2021-08-16T09:38:39-05:00 2020-09-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2019-10-01 480543789 STORMONT-VAIL HEALTHCARE INC % PEGGY BURNETTE STOR 7853546000 1500 SW 10TH AVENUE TOPEKA KS 66604 PEG BURNETTE SR VP AND CFO 7853546000 2021-08-15 true Michael J Engle P00482834 8162216300 2021-08-15 2019 2022-09-23 18:48:47Z ROBERT KENAGY 1500 SW 10TH AVENUE TOPEKA KS 66604 819998374 false X WWW.STORMONTVAIL.ORG X 1894 KS 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. 15 12 6020 500 30764 12354 732057 1165159 754374713 793122641 4794185 14748721 8109675 8693182 768010630 817729703 943489 1653870 0 0 447273608 460419224 0 0 0 285774858 298172238 733991955 760245332 34018675 57484371 834176342 1007583672 367307784 486309903 466868558 521273769 X 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. false true 645703999 1653870 793122641 SEE SCHEDULE O 645703999 true true false true false false false false false true true true false false true false false true false false true false false false false false true true true false true true true false false false false false false false true false false false false false true true true true false false true 217 0 true 6020 true true true false false false false false false false false false true false X 15 12 false false true false false false false true true false false true true true true true true true true true true X PEGGY BURNETTE 7853546000 1500 SW 10TH AVENUE TOPEKA KS 66604 X FLORIN NICOLAE PHYSICIAN 50.0 0.0 X 1590311 0 45348 BENJAMIN BOUDREAUX PHYSICIAN 50.0 0.0 X 1446553 0 49651 MATTHEW WILLS PHYSICIAN 50.0 0.0 X 1375152 0 37048 KELLI CRABTREE WILSON PHYSICIAN 50.0 0.0 X 1316462 0 15380 TEWODROS ADDISSE PHYSICIAN 50.0 0.0 X 1188211 0 22755 ROBERT KENAGY PRESIDENT CEO 49.0 1.0 X X 1025848 0 47329 WILLIAM SACHS VP SURGICAL SERVICES AND PHYSI 50.0 0.0 X 961245 0 74949 JANET STANEK SR VP RETIRED 4/2019 0.0 0.0 X 873553 0 157494 SALAH NAJM VP ACUTE CARE AND PHYSICIAN 50.0 0.0 X 970409 0 42497 RANDALL PETERSON PRESIDENT CEO RETIRED 3/2019 0.0 0.0 X 736639 0 14970 KEVIN DISHMAN DIRECTOR/Physician 50.0 0.0 X 562430 0 93949 ERIC VOTH VP PRIMARY CARE AND PHYSICIAN 50.0 0.0 X 575276 0 66254 ROBERT O LANGLAND VICE PRESIDENT/CFO 50.0 1.0 X 541196 0 83976 CAROL PERRY SVP AND CHIEF NURSING OFFICER 50.0 0.0 X 480752 0 82082 TRACY O'ROURKE SVP AND CHIEF ADMIN. Officer 50.0 0.0 X 463470 0 87989 CLIFTON JONES VP AND PHYSICIAN 50.0 0.0 X 513453 0 37554 SRIDEVI DONEPUDI SVP AND CHIEF MEDICAL QUUALITY 50.0 0.0 X 450979 0 89356 DARLENE STONE SVP & CHIEF EXPERIENCE OFFICer 50.0 1.0 X 441013 0 88079 DEBRA YOCUM VP CLINIC OPERATIONS 50.0 0.0 X 451922 0 70597 DAVID CUNNINGHAM VP AND FACILITIES OFFICER 50.0 1.0 X 382805 0 77481 JUDY CORZINE VP AND CHIEF INFORMATION OFFIC 50.0 0.0 X 370166 0 47335 AILEEN MCCARTHY DIRECTOR/PHYSICIAN 50.0 0.0 X 309129 0 32655 AMY KINCADE VP POPULATION HEALTH 50.0 0.0 X 281091 0 47311 MICHAEL KONGS DIRECTOR FINANCIAL MANAGEMENT 50.0 1.0 X 253626 0 41270 PAMELA JOHNSON-BETTS DIRECTOR 3.0 0.0 X 0 0 0 DEBRA CLAYTON DIRECTOR 3.0 0.0 X 0 0 0 BRENDA SUE MILLS DIRECTOR 3.0 0.0 X 0 0 0 JAMES PARRISH DIRECTOR/SECRETARY 3.0 0.0 X X 0 0 0 JAMES R SCHMANK DIRECTOR/VICE CHAIR 3.0 0.0 X X 0 0 0 SUEANN V SCHULTZ DIRECTOR 3.0 0.0 X 0 0 0 RICK WIENCKOWSKI DIRECTOR/CHAIRMAN 3.0 0.0 X X 0 0 0 MARK KNACKENDOFFEL DIRECTOR 3.0 0.0 X 0 0 0 ROBERT ST