FURP.ORG / PUBLIC DATA EXPLORER

STORMONT-VAIL HEALTHCARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
STORMONT-VAIL HEALTHCARE INC (EIN 48-0543789)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-07-22
IRS object ID
201532039349300633
Schema version
2013v4.0
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)
Return2015-07-22T13:14:11-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481066439PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERBERICH TRAHAN & CO PABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13630 SW BURLINGAME ROADAddressLine1
CityTOPEKACity
StateKSState
ZIP Code666112050ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480543789EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTORBusinessNameControlTxt
Phone7853546000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1
CityTOPEKACity
StateKSState
ZIP Code666041353ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN J HANPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone7853546000PhoneNum
Signature2015-07-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHERYL G HAYWARDPreparerPersonNm
PTINP00016097PTIN
Phone7852343427PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN J HANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1
CityTOPEKACity
StateKSState
ZIP Code666041353ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$626,762,514GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STORMONTVAIL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1894FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionSTORMONT-VAIL'S MISSION IS "WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY" BY PROVIDING QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee4874TotalEmployeeCnt
Total Volunteers639TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$37,076NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$430,397PYContributionsGrantsAmt
CY Contributions Grants$344,266CYContributionsGrantsAmt
PY Program Service Revenue$515,883,852PYProgramServiceRevenueAmt
CY Program Service Revenue$543,453,900CYProgramServiceRevenueAmt
PY Investment Income$331,606PYInvestmentIncomeAmt
CY Investment Income$6,116,053CYInvestmentIncomeAmt
PY Other Revenue$466,788PYOtherRevenueAmt
CY Other Revenue$456,383CYOtherRevenueAmt
PY Total Revenue$517,112,643PYTotalRevenueAmt
CY Total Revenue$550,370,602CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$313,985,036PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$330,729,484CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$182,337,931PYOtherExpensesAmt
CY Other Expenses$184,916,367CYOtherExpensesAmt
PY Total Expenses$496,322,967PYTotalExpensesAmt
CY Total Expenses$515,645,851CYTotalExpensesAmt
PY Revenues Less Expenses$20,789,676PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$34,724,751CYRevenuesLessExpensesAmt
Total Assets BOY$565,232,540TotalAssetsBOYAmt
Total Assets EOY$640,070,550TotalAssetsEOYAmt
Total Liabilities BOY$282,723,434TotalLiabilitiesBOYAmt
Total Liabilities EOY$332,819,981TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$282,509,106NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$307,250,569NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$475,602,889ExpenseAmt
Revenue$543,453,900RevenueAmt
DescSTORMONT-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, 2014, 20,875 INPATIENTS, 63,744 EMERGENCY ROOM PATIENTS, 1,970 NEWBORNS, AND 427 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 $9,088,114SHORTFALL OF MEDICARE PAYMENTS AT COST $42,529,988SHORTFALL OF MEDICAID PAYMENTS AT COST $23,520,082 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:- SUBSIDY OF NURSING EDUCATION, MEDICAL EDUCATION, AND ALLIED HEALTH EDUCATION- OPERATING THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) SERVING A HIGH PERCENTAGE OF MEDICALLY INDIGENT PATIENTS- OPERATING A LEVEL II TRAUMA CENTER SERVING NORTHEAST KANSAS- PROVIDE SUPPORT TO LIFESTAR, THE AIR AMBULANCE SERVICE IN NORTHEAST KANSAS- ORGANIZED SUPPORT GROUPS FOR A VARIETY OF TOPICS- APPROXIMATELY 49,000 HOURS OF VOLUNTEER TIME WERE DONATED TO THE MEDICAL CENTER HELPING TO REDUCE THE COST OF PROVIDING HEALTH CARE- MAINTAINING THE HEALTH SCIENCES LIBRARY THAT IS MADE AVAILABLE TO THE PUBLIC FREE OF CHARGE AS A MEDICAL RESOURCE - 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- USE OF POZEZ EDUCATION CENTER FACILITIES FOR A VARIETY OF COMMUNITY GROUPS AND PROGRAMS- PARTICIPATED IN NUMEROUS CLINICAL RESEARCH TRIALS THROUGH THE CLINICAL RESEARCH DEPARTMENT- STORMONT-VAIL WEST BEHAVIORAL HEALTH SERVICES OPERATES A SUBSTANCE ABUSE PROGRAM- OPERATED A PALLIATIVE CARE PROGRAM TO PROVIDE COMFORT CARE TO PATIENTS WITH CHRONIC CONDITIONS- PROVIDE SUPPORT AND EDUCATION FOR PATIENTS WITH DIABETES THROUGH THE DIABETES LEARNING CENTER.- STORMONT-VAIL IS A REGIONAL NETWORK OF 32 LOCATIONS IN NORTHEAST KANSAS IMPROVING ACCESS TO MEDICAL CARE IN SEVERAL CITIES THAT OTHERWISE WOULD NOT HAVE ACCESS, PARTICULARLY ON WEEKENDS- MATERNAL FETAL MEDICINE PROGRAM PROVIDED CARE AND ACCESS TO SCREENINGS AND GENETIC COUNSELING FOR WOMEN WITH AT-RISK PREGNANCIES.- OPERATED THE HEALTHWISE 55 PROGRAM WHICH PROVIDED OUTREACH PROGRAMS TO INDEPENDENT LIVING FACILITIES IN TOPEKA- OFFERED BLOOD PRESSURE CLINICS AT WEST RIDGE MALL AS WELL AS OUTREACH BLOOD PRESSURE CLINICS AT SIX OTHER LOCATIONS- STORMONT-VAIL MAINTAINED THE LIFELINE PROGRAM, THE PERSONAL RESPONSE SYSTEM- OFFERED ONLINE CHILDBIRTH CLASSES THROUGH STORMONT-VAIL'S WEB SITE- PARTNERED WITH THE MARCH OF DIMES FOR THE NICU FAMILY SUPPORT PROGRAM- THE HEALTH CONNECTION PROGRAM, WHICH PROVIDES PHYSICIAN REFERRAL AND AFTER-HOUR ACCESS TO A NURSE, RECEIVED 520,736 CALLS- PROVIDED HEALTH INFORMATION THROUGH THE TOPEKA & SHAWNEE COUNTY PUBLIC LIBRARY'S HEALTH INFORMATION NEIGHBORHOOD- PARTNERED WITH BUILDING BLOCKS TO PROVIDE CHILDCARE SERVICES TO STAFF AND THE COMMUNITY- STORMONT-VAIL CLINICAL EDUCATORS PARTICIPATED IN THE AMERICAN HEALTH ASSOCIATION'S CPR FOR FAMILY AND FRIENDS CLASS TO TEACH OTHERS CPR- THE TRAUMA SERVICES DEPARTMENT PROVIDED COMMUNITY EDUCATION PROGRAMS ON FALL PREVENTION- STORMONT-VAIL WEST BEHAVIORAL HEALTH SERVICES PARTICIPATED IN A DEPRESSION SCREENING FOR THE COMMUNITY- PARTNERED IN THE KANSAS RED RIBBON CAMPAIGN TO PROMOTE A HEALTHY, DRUG-FREE LIFESTYLE FOR YOUTH- A SKIN SCREENING CLINIC FOR THE COMMUNITY WAS HELD AT THE COTTON-O'NEIL CANCER CENTER- CONNECT WITH THE COMMUNITY THROUGH THE ORGANIZATION WEBSITE, STORMONT.ORG- PARTNERED WITH HEALTH INNOVATION NETWORK OF KANSAS, A COALITION THAT GREW TO 19 HOSPITALS SHARING INFORMATION, EDUCATION AND OTHER NEEDED SERVICES- THE BOY TO MAN AND GIRL TO WOMAN COMMUNICATION EDUCATION PROGRAMS FACILITATE CONVERSATION BETWEEN ADULTS AND PRE-TEENS ABOUT FUTURE PHYSICAL AND EMOTIONAL CHANGES- STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE UNITED WAY- DEVELOPING PATIENT CENTER MEDICAL HOME CONCEPT TO IMPROVE CARE WITH THE FOCUS ON PREVENTION AND WELLNESS- WORK WITH OTHERS IN THE COMMUNITY TO IMPROVE SAFETY NET SERVICES FOR UNDER INSURED AND UNINSURED- COLLABORATED WITH SABETHA COMMUNITY HOSPITAL TO ESTABLISH IROBOT PROJECT TO ALLOW SABETHA PHYSICIANS TO COMMUNICATE WITH STORMONT-VAIL PHYSICIANS ON PATIENT CARE- SERVED ON THE AMBULATORY ADVISORY BOARD DEALING WITH ISSUES RELATING TO AMBULANCE SERVICES- PRESENTED PERIPHERAL ARTERIAL DISEASE EDUCATION FOR NURSING HOMES AND EMPLOYERS- PRESENTED HEART HEALTH WEBINAR (EMPLOYERS AND NURSING HOMES)- PROVIDED THE PHARMACIST FOR A PHARMACOLOGY LECTURE FOR BAKER UNIVERSITY- PROVIDED STAFF TO SERVE ON THE UNITED WAY BOARD OF DIRECTORS- PROVIDED STAFF TO SERVE ON THE VISITING NURSES ASSOCIATION BOARD OF DIRECTORS- PRESENTED THE HIGH FIVE EDUCATION PROGRAM- PROVIDED SERVER AT THE CELEBRITY SERVICER AT DOORSTEP- PARTICIPATED IN 15 OR MORE COMMUNITY EVENTS PROVIDING HEALTH AND WELLNESS INFORMATION, CONDUCTING BLOOD PRESSURE SCREEINGS AND HANDING OUT HEALTH RELATED ITEMS (SUNSCREEN, LIP BALM, HAND SANTIIZER, ETC.)Desc
