Civic Intelligence

Miami County Medical Center Inc.

990 • Fiscal year 2013 • EIN 48-1155548

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 15, 2014

2100 Baptiste DriveSuite66071

(913) 791-4461

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

26th percentile

0.12x

Higher debt load relative to assets than 26% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Liabilities / Revenue

38th percentile

0.30x

Higher debt load relative to revenue than 38% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Net Margin

61st percentile

7.4%

Higher net margin than 61% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Top Officer Pay

84th percentile

$950,494

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 4.6% of source-year revenue.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Asset Growth

79th percentile

14%

Faster asset growth than 79% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2012 to 2013

Revenue Growth

22nd percentile

-5.3%

Faster revenue growth than 22% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2012 to 2013

Assets

Up

$54,395,788

Up $6,807,429 (+14%) from 2012

Net Assets

Up

$48,131,997

Up $7,441,029 (+18%) from 2012

Liabilities

Down

$6,263,791

Down $633,600 (-9.2%) from 2012

Revenue

Down

$20,817,408

Down $1,165,823 (-5.3%) from 2012

Expenses

Down

$19,273,052

Down $701,848 (-3.5%) from 2012

Net Income

Down

$1,544,356

Down $463,975 (-23%) from 2012

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100M$50M$0Assets 2010: $42,910,451Liabilities 2010: $8,097,661Net Assets 2010: $34,812,7902010Assets 2011: $42,410,654Liabilities 2011: $7,306,951Net Assets 2011: $35,103,7032011Assets 2012: $47,588,359Liabilities 2012: $6,897,391Net Assets 2012: $40,690,9682012Assets 2013: $54,395,788Liabilities 2013: $6,263,791Net Assets 2013: $48,131,9972013Assets 2014: $58,431,306Liabilities 2014: $6,603,556Net Assets 2014: $51,827,7502014Assets 2015: $60,225,183Liabilities 2015: $6,354,308Net Assets 2015: $53,870,8752015Assets 2016: $65,245,421Liabilities 2016: $6,251,244Net Assets 2016: $58,994,1772016Assets 2017: $71,742,674Liabilities 2017: $3,318,544Net Assets 2017: $68,424,1302017Assets 2018: $68,800,345Liabilities 2018: $3,731,962Net Assets 2018: $65,068,3832018Assets 2019: $82,713,401Liabilities 2019: $11,176,571Net Assets 2019: $71,536,8302019Assets 2020: $88,188,185Liabilities 2020: $15,410,537Net Assets 2020: $72,777,6482020Assets 2021: $90,050,134Liabilities 2021: $14,197,151Net Assets 2021: $75,852,9832021Assets 2022: $79,492,613Liabilities 2022: $12,677,812Net Assets 2022: $66,814,8012022

Highlighted filing

2013

Assets$54,395,788
Liabilities$6,263,791
Net Assets$48,131,997

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $20,490,6572010Expenses 2011: $21,147,6572011Revenue 2012: $21,983,231Expenses 2012: $19,974,900Net Income 2012: $2,008,3312012Revenue 2013: $20,817,408Expenses 2013: $19,273,052Net Income 2013: $1,544,3562013Revenue 2014: $24,155,613Expenses 2014: $20,188,309Net Income 2014: $3,967,3042014Revenue 2015: $25,302,472Expenses 2015: $21,030,888Net Income 2015: $4,271,5842015Revenue 2016: $25,743,254Expenses 2016: $21,862,986Net Income 2016: $3,880,2682016Revenue 2017: $26,295,444Expenses 2017: $23,063,238Net Income 2017: $3,232,2062017Revenue 2018: $35,121,640Expenses 2018: $28,296,158Net Income 2018: $6,825,4822018Revenue 2019: $32,040,921Expenses 2019: $32,906,531Net Income 2019: -$865,6102019Revenue 2020: $38,020,798Expenses 2020: $32,611,051Net Income 2020: $5,409,7472020Revenue 2021: $35,463,272Expenses 2021: $33,860,943Net Income 2021: $1,602,3292021Revenue 2022: $37,324,570Expenses 2022: $35,839,723Net Income 2022: $1,484,8472022

Highlighted filing

2013

Revenue$20,817,408
Expenses$19,273,052
Net Income$1,544,356
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 15, 2014
Return Version
2013v3.1
Gross Receipts
$20,990,247
Mission and Program Overview

Mission

To help people through healing, health and happiness.

