2024-05-13T12:32:38-05:00 2023-06-30 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2023-01-01 480979845 OLATHE HEALTH SYSTEM INC % MONICA LUBECK OLAT 7853553523 20333 W 151ST STREET OLATHE KS 66061 MONICA LUBECK CFO 9137914461 2024-05-15 true MONICA LUBECK 999009999 Michael J Engle P00482834 8162216300 2024-05-15 2022 2023-04-26 12:10:37Z X JASON HANNAGAN 20333 W 151ST STREET OLATHE KS 66061 12218780 false X WWW.OLATHEHEALTH.ORG X 1984 KS OLATHE HEALTH SYSTEM, INC. IS ESTABLISHED TO PROVIDE SUPPORT SERVICES TO THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, DBA THE UNIVERSITY OF KANSAS HEALTH SYSTEM. X 1 1 0 1 0 0 0 0 10888368 12218780 25381 0 0 0 10913749 12218780 0 0 0 0 8981946 8141235 0 0 0 1906422 4077545 10888368 12218780 25381 0 539498412 0 3228048 0 536270364 0 X TO HELP PEOPLE THROUGH HEALING, HEALTH, AND HAPPINESS. false true 0 0 12218780 OLATHE HEALTH SYSTEM, INC. IS ESTABLISHED TO PROVIDE SUPPORT SERVICES TO THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, DBA THE UNIVERSITY OF KANSAS HEALTH SYSTEM. 0 true false false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false true false false true true true true false true 0 0 0 false false false false false false false false false false false false false false X 1 1 false false true false true true false 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 STANLEY HOLM PRESIDENT/CEO 25.0 20.0 X 714068 3018524 1669 KRYSTAL CLAYMORE CHIEF FINANCIAL OFFICER 25.0 25.0 X 212930 1420626 1569 JASON HANNAGAN SW KC Market CEO 25.0 20.0 X 692969 250670 41465 JEFF DOSSETT SW KC Market COO 25.0 20.0 X 528158 169674 23144 CHRISTINE COURTNEY SW KC Market CNO 20.0 25.0 X 439956 153583 29486 MICHAEL JENSEN SW KC Market CSO 25.0 25.0 X 442256 141386 22481 CATHERINE WIENS SW KC Market CCO 25.0 20.0 X 280830 109228 31019 ELIZABETH LONG CHIEF MEDICAL OFFICER 3.0 47.0 X 0 302629 13964 TERESA KELLER ASSISTANT GENERAL COUNSEL 40.0 5.0 X 138336 110785 29438 NICHOLAS SINDORF SW KC Market VP CIO 25.0 20.0 X 131235 100018 25782 BETH KAHLBERG SENIOR ASSISTANT 40.0 0.0 X 107365 77520 17696 FRANK ROSS DIRECTOR 1.0 2.0 X 0 0 0 3688103 5854643 237713 10 false true false 0 0 MANAGEMENT FEE INCOME 561000 12218780 12218780 12218780 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12218780 12218780 0 0 0 0 0 0 3583976 3583976 0 3985152 3985152 157255 157255 690 690 414162 414162 0 0 0 0 0 0 4033672 4033672 0 14233 14233 0 0 0 3111 3111 0 21510 21510 0 0 0 3795 3795 DUES AND LICENSES 1224 1224 12218780 0 12218780 0 0 0 924406 0 0 0 0 0 0 0 0 0 0 0 0 0 92332 0 0 0 0 0 0 0 62489 0 538419185 0 0 0 0 0 539498412 0 41628 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3186420 0 3228048 0 X 535394072 0 876292 0 536270364 0 539498412 0 X 0 -536270364 X false true X true true true X X 4 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY 481202402 3 true 0 0 OLATHE MEDICAL CENTER INC 480577664 3 true 0 0 MIAMI COUNTY MEDICAL CENTER INC 481155548 3 true 0 0 OLATHE HEALTH PHYSICIANS INC 481088982 10 true 0 0 4 0 0 true false false false true true false false false false false false false false false false false true false FORM 990, SCHEDULE A, PART IV, LINE 5A The governing documents of Olathe Health System were amended to add the University of Kansas Hospital Authority as a supporting organization on 1/1/2023. X X X X X true true false false false false false false false CATHERINE WIENS SW KC Market CCO 486 108302 0 0 280344 926 0 11130 0 19889 280830 140247 35217 0 JASON HANNAGAN SW KC Market CEO 20964 250002 0 0 672005 668 0 25869 0 