Total Program Service Expenses$475,602,889TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document228IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4874EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEVIN HANBusinessNameLine1
FieldValueIRS element (for citing)
Phone7853546000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH STREETAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEVEN WATKINS MD
DIRECTOR60.00Yes (X)$754,654$0$24,509
S KENNETH ALEXANDERIII
DIRECTOR0.00Yes (X)$0$0$0
PAMELA JOHNSON-BETTS
DIRECTOR0.00Yes (X)$0$0$0
C RICHARD BONEBRAKEMD
DIRECTOR0.00Yes (X)$0$0$0
GARY B FLEENOR
DIRECTOR0.00Yes (X)$0$0$0
JOHN B DICUS
DIRECTOR0.00Yes (X)$0$0$0
RANDALL L PETERSON
CHIEF EXECUTIVE OFFICER50.00Yes (X)$813,994$0$191,503Yes (X)
JAMES HAINES
CHAIRPERSON0.00Yes (X)$0$0$0Yes (X)
PATRICIA PRESSMAN PHD
SECRETARY0.00Yes (X)$0$0$0Yes (X)
SUEANN V SCHULTZ
DIRECTOR0.00Yes (X)$0$0$0
JAMES SCHMANK
DIRECTOR0.00Yes (X)$0$0$0
ANDREW J JETTER
DIRECTOR0.00Yes (X)$0$0$0
JAMES PARRISH
DIRECTOR0.00Yes (X)$0$0$0
RICHARD WIENCKOWSKI
DIRECTOR0.00Yes (X)$0$0$0
BRENDA MILLS
DIRECTOR0.00Yes (X)$0$0$0
ERIC VOTH MD
OPERATING COMMITTEE60.00$389,035$0$131,046Yes (X)
DOUGLAS ROSE MD
OPERATING COMMITTEE50.00$455,982$0$129,557Yes (X)
KEVIN DISHMAN MD
OPERATING COMMITTEE60.00$863,791$0$39,319Yes (X)
LAMBERT WU MD
OPERATING COMMITTEE60.00$699,165$0$36,583Yes (X)
DAVID CUNNINGHAM
VICE-PRESIDENT50.00$285,786$0$59,301Yes (X)
CAROL WHEELER
VICE-PRESIDENT50.00$444,422$0$27,972Yes (X)
BERNIE BECKER
VICE-PRESIDENT50.00$372,249$0$116,896Yes (X)
KENT PALMBERG MD
EXECUTIVE VICE-PRESIDENT50.00$782,275$0$385,191Yes (X)
DEBRA YOCUM
VICE-PRESIDENT50.00$364,404$0$49,971Yes (X)
JANET STANEK
VICE-PRESIDENT50.00$519,514$0$85,225Yes (X)
CAROL PERRY
VICE-PRESIDENT50.00$392,941$0$32,280Yes (X)
KEVIN HAN
CHIEF FINANCIAL OFFICER50.00$435,457$0$118,638Yes (X)
MICHAEL KONGS
KEY EMPLOYEE50.00$176,053$0$26,181Yes (X)
MATTHEW WILLS MD
PHYSICIAN60.00$2,266,770$0$26,344Yes (X)
TEWODRO ADDISSE MD
PHYSICIAN60.00$1,114,140$0$19,424Yes (X)
DAVID LUTES MD
PHYSICIAN60.00$797,109$0$20,109Yes (X)
CHU CHI CHEN MD
PHYSICIAN60.00$1,248,019$0$20,109Yes (X)
PETER TUTUSKA MD
PHYSICIAN60.00$794,408$0$24,509Yes (X)
MAYNARD OLIVERIUS
FORMER CHIEF EXEC. OFFICER0.00$340,593$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,310,761TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,564,667TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K377IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ANESTHESIA ASSOCIATES
823 MULVANE SUITE 2ATOPEKAKS66606ANESTHESIA PHYSICIAN SERVICES$1,796,056
PROBASCO & ASSOCIATES PA
615 S TOPEKA BLVDTOPEKAKS66603COLLECTION AGENCY$1,124,566
GOODELL STRATTON EDMOND & PALMER
515 S KANSAS AVETOPEKAKS66603LEGAL SERVICES$697,648
PERINATAL CONSULTANTS
900 SW ROBINSONTOPEKAKS66614PHYSICIAN SERVICES$689,250
TOPEKA PATHOLOGY GROUP
1000 W 10TH STTOPEKAKS66604PATHOLOGY SERVICES$557,651
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Related Organizations$178,894RelatedOrganizationsAmt
All Other Contributions$165,372AllOtherContributionsAmt
Noncash Contributions$226,894NoncashContributionsAmt
Total Contributions$344,266TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621300$532,551,835$532,551,835
NUTRITIONAL SERVICES621300$2,164,055$2,164,055
EDUCATION SERVICES/SCHOOL OF NURS611600$2,103,484$2,103,484
PHARMACY621300$796,358$796,358
MEDICAL SURGICAL621300$209,160$209,160

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,629,008TotalRevenueColumnAmt
Related Or Exempt Func Income$5,629,008RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$543,453,900TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,166,958TotalRevenueColumnAmt
Exclusion$6,166,958ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$456,383RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$456,383RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$456,383TotalRevenueColumnAmt
Exclusion$456,383ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$76,322,122SecuritiesAmt
Other$18,885OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$76,295,937SecuritiesAmt
Other$95,975OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$26,185SecuritiesAmt
Other-$77,090OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$50,905TotalRevenueColumnAmt
Exclusion-$50,905ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$550,370,602TotalRevenueColumnAmt
Related Or Exempt Func Income$543,453,900RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,572,436ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,377,023TotalAmt
Program Services$4,832,215ProgramServicesAmt
Management And General$4,544,808ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$261,014,074TotalAmt
Program Services$245,688,097ProgramServicesAmt
Management And General$15,325,977ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,723,275TotalAmt
Program Services$6,168,951ProgramServicesAmt
Management And General$554,324ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,284,544TotalAmt
Program Services$33,245,443ProgramServicesAmt
Management And General$4,039,101ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,330,568TotalAmt
Program Services$14,505,223ProgramServicesAmt
Management And General$1,825,345ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,438,165TotalAmt
Program Services$374ProgramServicesAmt
Management And General$2,437,791ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$163,340TotalAmt
Management And General$163,340ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$425,197TotalAmt
Management And General$425,197ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,262,725TotalAmt
Program Services$14,454,162ProgramServicesAmt
Management And General$1,808,563ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$942,327TotalAmt
Program Services$938,064ProgramServicesAmt
Management And General$4,263ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,234,459TotalAmt
Program Services$2,184,986ProgramServicesAmt
Management And General$1,049,473ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,121,508TotalAmt
Program Services$7,976,660ProgramServicesAmt
Management And General$1,144,848ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,152,224TotalAmt