To improve the health of all individuals in the communities we serve by providing compassionate, quality healthcare in an environment of trust and collaboration.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$32,236,046$39,198,750▲ $6,962,704
Land, Buildings, and Equipment, Net$5,375,936$5,401,007▲ $25,071
Investments Other Securities$3,418,953$4,078,795▲ $659,842
Accounts Receivable$3,515,792$2,726,245▼ $789,547
Cash and Non-Interest-Bearing Accounts$1,509,325$1,411,355▼ $97,970
Inventories for Sale or Use$720,301$780,833▲ $60,532
Prepaid Expenses and Deferred Charges$220,385$291,512▲ $71,127
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$47,588,359$54,395,788▲ $6,807,429
Other Assets Total$591,621$507,291▼ $84,330
Liabilities
Tax Exempt Bond Liabilities$4,638,366$4,343,945▼ $294,421
Accounts Payable and Accrued Expenses$1,868,803$1,626,810▼ $241,993
Other Liabilities$390,222$293,036▼ $97,186
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$6,897,391$6,263,791▼ $633,600
Net Assets / Fund Balance
Unrestricted Net Assets$40,674,545$48,112,844▲ $7,438,299
Temporarily Rstr Net Assets$16,423$19,153▲ $2,730
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$40,690,968$48,131,997▲ $7,441,029
Total Liabilities and Net Assets / Fund Balance$47,588,359$54,395,788▲ $6,807,429

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,549,661$8,335,632$10,885,293
Buildings$1,163,759$9,086,266$10,250,025
Land$1,475,439-$1,475,439
Other Land Buildings$212,148$400,466$612,614
Other Securities$4,078,795--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$34,895,600$681,000▲ $6,961,043$17,730$42,519,913
2012$29,762,822$670,994▲ $4,469,234$7,450$34,895,600
2011$29,909,183$401,968▼ $522,248$26,081$29,762,822
2010$24,241,897$2,406,369▲ $3,273,465$12,548$29,909,183
2009$15,324,746$3,571,697▲ $5,368,894$23,440$24,241,897
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Gerald WiesnerVice President/operationsFT$89,251$157,472$246,722
Paul W LuceVice President/operationsFT$132,337$17,627$149,964
Stacey GrayPharmacy DirectorFT$121,862$7,237$129,099
Cheryl L RossAssistant Secretary--$127,210$127,210
Teresa LevinNurse Manager- SurgeryFT$98,419$2,500$100,919

Board Members and Trustees

NameTitle
Jack TinnelTrustee/chairperson
Frank H DevocellePresident/CEO
Denise GermanTrustee/vice Chairperson
Chip WoodTrustee
Joe MorelandTrustee
Steve MillerTrustee/secretary/treasurer
Tierney L GrasserSenior VP/finance

Highest Paid Contractors

ContractorServicesLocationCompensation
Sw Ks Emergency Physicians LLPEr Physician Service-$849,654
Emergency Medicine CareEr Physician Service-$280,000
De Mint AnesthesiaAnesthesia Services-$250,665
Shared Medical ServicesMri Services-$196,022
P1 Group INCHvac Service-$109,067
Revenue and Support

Revenue Composition

Contributions and Grants
$12,681
Program Service Revenue
$19,722,005
Investment Income
$1,047,538
Other Revenue
$35,184
All Other Contributions
$535
Change in Net Assets
$1,544,356

