STORMONT-VAIL HEALTHCARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: STORMONT-VAIL HEALTHCARE INC (EIN 48-0543789)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-16
IRS object ID: 202142289349301519
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-16T09:38:39-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	480543789	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STORMONT-VAIL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% PEGGY BURNETTE	InCareOfNm
Business Name Control	STOR	BusinessNameControlTxt
Phone	7853546000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 SW 10TH AVENUE	AddressLine1Txt
City	TOPEKA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66604	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PEG BURNETTE	PersonNm
Person Title	SR VP AND CFO	PersonTitleTxt
Phone	7853546000	PhoneNum
Signature	2021-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael J Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum
Preparation	2021-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT KENAGY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 SW 10TH AVENUE	AddressLine1Txt
City	TOPEKA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66604	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$819,998,374	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STORMONTVAIL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1894	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	WORKING TOGETHER TO IMPROVE THE HEALTH- CARE OF OUR COMMUNITY BY PROVIDING QUALITY SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILLITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	6020	TotalEmployeeCnt
Total Volunteers	500	TotalVolunteersCnt
Total Gross UBI	$30,764	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$12,354	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$732,057	PYContributionsGrantsAmt
CY Contributions Grants	$1,165,159	CYContributionsGrantsAmt
PY Program Service Revenue	$754,374,713	PYProgramServiceRevenueAmt
CY Program Service Revenue	$793,122,641	CYProgramServiceRevenueAmt
PY Investment Income	$4,794,185	PYInvestmentIncomeAmt
CY Investment Income	$14,748,721	CYInvestmentIncomeAmt
PY Other Revenue	$8,109,675	PYOtherRevenueAmt
CY Other Revenue	$8,693,182	CYOtherRevenueAmt
PY Total Revenue	$768,010,630	PYTotalRevenueAmt
CY Total Revenue	$817,729,703	CYTotalRevenueAmt
PY Grants And Similar Paid	$943,489	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,653,870	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$447,273,608	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$460,419,224	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$285,774,858	PYOtherExpensesAmt
CY Other Expenses	$298,172,238	CYOtherExpensesAmt
PY Total Expenses	$733,991,955	PYTotalExpensesAmt
CY Total Expenses	$760,245,332	CYTotalExpensesAmt
PY Revenues Less Expenses	$34,018,675	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$57,484,371	CYRevenuesLessExpensesAmt
Total Assets BOY	$834,176,342	TotalAssetsBOYAmt
Total Assets EOY	$1,007,583,672	TotalAssetsEOYAmt
Total Liabilities BOY	$367,307,784	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$486,309,903	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$466,868,558	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$521,273,769	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WORKING TOGETHER TO IMPROVE THE HEALTH CARE OF OUR COMMUNITY BY PROVIDING QUALITY SERVICES REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$645,703,999	ExpenseAmt
Grant	$1,653,870	GrantAmt
Revenue	$793,122,641	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$645,703,999	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	217	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6020	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PEGGY BURNETTE	PersonNm
Phone	7853546000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 SW 10TH AVENUE	AddressLine1Txt
City	TOPEKA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66604	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
FLORIN NICOLAE
PHYSICIAN	50.0	0.0	Yes (X)	$1,590,311	$0	$45,348
BENJAMIN BOUDREAUX
PHYSICIAN	50.0	0.0	Yes (X)	$1,446,553	$0	$49,651
MATTHEW WILLS
PHYSICIAN	50.0	0.0	Yes (X)	$1,375,152	$0	$37,048
KELLI CRABTREE WILSON
PHYSICIAN	50.0	0.0	Yes (X)	$1,316,462	$0	$15,380
TEWODROS ADDISSE
PHYSICIAN	50.0	0.0	Yes (X)	$1,188,211	$0	$22,755
ROBERT KENAGY
PRESIDENT CEO	49.0	1.0		$1,025,848	$0	$47,329	Yes (X)	Yes (X)
WILLIAM SACHS
VP SURGICAL SERVICES AND PHYSI	50.0	0.0		$961,245	$0	$74,949			Yes (X)
JANET STANEK
SR VP RETIRED 4/2019	0.0	0.0		$873,553	$0	$157,494				Yes (X)
SALAH NAJM
VP ACUTE CARE AND PHYSICIAN	50.0	0.0		$970,409	$0	$42,497			Yes (X)
RANDALL PETERSON
PRESIDENT CEO RETIRED 3/2019	0.0	0.0		$736,639	$0	$14,970				Yes (X)
KEVIN DISHMAN
DIRECTOR/Physician	50.0	0.0		$562,430	$0	$93,949	Yes (X)
ERIC VOTH
VP PRIMARY CARE AND PHYSICIAN	50.0	0.0		$575,276	$0	$66,254			Yes (X)
ROBERT O LANGLAND
VICE PRESIDENT/CFO	50.0	1.0		$541,196	$0	$83,976		Yes (X)
CAROL PERRY
SVP AND CHIEF NURSING OFFICER	50.0	0.0		$480,752	$0	$82,082			Yes (X)
TRACY O'ROURKE
SVP AND CHIEF ADMIN. Officer	50.0	0.0		$463,470	$0	$87,989			Yes (X)
CLIFTON JONES
VP AND PHYSICIAN	50.0	0.0		$513,453	$0	$37,554			Yes (X)
SRIDEVI DONEPUDI
SVP AND CHIEF MEDICAL QUUALITY	50.0	0.0		$450,979	$0	$89,356			Yes (X)
DARLENE STONE
SVP & CHIEF EXPERIENCE OFFICer	50.0	1.0		$441,013	$0	$88,079			Yes (X)
DEBRA YOCUM
VP CLINIC OPERATIONS	50.0	0.0		$451,922	$0	$70,597			Yes (X)
DAVID CUNNINGHAM
VP AND FACILITIES OFFICER	50.0	1.0		$382,805	$0	$77,481			Yes (X)
JUDY CORZINE
VP AND CHIEF INFORMATION OFFIC	50.0	0.0		$370,166	$0	$47,335			Yes (X)
AILEEN MCCARTHY
DIRECTOR/PHYSICIAN	50.0	0.0		$309,129	$0	$32,655	Yes (X)
AMY KINCADE
VP POPULATION HEALTH	50.0	0.0		$281,091	$0	$47,311			Yes (X)
MICHAEL KONGS
DIRECTOR FINANCIAL MANAGEMENT	50.0	1.0		$253,626	$0	$41,270			Yes (X)
PAMELA JOHNSON-BETTS
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)
DEBRA CLAYTON
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)
BRENDA SUE MILLS
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)
JAMES PARRISH
DIRECTOR/SECRETARY	3.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
JAMES R SCHMANK
DIRECTOR/VICE CHAIR	3.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
SUEANN V SCHULTZ
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)
RICK WIENCKOWSKI
DIRECTOR/CHAIRMAN	3.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
MARK KNACKENDOFFEL
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)
ROBERT ST PETER
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)
ALONZO HARRISON
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)
MARSHA POPE
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)
MARK RUELLE
DIRECTOR	3.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,561,691	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,453,309	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	631	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC AND AFFILIATES
PO BOX 360170	PITTSBURG	PA	152516170	DIETARY SERVICES	$4,347,236
ANESTHESIA ASSOCIATES
823 SW MULVANE SUITE 2A	TOPEKA	KS	66606	PHYSICIAN SERVICES	$4,155,631
MCELROYS INC
PO BOX 5188	TOPEKA	KS	66605	BUILDING CONTRACTORS	$2,410,796
KENDALL CONSTRUCTION INC
2551 NW BUTTON ROAD	TOPEKA	KS	66618	BUILDING CONTRACTORS	$3,643,808
GALLAHER BENEFIT SERVICES
PO BOX 560812	DENVER	CO	802560812	EMP BENEFIT SERVICES	$2,216,040

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,047,569	RelatedOrganizationsAmt
All Other Contributions	$117,590	AllOtherContributionsAmt
Total Contributions	$1,165,159	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621300	$787,655,474	$787,655,474
PHARMACY	621910	$612,639	$581,875	$30,764
NUTRITIONAL SERVICES	621300	$1,476,382	$1,476,382
EDUCATION SERVICES/SCHOOL OF NURS	621300	$2,276,318	$2,276,318
OTHER SERVICE REVENUE	621300	$1,101,828	$1,101,828

Field	Value	IRS element (for citing)
Total Program Service Revenue	$793,122,641	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,744,606	TotalRevenueColumnAmt
Exclusion	$1,744,606	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$467,839	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$467,839	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$467,839	TotalRevenueColumnAmt
Exclusion	$467,839	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,272,786	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,268,671	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$15,272,786	SecuritiesAmt
Other	-$2,268,671	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,004,115	TotalRevenueColumnAmt
Exclusion	$13,004,115	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EARNINGS - EQUITY INVESTEES	900099	$4,663,602	$4,663,602
MISCLLANEOUS INCOME	900099	$3,561,741	$3,561,741

Field	Value	IRS element (for citing)
Other Revenue Total	$8,225,343	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$817,729,703	TotalRevenueColumnAmt
Related Or Exempt Func Income	$793,091,877	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$30,764	UnrelatedBusinessRevenueAmt
Exclusion	$23,441,903	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,653,870	TotalAmt
Program Services	$1,653,870	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,045,903	TotalAmt
Program Services	$9,456,404	ProgramServicesAmt
Management And General	$1,589,499	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$63,485	TotalAmt
Management And General	$63,485	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$379,750,372	TotalAmt
Program Services	$324,972,663	ProgramServicesAmt
Management And General	$54,777,709	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,133,027	TotalAmt
Program Services	$12,307,886	ProgramServicesAmt
Management And General	$3,825,141	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,953,960	TotalAmt
Program Services	$24,289,891	ProgramServicesAmt
Management And General	$5,664,069	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,472,477	TotalAmt
Program Services	$19,558,674	ProgramServicesAmt
Management And General	$3,913,803	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$803,369	TotalAmt
Program Services	$612,890	ProgramServicesAmt
Management And General	$190,479	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$712,437	TotalAmt
Management And General	$712,437	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$155,982	TotalAmt
Management And General	$155,982	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$735,160	TotalAmt
Management And General	$735,160	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,591,987	TotalAmt
Program Services	$19,681,281	ProgramServicesAmt
Management And General	$3,910,706	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$603,760	TotalAmt
Program Services	$7,161	ProgramServicesAmt
Management And General	$596,599	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,873,342	TotalAmt
Program Services	$5,344,145	ProgramServicesAmt