Program Services$7,984,967ProgramServicesAmt
Management And General$167,257ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$254,157TotalAmt
Program Services$240,342ProgramServicesAmt
Management And General$13,815ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,576,661TotalAmt
Program Services$8,576,661ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,372,406TotalAmt
Program Services$21,372,406ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,836,556TotalAmt
Program Services$2,362,785ProgramServicesAmt
Management And General$1,473,771ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$87,470,628$86,891,887$578,741
REPAIR & MAINTENANCE$8,095,437$7,723,507$371,930
NUTRITION & FOOD SERVIC$2,189,824$832,133$1,357,691
CONTRIBUTION TO S-V FOU$420,000$420,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,960,753TotalAmt
Program Services$9,204,026ProgramServicesAmt
Management And General$2,756,727ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$515,645,851TotalAmt
Program Services$475,602,889ProgramServicesAmt
Management And General$40,042,962ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$90,388,835BOYAmt
EOY$41,204,051EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,269,095BOYAmt
EOY$34,693,537EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$75,615,981BOYAmt
EOY$80,713,069EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,114,532BOYAmt
EOY$6,139,112EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,676,443BOYAmt
EOY$5,097,129EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$428,795,212LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$236,517,756LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$196,900,448BOYAmt
EOY$192,277,456EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$125,231,593BOYAmt
EOY$219,082,537EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$53,021,631BOYAmt
EOY$55,744,677EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,013,982BOYAmt
EOY$5,118,982EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$565,232,540BOYAmt
EOY$640,070,550EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,074,619BOYAmt
EOY$67,387,215EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$141,430,000BOYAmt
EOY$177,820,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,894,894BOYAmt
EOY$2,616,133EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,323,921BOYAmt
EOY$84,996,633EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$282,723,434BOYAmt
EOY$332,819,981EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$281,653,583BOYAmt
EOY$306,367,396EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$722,664BOYAmt
EOY$750,314EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$132,859BOYAmt
EOY$132,859EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$282,509,106BOYAmt
EOY$307,250,569EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$565,232,540BOYAmt
EOY$640,070,550EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$34,724,751ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,434,226NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$20,417,514OtherChangesInNetAssetsAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE KANSAS HOSPITAL ASSOCIATION. THESE ORGANIZATIONS HAVE INFORMED THE TAXPAYER THAT A PORTION OF THEIR DUES ARE ATTRIBUTED TO LOBBYING AND ADVOCACY ACTIVITIES. THE AHA PERCENTAGE FOR 2013 IS 23.65%. OCCASIONALLY, THE CEO WILL SPEAK TO LEGISLATORS REGARDING BILLS THAT WOULD AFFECT THE ORGANIZATION OR HEALTHCARE INDUSTRY.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$249,013BeginningYearBalanceAmt
Investment Earnings Or Losses$9,070InvestmentEarningsOrLossesAmt
End Year Balance$258,083EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$254,042BeginningYearBalanceAmt
Investment Earnings Or Losses-$5,029InvestmentEarningsOrLossesAmt
End Year Balance$249,013EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$244,424BeginningYearBalanceAmt
Investment Earnings Or Losses$9,618InvestmentEarningsOrLossesAmt
End Year Balance$254,042EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$239,410BeginningYearBalanceAmt
Investment Earnings Or Losses$5,014InvestmentEarningsOrLossesAmt
End Year Balance$244,424EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$239,400BeginningYearBalanceAmt
Investment Earnings Or Losses$10InvestmentEarningsOrLossesAmt
End Year Balance$239,410EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.51480PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.48520TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,827,494OtherCostOrOtherBasisAmt
Book Value$16,827,494BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$251,152,632OtherCostOrOtherBasisAmt
Depreciation$117,983,820DepreciationAmt
Book Value$133,168,812BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,815,086OtherCostOrOtherBasisAmt
Depreciation$118,533,936DepreciationAmt
Book Value$42,281,150BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$192,277,456TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$17,913,204BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MORGAN CREEK FUND, LTD CLASS A$5,831,473F
INVESTMENT IN GROSVENOR$32,000,000F
FieldValueIRS element (for citing)
Total Book Value Securities$55,744,677TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED PENSION PAYABLEDesc
Amt$84,996,633Amt
FieldValueIRS element (for citing)
Total Liability$84,996,633TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$540,081,713TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$10,434,226NetUnrealizedGainsInvstAmt
Other Revenue-$20,297,918OtherRevenueAmt
Revenue Not Reported-$9,863,692RevenueNotReportedAmt
Revenue Subtotal$549,945,405RevenueSubtotalAmt
Investment Expenses Not Incld$425,197InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$425,197RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$550,370,602TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$515,340,249TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$119,595OtherExpensesIncludedAmt
Expenses Not Reported$119,595ExpensesNotReportedAmt
Expenses Subtotal$515,220,654ExpensesSubtotalAmt
Investment Expenses Not Incld2$425,197InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$425,197ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$515,645,851TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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.
PART X, LINE 2:AS OF SEPTEMBER 30, 2014 AND 2013 THERE WERE NO UNCERTAIN TAX BENEFITS INDENTIFIED AND RECORDED AS A LIABILITY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CONSOLIDATED AFFILIATE NET LOSS -182,783. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES 154,830. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -20,269,965.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BOOK AMORTIZATION GREATER THAN TAX 119,595.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,374,120TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,374,120NetCommunityBenefitExpnsAmt
