 0.0 X 0 0 0 JAYME MORRIS DIRECTOR 1.0 0.0 X 0 0 0 DOUGLAS R HUSTON DIRECTOR 1.0 2.0 X 0 0 0 COLLEEN MEURER DIRECTOR 1.0 0.0 X 0 0 0 JULIA L LYNN DIRECTOR 1.0 0.0 X 0 0 0 216571 2637427 303901 1 false true false 0 516899 496408 9911 1023218 0 123546 123546 0 0 0 0 0 0 83090 516899 221394 -138304 -138304 0 0 0 0 0 0 0 1008460 0 -14758 359469 359469 0 0 0 0 0 303332 303332 0 54422 54422 17508 17508 38736 38736 5737 5737 21585 21585 0 0 798 798 4443 3498 945 1906 1906 12700 12700 39914 28500 11414 0 8084 8084 515 515 0 451 451 0 0 0 465 465 Dues and Licenses 384 384 Fundraising Expenses 134082 134082 _ 0 _ 0 1586 1586 1006117 359469 102797 543851 0 0 371164 811910 7607 2617 0 0 0 0 0 0 0 0 0 0 132064 2933 16240 16240 4717310 3999058 0 0 0 0 0 0 0 0 5228145 4816518 29692 85490 0 0 8395 0 0 0 0 0 0 0 0 0 0 0 105911 503977 143998 589467 X 4228472 3350816 855675 876235 5084147 4227051 5228145 4816518 X 2343 -879998 20559 X X false false false X X X 3 OLATHE MEDICAL CENTER INC 480577664 3 true 153169 0 OLATHE HEALTH PHYSICIANS INC 481088982 10 true 0 0 MIAMI COUNTY MEDICAL CENTER INC 481155548 3 true 206300 0 3 359469 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4724917 33211 -756454 4001674 4565083 317782 594852 2800 750000 4724917 7854132 681775 6932 3963892 4565083 3189650 3986102 685930 7550 7854132 3280330 72000 -154676 7900 104 3189650 0.78270 0.05080 0.16650 false false 3555 3555 0 12685 12685 0 0 0 Due to Affiliates 210166 DUE TO OTHERS 293811 503977 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS INCLUDE RESTRICTED FUNDS FOR THE HOSPICE HOUSE OPERATIONS AND FUNDS RESTRICTED FOR SCHOLARSHIPS AND AWARDS FOR HEALTHCARE CAREERS. 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. GALA 324498 280258 44240 7320 85973 49621 19771 GOLF CLASSIC 155547 131547 24000 2800 3940 3663 2143 15760 6509 3 119944 105094 14850 90 3480 9550 2423 8351 599989 516899 83090 2800 11350 93116 11693 67804 34631 221394 -138304 true MIAMI COUNTY MEDICAL CENTER INC 2100 BAPTISTE DRIVE PAOLA KS 66071 481155548 501(C)(3) 206300 OPERATIONAL SUPPORT & BD DESIGN ASETS OLATHE MEDICAL CENTER INC 20333 W 151ST ST OLATHE KS 66061 480577664 501(C)(3) 153169 OPERATIONAL SUPPORT 2 0 SCHEDULE I, PART I, LINE 2 THE ORGANIZATION MONITORS THE USE OF ALL FUNDS GIVEN TO RELATED ORGANIZATIONS BY RESTRICTING THE FUNDS TO USE FOR HEALTHCARE RELATED ENDEAVORS. THE RELATED ENTITIES RECORD AND REPORT THE USE OF THE FUNDS TO EITHER GENERAL OPERATIONS, HOSPICE OPERATIONS OR RESTRICTED HEALTHCARE CAPITAL PURCHASES. true true false false false false false false false MICHAEL JENSEN CHIEF STRATEGY OFFICER 0 276375 0 399456 0 5675 0 54220 0 14427 0 750153 0 0 STELLA G QUIASON MD DIRECTOR 0 606114 0 0 0 198484 0 58658 0 14920 0 878176 0 0 KRYSTAL CLAYMORE CFO/SECRETARY/TREASURER 0 478752 0 670166 0 2405 0 116357 0 22442 0 1290122 0 0 ROB WYRICK EXECUTIVE DIRECTOR 132220 0 84000 0 351 0 6285 0 16592 0 239448 0 0 0 FORM 990, PART VII AND SCHEDULE J, PART I, LINE 4B THE FOLLOWING AMOUNTS WERE ACCRUED IN 2022 TO A 457(F) PLAN FOR THE BENEFIT OF THE SENIOR EXECUTIVE LEADERSHIP AND WERE INCLUDED AS DEFERRED INCOME ON SCHEDULE J FOR MICHAEL JENSEN ($44,580), KRYSTAL CLAYMORE ($85,538) AND STELLA