Management And General	$2,529,197	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,994,610	TotalAmt
Program Services	$10,736,151	ProgramServicesAmt
Management And General	$5,258,459	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,323,579	TotalAmt
Program Services	$7,860,731	ProgramServicesAmt
Management And General	$1,462,848	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$378,512	TotalAmt
Program Services	$269,040	ProgramServicesAmt
Management And General	$109,472	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$116,302	TotalAmt
Program Services	$72,052	ProgramServicesAmt
Management And General	$44,250	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,210,784	TotalAmt
Program Services	$3,975,307	ProgramServicesAmt
Management And General	$1,235,477	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,431,025	TotalAmt
Program Services	$21,670,932	ProgramServicesAmt
Management And General	$4,760,093	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,501,998	TotalAmt
Program Services	$5,262,957	ProgramServicesAmt
Management And General	$1,239,041	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$129,816,678	$125,814,672	$4,002,006
Repairs & Maintenance	$9,407,109	$3,642,475	$5,764,634
Nutrition & Food Service	$1,901,781	$1,357,735	$544,046
Bad Debt Expense	$38,573,179	$38,573,179

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,040,644	TotalAmt
Program Services	$8,583,903	ProgramServicesAmt
Management And General	$11,456,741	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$760,245,332	TotalAmt
Program Services	$645,703,999	ProgramServicesAmt
Management And General	$114,541,333	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$111,048,991	BOYAmt
EOY	$237,742,584	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,246,770	BOYAmt
EOY	$81,511	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$90,824,227	BOYAmt
EOY	$93,110,167	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,537,573	BOYAmt
EOY	$12,158,564	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,538,330	BOYAmt
EOY	$7,859,217	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$545,314,042	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$296,233,145	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$230,508,319	BOYAmt
EOY	$249,080,897	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$177,433,405	BOYAmt
EOY	$177,526,826	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$166,790,939	BOYAmt
EOY	$186,174,058	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$25,925,102	BOYAmt
EOY	$22,506,766	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,372,387	BOYAmt
EOY	$2,813,536	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,950,299	BOYAmt
EOY	$18,529,546	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$834,176,342	BOYAmt
EOY	$1,007,583,672	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$84,158,814	BOYAmt
EOY	$206,633,686	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$173,561,838	BOYAmt
EOY	$165,921,535	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,250,000	BOYAmt
EOY	$2,050,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,337,132	BOYAmt
EOY	$111,704,682	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$367,307,784	BOYAmt
EOY	$486,309,903	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$465,795,277	BOYAmt
EOY	$520,947,052	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,073,281	BOYAmt
EOY	$326,717	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$466,868,558	BOYAmt
EOY	$521,273,769	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$834,176,342	BOYAmt
EOY	$1,007,583,672	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$57,484,371	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,604,393	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,683,553	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$26,461	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$3,226	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$29,687	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B	FormAndLineReferenceDesc
Explanation	THE GRANTS TO ORGANIZATIONS FOR LOBBYING REPRESENTS THe PORTION OF HOSPITAL ASSOCIATION DUES WHICH ARE ATTRIBUTED TO LOBBYING AND ADVOCACY ACTIVITIES. DIRECT ACTIVITIES ENTAIL THE CEO'S OCCASIONAL INTERACTION WITH LEGISLATORS REGARDING BILLS THAT WOULD AFFECT THE ORGANIZATION OR HEALTHCARE INDUSTRY.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$292,410	BeginningYearBalanceAmt
Grants Or Scholarships	$292,403	GrantsOrScholarshipsAmt
End Year Balance	$7	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$274,250	BeginningYearBalanceAmt
Investment Earnings Or Losses	$18,160	InvestmentEarningsOrLossesAmt
End Year Balance	$292,410	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$276,921	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$2,671	InvestmentEarningsOrLossesAmt
End Year Balance	$274,250	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$276,224	BeginningYearBalanceAmt
Investment Earnings Or Losses	$697	InvestmentEarningsOrLossesAmt
End Year Balance	$276,921	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$266,314	BeginningYearBalanceAmt
Investment Earnings Or Losses	$9,910	InvestmentEarningsOrLossesAmt
End Year Balance	$276,224	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,027,745	OtherCostOrOtherBasisAmt
Book Value	$25,027,745	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$308,462,449	OtherCostOrOtherBasisAmt
Depreciation	$133,081,743	DepreciationAmt
Book Value	$175,380,706	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$197,959,788	OtherCostOrOtherBasisAmt
Depreciation	$163,151,402	DepreciationAmt
Book Value	$34,808,386	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,864,060	OtherCostOrOtherBasisAmt
Book Value	$13,864,060	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$249,080,897	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$186,174,058	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$186,174,058	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Accrued Pension Obligation	$99,067,506
Due to Related Parties	-$1,339
2016 Bonds Interest Payable	$426,106
Lease ROU Liabilities	$12,212,409

Field	Value	IRS element (for citing)
Total Liability	$111,704,682	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$806,305,366	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$5,604,393	NetUnrealizedGainsInvstAmt
Other Revenue	$22,279,609	OtherRevenueAmt
Revenue Not Reported	$27,884,002	RevenueNotReportedAmt
Revenue Subtotal	$778,421,364	RevenueSubtotalAmt
Investment Expenses Not Incld	$735,160	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$38,573,179	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$39,308,339	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$817,729,703	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$741,372,935	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$20,435,942	OtherExpensesIncludedAmt
Expenses Not Reported	$20,435,942	ExpensesNotReportedAmt
Expenses Subtotal	$720,936,993	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$735,160	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$38,573,179	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$39,308,339	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$760,245,332	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE GIFT IS ADDED TO THE FUND.
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 ORGANIZATION REVENUE $ 26,807,961 ELIMINATIONS (4,528,352) ---------------- $ 22,279,609
SCHEDULE D, PART XI, LINE 4B	BAD DEBT EXPENSE $ 38,573,179
SCHEDULE D, PART XII, LINE 2D	RELATED ORGANIZATION Expenses $ 22,526,275 ELIMINATIONS (2,090,333) ---------------- $ 20,435,942
SCHEDULE D, PART XII, LINE 4B	BAD DEBT EXPENSE $ 38,573,179

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$521,718	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$521,718	SubtotalSpentAmt
Total Spent	$521,718	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3 COLUMN F	FormAndLineReferenceDesc
Explanation	THE ACCRUAL METHOD OF ACCOUNTING IS USED TO REPORT THE AMOUNT OF THE PASSIVE FOREIGN INVESTMENTS IN COLUMN F.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,008,999	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,008,999	NetCommunityBenefitExpnsAmt
Total Expense	0.02220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,174,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,848,157	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,326,759	NetCommunityBenefitExpnsAmt
Total Expense	0.03240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,183,915	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,848,157	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,335,758	NetCommunityBenefitExpnsAmt
Total Expense	0.05460	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$716,863	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$178,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$538,262	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,847,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,292,740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,554,937	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,657,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,473,227	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,184,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,520	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,520	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,270,386	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,944,568	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,325,818	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,454,301	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,792,725	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,661,576	NetCommunityBenefitExpnsAmt
Total Expense	0.06070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$38,573,179	BadDebtExpenseAmt
Reimbursed By Medicare	$245,537,736	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$325,071,912	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$79,534,176	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
URISH MEDICAL PLAZA
REAL ESTATE	0.0	0.0	0.0
SVHC RADIATION LLC
ONCOLOGY SERVICES	0.74	0.0	0.0

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STORMONT VAIL HEALTHCARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 SW 10TH AVE	AddressLine1Txt
City	TOPEKA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66604	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.STORMONTVAIL.ORG	WebsiteAddressTxt
State License	H-089-003	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	STORMONT VAIL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3J	THE SHAWNEE COUNTY HEALTH NEEDS ASSESSMENT IDENTIFIED 14 HEALTH ISSUES THE HEALTHCARE COMMUNITY SHOULD ADDRESS. THE FINAL REPORT HAS A DETAILED ANALYSIS OF EACH ISSUE THAT INCLUDES: DATA SOURCES, SHAWNEE COUNTY'S CURRENT PERFORMANCE, DISCUSSION OF THE ISSUE AND BARRIERS TO OVERCOME AND HEALTHY PEOPLE 2020 TARGETS.