Total Expense0.01820TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,273,804TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,753,722DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,520,082NetCommunityBenefitExpnsAmt
Total Expense0.04560TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,647,924TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,753,722DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,894,202NetCommunityBenefitExpnsAmt
Total Expense0.06380TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$622,393TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$192,793DirectOffsettingRevenueAmt
Net Community Benefit Expns$429,600NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,793,230TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,996,605DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,796,625NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,410,466TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$932,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,477,740NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,450TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,450NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,848,539TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,122,124DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,726,415NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80,496,463TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,875,846DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,620,617NetCommunityBenefitExpnsAmt
Total Expense0.07100TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$9,088,114BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$192,023,144ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$234,553,132CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$42,529,988MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCAREBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH STREETAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
OtherYes (X)OtherInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.STORMONTVAIL.ORG/PAGES/COMMUNOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHTTP://SHAWNEEHEALTH.ORG/INDEX.ASPX?NID=161OtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Other Needs AddressedYes (X)OtherNeedsAddressedInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
ResidencyYes (X)ResidencyInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
STORMONT-VAIL HEALTHCAREPART V, SECTION B, LINE 1J: 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-HEALTHY PEOPLE 2020 NATION TARGETS
STORMONT-VAIL HEALTHCAREPART V, SECTION B, LINE 3: PURPOSE AND SCOPE OF THE CHNA- TO IDENTIFY AND PRIORITIZE TOP HEALTH NEEDS IN SHAWNEE COUNTY.- COLLABORATE WITH LOCAL HEALTH CARE EXPERTS AND COMMUNITY STAKEHOLDERS TO COLLECT AND ANALYZE DATA TO IDENTIFY THE TOP COMMUNITY HEALTH ISSUES IN SHAWNEE COUNTY.INPUT AND DATA SOURCES FOR THE CHNAQUANTITATIVE PUBLIC HEALTH DATA FOR SHAWNEE COUNTY ARE AVAILABLE THROUGH THE KANSAS HEALTH MATTERS WEBSITE. A COMMUNITY SURVEY, WIDELY DISSEMINATED VIA EMAIL, PROVIDED ADDITIONAL QUANTITATIVE DATA. QUALITATIVE DATA WERE OBTAINED FROM THREE FOCUS GROUPS AND A SURVEY OF LOCAL PUBLIC HEALTH EXPERTS.QUANTITATIVE DATA SOURCES- KANSAS HEALTH MATTERS IS A ONE STOP SOURCE OF NON-BIASED DATA AND INFORMATION ABOUT COMMUNITY HEALTH IN KANSAS. IT IS INTENDED TO HELP HOSPITALS, HEALTH DEPARTMENTS, POLICY MAKERS AND COMMUNITY PLANNERS LEARN ABOUT ISSUES, IDENTIFY IMPROVEMENTS AND COLLABORATE FOR POSITIVE CHANGE. THIS VALUABLE RESOURCE WAS DEVELOPED BY THE KANSAS PARTNERSHIP FOR IMPROVING COMMUNITY HEALTH.USING KANSAS HEALTH MATTERS, THE TASK FORCE WAS ABLE TO COMPARE SHAWNEE COUNTY TO THE STATEWIDE AVERAGE ON 103 HEALTH INDICATORS. ALSO AVAILABLE ON THIS WEBSITE IS A 'COMMUNITY HEALTH NEEDS ASSESSMENT TOOLBOX' AND HYPERLINKS TO PROMISING PRACTICES REGARDING COMMUNITY HEALTH.- THE HEALTHY SHAWNEE COUNTY COMMUNITY PERCEPTION SURVEY WAS AVAILABLE ON-LINE FROM JULY 16 THROUGH AUGUST 31, 2012. THIS SURVEY TOOK 48 HEALTH INDICATORS FROM THE KANSAS HEALTH MATTERS WEBSITE AND ASKED PARTICIPANTS TO IDENTIFY THE LEVEL OF ATTENTION NEEDED FOR THOSE INDICATORS ON A 1-5 LIKERT SCALE (1 = MUCH LESS ATTENTION, 5 = MUCH MORE ATTENTION. 548 COMMUNITY AND 229 ORGANIZATION MEMBERS COMPLETED THE SURVEY. THE SURVEY RESULTS WERE ANALYZED BY BIOSTATISTICS AND EVALUATION SERVICES AND TRAINING (BEST) CENTER, UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER, SCHOOL OF PUBLIC HEALTH.QUALITATIVE DATA SOURCES- INSIGHT INTO SHAWNEE COUNTY'S HEALTH-RELATED NEEDS WAS ALSO PROVIDED BY THREE FOCUS GROUPS. EACH GROUP HAD A DIFFERENT SET OF PARTICIPANTS, HEALTH CARE PROFESSIONALS, SOCIAL SERVICE PROFESSIONALS AND NEIGHBORHOOD LEADERS. THESE FOCUS GROUPS WERE FACILITATED BY VIRDEN AND ASSOCIATES OF KANSAS CITY AND CONDUCTED AUGUST 15 AND 16, 2012 AT THE TOPEKA-SHAWNEE COUNTY PUBLIC LIBRARY. FOCUS GROUP PARTICIPANTSHEALTHCARE PROFESSIONALS, AUGUST 15, 2012 AT 6:30 P.M., REPRESENTATIVES FROM:SELECT SPECIALTY HOSPITALWASHBURN RURAL SCHOOL NURSECOTTON-O'NEIL EXPRESSCAREHEALTH CONNECTIONS (ASK-A-NURSE)KANSAS REHAB HOSPITALSTORMONT-VAIL BEHAVIORAL SERVICESALDERSGATE VILLAGEMARIAN CLINIC, MEDICAL DIRECTORSTORMONT-VAIL EMERGENCY DEPARTMENTMARIAN CLINIC, PATIENT CARE DIRECTORST. FRANCIS EMERGENCY DEPARTMENTSHAWNEE COUNTY HEALTH AGENCY, MEDICAL DIRECTORBAKER SCHOOL OF NURSINGWASHBURN UNIVERSITY, DIRECTOR STUDENT HEALTHWASHBURN SCHOOL OF NURSING, COMMUNITY HEALTH NURSESOCIAL SERVICE AGENCIES, AUGUST 16, 2012 AT NOON, REPRESENTATIVE FROM:UNITED WAY OF GREATER TOPEKAHEALTH ACCESSAMERICAN RED CROSSHOUSING AND CREDIT COUNSELINGCATHOLIC CHARITIESBREAKTHROUGH HOUSEFAMILY SERVICE AND GUIDANCELET'S HELPTOPEKA COMMUNITY FOUNDATIONSHAWNEE COUNTY DEPARTMENT OF CORRECTIONSDOORSTEPMIDLAND CAREMEALS ON WHEELSBREWSTER PLACEVALEO BEHAVIORAL HEALTHSTORMONT-VAIL CASE MANAGERTOPEKA ASSOCIATION FOR RETARDED CITIZENSTOPEKA NEIGHBORHOOD ASSOCIATIONS/COMMUNITY VOLUNTEERS, AUGUST 16, 2012 6:30 P.M., REPRESENTATIVES FROM:COLLEGE HILL NEIGHBORHOODQUINTON HEIGHTS NEIGHBORHOODGREATER AUBURNDALE NEIGHBORHOODROLLING MEADOWS NEIGHBORHOODSOUTHERN HILLS NEIGHBORHOODOAKLAND NEIGHBORHOODELMHURST NEIGHBORHOODSTORMONT-VAIL COMMUNITY ADVISORY COUNCILCOMMUNITY VOLUNTEERS - 3-EIGHT COMMUNITY STAKEHOLDERS WITH PUBLIC HEALTH EXPERTISE WERE SENT AN E-MAIL SURVEY. THE QUESTIONS WERE OPENED ENDED IN ORDER TO COLLECT A BROADER BASE OF ANALYSIS - BASED UPON THE INSIGHT OF THE PARTICIPANTS. THE EXPERTS WERE DRAWN FROM A POOL OF COMMUNITY EXPERTISE THAT DEFINES PUBLIC HEALTH BROADLY. RESPONDING TO THE SURVEY WERE:-DAVID BECK, BREWSTER PLACE RETIREMENT COMMUNITY-DONA BOOE, KANSAS CHILDREN'S SERVICE LEAGUE-DEBBIE GUILBAULT, POSITIVE CONNECTIONS, INC.-CATHY HARDING, KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVED-JOHN HOMLISH, COMMUNITY ACTION-MIRIAM KREHBIEL, UNITED WAY OF GREATER TOPEKA-LEE LEINWETTER, D.O., SHAWNEE COUNTY HEALTH AGENCY-MAX WILSON, RETIRED NON-PROFIT EXECUTIVE DIRECTORADDITIONAL INPUT WAS ALSO PROVIDED BY THE ASSESSMENT ADVISORY COMMITTEE. THE MEMBERS ARE LISTED IN THE NEXT SECTION.
