STORMONT VAIL FOUNDATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
STORMONT VAIL FOUNDATION (EIN 48-0980926)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-10
IRS object ID
201702229349300015
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-10T09:20:20-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481066439PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERBERICH TRAHAN & CO PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13630 SW BURLINGAME ROADAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP666112050ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480980926EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O CORPORATE FINANCEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSTORBusinessNameControlTxt
Phone7853545623PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH L STONEPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7853545623PhoneNum
Signature2017-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHERYL G HAYWARDPreparerPersonNm
PTINP00016097PTIN
Phone7852343427PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANE MACKEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,897,216GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STORMONTVAIL.ORG/FOUNDATIONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionSEE CONTINUATION ON SCHEDULE O: TO PROVIDE VOLUNTARY GIFT SUPPORT FOR STORMONT-VAIL HEALTHCARE, INC. PATIENT CARE SERVICES AND COMMUNITY HEALTH EDUCATION PROGRAMS, IN SUPPORT OF HEALTHCARE'S MISSION OF "WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY."ActivityOrMissionDesc
Voting Members Governing Body27VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers23TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,794,478PYContributionsGrantsAmt
CY Contributions Grants$2,109,119CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,851,026PYInvestmentIncomeAmt
CY Investment Income$926,072CYInvestmentIncomeAmt
PY Other Revenue$144,365PYOtherRevenueAmt
CY Other Revenue$153,741CYOtherRevenueAmt
PY Total Revenue$3,789,869PYTotalRevenueAmt
CY Total Revenue$3,188,932CYTotalRevenueAmt
PY Grants And Similar Paid$409,297PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$543,126CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$435,270PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$267,590CYTotalFundraisingExpenseAmt
PY Other Expenses$1,235,073PYOtherExpensesAmt
CY Other Expenses$1,837,546CYOtherExpensesAmt
PY Total Expenses$2,079,640PYTotalExpensesAmt
CY Total Expenses$2,380,672CYTotalExpensesAmt
PY Revenues Less Expenses$1,710,229PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$808,260CYRevenuesLessExpensesAmt
Total Assets BOY$19,392,135TotalAssetsBOYAmt
Total Assets EOY$20,995,258TotalAssetsEOYAmt
Total Liabilities BOY$152,791TotalLiabilitiesBOYAmt
Total Liabilities EOY$248,245TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,239,344NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,747,013NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE VOLUNTARY GIFT SUPPORT FOR STORMONT-VAIL HEALTHCARE, INC. PATIENT CARE SERVICES AND COMMUNITY HEALTH EDUCATION PROGRAMS, IN SUPPORT OF HEALTHCARE'S MISSION OF "WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY."MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,055,602ExpenseAmt
Grant$543,126GrantAmt
DescFACILITIES:CONSISTENT WITH ITS MISSION, THE FOUNDATION PROVIDES STORMONT-VAIL HEALTHCARE WITH FUNDING FOR MEDICAL FACILITIES AND EQUIPMENT NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$185,906ExpenseAmt
DescPATIENT CARE AND OTHER:A MAJORITY OF PROGRAM SERVICE EXPENDITURES IN THIS CATEGORY IS FOR DISCHARGE ASSISTANCE TO STORMONT-VAIL HEALTHCARE PATIENTS WHO HAVE CRITICAL NEEDS AT THE TIME OF DISCHARGE FROM THE HOSPITAL OR TREATMENT IN OUR CLINICS. TIMELY FUNDING IS PROVIDED FOR ITEMS SUCH AS CLOTHING, PRESCRIPTION DRUGS, TRANSPORTATION NEEDS, ETC. WHERE THE PATIENTS HAVE NO OTHER SOURCES OF FUNDING.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$163,150ExpenseAmt
DescSCHOLARSHIPS:IN COOPERATION WITH BAKER UNIVERSITY, THE FOUNDATION PROVIDES SCHOLARSHIPS TO DESERVING NURSING STUDENTS ATTENDING THE BAKER UNIVERSITY SCHOOL OF NURSING AT STORMONT-VAIL. IN ADDITION TO BAKER UNIVERSITY, SCHOLARSHIPS ARE PROVIDED TO STUDENTS ATTENDING SOME OTHER POST SECONDARY ALLIED HEALTH EDUCATION PROGRAMS. OTHER SCHOLARSHIPS ARE ALSO PROVIDED TO KU, KSU, AND WU.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtDescDesc
$59,266EDUCATION:THE FOUNDATION COOPERATES WITH STORMONT-VAIL HEALTHCARE TO FUND EMPLOYEES' ATTENDANCE AT SELECT CONFERENCES, WORKSHOPS AND PROGRAMS IN ORDER TO GAIN KNOWLEDGE AND SKILLS, AND TO SHARE THAT KNOWLEDGE WITH PEERS,FURTHER ENHANCING PATIENT CARE AND IMPROVING THE HEALTH OF OUR COMMUNITY
$379,976OTHER COMMUNITY SUPPORT:THE FOUNDATION MAKES GRANTS/SPONSORSHIPS TO OTHER COMMUNITY CHARITIES ON BEHALF OF THE STORMONT-VAIL HEALTHCARE SYSTEM.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$439,242TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$1,843,900TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members27GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KENNETH L STONEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7853545623PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KEN STONE