SCHEDULE H, PART V, SECTION B, LINE 5	SINCE THE DEVELOPMENT OF THE 2015 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), HEARTLAND HEALTHY NEIGHBORHOODS (HHN) HAS LED THE CHIP EFFORTS FOR TOPEKA AND SHAWNEE COUNTY. THE CHIP STEERING COMMITTEE, CONSISTING OF HHN'S CURRENT CHAIR, VICE-CHAIR, IMMEDIATE PAST CHAIR, SHAWNEE COUNTY HEALTH DEPARTMENT'S COMMUNITY HEALTH PLANNER AND THE DIRECTOR OF STRATEGY AND BUSINESS DEVELOPMENT FOR STORMONT VAIL HEALTH, HAS SPEARHEADED THE DEVELOPMENT PROCESS OF THIS MOST RECENT CHIP WITH ASSISTANCE FROM HHN WORKGROUPS, COMMUNITY ORGANIZATIONS, AND TWO CONSULTANTS FROM THE KANSAS HEALTH INSTITUTE. FOR THE CURRENT ROUND OF COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLANNING, A CONSULTANT (VVV CONSULTANTS LLC), WAS HIRED BY STORMONT VAIL HEALTH TO CONDUCT THE CHNA. THE CHNA PROCESS CONSISTED OF: 1) A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COMMUNITY SURVEY, WHICH WAS DISTRIBUTED IN THE SUMMER OF 2018. 2) COMPILATION OF SECONDARY DATA OF HEALTH OUTCOMES AND HEALTHCARE DELIVERY SERVICES IN THE COUNTY, INCLUDING COUNTY HEALTH RANKINGS AND OTHER MEASURES OF MORBIDITY AND MORTALITY. AS OF APRIL 2019, SHAWNEE COUNTY IS RANKED 59TH FOR HEALTH FACTORS, AND 79TH FOR HEALTH OUTCOMES OUT OF 102 RANKED COUNTIES IN KANSAS. YEARS OF POTENTIAL LIFE LOST (YPLL) FROM MORTALITY DUE TO CHRONIC DISEASES, DRUG OVERDOSES AND SUICIDE, IS A MEASURE FROM THE COUNTY HEALTH RANKINGS THAT CONTRIBUTES MOST TO LOWERING SHAWNEE COUNTY'S RANKING. 3) TOWN HALL MEETINGS ACROSS THE COUNTY TO PRESENT AND DISCUSS THE SURVEY AND DATA. DURING THE TOWN HALLS, PARTICIPANTS WERE GIVEN THE CHANCE TO PROVIDE INPUT ON WHAT THEY PERCEIVED TO BE THE TOP HEALTH ISSUES FOR SHAWNEE COUNTY. THAT LIST OF ISSUES IS WHAT WAS USED FOR CHIP PRIORITIZATION. A LIST OF THE TOP ISSUES FROM THE CHNA COMMUNITY SURVEY AND THE LIST OF TOP ISSUES FROM THE TOWN HALL MEETINGS WERE COMBINED AND USED FOR PRIORITIZATION OF ISSUES FOR THE CHIP. THE TOP ISSUES FROM THE CHNA SURVEY AND CHNA TOWN HALL MEETINGS WERE EVALUATED AGAINST THE FOLLOWING CRITERIA: - SERIOUSNESS - HOW MUCH OF AN IMPACT DOES THE POTENTIAL PRIORITY AREA HAVE ON THE MORBIDITY, MORTALITY AND QUALITY OF LIFE IN THE COMMUNITY? - FEASIBILITY - HOW LIKELY IS IT THAT THE CHIP CAN HAVE AN IMPACT ON THE POTENTIAL PRIORITY AREA? - ALIGNMENT - HOW WELL DOES THE POTENTIAL PRIORITY AREA SUPPORT OTHER EFFORTS IN THE COMMUNITY? - MEASURABILITY - IS IT POSSIBLE TO MEASURE PROGRESS IN THE POTENTIAL PRIORITY AREA? - CONCERN - WHAT IS THE LEVEL OF CONCERN IN THE COMMUNITY REGARDING THE POTENTIAL PRIORITY AREA? PARTICIPANTS AT TWO COMMUNITY MEETINGS, HELD ON MARCH 29, 2019, AND APRIL 8, 2019, REPRESENTING OVER 100 COMMUNITY VOICES, COMPLETED THE PRIORITIZATION PROCESS. FOR EACH ISSUE IN THE LIST, THEY WERE INSTRUCTED TO JUDGE THE ISSUE AGAINST THE FIVE CRITERIA AND RATE THE ISSUE FROM 1 (LOWEST) TO 5 (HIGHEST) FOR EACH OF THE CRITERIA. USING THE RESULTS FROM THE PRIORITIZATION PROCESS, FOUR ISSUES ROSE TO THE TOP AS PRIORITIES TO FOCUS ON DURING THE CHIP PROCESS. THE CHIP STEERING COMMITTEE SUMMARIZED THESE TOP PRIORITIES INTO THE FOLLOWING FOUR PRIORITY AREAS: 1. BEHAVIORAL HEALTH 2. ACCESS TO FOOD 3. SUBSTANCE USE 4. HEALTH EQUITY CHIP WORKGROUPS FOR EACH PRIORITY AREA WERE CREATED FROM EXISTING AND NEWLY-FORMED HHN WORKGROUPS, COMMUNITY ORGANIZATIONS, AND OTHER STAKEHOLDERS. A SCHEMATIC DIAGRAM OF THE WORKGROUPS PRIORITY AREA CAN BE FOUND IN APPENDIX E. THIS CHIP AIMS TO INCREASE COMMUNITY CAPACITY BY REMOVING BARRIERS FOR COLLABORATION. BY COLLABORATING WITH EXISTING ORGANIZATIONS, HHN LEADERSHIP ALSO AIMS TO BUILD COMMUNITY CAPACITY AND SUSTAINABILITY OF CHIP EFFORTS. THE CHIP STEERING COMMITTEE DEVELOPED THE GOALS UNDER EACH PRIORITY AREA AND SOUGHT FEEDBACK FROM THE HHN WORKGROUPS AND OTHER COMMUNITY PARTNERS ON THE CONTENT OF THESE PRIORITY AREAS AND GOALS. OBJECTIVES FOR EACH PRIORITY AREA WERE DRAFTED BY THE CHIP STEERING COMMITTEE AND REFINED BY COLLABORATING WITH EXISTING ORGANIZATIONS, HHN LEADERSHIP ALSO AIMS TO BUILD COMMUNITY CAPACITY AND SUSTAINABILITY OF CHIP EFFORTS. THE CHIP STEERING COMMITTEE DEVELOPED THE GOALS UNDER EACH PRIORITY AREA AND SOUGHT FEEDBACK FROM THE HHN WORKGROUPS AND OTHER COMMUNITY PARTNERS ON THE CONTENT OF THESE PRIORITY AREAS AND GOALS. OBJECTIVES FOR EACH PRIORITY AREA WERE DRAFTED BY THE CHIP STEERING COMMITTEE AND REFINED BASED ON FEEDBACK FROM THE CHIP WORKGROUPS AND PARTNERING COMMUNITY. EXAMINING SHAWNEE COUNTY DATA TRENDS OVER TIME IN ORDER TO CREATE FEASIBLE OUTCOME OBJECTIVES WITHIN THE GIVEN TIMEFRAME. THE DEGREE OF CHANGE FROM YEAR-TO-YEAR WAS USED TO ESTABLISH A REASONABLE MEASURE OF CHANGE BY THE YEAR 2022. ADDITIONALLY, THE GROUP CONSIDERD THAT HEALTH PEOPLE 2020 (HP 2020) OBJECTIVES TYPICALLY AIM FOR A 10 PERCENT IMPROVEMENT OF THE COURSE OF 10 YEARS. BECAUSE THIS CHIP COVERS A SPAN OF THREE YEARS, EXPECTATIONS WERE ADJUSTED ACCORDINGLY. THE BENCHMARKING AGAINST HP 2020 TARGETS PROVIDED A GENERAL ESTIMATE, WHILE THE TREND ANALYSIS (IF AVAILABLE) PROVIDED MORE SPECIFICITY TO THE LOCAL MEASURES. FINALIZED INTERVENTIONS AND ACTIVITIES TO BE UNDERTAKEN WERE DEVELOPED BY THE WORKGROUPS AND PARTNERING ORGANIZATIONS FOR EACH PRIORITY AREA CHOSEN TO ACHIEVE THE OBJECTIVES IN THIS CHIP ADDRESS AREAS OF BOTH MIDSTREAM AND UPSTREAM HEALTH, AND WILL CONTINUE TO EVOLVE AND EMERGE IN ACCORDANCE WITH THE COMMUNITY CONTEXT IN PREPARATION FOR THE CHIP'S IMPLEMENTATION. ADDITIONALLY, THE CHIP INCLUDES INTERVENTIONS THAT ADDRESS BOTH INDIVIDUAL SOCIAL NEEDS, AS WELL AS IMPROVING COMMUNITY CONDITIONS THAT WILL SUPPORT HEALTHIER LIVES FOR ALL SHAWNEE COUNTY RESIDENTS. THROUGHOUT THE DEVELOPMENT OF THE CHIP, THE STEERING COMMITTEE CONSIDERED UPSTREAM SOLUTIONS THAT ADDRESSED THE SOCIAL DETERMINANTS OF HEALTH AND FOCUSED ON POLICIES, SYSTEM, AND ENVIRONMENT CHANGES IN EACH OF THE PRIORITY AREAS.