STORMONT-VAIL HEALTHCAREPART V, SECTION B, LINE 4: THE LEAD ENTITY IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS THE HEALTHY SHAWNEE COUNTY TASK FORCE, COMPRISED OF STORMONT-VAIL HEALTHCARE, ST. FRANCIS HEALTH CENTER AND THE SHAWNEE COUNTY HEALTH AGENCY. THE TASK FORCE HAD AN ASSESSMENT ADVISORY COMMITTEE TO PROVIDE DIRECTION AND FEEDBACK DURING THIS PROCESS:-HEALTHY SHAWNEE COUNTY TASK FORCE -SHAWNEE COUNTY HEALTH AGENCY ALLISON ALEJOS, DIRECTOR BOB HEDBERG, GRANTS & SPECIAL PROJECTS OFFICER -ST. FRANCIS HEALTH CENTER MARY HOMAN, DIRECTOR, MISSION & ETHICS PAULA ELLIS, DIRECTOR COMMUNITY BENEFIT, ACO AND PATIENT CENTERED MEDICAL HOME DEVELOPMENT -STORMONT-VAIL HEALTHCARE THOMAS LUELLEN, DIRECTOR OF PLANNING & DECISION SUPPORT-HEALTHY SHAWNEE COUNTY ASSESSMENT ADVISORY COMMITTEE PAMELA BETTS, 501 FOUNDATION KARILY TAYLOR, MARIAN CLINIC DONA BOOE, KANSAS CHILDREN'S SERVICE LEAGUE GARRY CUSHINBERRY, COREFIRST BANK JOHN HOMLISH, COMMUNITY ACTION NANCY JOHNSON, COMMUNITY RESOURCES COUNCIL MAX WILSON, COMMUNITY VOLUNTEER JOCELYN LYONS, JAYHAWK AREA ON AGING MIRIAM KREHBIEL, UNITED WAY OF GREATER TOPEKA REV. T.D. HICKS, ANTIOCH BAPTIST CHURCH
STORMONT-VAIL HEALTHCAREPART V, SECTION B, LINE 5D: WITH THE COMPLETION OF THE DATA COLLECTION/ANALYSIS AND SELECTION OF PRIORITIES, THE NEXT STEP IN THE PROCESS WAS DOCUMENTING AND COMMUNICATING THE RESULTS. IN ADDITION TO MAKING THE CHNA AVAILABLE ON EACH ORGANIZATION'S WEBSITE, THE FINAL REPORT WAS ALSO COMMUNICATED VIA:-DISTRIBUTE REPORT TO ASSESSMENT ADVISORY COUNCIL MEMBERS-DISTRIBUTE REPORT TO FOCUS GROUP PARTICIPANTS-PRESENTATIONS TO HOSPITAL LEADERSHIP AND BOARDS (LISTED BELOW)-PRESENT TO HEARTLAND HEALTHY NEIGHBORHOOD ADVISORY COUNCIL-MARCH COUNTY COMMISSION MEETING PRESENTATION STORMONT-VAIL PRESENTATIONS OF THE SHAWNEE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTDATE GROUP NUMBER OF ATTENDEES12/18/12 STORMONT-VAIL OPERATING COMMITTEE 141/17/13 STORMONT-VAIL AUXILIARY 451/31/13 SAFETY NET CLINIC SUMMIT 252/19/13 STORMONT-VAIL COMMUNITY ADVISORY COUNCIL 223/5/13 SHAWNEE COUNTY HEALTH CLINIC BOARD OF DIRECTORS 253/21/13 SHAWNEE COUNTY COMMISSIONERS 253/21/13 STORMONT-VAIL ALL MANAGEMENT COUNCIL 1254/5/13 LEADERSHIP GREATER TOPEKA, CLASS OF 2013 654/8/13 HEARTLAND HEALTHY NEIGHBORHOOD 214/25/13 KANSAS HEALTH INSTITUTE CHNA WORKSHOP 287/24/13 TOPEKA BUSINESS LEADERS - FAT WEDNESDAY 159/9/13 HEARTLAND HEALTHY NEIGHBORHOOD 28
STORMONT-VAIL HEALTHCAREPART V, SECTION B, LINE 6I: STORMONT-VAIL'S IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA HAS THREE MAJOR INITIATIVES:1. EXPAND THE CAPACITY OF CURRENT SAFETY NET PROVIDERS IN SHAWNEE COUNTY.2. PARTICIPATE IN THE DEVELOPMENT OF A COMMUNITY-WIDE PLAN.3. PARTICIPATE IN THE IMPLEMENTATION OF THE COMMUNITY-WIDE PLAN.THESE STRATEGIES ARE OUTLINED IN STORMONT-VAIL'S FY2014 STRATEGIC PLAN. IN THE FY2015 STRATEGIC PLAN, THESE SAME STRATEGIES ARE CONTINUED WITH ADDITIONAL DETAIL.STEPS TO ADDRESS THE IDENTIFIED HEALTH CARE NEEDSTHE SHAWNEE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED 14 ISSUES:-ACCESS FOR MEDICALLY UNDERSERVED POPULATIONS-TRANSPORTATION TO HEALTH CARE SERVICES-KNOWLEDGE OF AVAILABLE HEALTH/SOCIAL SERVICES-POOR MENTAL HEALTH-ADULTS DIAGNOSED WITH DIABETES-ADULTS AT RISK FOR HEART DISEASE/STROKE-ADEQUATE ORAL HEALTH FOR CHILDREN-ADULT SMOKING-OVERWEIGHT/OBESE-EAT FRUIT/VEGETABLES 5 TIMES DAILY-PARTICIPATE IN RECOMMENDED LEVEL OF PHYSICAL ACTIVITY-INFANT MORTALITY-TEEN BIRTHS-IMMUNIZED INFANTSTHESE ISSUES WERE THEN GROUPED INTO THE FOLLOWING MAJOR CATEGORIES:-IMPROVED ACCESS TO CARE FOR UNDERSERVED POPULATIONS-IMPROVED TRANSPORTATION TO HEALTHCARE SERVICES AND IMPROVED KNOWLEDGE OF HEALTH SERVICES-OBESITY/OVERWEIGHT AND THEIR CONTRIBUTING FACTORS-INFANT MORTALITY AND THE CONTRIBUTING FACTORSTO IMPROVE ACCESS TO CARE FOR UNDERSERVED POPULATIONS, STORMONT-VAIL INITIATED THE SHAWNEE COUNTY SAFETY NET SUMMIT. TO ADDRESS THE OTHER THREE CATEGORIES, STORMONT-VAIL SOLICITED THE HEARTLAND HEALTHY NEIGHBORHOODS COALITION.SHAWNEE COUNTY SAFETY NET SUMMITIN JANUARY 2013, STORMONT-VAIL HEALTHCARE AND ST. FRANCIS HEALTH INVITED ORGANIZATIONS THAT PROVIDE HEALTH CARE SERVICES PRIMARILY TO LOWER INCOME GROUPS TO JOIN THE SHAWNEE COUNTY SAFETY NET SUMMIT. PARTICIPANTS WERE:-STORMONT-VAIL HEALTHCARE-ST. FRANCIS HEALTH-SHAWNEE COUNTY HEALTH AGENCY (LOCAL FEDERALLY QUALIFIED HEALTH CLINIC, FQHC)-VALEO (LOCAL COMMUNITY MENTAL HEALTH ORGANIZATION)-MARIAN CLINIC (SAFETY NET CLINIC FOR THOSE WITHOUT HEALTH INSURANCE)-FAMILY SERVICE AND GUIDANCE (MENTAL HEALTH PROVIDERS, PRIMARILY CHILDREN/ADOLESCENTS)-HEALTH ACCESS (PHYSICIAN LEAD ORGANIZATION PROVIDING CARE TO THE UNINSURED)-SHAWNEE COUNTY MEDICAL SOCIETYFROM THIS MEETING A SUB-COMMITTEE WAS CREATED TO INVESTIGATE OPTIONS TO INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERSERVED IN SHAWNEE. THE SUB-COMMITTEE SOLICITED MILLENNIA CONSULTING TO ASSIST IN THIS EFFORT. FUNDING FOR THE CONSULTANTS WAS PROVIDED BY A GRANT FROM THE SUNFLOWER FOUNDATION AND CONTRIBUTIONS FROM EACH ORGANIZATION IN THE SHAWNEE COUNTY SAFETY NET SUMMIT. IN JANUARY 2014 CONSULTANTS DELIVERED THE SHAWNEE COUNTY SAFETY NET