G. QUIASON, MD ($52,299). STELLA G. QUIASON, MD PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN (457F) AND RECEIVED A PAYMENT OF $198,484 WHICH IS RECORDED AS TAXABLE COMPENSATION ON HER W-2. SCHEDULE J, PART II THE COMPENSATION BEING REPORTED FOR MICHAEL JENSEN AND KRYSTAL CLAYMORE IS FROM OLATHE HEALTH SYSTEM, INC., A RELATED TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF ALL OF THE CLASS A & B MEMBERS. OLATHE HEALTH SYSTEM, INC. WHICH USES A PERSONNEL AND COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS TO ESTABLISH AND APPROVE COMPENSATION AND BENEFITS FOR ALL OFFICERS OF OLATHE HEALTH SYSTEM, INC. AND ITS AFFILIATED COPRORATIONS. THE COMMITTEE UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEYS TO ESTABLISH FAIR MARKET VALUE SALARIES AND BENEFITS FOR OLATHE HEALTH SYSTEM, INC. AND ITS AFFILIATES' OFFICERS. THE COMPENSATION BEING REPORTED FOR STELLA G. QUIASON, MD IS FROM OLATHE HEALTH PHYSICIANS, INC., A RELATED TAX EXEMPT ORGANIZATION. FORM 990, PART III, LINE 4A THE OLATHE HEALTH CHARITABLE FOUNDATION IS A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION ESTABLISHED TO SECURE CONTRIBUTIONS IN SUPPORT OF OLATHE MEDICAL CENTER, INC., OLATHE HEALTH PHYSICIANS, INC. AND MIAMI COUNTY MEDICAL CENTER, INC. THE OLATHE HEALTH CHARITABLE FOUNDATION IS COMMITTED TO ENHANCE PROGRAMS AND SERVICES THAT PROMOTE, ENCOURAGE AND ASSIST THE IMPROVEMENT AND EXPANSION OF QUALITY HEALTH CARE AT OLATHE MEDICAL CENTER, INC., OLATHE HEALTH PHYSICIANS, INC. AND MIAMI COUNTY MEDICAL CENTER, INC. AND THROUGHOUT ITS SERVICE AREA TO PROVIDE A STRONG FOUNDATION FOR SUPPORT OF QUALITY HEALTH CARE. THE OLATHE HEALTH CHARITABLE FOUNDATION SIGNIFICANTLY SUPPORTS THE CLINICAL SERVICES OF OLATHE MEDICAL CENTER, INC., OLATHE HEALTH PHYSICIANS, INC. AND MIAMI COUNTY MEDICAL CENTER, INC., WHILE COLLABORATING WITH ITS LEADERSHIP, STAFF AND PHYSICIANS TO CREATE LOCAL COMMUNITY OPPORTUNITIES TO SUPPORT HEALTH CARE PROGRAMS AND SERVICES. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL JENSEN AND KRYSTAL CLAYMORE ARE EMPLOYED BY OLATHE HEALTH SYSTEM, INC. CREATING AN EMPLOYER/EMPLOYEE BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE AMENDED TO PROVIDE FOR THE DESIGNATION OF THE CFO AS SECRETARY AND TREASURER OF THE ORGANIZATION DUE TO RESTRUCTURING AND THE ELIMINATION OF THE VICE-PRESIDENT OF FINANCE. FORM 990, PART VI, SECTION A, LINE 6 OLATHE HEALTH CHARITABLE FOUNDATION HAS TWO CLASSES OF "VOTING MEMBERS". THE CLASS A MEMBER IS OLATHE MEDICAL CENTER, INC. AND THE CLASS B MEMBERS ARE MIAMI COUNTY MEDICAL CENTER, INC. AND OLATHE HEALTH PHYSICIANS, INC. THE MEMBERS ARE RELATED 501(C)(3) ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7A CLASS A AND CLASS B MEMBERS ELECT THE BOARD OF DIRECTORS OF OLATHE HEALTH CHARITABLE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B OLATHE MEDICAL CENTER, INC., THE CLASS A MEMBER, IS THE SOLE VOTING MEMBER FOR ALL ACTIONS OTHER THAN THE ELECTION OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS MANAGEMENT HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE UNIVERSITY OF KANSAS HEALTH SYSTEM BECAME THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS ENTITIES ON JANUARY 1, 2023. THE PARENT COMPANY, OLATHE HEALTH SYSTEM, INC. WAS DISSOLVED IN JUNE 2023. THE BOARD AND ITS AUDIT AND COMPLIANCE COMMITTEE USED TO REVIEW AND APPROVE THE FORM 990 PRIOR TO SUBMISSION TO THE IRS. THE 2022 FORM 990 WILL BE REVIEWED AND APPROVED BY THE UNIVERSITY OF KANSAS HEALTH SYSTEM BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS. 