PETER DIRECTOR 3.0 0.0 X 0 0 0 ALONZO HARRISON DIRECTOR 3.0 0.0 X 0 0 0 MARSHA POPE DIRECTOR 3.0 0.0 X 0 0 0 MARK RUELLE DIRECTOR 3.0 0.0 X 0 0 0 17561691 0 1453309 631 true true false SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURG PA 152516170 DIETARY SERVICES 4347236 ANESTHESIA ASSOCIATES 823 SW MULVANE SUITE 2A TOPEKA KS 66606 PHYSICIAN SERVICES 4155631 MCELROYS INC PO BOX 5188 TOPEKA KS 66605 BUILDING CONTRACTORS 2410796 KENDALL CONSTRUCTION INC 2551 NW BUTTON ROAD TOPEKA KS 66618 BUILDING CONTRACTORS 3643808 GALLAHER BENEFIT SERVICES PO BOX 560812 DENVER CO 802560812 EMP BENEFIT SERVICES 2216040 80 1047569 117590 1165159 NET PATIENT SERVICE REVENUE 621300 787655474 787655474 PHARMACY 621910 612639 581875 30764 NUTRITIONAL SERVICES 621300 1476382 1476382 EDUCATION SERVICES/SCHOOL OF NURS 621300 2276318 2276318 OTHER SERVICE REVENUE 621300 1101828 1101828 793122641 1744606 1744606 0 0 467839 467839 0 467839 467839 15272786 2268671 15272786 -2268671 13004115 13004115 0 0 0 0 0 0 0 0 0 EARNINGS - EQUITY INVESTEES 900099 4663602 4663602 MISCLLANEOUS INCOME 900099 3561741 3561741 8225343 817729703 793091877 30764 23441903 1653870 1653870 0 0 0 11045903 9456404 1589499 63485 63485 379750372 324972663 54777709 16133027 12307886 3825141 29953960 24289891 5664069 23472477 19558674 3913803 803369 612890 190479 712437 712437 155982 155982 0 0 735160 735160 23591987 19681281 3910706 603760 7161 596599 7873342 5344145 2529197 15994610 10736151 5258459 0 9323579 7860731 1462848 378512 269040 109472 0 116302 72052 44250 5210784 3975307 1235477 0 26431025 21670932 4760093 6501998 5262957 1239041 Supplies 129816678 125814672 4002006 Repairs & Maintenance 9407109 3642475 5764634 Nutrition & Food Service 1901781 1357735 544046 Bad Debt Expense 38573179 38573179 20040644 8583903 11456741 760245332 645703999 114541333 0 111048991 237742584 1246770 81511 0 0 90824227 93110167 0 0 0 0 0 0 11537573 12158564 8538330 7859217 545314042 296233145 230508319 249080897 177433405 177526826 166790939 186174058 25925102 22506766 3372387 2813536 6950299 18529546 834176342 1007583672 84158814 206633686 0 0 0 0 173561838 165921535 0 0 0 0 2250000 2050000 0 0 107337132 111704682 367307784 486309903 X 465795277 520947052 1073281 326717 466868558 521273769 834176342 1007583672 X 57484371 5604393 -8683553 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 26461 true 3226 false false 29687 false SCHEDULE C, PART II-B 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. 292410 292403 7 274250 18160 292410 276921 -2671 274250 276224 697 276921 266314 9910 276224 1.00000 false false 25027745 25027745 308462449 133081743 175380706 197959788 163151402 34808386 13864060 13864060 249080897 ALTERNATIVE INVESTMENTS 186174058 F 186174058 0 Accrued Pension Obligation 99067506 Due to Related Parties -1339 2016 Bonds Interest Payable 426106 Lease ROU Liabilities 12212409 111704682 806305366 5604393 22279609 27884002 778421364 735160 38573179 39308339 817729703 741372935 20435942 20435942 720936993 735160 38573179 39308339 760245332 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 Central America and the Caribbean 0 0 Investments 521718 0 0 0 0 521718 521718 true false true false false false PART I, LINE 3 COLUMN F THE ACCRUAL METHOD OF ACCOUNTING IS USED TO REPORT THE AMOUNT OF THE PASSIVE FOREIGN INVESTMENTS IN COLUMN F. true