REPORT.KEY RECOMMENDATIONS FROM SAFETY NET REPORT1.THE SHAWNEE COUNTY HEALTH AGENCY SHOULD SEPARATE THEIR FQHC FROM THE COUNTY GOVERNMENT AND BECOME A 501(C)(3). THIS SHOULD SIGNIFICANTLY INCREASE OPERATING EFFICIENCIES.2.THE MARIAN CLINIC SHOULD DIRECTLY LINK WITH THE NEW, PRIVATE FQHC.BOTH RECOMMENDATIONS WERE ACCEPTED AND IMPLEMENTATION IS UNDER WAY. THE COUNTY'S FQHC HAS APPLIED FOR 501(C)(3) STATUS AND THE MARIAN CLINIC WILL MERGE WITH THE NEW FQHC. BOTH ORGANIZATIONS HAVE SIGNED AN AGREEMENT FOR THIS NEW ENTITY TO BE MANAGED BY GRACEMED OUT OF WICHITA. ALSO THE LOCATION TO HOUSE THE NEW CLINIC HAS BEEN IDENTIFIED. THIS PRIVATIZATION, MERGER AND NEW MANAGEMENT WILL SIGNIFICANTLY INCREASE THE SAFETY NET CAPACITY IN SHAWNEE COUNTY.HEARTLAND HEALTHY NEIGHBORHOODS COALITIONFOR THE IMPLEMENTATION PHASE OF THE 3 OTHER MAJOR CATEGORIES IN THE CHNA, STORMONT-VAIL, ST. FRANCIS AND THE SHAWNEE COUNTY HEALTH AGENCY SOLICITED THE ASSISTANCE OF HEARTLAND HEALTHY NEIGHBORHOODS (HHN) COALITION. HHN IS A GRASS ROOTS ORGANIZATION REPRESENTING OVER 40 LOCAL COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS THAT DIRECTLY OR INDIRECTLY ADDRESS HEALTH CARE PROBLEMS IN THE COMMUNITY. THIS GROUP HAS REGULAR MONTHLY MEETINGS.IN JUNE 2013, STORMONT-VAIL, ST. FRANCIS AND THE SHAWNEE COUNTY HEALTH AGENCY APPROACHED THE HHN LEADERSHIP TEAM ABOUT USING THE COALITION TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) BASED ON THE ISSUES IDENTIFIED IN THE CHNA. HHN LEADERSHIP ENDORSED THE IDEA. STARTING IN OCTOBER 2013 HHN'S MONTHLY MEETINGS WERE PRIMARILY DEVOTED TO DEVELOPING A CHIP FOR SHAWNEE COUNTY.THE FIRST STEPS IN THE CHIP PROCESS WERE TO SHARE THE RESULTS OF THE CHNA; TO INVENTORY CURRENT COMMUNITY ASSETS; TO IDENTIFY INDIVIDUALS AND ORGANIZATIONS THAT NEED TO PARTICIPATE; AND TO ENSURE A SHARED VISION FOR HHN IN THE COMING YEAR.THREE WORK GROUPS WERE CREATED TO ADDRESS THE REMAINING MAJOR CATEGORIES IN THE CHNA:-HEALTHY EATING/ACTIVE LIVING - OVERWEIGHT/OBESE ISSUES-HEALTHY BABIES - INFANT MORTALITY-TRANSPORTATION AND KNOWLEDGE OF HEALTH CARE SERVICES - OTHER ACCESS ISSUESAFTER A YEAR OF WORK THE HHN GROUPS COMPLETED THE CHIP. IT WAS PRESENTED TO THE SHAWNEE COUNTY BOARD OF HEALTH IN APRIL 2015. BELOW IS A SUMMARY OF THE PLAN.THE SHAWNEE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN SUMMARYHEALTHY BABIESGOAL: REDUCE INFANT MORTALITY IN SHAWNEE COUNTY FROM 8.3 INFANT DEATHS PER 1,000 LIVE BIRTHS TO THE STATE OF KANSAS LEVEL OF 7.0 BY 2017 AND TO THE HEALTHY PEOPLE 2020 GOAL OF 6.0 BY 2020.OBJECTIVE: REDUCE THE NUMBER OF INFANTS WHO DIE EACH YEAR IN SHAWNEE COUNTY DUE TO SUDDEN UNEXPLAINED INFANT DEATH (SUID) OVER A FIVE YEAR TIME PERIOD FROM 16 TO 14 BY 2017.OBJECTIVE: INCREASE THE INITIATION RATE OF BREASTFEEDING WOMEN IN SHAWNEE COUNTY FROM 76.4% TO 82.4% BY 2017.OBJECTIVE: INCREASE THE DURATION RATE OF WIC PARTICIPANTS STILL BREASTFEEDING AT 6 MONTHS FROM 18% TO 21% BY 2019.OBJECTIVE: INCREASE THE PROPORTION OF PREGNANT WOMEN WHO RECEIVE EARLY PRENATAL CARE BEGINNING IN THE FIRST TRIMESTER FROM 75.7% TO 77.9% BY 2020.OBJECTIVE: INCREASE THE PROPORTION OF PREGNANT WOMEN WHO RECEIVE EARLY AND ADEQUATE PRENATAL CARE FROM 83.5% TO 88.0% BY 2020. HEALTHY EATING/ACTIVE LIVINGGOAL: TO CREATE AN ENVIRONMENT AND CULTURE, THROUGH POLICY AND SYSTEM CHANGE, THAT WILL PROVIDE SHAWNEE COUNTY RESIDENTS WITH THE INFORMATION, TOOLS AND RESOURCES TO PROMOTE HEALTHY EATING WHILE ENCOURAGING AND REINFORCING ACTIVE LIFESTYLES FOR ALL AGES AND ABILITIES.OBJECTIVE: DECREASE THE PERCENT OF ADULTS WHO ARE CONSIDERED OVERWEIGHT FROM 36.3% TO 34.3% BY 2018.OBJECTIVE: DECREASE THE PERCENT OF ADULTS WHO ARE CONSIDERED OBESE FROM 31% TO 29% BY 2018.OBJECTIVE: DECREASE THE PERCENT OF ADULTS WHO ARE REPORTED CONSUMING FRUITS LESS THAN 1 TIME PER DAY FROM 40.1% TO 38.1% BY 2018.OBJECTIVE: DECREASE THE PERCENT OF ADULTS WHO REPORTED CONSUMING VEGETABLES LESS THAN 1 TIME PER DAY FROM 21.3% TO 19.3% BY 2018.OBJECTIVE: INCREASE THE PERCENT OF ADULTS DOING ENOUGH PHYSICAL ACTIVITY TO MEET BOTH THE AEROBIC AND STRENGTHENING EXERCISE RECOMMENDATIONS FROM 19% TO 23% BY 2018.OBJECTIVE: INCREASE THE NUMBER OF HOUSEHOLDS LISTED AS FOOD SECURE FROM 84.6% TO 86.6% BY 2018.ACCESS - TRANSPORTATION AND KNOWLEDGE OF HEALTH CARE SERVICESGOAL: PROMOTE AWARENESS AND CONNECTIVITY TO ALLOW INDIVIDUALS TO ACCESS COMMUNITY HEALTH AND TRANSPORTATION RESOURCES.OBJECTIVE: REDUCE THE GAPS IN HEALTH AND TRANSPORTATION RESOURCES.OBJECTIVE: CENTRALIZE THE RESOURCE ACCESS FOR RELIABLE AND TRANSPORTATION-RELATED INFORMATION.THE COMPLETE CHIP LISTS STRATEGIES AND OPPORTUNITIES FOR COMMUNITY ACTION FOR EACH OF THESE GOALS. THE FULL SHAWNEE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN IS AVAILABLE AT:HTTP://HEALTH.SNCO.US/DOCUMENTCENTER/VIEW/221AS PREVIOUSLY MENTIONED, STORMONT-VAIL'S IMPLEMENTATION STRATEGY TO ADDRESS EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH HE CHNA WAS INCORPORATED INTO THE FY14 STRATEGIC PLAN. THE FY15 STRATEGIC PLAN INCLUDES THE NEW STRATEGY FOR STORMONT-VAIL TO BE THE LEAD ORGANIZATION IN IMPLEMENTING THE SHAWNEE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN.