SCHEDULE H, PART V, SECTION B, LINE 6A	UNIVERSITY OF KANSAS HOSPITAL SYSTEM - ST. FRANCIS CAMPUS
SCHEDULE H, PART V, SECTION B, LINE 6B	THE FOLLOWING IS A LIST OF PARTNERS AND COMMUNITY ORGANIZATIONS INVOLVED WITH HHN: ADVENTURE DENTAL AND VISION ALDERSGATE VILLAGE AMERICAN HEART ASSOCIATION ANGELS CARE HOME HEALTH AUBURN WASHBURN - USD 437 BAJILLION AGENCY BAKER UNIVERSITY SCHOOL OF NURSING BLUE CROSS AND BLUE SHIELD OF KANSAS BOYS & GIRLS CLUB OF TOPEKA BREAKTHROUGH HOUSE, INC. BREWSTER PLACE CAREGIVERS HOME HEALTH CHILDCARE AWARE OF EASTERN KANSAS CITY OF TOPEKA COMMUNITY ACTION HEAD START COMMUNITY ACTION, INC. COMMUNITY RESOURCES COUNCIL COMMUNITY VOLUNTEERS EL CENTRO OF TOPEKA FAMILY SERVICE & GUIDANCE CENTER FIRST LUTHERAN CHURCH FLORENCE CRITTENTON SERVICES OF TOPEKA, INC. GRACEMED GREATER TOPEKA PARTNERSHIP HARVESTERS HARVESTERS COMMUNITY FOOD NETWORK HEALTHACCESS INTERIM HEALTH CARE J AYHAWK AREA AGENCY ON AGING K-STATE RESEARCH AND EXTENSION KANSAS BREASTFEEDING COALITION, INC. KANSAS CHILDREN'S SERVICE LEAGUE KANSAS DEPARTMENT OF CHILDREN AND FAMILIES KANSAS FOUNDATION FOR MEDICAL CARE, INC. KANSAS HEALTH INSTITUTE KANSAS REHABILITATION HOSPITAL LINCOLN CENTER MIDLAND CARE MIDWEST HEALTH NAMI TOPEKA NEW DAWN WELLNESS AND RECOVERY ONE HEART PROJECT ORAL HEALTH KANSAS POSITIVE CONNECTIONS PREVENTION AND RECOVERY SERVICES, INC. SAFE STREETS SEAMAN USD 345 SHAWNEE COUNTY COMMISSION SHAWNEE COUNTY HEALTH DEPARTMENT SHAWNEE COUNTY PARKS AND RECREATION STORMONT VAIL HEALTH TANGLEWOOD HEALTH & REHABILITATION TARC, INC. TOPEKA AND SHAWNEE COUNTY PUBLIC LIBRARY TOPEKA CHAPTER OF THE LINKS, INC. TOPEKA COMMON GROUND TOPEKA COMMUNITY CYCLE PROJECT TOPEKA COMMUNITY FOUNDATION TOPEKA DOULA PROJECT TOPEKA HOUSING AUTHORITY TOPEKA JUMP TOPEKA KANSAS BLACK NURSES ASSOCIATION TOPEKA METRO TOPEKA METROPOLITAN TRANSIT AUTHORITY TOPEKA POLICE DEPARTMENT TOPEKA PUBLIC SCHOOLS PARENTS AS TEACHERS TOPEKA PUBLIC SCHOOLS USD 501 UNITED WAY OF GREATER TOPEKA VALEO BEHAVIORAL HEALTH CARE WASHBURN UNIVERSITY THE FOLLOWING IS A LIST OF ORGANIZATIONS REPRESENTED IN THE COMMUNITY PRIORITIZATION MEETINGS: ADVISORS EXCEL BAKER SCHOOL OF NURSING BARTLETT AND WEST BLUE CROSS AND BLUE SHIELD OF KANSAS CAPITOL FEDERAL SAVINGS BANK CENTRAL NATIONAL BANK CHAOS LIMITED CIRCLES OF GREATER TOPEKA CITY OF TOPEKA CITY OF TOPEKA POLICE DEPARTMENT CLAYTON WEALTH PARTNERS COMMUNITY ACTION, INC. COMMUNITY MEMBERS CORE FIRST BANK & TRUST COX COMMUNICATIONS EAST TOPEKA SENIOR CENTER EL CENTRO OF TOPEKA FAMILY SERVICE AND GUIDANCE CENTER FLORENCE CRITTENTON SERVICES OF TOPEKA GLASS ASSOCIATION OF NORTH AMERICA GOODELL, STRATTON, EDMONDS & PALMER, LLP GRACEMED GREATER TOPEKA CHAMBER OF COMMERCE GREATER TOPEKA PARTNERSHIP HARVESTERS HEARTLAND VISIONING JOHN B. TURNEY CHARTERED K-STATE RESEARCH AND EXTENSION KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVED KANSAS BUREAU OF INVESTIGATION KANSAS CHILDREN'S SERVICE LEAGUE KANSAS DEPARTMENT FOR AGING DISABILITY SERVICES KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES KANSAS DEPARTMENT OF REVENUE KANSAS HEALTH INSTITUTE KANSAS INDEPENDENT COLLEGE ASSOCIATION KANSAS STATE UNIVERSITY KEARNEY AND ASSOCIATES KUJIMA COLLECTIVE MCPHERSON CONTRACTORS, INC. MIDLAND CARE NEW DAWN WELLNESS AND RECOVERY PARENTS AS TEACHERS PREVENTION AND RECOVERY SERVICES (PARS) SEAMAN USD 345 SECURITY BENEFIT SHAWNEE COUNTY BOARD OF COUNTY COMMISSIONERS SHAWNEE COUNTY DEPARTMENT OF CORRECTIONS SHAWNEE COUNTY HEALTH DEPARTMENT SHAWNEE COUNTY PARKS AND RECREATION SHAWNEE HEIGHTS HIGH SCHOOL SOWARDS GLASS STORMONT VAIL HEALTH SUCCESSFUL CONNECTION (CHILD CARE AWARE) SUPREME COURT OF KANSAS LAW LIBRARY THE VILLAGES INC. TOPEKA AND SHAWNEE COUNTY PUBLIC LIBRARY TOPEKA CAPITAL-JOURNAL TOPEKA COMMUNITY FOUNDATION TOPEKA FIRE DEPARTMENT TOPEKA HOUSING AUTHORITY TOPEKA POLICE DEPARTMENT TOPEKA PUBLIC SCHOOLS UNITED STATES AIR FORCE AIR NATIONAL GUARD 190TH UNITED WAY OF GREATER TOPEKA U.S. BANK VALEO WASHBURN UNIVERSITY WESTAR ENERGY WIBW
SCHEDULE H, PART V, SECTION B, LINE 7A	The completed CHNA report can be found at: https://www.stormontvail.org/wp-content/uploads/2019/03/Community-Health-N eeds-Assessment-2018.pdf
Schedule H, Part V, Section B, Line 7b	The completed CHNA report can be found at: https://www.snco.us/HD/Document/2018_community_health_assessment.pdf
Schedule H, Part V, Section B, Line 10a	THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: WWW.STORMONTVAIL.ORG/WP-CONTENT/UPLOADS/2021/06/SNCO-CHIP_FULL-APPROVED-20 19-9-9.PDF
SCHEDULE H, PART V, SECTION B, LINE 11	IN THE FISCAL YEAR 2019 STRATEGIC PLANNING EFFORT, STORMONT VAIL IDENTIFIED THE IMPORTANCE OF ADDING A COMMUNITY HEALTH PILLAR TO OUR PLAN. THIS ADDITION WILL CODIFY THE IMPORTANT ROLE STORMONT VAIL HEALTH PLAYS IN SHAWNEE COUNTY AS THE LARGEST EMPLOYER AND HEALTH CARE SYSTEM OF CHOICE IN IMPROVING THE HEALTH OF OUR COMMUNITY. THIS STRATEGIC FOCUS IS BASED UPON THE INPUT WE GATHERED DURING THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT AND 2019 COMMUNITY HEALTH IMPROVEMENT PLANS. OUR COMMUNITY PILLAR IS BROKEN DOWN INTO FIVE AREAS OF FOCUS, AS INDICATED BELOW: 1.)FOOD SECURITY 2.)EDUCATION AND LITERACY 3.)ECONOMIC VITALITY 4.)HEALTH EQUITY 5.)COMMUNITY LEADERSHIP THESE AREAS OF FOCUS DIRECTLY TIE BACK TO THE AREAS OF NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION, STORMONT VAIL ALSO IDENTIFIED A NEED FOR GROWTH OF OUR BEHAVIORAL HEALTH SERVICE LINE IN RESPONSE TO THE NEEDS IDENTIFIED. WE HAVE ALWAYS COMPLETED SERVICE LINE PLANNING FOR A SUBSET OF OUR 32 SERVICE LINES. THIS YEAR, WE HAVE ADDED BEHAVIORAL HEALTH AS A PRIORITY SERVICE LINE IN OUR YEARLY STRATEGIC PLANNING CYCLE WITH SPECIFIC FOCUS ON ACCESS TO SERVICES. BELOW IS A LIST OF STRATEGIC PLAN ACTION ITEMS INCLUDED IN OUR COMMUNITY PILLAR: FOOD SECURITY 1.) CONFIRM AND/OR EXPAND PARTNER (HARVESTERS) PARTICIPATION WITH THE GOAL TO INCREASE PATIENT ACCESS TO PRESCRIPTIVE FOOD PANTRY SERVICES. 