15596 692969 292135 171944 0 MICHAEL JENSEN SW KC Market CSO 11656 140339 0 0 430600 1047 0 12419 0 10062 442256 163867 154832 0 STANLEY HOLM PRESIDENT/CEO 36954 18524 0 0 677114 3000000 0 0 1669 0 715737 3018524 677020 0 KRYSTAL CLAYMORE CHIEF FINANCIAL OFFICER 19152 25626 0 0 193778 1395000 0 0 1569 0 214499 1420626 193684 0 CHRISTINE COURTNEY SW KC Market CNO 13982 152396 0 0 425974 1187 0 13890 0 15596 439956 183069 95801 0 JEFF DOSSETT SW KC Market COO 15649 168327 0 0 512509 1347 0 13082 0 10062 528158 192818 142334 0 NICHOLAS SINDORF SW KC Market VP CIO 10205 99824 0 0 121030 194 0 10186 0 15596 131235 125800 0 0 BETH KAHLBERG SENIOR ASSISTANT 7622 76861 0 0 99743 659 0 8389 0 9307 107365 95216 0 0 TERESA KELLER ASSISTANT GENERAL COUNSEL 10767 110310 0 0 127569 475 0 10733 0 18705 138336 140223 0 0 ELIZABETH LONG CHIEF MEDICAL OFFICER 0 265226 0 10000 0 27403 0 0 0 13964 0 316593 0 27403 SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: STANLEY HOLM $ 3,000,000 KRYSTAL CLAYMORE $ 930,000 THE FOLLOWING INDIVIDUALS RECEIVED CHANGE OF CONTROL PAYMENTS: KRYSTAL CLAYMORE $ 465,000 JEFF DOSSETT $ 370,000 CHRISTINE COURTNEY $ 330,000 MICHAEL JENSEN $ 275,625 JASON HANNAGAN $ 500,000 NICHOLAS SINDORF $ 121,000 CATHERINE WIENS $ 245,000 TERESA KELLER $ 127,500 BETH KAHLBERG $ 99,650 SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN (457F) AND RECEIVED PAYMENTS: STANLEY HOLM $ 677,020 KRYSTAL CLAYMORE $ 193,684 JEFF DOSSETT $ 142,334 CHRISTINE COURTNEY $ 95,801 MICHAEL JENSEN $ 154,832 JASON HANNAGAN $ 171,944 CATHERINE WIENS $ 35,217 ELIZABETH LONG $ 26,437 EQUITY IN AFFILIATED ORGANIZATIONS 2023-06-30 519834795 COST 481202402 UNIVERSITY OF KANSAS HOSPITAL AUTHO 4000 CAMBRIDGE ST KANSAS CITY KS 66160 GOVT CASH 2024-06-30 7548 CASH 481202402 UNIVERSITY OF KANSAS HOSPITAL AUTHO 4000 CAMBRIDGE ST Kansas City KS 66160 GOVT false true false true true true true true false SCHEDULE N, PART I, LINE 2B LIST OF EXECUTIVES WHO ARE EMPLOYEED WITH UKHA JASON HANNAGAN SW KC Market CEO JEFF DOSSETT SW KC Market COO CHRISTINE COURTNEY SW KC MARKET CNO MICHAEL JENSEN SW KC MARKET CSO CATHERINE WIENS SW KC Market CCO NICHOLAS SINDORF SW KC Market VP CIO TERESA KELLER Assistant General Counsel BETH KAHLBERG Senior Assistant SCHEDULE N, PART I, LINE 2D SEVERANCE PAYMENTS: STANLEY HOLM Chief Executive Officer 3,000,000 KRYSTAL CLAYMORE Chief Financial Officer 930,000 CHANGE OF CONTROL PAYMENTS: Claymore, Krystal Chief Financial Officer 465,000 Dossett, Jeff SW KC MARKET COO 370,000 Courtney, Christine SW KC MARKET CNO 330,000 Jensen, MiCHAEL SW KC MARKET CSO 275,625 Hannagan, Jason SW KC MARKET CEO 500,000 Sindorf, Nicholas SW KC MARKET VP CIO 121,000 Wiens, Catherine SW KC MARKET CCO 245,000 Keller, Teresa Assistant General Counsel 127,500 Kahlberg, Beth SENIOR ASSISTANT 99,650 FORM 990, PART III, LINE 3 THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY BECAME THE SOLE MEMBER OF OLATHE HEALTH SYSTEMS, INC. ON 1/1/2023. OLATHE HEALTH SYSTEMS, INC. WAS DISSOLVED EFFECTIVE 6/30/2023. FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING DOCUMENTS WERE AMENDED TO MAKE THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (UKHA) THE SOLE MEMBER AND TO ALLOW UKHA TO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, THE SOLE MEMBER, HAS THE RIGHT TO ELECT THE BOARD 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. A COPY OF THE 990 WILL BE PROVIDED TO THE BOARD BEFORE IT IS FILED. 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 BOARD OF 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 DIRECTOR 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 DIRECTOR. 