STORMONT-VAIL HEALTHCAREPART V, SECTION B, LINE 7: THE SHAWNEE COUNTY CHNA IDENTIFIED 14 COMMUNITY HEALTH PRIORITIES. THE TOP COMMUNITY HEALTH ISSUES IDENTIFIED WERE:-ADULTS WHO ARE OVERWEIGHT OR OBESE-ADULTS NOT CONSUING FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY-ADULTS PARTICIPATING IN RECOMMENDED LEVEL OF PHYSICAL ACTIVITY-ADULT CIGARETTE SMOKING-ADULTS WHO REPORTED THEIR MENTAL HEALTH WAS NOT GOOD ON 14 OR MORE DAY DURING THE PAST 30 DAYS-BIRTHS OCCURING TO TEENS AGES 15-19 YEARS OLD-ADULTS WITH DIAGNOSED DIABETES-ADULTS WITH AND AT-RISK FOR HEART DISEASE AND STROKE-INFANT MORTALITY-INFANTS FULLY IMMUNIZED AT 24-MONTHS-CHILDREN WITHOUT ADEQUATE ORAL HEALTHCARE-ACCESS TO HEALTH SERVICES-KNOWLEDGE OF AVAILABLE HEALTH/SOCIAL SERVICES-TRANSPORTATION CONNECTING PERSONS TO SERVICES AND RECREATIONFOR IMPLEMENTATION PURPOSES THESE 14 ISSUES WERE FURTHER CATEGORIZED INTO THREE MAJOR HEALTH PRIORITIES:IMPROVED ACCESS TO CARE, TO TRANSPORTATION AND TO HEALTH KNOWLEDGE -ACCESS FOR MEDICALLY UNDERSERVED POPULATIONS -TRANSPORTATION TO/KNOWLEDGE OF AVAILABLE SERVICES -POOR MENTAL HEALTH -DIABETES, HEART DISEASE/STROKEHEALTHY EATING, ACTIVE LIVING -OVERWEIGHT/OBESE -EAT FRUIT/VEGETABLES 5 TIMES DAILY -PARTICIPATE IN RECOMMENDED LEVEL OF PHYSICAL ACTIVITYHEALTHY BABIES -INFANT MORTALITY -TEEN BIRTHS -IMMUNIZED INFANTS STORMONT-VAIL COMMUNITY HEALTH IMPROVEMENT EFFORTS IS BUILT UPON THESE THREE PRIORITY AREAS.EACH OF THE HEALTH NEEDS IDENTIFIED IN THE SHAWNEE COUNTY CHNA IS IMPORTANT AND NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH INNOVATIVE PROGRAMS AND INITIATIVES. THE STORMONT-VAIL COMMUNITY HEALTH IMPROVEMENT PLAN WILL ONLY ADDRESS THE PRIORITY AREAS LISTED ABOVE IN ORDER TO ALLOCATE APPROPRIATE TIME AND RESOURCES TO SUCCESSFUL TACTICS AND ACTIONS.AREAS IDENTIFIED, BUT NOT SPECIFICALLY ADDRESSED INCLUDE:- ADULT CIGARETTE SMOKING - CHILDREN WITHOUT ADEQUATE ORAL HEALTHTHE CHIP DOES NOT FOCUS DIRECTLY ON THESE ISSUES. HOWEVER BOTH SHOULD BE INDIRECTLY ADDRESSED. THE EXPANSION OF THE SAFETY NET SERVICES SHOULD IMPACT CHILDREN WITHOUT ADEQUATE ORAL HEALTH, SINCE THE MARIAN CLINIC IS THE COMMUNITY'S ONLY SAFETY NET PROVIDER OF ORAL HEALTH.ADULT SMOKING IN SHAWNEE COUNTY DECLINED FROM 23.9% IN 2011 TO 19.8% IN 2013. HOPEFULLY THIS TREND CONTINUES WITH THE CHIP'S EFFORTS TO INCREASE HEALTHY EATING AND ACTIVE LIVING.
STORMONT-VAIL HEALTHCAREPART V, SECTION B, LINE 14G: FOR PATIENTS EXPRESSING THE INABILITY TO PAY, THEY ARE PROVIDED WITH CUSTOMER SERVICE PHONE NUMBERS ON THE WEBSITE, PATIENT STATEMENTS, PATIENT HANDBOOKS, AND BROCHURES GIVEN TO ALL INPATIENTS AND OUTPATIENTS.
STORMONT-VAIL HEALTHCAREPART V, SECTION B, LINE 20D: LOOKBACK METHOD- USED PRIOR YEAR MEDICARE AND PRIVATE HEALTH INSURANCE PAID CLAIMS ACCORDING TO 501(R)(5)
PART V, SECTION B, LINE 5BCHNA AVAILABLE AT THESE WEBSITES:HTTPS://WWW.STFRANCISTOPEKA.ORG/~/MEDIA/STFRANCIS/STFRANCISFILES/COMMUNITYASSESSMENT2013.PDFHTTP://SHAWNEEHEALTH.ORG/INDEX.ASPX?NID=161
FieldValueIRS element (for citing)
Facility32FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (32 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
CANCER CENTER
1414 SW 8TH AVENUETOPEKAKS66606CANCER CENTER
HEART CENTER
929 MULVANETOPEKAKS66606CARDIOLOGY OFFICE
FAMILY PRACTICE
901 GARFIELDTOPEKAKS66606FAMILY PRACTICE PHYSICIAN OFFICES
COTTON O'NEIL PHYSICIAN CLINICS
823 MULVANETOPEKAKS66606VARIOUS PHYSICIAN OFFICES
STORMONT VAIL WEST
3707 SW 6TH STREETTOPEKAKS66606PSYCHIATRIC
COTTON O'NEIL GI CENTER
720 LANETOPEKAKS66606GI CLINIC
ORTHOPEDICS KOSM
909 SW MULVANETOPEKAKS66604ORTHOPEDIC PHYSICIAN OFFICE
EMPORIA CLINIC
1301 SW 12TH STREETEMPORIAKS66801PHYSICIAN OFFICES
6TH & FRAZIER
3520 SW 6TH STREETTOPEKAKS66606PHYSICIAN OFFICES
REHABILTATION SERVICES
4019 SW 10TH AVETOPEKAKS66606REHABILITATION THERAPY
CROCO CLINIC
2909 SE WALNUT DRTOPEKAKS66605PHYSICIAN OFFICES
PEDIATRICARE
4100 SW 15TH STREETTOPEKAKS66604PEDIATRICS PHYSICIAN OFFICE
STORMONT VAIL SLEEP CENTER
920 SW WASHBURNTOPEKAKS66606SLEEP CENTER
URISH CLINIC
6725 SW 29TH STREETTOPEKAKS66614PHYSICIAN OFFICES
DERMATOLOGY CLINIC
6650 MISSION VALLEY DRIVETOPEKAKS66614PHYSICIAN OFFICES
WAMEGO CLINIC
1704 COMMERCIAL CIRCLEWAMEGOKS66547PHYSICIAN OFFICES
CARBONDALE CLINIC
211 EAST MAINCARBONDALEKS66614PHYSICIAN OFFICES
OSAGE CITY CLINIC
131 WEST MARKETOSAGE CITYKS66523PHYSICIAN OFFICES
OSKALOOSA CLINIC
209 W JEFFERSONOSKALOOSAKS66066PHYSICIAN OFFICES
NORTH TOPEKA CLINIC
1130 N KANSAS AVENUETOPEKAKS66608PHYSICIAN OFFICES
LAWRENCE CLINIC
330 ARKANSASLAWRENCEKS66044PHYSICIAN OFFICES
ROSSVILLE CLINIC
423 MAINROSSVILLEKS66533PHYSICIAN OFFICES
MERIDEN CLINIC
407 E WYANDOTTEMERIDENKS66512PHYSICIAN OFFICES
OCCUPATIONAL MEDICINE
1504 SW 8TH STREETTOPEKAKS66606WORKERS COMP PHYSICIAN OFFICE
LEBO CLINIC
118 W 4THLEBOKS66856PHYSICIAN OFFICES
ALMA CLINIC
701 MISSOURIALMAKS66401PHYSICIAN OFFICES
CARDIAC THORACIC SURGEONS
830 MULVANETOPEKAKS66606PHYSICIAN OFFICES
MEDICAL ASSOCIATES OF MANHATTAN
1133 COLLEGE AVE STE E-110MANHATTANKS66502PHYSICIAN OFFICES
MRI OF KANSAS
631 SW MULVANETOPEKAKS66606MRI CENTER
LYNDON CLINIC
715 WASHINGTON ST STE BLYNDONKS66451PHYSICIAN OFFICES
EXCELLENT SURGERY CENTER
920 SW LANETOPEKAKS66606SURGICAL FACILITY
STORMONT VAIL SINGLE DAY SURGERY
823 MULVANETOPEKAKS66606SURGICAL FACILITY

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 2:THE BAD DEBT EXPENSE WAS CALCULATED BY USING THE ACTUAL BAD DEBT WRITE-OFFS FROM THE HOSPITAL AND THE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM FOR OTHER PAYORS MULTIPLIED BY THE BAD DEBT WRITE-OFFS. THE CLINIC BAD DEBTS WERE ESTIMATED AND A COST TO CHARGE RATIO WAS APPLIED TO DETERMINE COST.
PART III, LINE 4:THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP. PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. STORMONT-VAIL ONLY CHARGES INTEREST ON PATIENT ACCOUNTS THAT HAVE BEEN TURNED OVER TO COLLECTIONS. PATIENT RECEIVABLES ARE WRITTEN OFF TO PROVISON FOR UNCOLLECTIBLE ACCOUNTS WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF THE PROVISON FOR UNCOLLECTIBLE ACCOUNTS WHEN RECEIVED.
PART III, LINE 8:BOTH THE COST ACCOUNTING AND COST TO CHARGE RATIO METHOD ARE USED.