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 DIRECTORS 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 DIRECTORS 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 DIRECTORS 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 DIRECTORS 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. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION FOR THE OFFICERS OF THE CHARITABLE FOUNDATION IS REVIEWED AND APPROVED BY THE PERSONNEL AND COMPENSATION COMMITTEE OF OLATHE HEALTH SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION AND THE DIRECT CONTROLLING ENTITY OF ALL OF THE MEMBERS OF OLATHE HEALTH CHARITABLE FOUNDATION. OLATHE HEALTH SYSTEM INC.'S PERSONNEL AND COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF THE OLATHE HEALTH SYSTEM, INC. BOARD. THE PERSONNEL AND COMPENSATION COMMITTEE DETERMINES COMPENSATION FOR THE OFFICERS OF OLATHE HEALTH CHARITABLE FOUNDATION USING A VARIETY OF METHODS SUCH AS THIRD PARTY SALARY SURVEYS AND INDEPENDENT CONSULTANTS TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION, SALARY RANGES AND BENEFITS. 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 CHANGE IN NET ASSETS WITH DONOR RESTRICTIONS $ 20,559 FORM 990, PART XII, LINE 2B THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WAS ESTABLISHED AND HAS OVERSIGHT OF THE AUDIT PROCESS, INCLUDING SELECTION OF THE INDEPENDENT ACCOUNTANT. AS OF JANURY 1, 2023, A MEMBER SUBSTITUTION OCCURRED MAKING THE UNIVERSITY OF KANSAS HEALTH SYSTEM THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. AND ALL OF ITS SUPPORTED ORGANIZATIONS. TUKHS OPERATES ON A FISCAL YEAR END OF 6.30.2023, THEREFORE IT WAS DETERMINED OLATHE HEALTH SYSTEM, INC. WOULD NOT AUDIT THE FINANCIAL REPORTS AS OF 12.31.22 BUT WOULD BE INCLUDED IN THE AUDIT OF TUKHS FINANCIAL REPORTING AUDIT OF 6.30.2023. OLATHE MEDICAL CENTER INC 20333 W 151ST ST OLATHE KS 66061 480577664 HOSPITAL KS 501(C)(3) 3 OHSI true OLATHE HEALTH SYSTEM INC 20333 W 151ST ST OLATHE KS 66061 480979845 SUPPORT ORG KS 501(C)(3) 12C NA false MIAMI COUNTY MEDICAL CENTER INC 2100 BAPTISTE DR PAOLA KS 66071 481155548 HOSPITAL KS 501(C)(3) 3 OHSI true OLATHE HEALTH PHYSICIANS INC 20333 W 151ST ST OLATHE KS 66061 481088982 CLINICS KS 501(C)(3) 10 OHSI true OMC DOCTOR'S BLDG CONDO OWNERS ASSOC INC 20333 W 151ST ST OLATHE KS 66061 481244766 REAL ESTATE KS OMCI C CORPORATION 0 0 true OLATHE HEALTH DEVELOPMENT CORPORATION 20333 W 151ST ST OLATHE KS 66061 363445097 MEDICAL SERVICES KS OHSI C CORPORATION 0 0 true false true true false false false false false false false false true false false true false true true true OLATHE MEDICAL CENTER INC B 153169 COST MIAMI COUNTY MEDICAL CENTER INC B 206300 COST OLATHE MEDICAL CENTER INC Q 397860 COST OLATHE MEDICAL CENTER INC R 446528 COST OLATHE MEDICAL CENTER INC S 110227 COST OLATHE MEDICAL CENTER INC C 496408 COST