2.) PATICIPATE IN SHAWNEE COUNTY FARM AND FOOD COUNCIL AND SUPPORT ALIGNED FOOD ACCESS INITIATIVES AS THEY ARE DEVELOPED. EDUCATION AND LITERACY 1.) EXPLORE OFFERING MENTAL HEALTH/BEHAVIORAL HEALTH WORKSHOPS AND RESOURCES (PROFESSIONAL ASSISTANT HOTLINE) TO TEACHERS AND STAFF IN THE SCHOOL DISTRICTS 2.) EVALUATE OPPORTUNITIES TO SUPPORT AND/OR REMOVE BARRIERS (E.G. WIFI ACCESS) FOR REMOTE LEARNING THROUGH BUILDING BLOCKS, POZEZ OR OTHER SYSTEM RESOURCES. ECONOMIC VITALITY 1.) DEVELOP A HEALTH CARE CAREER PATHWAY AND TRAINING PROGRAM WITH TCALC (OR OTHER PARTNERS) BEGINNING WITH MA/PCT HIGH SCHOOL AND COLLEGE-BOUND STUDENTS. HEALTH EQUITY 1.) EXPAND LINK PARTNERSHIP TO INCREASE NUMBER OF LOW-INCOME ENROLLEES AND INCLUDE ADDITIONAL COMMUNITY PARTNERS (E.G. PINE RIDGE CLINIC) 2.) IDENTIFY AND CONNECT WITH AFRICAN AMERICAN AND HISPANIC COMMUNITY GROUPS TO LISTEN AND ADDRESS HEALTH CARE BARRIERS, EXPERIENCES AND OPPORTUNITIES. 3.) OPERATIONALIZE THE STORMONT VAIL MOBILE CLINIC WITHIN NORTH TOPEKA, EAST TOPEKA AND OAKLAND. COMMUNITY LEADERSHIP 1.)CREATE A PROCESS FOR CAPTURING AND DOCUMENTING COMMUNITY VOLUNTEER HOURS FOR OUR TEAM MEMBERS 2.)INVESTIGATE AN ADDITIONAL PTO BENEFIT DEDICATED TO VOLUNTEER OPPORTUNITIES
Schedule H, Part V, Section B, Line 16a	The FAP can be found at: https://www.stormontvail.org/wp-content/uploads/2020/10/Administrative-Fin ancial-Assistance-38173_-1-10.1.20.pdf
Schedule H, Part V, Section B, Line 16b	The FAP application can be found at: https://www.stormontvail.org/wp-content/uploads/2020/09/Financial-Assistan ce-Application.pdf
schedule H, part v, section b, line 16c	THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://www.stormontvail.org/wp-content/uploads/2020/09/Plain-Language-Sum mary-100120.pdf

Field	Value	IRS element (for citing)
Facility	38	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
COTTON O'NEIL HEART CENTER
929 SW MULVANE ST	TOPEKA	KS	66606	PHYSICIAN OFFICE
COTTON O'NEIL CANCER CENTER
1414 SW 8TH STREET	TOPEKA	KS	66606	CANCER CENTER
COTTON O'NEIL GARFIELD
901 SW GARFIELD ST	TOPEKA	KS	66606	PHYSICIAN OFFICES
COTTON O'NEIL MULVANE
823 SW MULVANE ST	TOPEKA	KS	66606	PHYSICIAN OFFICES
STORMONT VAIL BEHAVIORAL HEALTH
3707 SW 6TH ST	TOPEKA	KS	66606	PSYCHIATRIC SERVICES
COTTON O'NEIL KANZA PARK
2660 SW 3RD ST	TOPEKA	KS	66606	PHYSICIAN OFFICE
STORMONT VAIL SURGERY CENTER
920 SW LANE	TOPEKA	KS	66606	SURGERY CENTER
COTTON O'NEIL DIGESTIVE HEALTH CLINIC
720 SW LANE ST	TOPEKA	KS	66606	PHYSICIAN OFFICE
STORMONT VAIL OP SURGERY CENTER
2660 SW 3RD ST	TOPEKA	KS	66606	SURGERY CENTER
COTTON O'NEIL EMPORIA CLINIC
1301 SW 12TH ST	EMPORIA	KS	66801	PHYSICIAN OFFICE
COTTON O'NEIL MANHATTAN
1133 COLLEGE ST SUITE E-110	MANHATTAN	KS	66502	PHYSICIAN OFFICE
COTTON O'NEIL DERMATOLOGY CLINIC
6650 SW MISSION VALLEY DRIVE	TOPEKA	KS	66614	PHYSICIAN OFFICE
COTTON O'NEIL DIABETESENDOCRINOLOGY CTR
3520 SW 6TH AVE	TOPEKA	KS	66606	PHYSICIAN OFFICE
COTTON O'NEIL NORTH
4505 NW FIELDING ROAD	TOPEKA	KS	66618	PHYSICIAN OFFICE
COTTON O'NEIL URISH CLINIC
6725 SW 29TH	TOPEKA	KS	66614	PHYSICIAN OFFICE
COTTON O'NEIL PEDIATRIC
4100 SW 15TH ST	TOPEKA	KS	66604	PHYSICIAN OFFICE
COTTON O'NEIL CROCO CLINIC
2909 SW WALNUT DR	TOPEKA	KS	66605	PHYSICIAN OFFICE
STORMONT VAIL SLEEP CENTER
1615 SW 8TH AVE	TOPEKA	KS	66606	SLEEP CENTER CLINIC
COTTON O'NEIL CORPORATE VIEW CLINIC
601 CORPORATE VIEW ROAD	TOPEKA	KS	66615	PHYSICIAN OFFICE
STORMONT VAIL MRI CENTER
830 SW MULVANE ST	TOPEKA	KS	66606	IMAGING CENTER
COTTON O'NEIL WAMEGO CLINIC
1704 COMMERCIAL CIRCLE	WAMEGO	KS	66547	PHYSICIAN OFFICE
COTTON O'NEIL NEUROSPINE CLINIC
2660 SW 3RD ST	TOPEKA	KS	66606	PHYSICIAN OFFICE
COTTON O'NEIL CARBONDALE CLINIC
211 EAST MAIN ST	CARBONDALE	KS	66614	PHYSICIAN OFFICE
COTTON O'NEIL OSAGE CITY CLINIC
131 WEST MARKET ST	OSAGE CITY	KS	66523	PHYSICIAN OFFICE
COTTON O'NEIL CARDIAC THORACIC SURGEONS
830 SW MULVANE	TOPEKA	KS	66606	PHYSICIAN OFFICE
COTTON O'NEIL GENERAL SURGERY
1516 SW 6TH AVE	TOPEKA	KS	66606	PHYSICIAN OFFICE
COTTON O'NEIL OSKALOOSA CLINIC
209 W JEFFERSON ST	OSKALOOSA	KS	66066	PHYSICIAN OFFICE
COTTON O'NEIL NOTO CLINIC
1130 N KANSAS AVE	TOPEKA	KS	66608	PHYSICIAN OFFICE
COTTON O'NEIL EXPRESS CARE MIDTOWN
909 SW MULVANE ST	TOPEKA	KS	66604	PHYSICIAN CLINIC
STORMONT VAIL WORK CARE
1130 N KANSAS AVE	TOPEKA	KS	66606	PHYSICIAN OFFICE
STORMONT VAIL PAIN MANAGEMENT CENTER
823 SW MULVANE ST	TOPEKA	KS	66606	PHYSICIAN OFFICE
COTTON O'NEIL LEBO CLINIC
118 W 4TH ST	LEBO	KS	66856	PHYSICIAN OFFICE
COTTON O'NEIL MERIDEN CLINIC
407 E WYANDOTTE	MERIDEN	KS	66512	PHYSICIAN CLINIC
COTTON O'NEIL ROSSVILLE CLINIC
423 MAIN ST	ROSSVILLE	KS	66533	PHYSICIAN CLINIC
COTTON O'NEIL LAWRENCE CLINIC
330 ARKANSAS	LAWRENCE	KS	66044	PHYSICIAN OFFICE
COTTON O'NEIL NETAWAKA CLINIC
200 WHITE WAY ST	NETAWAKA	KS	66516	PHYSICIAN OFFICE
COTTON O'NEIL FOOT & ANKLE CLINIC
1315 SW 6TH AVE SUITE A	TOPEKA	KS	66606	PHYSICIAN OFFICE
COTTON O'NEIL PEDIATRICS MISSION WOODS
2860 SW MISSION WOODS DR	TOPEKA	KS	66614	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 TO CHARGE RATIO.
SCHEDULE H, PART I, LINE 7F	THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $38,573,179
SCHEDULE H, PART I, LINE 7G	STORMONT VAIL PROVIDES INTERNAL FETAL MEDICINE SERVICES TO THE COMMUNITY. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
SCHEDULE H, PART III, SECTION A, LINE 2	THE BAD DEBT EXPENSE AMOUNT IS CALCULATED BY DETERMINING THE AMOUNT OF THE ACCOUNTS THAT WERE WRITTEN OFF AS BAD DEBT NET OF ANY RECOVERIES. A COST TO CHARGE RATIO WAS APPLIED TO THE NET BAD DEBT AMOUNT IN ORDER TO DETERMINE COST. THE AMOUNT WRITTEN OFF AS BAD DEBT HAS BEEN REDUCED BY ANY APPLICABLE DISCOUNTS.
SCHEDULE H, PART III, SECTION A, LINE 3	WE ARE NOT AWARE OF ANY PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT WERE CONSIDERED TO BE BAD DEBT.
SCHEDULE H, PART III, SECTION A, LINE 4	THE FINANCIAL STATEMENT FOOTNOTE ADDRESSING BAD DEBT EXPENSE IS ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	STORMONT VAIL HEALTHCARE BELIEVES THAT SOME PORTION OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED TO BE A COMMUNITY BENEFIT. STORMONT VAIL PROVIDES MEDICAL CARE TO THE MEMBERS OF THE COMMUNITY, INCLUDING MEDICARE PATIENTS, EVEN IF THE COSTS OF THAT CARE ARE NOT COMPLETELY REIMBURSED. THE HEALTH OF THE COMMUNITY WOULD SUFFER IF STORMONT VAIL DID NOT PROVIDE THESE SERVICES.