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 ANNUALLY, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD, REVIEWS AND APPROVES EXECUTIVE COMPENSATION IN ACCORDANCE WITH THEIR COMPENSATION POLICY. THE COMMITTEE REVIEWS THIRD PARTY SALARY SURVEYS TO REVIEW THE EXECUTIVE COMPENSATION OF THE CORPORATION TO DETERMINE THE FAIR MARKET VALUE OF THE CURRENT COMPENSATION, SALARY RANGES AND BENEFITS. COMPENSATION FOR SUCH EMPLOYEES 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 EXECUTIVES. 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 TRANSFER TO AFFILIATES $ ( 519,834,795) CHANGE IN EQUITY OF AFFILIATES $ ( 16,435,569) --------------- $ ( 536,270,364) FORM 990, PART XII, LINE 2C A MEMBER SUBSTITUTION OCCURRED ON 1/1/2023, MAKING THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (UKHA), THE SOLE MEMBER OF OLATHE HEALTH SYSTEM, INC. UKHA has a committee that assumes responsibility and oversight of the audit and selection of the independent accountant. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:4033672 OLATHE MEDICAL CENTER INC 20333 W 151ST ST OLATHE KS 66061 480577664 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 MIAMI COUNTY MEDICAL CENTER INC 2100 BAPTISTE DRIVE PAOLA KS 66071 481155548 HOSPITAL KS 501(C)(3) 3 OHSI true OLATHE HEALTH CHARITABLE FOUNDATION 20333 W 151ST ST OLATHE KS 66061 481136010 FUNDRAISING KS 501(C)(3) 7 OMCI true UNIVERSITY OF KANSAS HOSPITAL AUTHORITY 4000 CAMBRIDGE STREET Kansas City KS 66160 481202402 HEALTHCARE KS GOVT N/A NA false TURNING POINT 4000 CAMBRIDGE STREET Kansas City KS 66160 431900039 CANCER SUPPRT MO 501(C)(3) 7 UKHA true KANSAS UNIVERSITY PHYSICIANS 4000 CAMBRIDGE STREET Kansas City KS 66160 481163756 CANCER SUPPRT KS 501(C)(3) 10 UKP true KU MEDWEST AMBULATORY SURGERY CENTER LLC 4000 Cambridge Street Kansas City KS 66160 020664568 AMBULATORY SURG KS NA N/A false false UKH SPORTS MED LLC 4000 Cambridge Street Kansas City KS 66160 463123647 SPORTS MEDICINE KS NA N/A false false UKHS GREAT BEND LLC 4000 Cambridge Street Kansas City KS 66160 830516935 HOSPITAL KS NA N/A false false OLATHE HEALTH DEVELOPMENT CORPORATION 20333 W 151ST ST OLATHE KS 66061 363445097 MEDICAL SERVICES KS OHSI C 0 64609 1.00000 true OMC DOCTOR'S BLDG CONDO OWNER ASSOC INC 20333 W 151ST ST OLATHE KS 66061 481244766 REAL ESTATE KS NA C true JAYHAWK PRIMARY CARE INC 4000 Cambridge Street Kansas City KS 66160 481159444 ADMIN SERVICES KS NA C true Mid-America Cardiology Associates Inc 4000 Cambridge Street Kansas City KS 66160 430980010 MEDICAL SERVICES MO NA C true COLLEGE POINT DOCTOR'S BLDG CONDO ASSN 4000 Cambridge Street Kansas City KS 66160 REAL ESTATE KS N/A C true KANSAS HEALTH RISK RETENTION INC 4000 Cambridge Street Kansas City KS 66160 882240801 INSURANCE VT NA C true KANSAS HEALTH INSURANCE CO 4000 CAMBRIDGE STREET KANSAS CITY KS 66160 INSURANCE CJ NA C true MCM CONDO ASSN 4000 Cambridge Street Kansas City KS 66160 REAL ESTATE KS NA C true CAMBRIDGE HOLDINGS INC 4000 CAMBRIDGE STREET KANSAS CITY KS 66160 455571151 MEDICAL EQUIPMENT KS NA C true UNIVERSITY OF KANSAS PHYSICIANS 4000 CAMBRIDGE STREET KANSAS CITY KS 66160 471214865 MEDICAL SERVICES KS NA C true false true false false false false false false false false false true false false true false false true false UNIVERSITY OF KANSAS HOSPITAL AUTHORITY B 519842343 COST OLATHE HEALTH PHYSICIANS INC L 2935963 COST MIAMI COUNTY MEDICAL CENTER INC L 775290 COST OLATHE MEDICAL CENTER INC L 8464058 COST