SVF TREAS./DIR CORP ACCTG4.0040.00Yes (X)Yes (X)$0$150,869$35,346
JUDY MOLER
IMMEDIATE PAST CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
JARED HOLROYD
TRUSTEE1.00Yes (X)$0$0$0
BEN ARTILES
TRUSTEE1.00Yes (X)$0$0$0
RICK JACKSON
TRUSTEE1.00Yes (X)$0$0$0
OLGA SMITH
TRUSTEE1.00Yes (X)$0$0$0
TOM MCBRIDE
TRUSTEE1.00Yes (X)$0$0$0
BETTY CLICK
TRUSTEE1.00Yes (X)$0$0$0
KENT CORNISH
TRUSTEE1.00Yes (X)$0$0$0
STEVE TYLER
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
JANE MACKEY
PRESIDENT40.00Yes (X)Yes (X)$0$174,164$25,476
DAN RICHARDSON
TRUSTEE1.00Yes (X)$0$0$0
TOM MORRIS
TRUSTEE1.00Yes (X)$0$0$0
MIKE MORSE
TRUSTEE1.00Yes (X)$0$0$0
RICHARD ROSS
TRUSTEE1.00Yes (X)$0$0$0
KEVIN HAN
VICE PRESIDENT & CFO1.0050.00Yes (X)Yes (X)$0$451,971$143,933
RANDY PETERSON
PRESIDENT & CEO STORMONT1.0050.00Yes (X)$0$1,072,302$201,486
MAYNARD OLIVERIUS
FORMER PRES.& CEO STORMONT1.00Yes (X)$0$62,156$0
PATTY PRESSMAN
TRUSTEE1.00Yes (X)$0$0$0
MARK RUELLE
TRUSTEE1.00Yes (X)$0$0$0
MIRANDA CARMONA
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JIM PARRISH
TRUSTEE1.00Yes (X)$0$0$0
MICK URBAN
TRUSTEE1.00Yes (X)$0$0$0
DOUG WOLFF
TRUSTEE1.00Yes (X)$0$0$0
KEVIN HAHN
VICE-CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
ERROL WILLIAMS
TRUSTEE1.00Yes (X)$0$0$0
ANNE WILSON
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,911,462TotReportableCompRltdOrgAmt
Total Other Compensation$406,241TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$748,361RelatedOrganizationsAmt
All Other Contributions$1,360,758AllOtherContributionsAmt
Total Contributions$2,109,119TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$759,759TotalRevenueColumnAmt
Exclusion$759,759ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,818,204SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,651,891SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$166,313SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,313TotalRevenueColumnAmt
Exclusion$166,313ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$210,134FundraisingGrossIncomeAmt
Fundraising Direct Expenses$56,393FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,741TotalRevenueColumnAmt
Exclusion$153,741ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,188,932TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,079,813ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$543,126TotalAmt
Program Services$543,126ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,505TotalAmt
Management And General$10,505ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$25,070TotalAmt
Management And General$25,070ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,641TotalAmt
Management And General$1,547ManagementAndGeneralAmt
Fundraising$8,094FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$35,495TotalAmt
Program Services$35,495ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$49,025TotalAmt
Program Services$4,847ProgramServicesAmt
Management And General$17,047ManagementAndGeneralAmt
Fundraising$27,131FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,581TotalAmt
Management And General$5,291ManagementAndGeneralAmt
Fundraising$5,290FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$862TotalAmt
Management And General$862ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,954TotalAmt
Management And General$8,954ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,885TotalAmt
Management And General$2,885ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DESIGNATED DISBURSEMENT$929,227$929,227
SHARED PAYROLL$488,077$71,837$192,841$223,399
OTHER ASSISTANCE$185,906$185,906
EDUCATION$59,266$59,266

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,052TotalAmt
Program Services$14,196ProgramServicesAmt
Management And General$4,180ManagementAndGeneralAmt
Fundraising$3,676FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,380,672TotalAmt
Program Services$1,843,900ProgramServicesAmt
Management And General$269,182ManagementAndGeneralAmt
Fundraising$267,590FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,001BOYAmt
EOY$1,001EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$407,349BOYAmt
EOY$621,711EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$728,387BOYAmt
EOY$679,652EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,740BOYAmt
EOY$10,246EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$45,059LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,300LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,644BOYAmt
EOY$7,759EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,458,085BOYAmt
EOY$10,728,040EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,773,929BOYAmt
EOY$8,946,849EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,392,135BOYAmt
EOY$20,995,258EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$96,212BOYAmt