SCHEDULE H, PART III, SECTION C, LINE 9B	AN ESSENTIAL ELEMENT OF THE MISSION OF STORMONT VAIL HEALTHCARE IS TO BE GOOD FINANCIAL STEWARDS AS WE STRIVE TO IMPROVE THE HEALTHCARE OF OUR COMMUNITY. AS PART OF THAT STEWARDSHIP, WE MUST DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH PATIENTS CAN AFFORD TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE WORK VERY HARD TO MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. OUR REPRESENTATIVES WORK WITH PATIENTS TO TRY TO REACH THE MOST EQUITABLE SOLUTION IN ORDER TO RESOLVE A PATIENT BILL. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.
SCHEDULE H, PART VI, LINE 2	IN ADDITION TO THE CHNA, STORMONT VAIL AND STAFF ARE ACTIVE IN THE COMMUNITY. BY DOING SO, STORMONT VAIL IS ABLE TO LEARN ABOUT ISSUES IMPACTING THE COMMUNITY AND CITIZENS.
SCHEDULE H, PART VI, LINE 3	STORMONT VAIL WIDELY PUBLICIZES THE FINANCIAL ASSISTANCE PROGRAM BY POSTING INFORMATION ON THE STORMONT VAIL WEBSITE, NOTIFYING AND DISTRIBUTING INFORMATION TO PATIENTS AT ALL REGISTRATION AREAS WHEN THEY PRESENT FOR SERVICE, MAKING INFORMATION AVAILABLE IN REGISTRATION WAITING ROOMS, INCLUDING INFORMATION ON PATIENT BILLING STATEMENTS, MENTIONING THE FAP WHEN DISCUSSING AN INDIVIDUAL'S BILL OVER THE TELEPHONE AND BY PUBLICIZING THE FAP TO COMMUNITY HEALTH CENTERS AND SOCIAL SERVICE AGENCIES. STORMONT VAIL ALSO ASSISTS PATIENTS IN OBTAINING COVERAGE THROUGH GOVERNMENTAL PROGRAMS.
SCHEDULE H, PART VI, LINE 4	TOPEKA IS THE MAJOR URBAN CENTER IN SHAWNEE COUNTY. WITH A POPULATION OF 177,499, SHAWNEE COUNTY IS THE THIRD LARGEST COUNTY IN THE STATE. IT IS ONE OF THE FEW URBAN COUNTIES IN KANSAS. THEREFORE, IT IS MORE RACIALLY DIVERSE AND HAS A HIGHER RATE OF POVERTY THAN MOST OF THE STATE. AFRICAN AMERICAN POPULATION IN SHAWNEE COUNTY IS 8.5% VERSUS 6.1% STATEWIDE. HISPANIC OR LATINO IN SHAWNEE COUNTY IS 12.8% VERSUS 12.2% STATEWIDE. PERSONS IN POVERTY IN SHAWNEE COUNTY IS 11.7% WHILE IN THE STATE, 11.4% LIVE IN POVERTY. THE PERCENTAGE OF SHAWNEE COUNTY CHILDREN LIVING IN POVERTY IS 15%, AND 31% OF CHILDREN LIVE IN SINGLE-PARENT HOUSEHOLDS.
SCHEDULE H, PART VI, LINE 5	STORMONT VAIL IS A NON-PROFIT CORPORATION SO ANY SURPLUS FUNDS ARE RE-INVESTED BACK INTO THE ORGANIZATION AND NOT PAID TO INVESTORS. THE HEALTH SYSTEM IS MANAGED BY A LOCAL BOARD OF DIRECTORS WHO ARE COMMUNITY LEADERS. STORMONT VAIL ACCEPTS ALL PATIENTS REGARDLESS OF INSURANCE COVERAGE SO THAT CARE IS PROVIDED TO ALL WHO NEED CARE.
SCHEDULE H, PART VI, LINE 6	NONE
SCHEDULE H, PART VI, LINE 7	KS

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GRACEMED
1122 N TOPEKA ST	WICHITA	KS	67214	480980926	501 (C) (3)	$8,800	SUPPORT
STORMONT VAIL FOUNDATION
1500 SW10TH AVE	TOPEKA	KS	66604	480980926	501 (C) (3)	$1,645,070

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	GRANTS ARE HISTORICALLY ONLY MADE TO THE STORMONT-VAIL FOUNDATION, A RELATED 501(C)(3) ORGANIZATION. DUE TO OVERLAP OF OFFICERS/DIRECTORS BETWEEN THE ORGANIZATIONS, NO MONITORING OF THE USAGE OF FUNDS AFTER THE FACT IS DEEMED NECESSARY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
ROBERT KENAGY
PRESIDENT CEO	$714,975	$0	$203,123	$0	$107,750	$0	$13,850	$0	$33,479	$0	$1,073,177	$0	$102,206
ROBERT O LANGLAND
VICE PRESIDENT/CFO	$413,659	$0	$108,537	$0	$19,000	$0	$61,851	$0	$22,125	$0	$625,172	$0
AILEEN MCCARTHY
DIRECTOR/PHYSICIAN	$250,590	$0	$39,539	$0	$19,000	$0	$13,447	$0	$19,208	$0	$341,784	$0
KEVIN DISHMAN
DIRECTOR/Physician	$435,968	$0	$107,462	$0	$19,000	$0	$61,278	$0	$32,671	$0	$656,379	$0
RANDALL PETERSON
PRESIDENT CEO RETIRED 3/2019	$272,693	$0	$444,946	$0	$19,000	$0	$5,600	$0	$9,370	$0	$751,609	$0
MATTHEW WILLS
PHYSICIAN	$1,323,839	$0	$51,313	$0	$0	$0	$8,250	$0	$28,798	$0	$1,412,200	$0
BENJAMIN BOUDREAUX
PHYSICIAN	$1,426,104	$0	$1,945	$0	$18,504	$0	$13,850	$0	$35,801	$0	$1,496,204	$0
TEWODROS ADDISSE
PHYSICIAN	$1,102,349	$0	$67,310	$0	$18,552	$0	$13,850	$0	$8,905	$0	$1,210,966	$0
KELLI CRABTREE WILSON
PHYSICIAN	$1,296,266	$0	$1,196	$0	$19,000	$0	$13,850	$0	$1,530	$0	$1,331,842	$0
FLORIN NICOLAE
PHYSICIAN	$1,535,882	$0	$54,429	$0	$0	$0	$13,850	$0	$31,498	$0	$1,635,659	$0
JUDY CORZINE
VP AND CHIEF INFORMATION OFFIC	$327,925	$0	$42,241	$0	$0	$0	$26,211	$0	$21,124	$0	$417,501	$0
DAVID CUNNINGHAM
VP AND FACILITIES OFFICER	$295,159	$0	$87,646	$0	$0	$0	$43,159	$0	$34,322	$0	$460,286	$0
SRIDEVI DONEPUDI
SVP AND CHIEF MEDICAL QUUALITY	$358,878	$0	$73,101	$0	$19,000	$0	$57,083	$0	$32,273	$0	$540,335	$0
CLIFTON JONES
VP AND PHYSICIAN	$388,503	$0	$90,250	$0	$34,700	$0	$13,850	$0	$23,704	$0	$551,007	$0	$22,700
AMY KINCADE
VP POPULATION HEALTH	$217,950	$0	$63,141	$0	$0	$0	$34,693	$0	$12,618	$0	$328,402	$0
SALAH NAJM
VP ACUTE CARE AND PHYSICIAN	$900,337	$0	$51,072	$0	$19,000	$0	$26,600	$0	$15,897	$0	$1,012,906	$0
TRACY O'ROURKE
SVP AND CHIEF ADMIN. Officer	$328,498	$0	$116,772	$0	$18,200	$0	$54,852	$0	$33,137	$0	$551,459	$0
CAROL PERRY
SVP AND CHIEF NURSING OFFICER	$353,631	$0	$108,121	$0	$19,000	$0	$55,421	$0	$26,661	$0	$562,834	$0
WILLIAM SACHS
VP SURGICAL SERVICES AND PHYSI	$817,090	$0	$125,155	$0	$19,000	$0	$42,813	$0	$32,136	$0	$1,036,194	$0
JANET STANEK
SR VP RETIRED 4/2019	$412,875	$0	$167,694	$0	$292,984	$0	$135,162	$0	$22,332	$0	$1,031,047	$0
DARLENE STONE
SVP & CHIEF EXPERIENCE OFFICer	$330,621	$0	$109,392	$0	$1,000	$0	$52,261	$0	$35,818	$0	$529,092	$0
ERIC VOTH
VP PRIMARY CARE AND PHYSICIAN	$428,042	$0	$122,651	$0	$24,583	$0	$30,283	$0	$35,971	$0	$641,530	$0	$24,583
DEBRA YOCUM
VP CLINIC OPERATIONS	$349,170	$0	$102,752	$0	$0	$0	$48,212	$0	$22,385	$0	$522,519	$0
MICHAEL KONGS
DIRECTOR FINANCIAL MANAGEMENT	$224,171	$0	$29,455	$0	$0	$0	$11,470	$0	$29,800	$0	$294,896	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	Janet stanek $ 283,092
SCHEDULE J, PART I, LINE 4B	457F - ANNUAL CONTRIBUTIONS MADE AS PERCENT OF BASE SALARY IN DECEMBER. IF OVER AGE 60 CONTRIBUTIONS ARE VESTED AND TAXES ARE WITHHELD. IF LESS THAN 60 CONTRIBUTIONS DO NOT VEST UNTIL EARLIER OF 5 ANNUAL CONTRIBUTIONS OR AGE 60. ACCOUNT IS NOT DISTRIBUTED UNTIL TERMINATION. ----------------------------------------------------------------------- VESTED ACCRUED ---------- ----------- CLIFTON JONES $ 22,700 $ - ROBERT KENAGY $ 102,206 $ - Judy Corzine $ - $ 12,361 ERIC VOTH $ 24,583 $ 16,433 DAVID CUNNINGHAM $ - $ 29,309 KEVIN DISHMAN $ - $ 48,554 SRIDEVI DONEPUDI $ - $ 43,233 AMY KINCADE $ - $ 22,000 ROBERT LANGLAND $ - $ 48,001 TRACY O'ROURKE $ - $ 41,002 CAROL PERRY $ - $ 41,571 Salah Najim $ - $ 12,750 WILLIAM SACHS $ - $ 28,963 DARLENE STONE $ - $ 38,411 DEBRA YOCUM $ - $ 34,362 JANET STANEK $ - $ 122,083
SCHEDULE J, PART I, LINE 5A	EMPLOYED PHYSICIANS MAY EARN ADDITIONAL COMPENSATION IF THE RELATIVE VALUE UNITS THAT ARE GENERATED FROM THEIR PRACTICE Exceeding CERTAIN LEVELS.