true X true X true X true true false false 16008999 16008999 0.02220 75174916 51848157 23326759 0.03240 91183915 51848157 39335758 0.05460 716863 178601 538262 0.00070 3847677 2292740 1554937 0.00220 4657326 2473227 2184099 0.00310 48520 48520 0.00010 9270386 4944568 4325818 0.00610 100454301 56792725 43661576 0.06070 false 38573179 245537736 325071912 -79534176 X true true URISH MEDICAL PLAZA REAL ESTATE 0.0 0.0 0.0 SVHC RADIATION LLC ONCOLOGY SERVICES 0.74 0.0 0.0 1 1 STORMONT VAIL HEALTHCARE INC 1500 SW 10TH AVE TOPEKA KS 66604 WWW.STORMONTVAIL.ORG H-089-003 X X X STORMONT VAIL HEALTHCARE INC 1 false false true X X X X X X X X X 18 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 150. 400. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 38 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 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 true GRACEMED 1122 N TOPEKA ST WICHITA KS 67214 480980926 501 (C) (3) 8800 SUPPORT STORMONT VAIL FOUNDATION 1500 SW10TH AVE TOPEKA KS 66604 480980926 501 (C) (3) 1645070 2 SCHEDULE I, PART I, LINE 2 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. X X X X X true true false true false false false false false ROBERT KENAGY PRESIDENT CEO 714975 0 203123 0 107750 0 13850 0 33479 0 1073177 0 102206 ROBERT O LANGLAND VICE PRESIDENT/CFO 413659 0 108537 0 19000 0 61851 0 22125 0 625172 0 AILEEN MCCARTHY DIRECTOR/PHYSICIAN 250590 0 39539 0 19000 0 13447 0 19208 0 341784 0 KEVIN DISHMAN DIRECTOR/Physician 435968 0 107462 0 19000 0 61278 0 32671 0 656379 0 RANDALL PETERSON PRESIDENT CEO RETIRED 3/2019 272693 0 444946 0 19000 0 5600 0 9370 0 751609 0 MATTHEW WILLS PHYSICIAN 1323839 0 51313 0 0 0 8250 0 28798 0 1412200 0 BENJAMIN BOUDREAUX PHYSICIAN 1426104 0 1945 0 18504 0 13850 0 35801 0 1496204 0 TEWODROS ADDISSE PHYSICIAN 1102349 0 67310 0 18552 0 13850 0 8905 0 1210966 0 KELLI CRABTREE WILSON PHYSICIAN 1296266 0 1196 0 19000 0 13850 0 1530 0 1331842 0 FLORIN NICOLAE PHYSICIAN 1535882 0 54429 0 0 0 13850 0 31498 0 1635659 0 JUDY CORZINE VP AND CHIEF INFORMATION OFFIC 327925 0 42241 0 0 0 26211 0 21124 0 417501 0 DAVID CUNNINGHAM VP AND FACILITIES OFFICER 295159 0 87646 0 0 0 43159 0 34322 0 460286 0 SRIDEVI DONEPUDI SVP AND CHIEF MEDICAL QUUALITY 358878 0 73101 0 19000 0 57083 0 32273 0 540335 0 CLIFTON JONES VP AND PHYSICIAN 388503 0 90250 0 34700 0 13850 0 23704 0 551007 0 22700 AMY KINCADE VP POPULATION HEALTH 217950 0 63141 0 0 0 34693 0 12618 0 328402 0 SALAH NAJM VP ACUTE CARE AND PHYSICIAN 900337 0 51072 0 19000 0 26600 0 15897 0 1012906 0 TRACY O'ROURKE SVP AND CHIEF ADMIN. Officer 328498 0 116772 0 18200 0 54852 0 33137 0 551459 0 CAROL PERRY SVP AND CHIEF NURSING OFFICER 353631 0 108121 0 19000 0 55421 0 26661 0 562834 0 WILLIAM SACHS VP SURGICAL SERVICES AND PHYSI 817090 0 125155 0 19000 0 42813 0 32136 0 1036194 0 JANET STANEK SR VP RETIRED 4/2019 412875 0 167694 0 292984 0 135162 0 22332 0 1031047 0 DARLENE STONE SVP & CHIEF EXPERIENCE OFFICer 330621 0 109392 0 1000 0 52261 0 35818 0 529092 0 ERIC VOTH VP PRIMARY CARE AND PHYSICIAN 428042 0 122651 0 24583 0 30283 0 35971 0 641530 0 24583 DEBRA YOCUM VP CLINIC OPERATIONS 349170 0 102752 0 0 0 48212 0 22385 0 522519 0 MICHAEL KONGS DIRECTOR FINANCIAL MANAGEMENT 224171 0 29455 0 0 0 11470 0 29800 0 294896 0 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. A KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 48543BMW5 2011-08-31 61193487 SEE PART IV true false false B KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 485438PD4 2013-11-21 39321250 HEALTH FACILITIES false false false C KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2016-12-15 70350000 SEE PART IV false false false D KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2017-08-21 31870000 REFUND 2016O TAXABLE NOTE false false false A 17120000 35455000 61196914 0 32263 0 830826 0 0 10008295 50325531 0 2013 true false true true B 675000 0 39327332 0 0 0 670848 0 0 38656486 0 0 2017 false false true true C 3730000 0 70709937 0 15110 0 684718 0 0 20165265 49844844 0 2020 true true true true D 11390000 0 31870000 0 0 0 0 0 0 0 31870000 0 2001 true true true true A false false true true false 0.00000 0.00000 0.00000 false false false true B false false true true false 0.00000 0.00000 0.00000 false false false true C false false true true true true 0.00000 0.00000 0.00000 false false false true D 0.00000 0.00000 0.00000 A false true false false 0 false 0 false true B false true false false 0 false 0 true true C false true true false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true 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. A KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2019-08-19 36265000 REFUND PORTION OF 2011 BONDS false false false A 175000 0 36265000 0 0 0 365041 0 0 35899959 0 0 2013 true false true true A false false true true false 0.00000 0.00000 0.00000 false false false true A false true false false 0 false 0 false true A true SEE PART V SCHEDULE L, PART IV, LINE 1 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 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 COTTON-O-NEIL ACO LLC 1500 SW 10TH AVENUE TOPEKA KS 66604 465542929 SHARED SAVING KS 0 15747 SVHC STORMONT-VAIL FOUNDATION 1500 SW 10TH AVENUE TOPEKA KS 66604 480980926 FUNDRAISING KS 501(C)(3) 7 SVHC true STORMONT-VAIL HEALTHCARE AUXILIARY 1500 SW 10TH AVENUE TOPEKA KS 66604 486140517 FUNDRAISING KS 501(C)(3) 12A SVHC true TOPEKA AIR AMBULANCE INC 1500 SW 10TH AVENUE TOPEKA KS 66604 480930553 AIR AMBULANCE KS 501(C)(3) 3 SVHC true BUILDING BLOCKS OF TOPEKA INC 620 SW LANE TOPEKA KS 66606 481121628 CHILD DAYCARE KS 501(C)(3) 10 SVHC true 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 6024453 0 false true 0.74000 STORMONT VAIL INC 901 GARFIELD TOPEKA KS 66606 480782848 RETAIL PHARMA KS SVHC C-CORP 17778001 7182387 1.00000 true CENTURY HEALTH SOLUTIONS INC 2951 SW WOODSIDE DR TOPEKA KS 66614 481206397 INSURANCE ADM KS SVHC C-CORP 76088 60568 1.00000 true TENTH STREET PROPERTY INC 1500 SW 10TH ST TOPEKA KS 66604 480788844 REAL ESTATE KS SVHC C-CORP 0 0 1.00000 true false true true false false true false false false false false false false true true false true false true STORMONT VAIL FOUNDATION B 1645070 FMV STORMONT VAIL FOUNDATION C 904144 FMV STORMONT VAIL AUXILIARY C 143425 FMV SVHC RADIATION ONCOLOGY LLC F 4574245 FMV URISH MEDICAL PLAZA LLC F 139911 FMV TOPEKA AIR AMBULANCE S 450000 FMV CENTURY HEALTH SOLUTIONS INC F 50000 FMV STORMONT VAIL INC O 1240408 FMV STORMONT VAIL FOUNDATION O 459240 FMV SVHC RADIATION ONCOLOGY LLC O 868390 FMV CENTURY HEALTH SOLUTIONS INC O 26717 FMV STORMONT VAIL AUXILIARY Q 339038 FMV BUILDING BLOCKS OF TOPEKA O 1114745 FMV BUILDING BLOCKS OF TOPEKA Q 1294967 FMV