EOY$192,684EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,579BOYAmt
EOY$55,561EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$152,791BOYAmt
EOY$248,245EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,293,555BOYAmt
EOY$1,860,647EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,149,206BOYAmt
EOY$4,800,125EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,796,583BOYAmt
EOY$14,086,241EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,239,344BOYAmt
EOY$20,747,013EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,392,135BOYAmt
EOY$20,995,258EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$808,260ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$525,866NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$173,543OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,311,397CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,193,816CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,270,513CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,794,478CurrentTaxYearMinus1YearAmt
Current Tax Year$2,109,119CurrentTaxYearAmt
Total$8,679,323TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,311,397CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,193,816CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,270,513CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,794,478CurrentTaxYearMinus1YearAmt
Current Tax Year$2,109,119CurrentTaxYearAmt
Total$8,679,323TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$640,515SubstantialContributorsTotAmt
Public Support Total170$8,038,808PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$498,607CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$582,990CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$656,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$890,562CurrentTaxYearMinus1YearAmt
Current Tax Year$759,759CurrentTaxYearAmt
Total$3,388,806TotalAmt
FieldValueIRS element (for citing)
Total Support$12,068,129TotalSupportAmt
Gross Receipts Rltd Activities$70,370GrossReceiptsRltdActivitiesAmt
Public Support CY1700.66610PublicSupportCY170Pct
Public Support PY1700.64620PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,173,826BeginningYearBalanceAmt
Contributions$449,885ContributionsAmt
Investment Earnings Or Losses$719,815InvestmentEarningsOrLossesAmt
Other Expenditures$105,338OtherExpendituresAmt
End Year Balance$9,238,188EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,136,401BeginningYearBalanceAmt
Contributions$402,037ContributionsAmt
Investment Earnings Or Losses-$223,447InvestmentEarningsOrLossesAmt
Other Expenditures$141,165OtherExpendituresAmt
End Year Balance$8,173,826EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,850,620BeginningYearBalanceAmt
Contributions$869,030ContributionsAmt
Investment Earnings Or Losses$527,689InvestmentEarningsOrLossesAmt
Other Expenditures$110,938OtherExpendituresAmt
End Year Balance$8,136,401EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,010,736BeginningYearBalanceAmt
Contributions$396,574ContributionsAmt
Investment Earnings Or Losses$526,228InvestmentEarningsOrLossesAmt
Other Expenditures$82,918OtherExpendituresAmt
End Year Balance$6,850,620EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,070,422BeginningYearBalanceAmt
Contributions$453,835ContributionsAmt
Investment Earnings Or Losses$712,526InvestmentEarningsOrLossesAmt
Other Expenditures$226,047OtherExpendituresAmt
End Year Balance$6,010,736EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.15340BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.65050PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.19610TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,059OtherCostOrOtherBasisAmt
Depreciation$37,300DepreciationAmt
Book Value$7,759BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,759TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ACCRUED INVESTMENT INCOME$14,016
CHARITABLE REMAINDER TRUST$856,000
BENEFICIAL INTEREST IN TRUST$8,076,833
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,946,849TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO SVH$51,061
CHARITABLE GIFT ANNUNITIES$4,500
FieldValueIRS element (for citing)
Total Liability$55,561TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,863,271TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$525,866NetUnrealizedGainsInvstAmt
Other Revenue$173,543OtherRevenueAmt
Revenue Not Reported$699,409RevenueNotReportedAmt
Revenue Subtotal$3,163,862RevenueSubtotalAmt
Investment Expenses Not Incld$25,070InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$25,070RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,188,932TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,355,602TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,355,602ExpensesSubtotalAmt
Investment Expenses Not Incld2$25,070InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$25,070ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,380,672TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. ALL ENDOWMENTS ACCEPTED SUPPORT THE MISSION OF THE STORMONT-VAIL FOUNDATION.