SCHEDULE J, PART II, COLUMN F	COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED 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 REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
KANSAS DEVELOPMENT FINANCE AUTHORITY
A	481066589	48543BMW5	2011-08-31	$61,193,487	SEE PART IV	Yes (true)	false	false
KANSAS DEVELOPMENT FINANCE AUTHORITY
B	481066589	485438PD4	2013-11-21	$39,321,250	HEALTH FACILITIES	false	false	false
KANSAS DEVELOPMENT FINANCE AUTHORITY
C	481066589		2016-12-15	$70,350,000	SEE PART IV	false	false	false
KANSAS DEVELOPMENT FINANCE AUTHORITY
D	481066589		2017-08-21	$31,870,000	REFUND 2016O TAXABLE NOTE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$17,120,000	$35,455,000	$61,196,914	$0	$32,263	$0	$830,826	$0	$0	$10,008,295	$50,325,531	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
B	$675,000	$0	$39,327,332	$0	$0	$0	$670,848	$0	$0	$38,656,486	$0	$0	2017	false	false	Yes (true)	Yes (true)
C	$3,730,000	$0	$70,709,937	$0	$15,110	$0	$684,718	$0	$0	$20,165,265	$49,844,844	$0	2020	Yes (true)	Yes (true)	Yes (true)	Yes (true)
D	$11,390,000	$0	$31,870,000	$0	$0	$0	$0	$0	$0	$0	$31,870,000	$0	2001	Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)	Yes (true)
D

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
C	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)
0
D	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN F	HEALTH FACILITIES, REFUND 2001K BONDS (05/15/2001), AND REFUND 2008E BONDS (04/02/2008).
SCHEDULE K, PART I, LINE C, COLUMN F	HEALTH FACILITIES, REFUND 2007I BONDS (08/29/2007), REFUND 2008F BONDS (04/02/2008) AND REFUND 2012I BONDS (8/14/2012).
SCHEDULE K, PART II, LINE 3, COLUMN A, B & C	AMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.
SCHEDULE K, PART II, LINE 11, COLUMN A, C & D	THIS IS THE AMOUNT OF BOND PROCEEDS THAT HAVE BEEN USED AS OF THE FISCAL YEAR END TO REFUND PRIOR BONDS.
SCHEDULE K, PART II, LINE 13, COLUMN D	THE PROJECT FINANCED BY THE REFUNDED BONDS HAD AN ORIGINAL PROJECT COMPLETION DATE THAT OCCURRED IN 2001.
SCHEDULE K, PART III, COLUMN D	NOT REPORTED ON BECAUSE NEW MONEY PROJECT WAS PLACED IN SERVICE PRIOR TO 1/1/2003
SCHEDULE K, PART IV, LINE 2A, COLUMN A	THE REBATE CALCULATION WAS PERFORMED ON 8/1/2013
SCHEDULE K, PART IV, LINE 2C, COLUMN B	THE REBATE CALCULATION WAS COMPLETED AS OF 11/15/2018
SCHEDULE K, PART IV, LINE 6, COLUMN C	THE PROJECT FUND WAS INVESTED FOR 6 MONTHS BEYOND THE 3-YEAR TEMPORARY PERIOD. THE YIELD ON THE INVESTMENTS HELD AFTER THE 3-YEAR TEMPORARY PERIOD WAS BELOW THE BOND YIELD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	KANSAS DEVELOPMENT FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	481066589	BondIssuerEIN
Bond Issued	2019-08-19	BondIssuedDt
Issue Price	$36,265,000	IssuePriceAmt
Purpose	REFUND PORTION OF 2011 BONDS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$175,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$36,265,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$365,041	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$35,899,959	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2013	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SEE PART V	PersonNm

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, LINE 1	FormAndLineReferenceDesc
Explanation	A) KEEGAN J HAN B) KEEGAN J HAN HAS A FAMILY RELATIONSHIP WITH KEVIN HAN, WHO IS A FORMER OFFICER OF STORMONT VAIL HEALTHCARE, INC. C) $63,485 D) KEEGAN J HAN IS AN EMPLOYEE OF STORMONT VAIL HEALTHCARE, INC. E) NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	The COVID pandemic had many impacts upon the operations at Stormont Vail Healthcare. When the COVID outbreak first appeared in March of 2020, all elective procedures in the hospital were discontinued to try and slow down the rates of infection. That decision had a very negative impact upon the financial condition of the organization. In addition, the leadership of Stormont Vail Healthcare spent countless hours planning on the needed actions as the number of COVID patients increased. These actions included adding negative air pressure rooms, expanded training of staff on how to use personal protective items such as N95 ventilators, purchasing equipment to treat COVID patients, deciding how best to try and keep staff as safe as possible, eliminating visitors to patients in the hospital, closing the cafeteria, reducing the number of entrances into the hospital so staff could be screened for COVID, cancelling non-essential meetings and events among others. These plans established various action steps depending on the volume of COVID patients in the hospital. The staff taking care of COVID patients were under a great deal of stress. Many of the staff who were treating patients contracted COVID themselves and were unable to work. The loss of patient care staff created situations where the available staff had to work longer hours to take care of the patients. Several of the physician offices were closed and staff were reassigned to assist in the hospital. Many other non-patient facing staff were transferred to other needed priorities such as door screening in order to check every employee and patient for signs of COVID before being allowing to go into the hospital or clinic. All of these efforts required planning and coordination from an Incident Command committee.
FORM 990, PART III, LINE 4A	Stormont Vail HealthCare, Inc. provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. For the year ended September 30, 2020, 21,899 inpatients, 54,125 emergency room patients, 1,612 newborns, and 371 neonatal intensive care babies were served. Although reimbursement for services rendered is critical to the operation and stability of Stormont Vail, it is recognized that not all individuals possess the ability to purchase essential medical services. Stormont Vail's mission is to serve the community with respect to providing health care services and health care education regardless of ability to pay. As part of this mission, Stormont Vail provides care to persons covered by Medicare and Medicaid patients. Following are some of the benefits provided at reduced rates for the fiscal year: In addition to the charity care provided, Stormont Vail also provided service to patients that resulted in uncollectible amounts as follows: Bad Debt Expense at Cost $13,283,322 Shortfall of Medicare Payments at Cost $79,534,175 Shortfall of Medicaid Payments at Cost $23,326,759 Stormont Vail also provides other health care services and programs for the benefit of the community, free or at reduced rates. Examples of these include: 1. Subsidy of nursing education, medical education, and allied health education 2. Operating the regions only Level III Neonatal Intensive Care Unit (NICU) serving a high percentage of medically indigent patients 3. Operating a Level II Trauma Center serving northeast Kansas 4. Provided donations of healthcare equipment and supplies to regional hospitals and charitable organizations 5. Organized support groups for a variety of topics including Cancer Support Group, Diabetes Adult Support Group and the Pregnancy and Infant Loss Support Group 6. Volunteer time was donated to Stormont Vail helping to reduce the cost of providing health care 7. Maintaining the Health Sciences Library that is made available to the public free of charge as a medical resource 8. Stormont Vail employees support the Care Line, which is an emergency fund for patients in financial distress, providing services and supplies on a short-term basis 9. Use of Pozez Education Center facilities for a variety of community groups and programs 10. Participated in numerous clinical research trials through the Clinical Research Department 11. Stormont Vail West Behavioral Health Services operates a substance abuse program 12. Operated a Palliative Care program to provide comfort care to patients with chronic conditions 13. Provide support and education for patients with diabetes through the Diabetes Learning Center. 14. Stormont-Vail is a regional network of 36 locations in northeast Kansas improving access to medical care in several cities that otherwise would not have access, particularly on weekends 15. Maternal Fetal Medicine program provided care and access to screenings and genetic counseling for women with at-risk pregnancies 16. Offered various parenting and childbirth preparation programs through Stormont Vail's website 17. The Health Connection program, which provides physician referral and after-hour access to a nurse, received 581,140 calls 18. Partnered with Building Blocks to provide childcare services to staff and the community 19. Connect with the community through the organization website, www.stormontvail.org 20. Partnered with Health Innovation Network of Kansas, a coalition that now has 17 hospitals sharing information, education and other needed services 21. Stormont Vail and its employees donated funds and staff time to the Meals on Wheels program including sponsoring a Meals on Wheels route. 22. Stormont Vail and its employees donated funds and staff time to the United Way 23. Implemented the Patient Center Medical Home concept to improve care with the focus on prevention and wellness 24. Work with others in the community to improve safety net services for under insured and uninsured 25. Provided staff to serve on the Board of Directors for the United Way of Topeka, Topeka Community Foundation, Go Topeka, Harvesters and others. 26. Donated office space to community programs that support the low income and uninsured populations 27. Donated school supplies for Topeka Public Schools 28. Provided transportation to patients who are unable to get to their health care appointments or need transportation to return home. 29. Provide screening and coordination for participants for a drug program benefit to help patients obtain needed medication 30. Provided community leadership through Chair of Heartland Healthy Neighborhoods and assisted in coordination of community Pathways grant.