Audited Revenue Reconciliation

Revenue per Audited Statements
$18,910,118
Revenue Not Reported on Financial Statements
$1,907,290
Revenue Not Reported on Form 990
$308,865,990
Other Revenue Adjustments
$1,890,488
Total Revenue per Audited Statements
$327,776,108
Total Revenue per Form 990
$20,817,408
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$9,822,944
Salaries, Compensation, and Employee Benefits$9,399,234
Grants and Similar Amounts Paid$50,874
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,591,658$1,775,883-$7,367,541
Fees for Services Other$2,934,586$533,462$0$3,468,048
Depreciation Depletion$826,469$144,767-$971,236
Other Employee Benefits$727,519$231,056-$958,575
Office Expenses$187,294$585,975-$773,269
Payroll Taxes$370,020$117,517-$487,537
Current Officers, Directors, Trustees, and Key Employees$301,069$95,618-$396,687
Occupancy$330,623$59,746-$390,369
Interest$175,187$30,686-$205,873
Pension Plan Contributions$110,569$35,116-$145,685
All Other Expenses$47,119$98,423-$145,542
Insurance$109,472$19,175-$128,647
Advertising-$103,159-$103,159
Grants to Domestic Orgs$45,624--$45,624
Comp Disqual Persons$32,794$10,415-$43,209
Other Expenses$14,881$27,824-$42,705
Fees for Services Accounting-$36,067-$36,067
Fees for Services Legal-$33,383-$33,383
Travel$4,193$16,251-$20,444
Fees for Service Investment Mgmnt Fees-$16,802-$16,802
Grants to Domestic Individuals$5,250--$5,250
Fees for Services Lobbying-$4,481-$4,481
Total Functional Expenses$15,297,246$3,975,806$0$19,273,052

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$263,791,820
Expenses Not Reported on Form 990$246,426,058
Total Expenses per Form 990$19,273,052
Expenses per Audited Statements$17,365,762
Expenses Not Reported on Financial Statements$1,907,290
Other Expense Adjustments$1,890,488
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Heidi HansonDaughter of PresidentSalaryNo$43,209

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$293,036

Bond Issues

BondIssuerIssuedIssue PricePurpose
A48-60347562008-02-27$5,311,403SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$5,311,403$5,289,091$930,000$22,312

Bond Financing Compliance

Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 or olathe medical center doctor's building condominium owners association, which are related for profit companies. Chip wood, frank h devocelle, tierney l grasser, and cheryl l ross have business relationships.

Form 990, Part VI, Section A, Line 6

Olathe medical center, inc., a not-for-profit, 501(c)(3) organization, is the sole member of miami county medical center, inc.

Form 990, Part VI, Section A, Line 7A

Olathe medical center, inc. Being the sole member of miami county medical center, inc. Has the right to elect all the board of trustees.

Form 990, Part VI, Section A, Line 7B

Olathe medical center, inc. Is the sole member, and has the rights to approve miami county medical center, inc.'s bylaws and articles of incorporation and also approve miami county medical center's board members and certain capital expenditures.

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. (Miami County Medical Center's sole member) 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.

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.

Form 990, Part VI, Section B, Lines 15A & B

The compensation committee of the Olathe Medical Center, Inc. board, which is comprised of independent members of the board of Olathe Medical Center, Inc. and its affiliates, including a Miami County Medical Center, Inc. board member, reviews and approves the CEO and other officers and key employees of the corporation's compensation in accordance with their compensation policy. The compensation committee reviews third party salary surveys, uses independent consultants, and also utilizes written contracts for the ceo 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 at their request.

Form 990, Part VI, Section C, Line 18

The organization's governing documents, conflict of interest policy and financial statements are not available to the public.