PART X, LINE 2:THE FOUNDATION'S POLICY IS TO EVALUATE UNCERTAIN TAX POSITIONS ANNUALLY. MANAGEMENT EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAD TAKEN NO UNCERTAIN TAX POSITION THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 173,543.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BIG HEARTS GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$210,134GrossReceiptsEvent1Amt
Gross Revenue Event1$210,134GrossRevenueEvent1Amt
Non Cash Prizes Event1$24,133NonCashPrizesEvent1Amt
Rent Facility Costs Event1$14,582RentFacilityCostsEvent1Amt
Food And Beverage Event1$16,560FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,118OtherDirectExpensesEvent1Amt
Gross Receipts Total$210,134GrossReceiptsTotalAmt
Gross Revenue Total Events$210,134GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$24,133NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$14,582RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$16,560FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$1,118OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$56,393DirectExpenseSummaryEventsAmt
Net Income Summary$153,741NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
AMERICAN CANCER SOCIETY
1315 SW ARROWHEAD RDTOPEKAKS66604131788491501(C)(3)$42,500COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
AMERICAN HEART ASSOCIATION
5375 SW 7TH STTOPEKAKS66606135613797501(C)(3)$75,000COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
ARTHRITIS FOUNDATION
1900 W 75TH STREETPRARIE VILLAGEKS66208581341679501(C)(3)$5,000COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
MARCH OF DIMES FOUNDATION
1133 SW GAGE BLVDTOPEKAKS66604131846366501(C)(3)$22,500COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
MEALS ON WHEELS OF SHAWNEE AND JEFFERSON COUNTIES
2701 SW EAST CIRCLE DRIVE SOUTHTOPEKAKS66606480792685501(C)(3)$10,000COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
RACE AGAINST BREAST CANCER INC
PO BOX 4458TOPEKAKS66604481154057501(C)(3)$10,000COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
YWCA OF NORTHEAST KANSAS
225 SW 12TH STTOPEKAKS66612480556758501(C)(3)$11,500COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
JUNIOR ACHIEVEMENT OF KANSAS
3735 SW WANAMAKER RDTOPEKAKS66610841267604501(C)(3)$5,700COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
WASHBURN UNIVERSITY OF TOPEKA
1700 SW COLLEGE AVETOPEKAKS66621486030115170(C)(1)$68,506COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
KANSAS DENTAL CHARITABLE FOUNDATION
5200 SW HUNTOON AVETOPEKAKS66604481260092501(C)(3)$5,000COMMUNITY CHARITABLE SUPPORT ON BEHALD OF STORMONT-VAIL HEALTHCARE
ADVANCE POTTAWATOMIE COUNTY
1004 LINCOLNWAMEGOKS66547481059912501(C)(6)$15,000COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
KANSAS PEDIATRIC FOUNDATION
PO BOX 860481SHAWNEEKS66286480892759501(C)(3)$5,000COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
LEUKEMIA AND LYMPHOMA SOCIETY
6811 SHAWNEE MISSION PARKWAY STESHAWNEE MISSIONKS66202135644916501(C)(3)$5,000COMMUNITY CHARITAABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE202
MIDLAND CARE CONNECTION INC
200 SW FRAZIER CIRCLETOPEKAKS66606480883888501(C)(3)$5,000COMMUNITY CHARITABLE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
SAFE KIDS KANSAS
1000 SW JACKSON ST STE230TOPEKAKS66612481167349501(C)(3)$5,000COMMUNITY CHARITABLE SUPPORT ON BEHALD OF STORMONT-VAIL HEALTHCARE
JAYHAWK AREA COUNCIL BOY SCOUTS OF AMERICA
1020 SE MONROE STTOPEKAKS66612480543748501(C)(3)$8,000COMMUNITY CHARITALBE SUPPORT ON BEHALF OF STORMONT-VAIL HEALTHCARE
BAKER UNIVERSITY
PO BOX 65BALDWIN CITYKS66006480543766501(C)(3)$150,000FUND NURSING SCHOLARSHIPS
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationFOR SCHOLARSHIPS REPORTED IN PART II OF THIS SCHEDULE, THE FOUNDATION PROVIDES SCHOLARSHIP FUNDING TO BAKER UNIVERSITY FOR SCHOLARSHIPS GRANTED TO STUDENTS OF THE SCHOOL OF NURSING PROGRAM WHICH OFFERS A BACHELOR OF SCIENCE IN NURSING DEGREE. THE SCHOOL OF NURSING IS OWNED BY STORMONT-VAIL HEALTHCARE, INC. BAKER UNIVERSITY CONFERS DEGREES AND MANAGES ADMISSIONS, SCHOLARSHIPS, AND ACADEMIC AFFAIRS. THE FOUNDATION RECEIVED DETAILED REPORTS LISTING SCHOLARSHIP RECIPIENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEN STONE
SVF TREAS./DIR CORP ACCTG$0$139,617$0$10,370$0$882$0$9,018$0$26,328$0$186,215$0$0
JANE MACKEY
PRESIDENT$0$145,243$0$27,530$0$1,391$0$10,153$0$15,323$0$199,640$0$0
KEVIN HAN
VICE PRESIDENT & CFO$0$356,831$0$91,326$0$3,814$0$126,571$0$17,362$0$595,904$0$0
RANDY PETERSON
PRESIDENT & CEO STORMONT$0$713,237$0$353,521$0$5,544$0$170,422$0$31,064$0$1,273,788$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6STORMONT-VAIL HEALTHCARE, INC. IS THE SOLE VOTING MEMBER OF THE STORMONT-VAIL FOUNDATION. STORMONT-VAIL HEALTHCARE, INC. IS A 501(C)(3) EXEMPT NON-PROFIT HEALTH CARE PROVIDER WITH NUMEROUS LOCATIONS IN AND THROUGHOUT TOPEKA AND NORTHEAST KANSAS.