IN ADDITION TO THESE COMMUNITY CONTRIBUTIONS, STORMONT VAIL	provided supervised clinical experience for 1,359 students to the following entities: Name/Location Type of Students 190th ARW Nursing Baker University Nursing Barry University NP Students Benedictine College Nursing Cedarvale NP Students Chamberlain University NP Students Colby Community College PT Creighton University Nursing Creighton University OT Creighton University Pharmacy Emporia State University Nursing Emporia State University Kinesiology Flint Hills Technical College LPN Fort Hays State University Nursing Fort Hays State University Speech Therapists Fort Hays State University Nursing Graceland University Nursing Hutchinson Community College Health Information Hutchinson Community College Nursing Kansas City KS Community College PTA Student University of Kansas Nursing University of Kansas Pharmacy University of Kansas Psychology University of Kansas Social Work University of Kansas PT University of Kansas Medical Center Medical Students University of Kansas Medical Center Nursing Liberty University Nursing Lincoln Memorial University Medical Students Manhattan Technical College Medical Technology Maryville University Nursing Massachusetts College Phys Assistant MidAmerica Nazarene University Nursing University of Missouri KC Nursing Nebraska Medical Center Phys Assistant Neosho Community College Nursing Neosho Community College Health Information University of New England Health Information Newman University OT Oklahoma State University Speech Therapists Research College of Nursing Nursing Rockhurst University PT University of Saint Mary PT Seaman High School H.S. Students University of South Alabama Nursing South University Nursing Texas Wesleyan University CRNA United States University Nursing USD #501 High School Vanderbilt University Nursing Walden University Nursing Washburn University Health Information Washburn University Nursing Washburn University OT Washburn University PT Washburn University Imaging Washburn University Phlebotomy Washburn University Psychology Washburn University Radiation Therapy Washburn University Respiratory Therapy Washburn University Social Work Washburn University Ultrasound Washburn Institute of Technology LPNs Washburn Institute of Technology Surg Techs Washburn Institute of Technology Phlebotomy Washington University PT Wichita State University Medical Technology Wichita State University phys Assistant
FORM 990, PART VI, SECTION A, LINE 4	THE REVISED BYLAWS were PRESENTED AT THE SEPTEMBER BOARD MEETING WHERE IT WAS RECOMMENDED TO FURTHER AMEND THE LANGUAGE TO ALLOW A DIRECTOR TO SERVE OUT HIS OR HER TERM TO THE DATE OF THE ANNUAL MEETING FOLLOWING THEIR 75TH BIRTHDAY. THIS ADDITIONAL REVISION WAS APPROVED BY THE GOVERNANCE COMMITTEE AT THE OCTOBER 23, 2019 MEETING. REVISIONS SUMMARY: 1. INCREASE BOARD SIZE TO A MAXIMUM OF 20 DIRECTORS 2. IMPLEMENT TERM LIMITS FOR INCOMING DIRECTORS - TOTAL YEARS OF SERVICE NOT TO EXCEED 15 YEARS (FIVE THREE-YEAR TERMS) 3. AGE INELIGIBILITY INCREASED TO 75 YEARS 4. DIRECTORS REACHING THE AGE OF 75 YEARS MID-TERM ALLOWED TO SERVE UNTIL THE FOLLOWING ANNUAL MEETING
FORM 990, PART VI, SECTION B, LINE 11B	STORMONT VAIL HEALTHCARE STAFF AND AN INDEPENDENT ACCOUNTING FIRM PREPARES AND THE ACCOUNTING FIRM REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S STRATEGY AND FINANCE COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE OFFICERS, DIRECTORS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS TO THE CHAIRMAN OF THE AUDIT COMMITTEE OF STORMONT VAIL HEALTHCARE EACH YEAR. THE CHAIRMAN REVIEWS THE RESPONSES AND REPORTS TO THE AUDIT COMMITTEE FOR THEIR REVIEW AND DETERMINATION OF ANY APPROPRIATE ACTION TO BE TAKEN. THE CHAIRMAN ALSO THEN REPORTS THE RESULTS TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15A	THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE THAT IS CHARGED WITH THE OVERSIGHT AND REVIEW OF ALL EXECUTIVE COMPENSATION AND BENEFITS FOR THE CEO, SENIOR VICE PRESIDENTS AND VICE PRESIDENTS OF THE HEALTH SYSTEM. THE COMPENSATION IS REVIEWED ANNUALLY BY AN EXTERNAL INDEPENDENT CONSULTANT, GALLAGHER. GALLAGHER REVIEWS BASE COMPENSATION, INCENTIVE PROGRAMS AND TOTAL CASH COMPENSATION THAT ARE OFFERED ON AN ANNUAL BASIS TO ENSURE IT ALIGNS WITH FAIR MARKET VALUE AND COMPLIES WITH OUR ESTABLISHED COMPENSATION PHILOSOPHY. IN ADDITION, GALLAGHER ON A REGULAR BASIS REVIEWS THE EXECUTIVE BENEFIT PROGRAM TO ALSO ENSURE IT IS APPROPRIATE AND REASONABLE.
FORM 990, PART VI, SECTION B, LINE 15B	GALLAGHER CONDUCTED A REVIEW IN 2020
FORM 990, PART VI, SECTION C, LINE 19	STORMONT VAIL HEALTHCARE MAKES THEIR FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS PART OF THE FORM 990 INFORMATION RETURN. ANY CHANGES TO THE GOVERNING DOCUMENTS ARE INCLUDED WITH THE FORM 990 RETURN. AT THIS TIME, THE HEALTH CENTER DOES NOT MAKE THEIR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9	Change in Pension Obligation - $ 8,683,553

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COTTON-O-NEIL ACO LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1500 SW 10TH AVENUE	AddressLine1Txt
City	TOPEKA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66604	ZIPCd

Field	Value	IRS element (for citing)
EIN	465542929	EIN
Primary Activities	SHARED SAVING	PrimaryActivitiesTxt
Legal Domicile State	KS	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$15,747	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SVHC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
STORMONT-VAIL FOUNDATION
1500 SW 10TH AVENUE	TOPEKA	KS	66604	480980926	FUNDRAISING	KS	501(C)(3)	7	SVHC	Yes (true)
STORMONT-VAIL HEALTHCARE AUXILIARY
1500 SW 10TH AVENUE	TOPEKA	KS	66604	486140517	FUNDRAISING	KS	501(C)(3)	12A	SVHC	Yes (true)
TOPEKA AIR AMBULANCE INC
1500 SW 10TH AVENUE	TOPEKA	KS	66604	480930553	AIR AMBULANCE	KS	501(C)(3)	3	SVHC	Yes (true)
BUILDING BLOCKS OF TOPEKA INC
620 SW LANE	TOPEKA	KS	66606	481121628	CHILD DAYCARE	KS	501(C)(3)	10	SVHC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
URISH MEDICAL PLAZA LLC
1500 SW 10TH AVENUE	TOPEKA	KS	66604	481223819	REAL ESTATE	KS	SVI	N/A
SVHC RADIATION ONCOLOGY LLC
1500 SW 10TH AVENUE	TOPEKA	KS	66604	814646356	ONCOLOGY SERV	KS	SVHC	RELATED	$6,024,453	$0	false	Yes (true)	0.74000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
STORMONT VAIL INC
901 GARFIELD	TOPEKA	KS	66606	480782848	RETAIL PHARMA	KS	SVHC	C-CORP	$17,778,001	$7,182,387	1.00000	Yes (true)
CENTURY HEALTH SOLUTIONS INC
2951 SW WOODSIDE DR	TOPEKA	KS	66614	481206397	INSURANCE ADM	KS	SVHC	C-CORP	$76,088	$60,568	1.00000	Yes (true)
TENTH STREET PROPERTY INC
1500 SW 10TH ST	TOPEKA	KS	66604	480788844	REAL ESTATE	KS	SVHC	C-CORP	$0	$0	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (true)	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
STORMONT VAIL FOUNDATION
B	$1,645,070	FMV
STORMONT VAIL FOUNDATION
C	$904,144	FMV
STORMONT VAIL AUXILIARY
C	$143,425	FMV
SVHC RADIATION ONCOLOGY LLC
F	$4,574,245	FMV
URISH MEDICAL PLAZA LLC
F	$139,911	FMV
TOPEKA AIR AMBULANCE
S	$450,000	FMV
CENTURY HEALTH SOLUTIONS INC
F	$50,000	FMV
STORMONT VAIL INC
O	$1,240,408	FMV
STORMONT VAIL FOUNDATION
O	$459,240	FMV
SVHC RADIATION ONCOLOGY LLC
O	$868,390	FMV
CENTURY HEALTH SOLUTIONS INC
O	$26,717	FMV
STORMONT VAIL AUXILIARY
Q	$339,038	FMV
BUILDING BLOCKS OF TOPEKA
O	$1,114,745	FMV
BUILDING BLOCKS OF TOPEKA
Q	$1,294,967	FMV