Filing and Contact Details

Filer

EIN
48-1155548
In Care Of
% TIERNEY L GRASSER
Phone
9137914461

Signing Officer

Name
Tierney L Grasser
Title
Senior VP/finance
Phone
9137914461
Signed
2014-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tierney L Grasser
Formed
1994
Legal Domicile
Ks
Voting Board Members
5
Independent Board Members
5
Employees
173
Volunteers
25

Preparer

Preparer
Michael J Engle
Phone
9137914461
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A

Miami County Medical Center, Inc. operates an acute care hospital in Paola, Kansas. Miami County Medical Center, Inc. carries out its mission by providing quality and compassionate inpatient, outpatient, and emergency care services to residents in Miami County, Kansas and surrounding area. Miami County Medical Center, Inc. is a Joint Commission accredited hospital and is licensed for 39 beds and currently staffs 18 inpatient beds. Program services expenses are all related to the provision of healthcare services. In 2013, Miami County Medical Center, Inc. provided 1,042 days of inpatient care, provided 51,764 outpatient procedures, and 9,512 emergency visits to the community. Educational Support In addition to providing uncompensated care for patients in need, the Medical Center provides other health care related benefits to the communities it serves by providing 24-hour emergency rooms open every day to the public regardless of ability to pay. The Medical Center also provides education for a variety of medical professionals, health care screenings and education programs for the general public and support group sponsorships. Sports Net Miami County Medical Center provides Athletic Training staff for area high schools and junior high schools during the school year through its Sports Net program. In 2013, $45,624 of Athletic Trainer services was provided to the schools in the Medical Center's service area. Contributions Miami County Medical Center supports a variety of social, education, and civic healthcare related organizations within its service area. In 2013, $26,654 was contributed to various agencies and charitable organizations and $5,250 in scholarships.

Form 990, Part XI, Line 5

Change in temporarily restricted net assets $2,730

Form 990 Part IX Line 11G

Description:medical professional fees total fees:1934067

Form 990 Part IX Line 11G

Description:other contract services total fees:1533981

Financial Statement Notes

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, Lines 2D & 4B

Line 2d: related organizations' revenue $302,806,522 rental expenses $ 165,525 ------------ total $302,972,047 line 4b: bad debt expense $ 1,890,448

Schedule D, Part XII, Lines 2D & 4B

Line 2d: related organizations' expenses $246,260,533 rental expenses $ 165,525 ------------ total $246,426,058 line 4b: bad debt expense $ 1,890,488

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IRS990/MissionDesc0MIAMI COUNTY 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.
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IRS990/PYTotalExpensesAmt019974900
IRS990/PYTotalProfFndrsngExpnsAmt00
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IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt01544356

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.
2022Detailed filing. Detailed filing data is available for this year.$79.5$12.7$66.8$37.3$35.8$1.48
2021Detailed filing. Detailed filing data is available for this year.$90.1$14.2$75.9$35.5$33.9$1.60
2020Detailed filing. Detailed filing data is available for this year.$88.2$15.4$72.8$38.0$32.6$5.41
2019Detailed filing. Detailed filing data is available for this year.$82.7$11.2$71.5$32.0$32.9$0.87
2018Detailed filing. Detailed filing data is available for this year.$68.8$3.73$65.1$35.1$28.3$6.83
2017Detailed filing. Detailed filing data is available for this year.$71.7$3.32$68.4$26.3$23.1$3.23
2016Detailed filing. Detailed filing data is available for this year.$65.2$6.25$59.0$25.7$21.9$3.88
2015Detailed filing. Detailed filing data is available for this year.$60.2$6.35$53.9$25.3$21.0$4.27
2014Detailed filing. Detailed filing data is available for this year.$58.4$6.60$51.8$24.2$20.2$3.97
2013Detailed filing. Detailed filing data is available for this year.$54.4$6.26$48.1$20.8$19.3$1.54
2012Summary only. Only limited summary data is available for this year.$47.6$6.90$40.7$22.0$20.0$2.01
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.4$7.31$35.1$21.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.9$8.10$34.8$20.5