FORM 990, PART VI, SECTION A, LINE 7ATHE TRUSTEES ARE ELECTED BY THE VOTING MEMBER OF THE FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 11THE PRESIDENT AND THE TREASURER FURNISH A DRAFT OF FORM 990 TO THE FOUNDATION'S FINANCE COMMITTEE FOR A MEETING AT WHICH THE REPORT IS DISCUSSED. THE FINANCE COMMITTEE'S FEEDBACK IS CONSIDERED AND FURTHER DISCUSSED WITH THE PAID PREPARER AS THE BASIS OF MODIFICATIONS, AS APPROPRIATE, IN THE FINAL VERSION OF FORM 990 FOR FILING. THE FINAL, FILED VERSION IS MADE AVAILABLE TO THE BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE BOARD'S FOUNDATION RELATIONS COMMITTEE REVIEWS CONFLICTS OF INTEREST AND CONFIDENTIALITY STATEMENTS, AND CODE OF CONDUCT CERTIFICATIONS FOR ALL BOARD MEMBERS AND OFFICERS.
FORM 990, PART VI, SECTION B, LINE 15ALTHOUGH THE PRESIDENT AND EXECUTIVE DIRECTOR OF THE STORMONT-VAIL FOUNDATION IS NOT AN EMPLOYEE OF THE STORMONT-VAIL FOUNDATION, THE COMPENSATION OF THAT POSITION IS DETERMINED AS FOLLOWS: THE COMPENSATION COMMITTEE OF STORMONT-VAIL HEALTHCARE (COMPRISED OF THE TWO SENIOR VICE PRESIDENTS, ALL THE VICE PRESIDENTS, AND THE DIRECTORS OF COMPENSATION/BENEFITS AND FINANCE) REVIEW NATIONAL SURVEY DATA FOR THIS POSITION AND PROPOSE A PAY RANGE FOR THE POSITION. THE PRESIDENT AND CEO OF STORMONT-VAIL ALONG WITH THE CHAIR OF THE STORMONT-VAIL FOUNDATION BOARD REVIEWS THE FOUNDATION PRESIDENT AND EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION IS DETERMINED BY THAT REVIEW. COMPENSATION FOR OTHER PERSONS, WHOSE COMPENSATION IS DISCLOSED IN THIS FORM 990 AND SCHEDULE J, IS DETERMINED BY STORMONT-VAIL HEALTHCARE, INC. BOARD OF DIRECTORS, OFFICERS, MANAGEMENT AND/OR IN ACCORDANCE WITH ESTABLISHED POLICIES AND PRACTICES OF HEALTHCARE. ADDITIONAL INFORMATION MAY BE AVAILABLE ON SCHEDULE O FOR STORMONT-VAIL HEALTHCARE, INC.'S FORM 990.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. THE FOUNDATION INCLUDES A COPY OF ITS AUDITED FINANCIAL STATEMENTS WITH ITS ANNUAL FORM SC FILED WITH THE KANSAS SECRETARY OF STATE. A CONDENSED BALANCE SHEET AND REVENUE AND EXPENSE STATEMENT IS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 173,543.
PART XII, LINE 2CNO CHANGE FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCARE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH STAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP666041353ZIPCd
FieldValueIRS element (for citing)
EIN480543789EIN
Primary ActivitiesPROVIDES HEALTH AND MEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status170(B)(1)(A)(III)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
STORMONT-VAIL HEALTHCARE INC
C$748,361
STORMONT-VAIL HEALTHCARE INC
O$488,077
STORMONT-VAIL HEALTHCARE INC
R$929,227

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.