PART III, 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, DISCHARGE 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
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 OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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
STEVEN WATKINS MD
DIRECTOR$642,069$0$107,041$0$5,544$0$15,100$0$9,409$0$779,163$0$0$0
RANDALL L PETERSON
CHIEF EXECUTIVE OFFICER$713,834$0$95,748$0$4,412$0$169,356$0$22,147$0$1,005,497$0$0$0
ERIC VOTH MD
OPERATING COMMITTEE$313,466$0$73,348$0$2,221$0$111,004$0$20,042$0$520,081$0$0$0
DOUGLAS ROSE MD
OPERATING COMMITTEE$348,938$0$104,545$0$2,499$0$119,668$0$9,889$0$585,539$0$0$0
KEVIN DISHMAN MD
OPERATING COMMITTEE$756,840$0$105,691$0$1,260$0$19,742$0$19,577$0$903,110$0$0$0
LAMBERT WU MD
OPERATING COMMITTEE$632,003$0$66,322$0$840$0$18,909$0$17,674$0$735,748$0$0$0
DAVID CUNNINGHAM
VICE-PRESIDENT$217,343$0$67,651$0$792$0$41,769$0$17,532$0$345,087$0$0$0
CAROL WHEELER
VICE-PRESIDENT$342,265$0$98,789$0$3,368$0$15,100$0$12,872$0$472,394$0$0$0
BERNIE BECKER
VICE-PRESIDENT$281,058$0$88,179$0$3,012$0$103,802$0$13,094$0$489,145$0$0$0
KENT PALMBERG MD
EXECUTIVE VICE-PRESIDENT$563,365$0$213,075$0$5,835$0$372,048$0$13,143$0$1,167,466$0$0$0
DEBRA YOCUM
VICE-PRESIDENT$278,003$0$85,376$0$1,025$0$40,918$0$9,053$0$414,375$0$0$0
JANET STANEK
VICE-PRESIDENT$380,706$0$136,890$0$1,918$0$63,282$0$21,943$0$604,739$0$0$0
CAROL PERRY
VICE-PRESIDENT$296,658$0$95,170$0$1,113$0$19,337$0$12,943$0$425,221$0$0$0
KEVIN HAN
CHIEF FINANCIAL OFFICER$339,520$0$93,601$0$2,336$0$113,085$0$5,553$0$554,095$0$0$0
MICHAEL KONGS
KEY EMPLOYEE$159,096$0$16,410$0$547$0$10,499$0$15,682$0$202,234$0$0$0
MATTHEW WILLS MD
PHYSICIAN$2,194,166$0$71,344$0$1,260$0$10,000$0$16,344$0$2,293,114$0$0$0
TEWODRO ADDISSE MD
PHYSICIAN$1,024,570$0$88,323$0$1,247$0$14,425$0$4,999$0$1,133,564$0$0$0
DAVID LUTES MD
PHYSICIAN$712,897$0$82,280$0$1,932$0$15,100$0$5,009$0$817,218$0$0$0
CHU CHI CHEN MD
PHYSICIAN$1,122,562$0$114,789$0$10,668$0$15,100$0$5,009$0$1,268,128$0$0$0
PETER TUTUSKA MD
PHYSICIAN$706,198$0$84,598$0$3,612$0$15,100$0$9,409$0$818,917$0$0$0
MAYNARD OLIVERIUS
FORMER CHIEF EXEC. OFFICER$0$0$340,593$0$0$0$0$0$0$0$340,593$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BRANDALL PETERSON $ 155,442. DAVID CUNNINGHAM $ 27,249. BERNARD BECKER $ 88,702. KENT PALMBERG, M.D. $ 357,786. DEBRA YOCUM $ 30,918. JANET STANEK $ 48,182. CAROL PERRY $ 4,237. KEVIN HAN $ 97,985. ERIC VOTH, M.D. $ 95,904. DOUGLAS ROSE, M.D. $ 104,568. KEVIN DISHMAN, M.D. $ 4,700. LAMBERT WU, M.D. $ 3,809.
PART I, LINE 6CERTAIN EMPLOYEES OF THE ORGANIZATION ARE ELIGIBLE FOR BONUSES UPON ACHIEVEMENT OF VARIOUS PERFORMANCE MEASURES AS OUTLINED IN THE ANNUAL INCENTIVE PLAN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
KANSAS DEVELOPMENT FINANCE AUTHORITY
A48543BJT62007-08-27$50,064,927HEALTH FACILITIES000
KANSAS DEVELOPMENT FINANCE AUTHORITY
B48543BLG12008-03-31$27,950,075HEALTH FACILITIES000
KANSAS DEVELOPMENT FINANCE AUTHORITY
C484538MC92011-08-31$61,193,487HEALTH FACILITIES000
KANSAS DEVELOPMENT FINANCE AUTHORITY
D48453BNS32012-08-14$8,750,000HEALTH FACILITIES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$53,519,801$18,107,157$689,770$1,048,000$30,220,0002009Yes (1)Yes (1)Yes (1)Yes (1)
B$27,950,075$27,677,500$272,5752008Yes (1)0Yes (1)Yes (1)
C$61,196,912$50,325,531$863,086$10,008,2952013Yes (1)0Yes (1)Yes (1)
D$8,748,898$148,649$8,600,249201400Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AYes (1)0000Yes (1)
BYes (1)0000Yes (1)
CYes (1)0000Yes (1)
DYes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K SUPPLENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationTHE PROJECT FOR THE 2013 BOND ISSUE WAS NOT COMPLETED AS OF SEPTEMBER 30, 2014ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1KANSAS DEVELOPMENT FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
CUSIP48543BPD4CUSIPNum
Bond Issued2013-11-15BondIssuedDt
Issue Price$39,321,250IssuePriceAmt
PurposeHEALTH FACILITIESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$39,323,767TotalProceedsAmt
Issuance Costs From Proceeds$670,848IssuanceCostsFromProceedsAmt
Capital Expenditures$11,745,322CapitalExpendituresAmt
Unspent$26,907,597UnspentAmt
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)MEDICAL EQUIP2$144,818FMV
Yes (X)COMPUTER EQUI3$41,264FMV
Yes (X)OTHER EQUIPME4$40,812FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:IN ADDITION TO THESE COMMUNITY CONTRIBUTIONS, STORMONT-VAIL PROVIDED SUPERVISED CLINICAL EXPERIENCE FOR 919 STUDENTS AND 159,978 HOURS TO THE FOLLOWING ENTITIES (CONTINUED): NAME/LOCATION TYPE OF STUDENTS DEPT/DIVISION BAKER UNIVERSITY NURSING MULTIPLE BALL STATE UNIVERSITY NURSING MULTIPLE BARTON CO COMMUNITY COLLEGE PARAMEDIC MULTIPLE COFFEY COUNTY HOSPITAL NURSING MULTIPLE COLBY COMMUNITY COLLEGE PT REHAB SERVICES CREIGHTON UNIVERSITY PHARMACY PHARMACY EMPORIA STATE UNIVERSITY NURSING MEDICAL ARTS CLINIC-EMPORIA EMPORIA STATE UNIVERSITY ART THERAPY BEHAVIORAL HEALTH FORT HAYS NURSING NURSING MULTIPLE FRONTIER SCHOOL OF MIDWIFERY NURSING THE BIRTHPLACE GEARY COMMUNITY NURSING MULTIPLE GEORGETOWN UNIVERSITY MIDWIFERY THE BIRTHPLACE GONZAGA NURSING PATIENT CARE SERVICES HIAWATHA COMMUNITY HOSPITAL NURSING PATIENT CARE SERVICES HIGHLAND COMMUNITY COLLEGE NURSING MULTIPLE KANSAS CITY KS CC PT/OT REHAB SERVICES KANSAS STATE UNIVERSITY DIETICIANS NUTRITIONAL SERVICES KANSAS STATE UNIVERSITY SPEECH THERAPY REHAB SERVICES UNIVERSITY OF KANSAS MEDICAL RECORDS HEALTH INFO MGMT UNIVERSITY OF KANSAS NURSING PATIENT CARE SERVICES UNIVERSITY OF KANSAS PHARMACY PHARMACY UNIVERSITY OF KANSAS SOCIAL WORK BEHAVIORAL HEALTH MARYVILLE UNIVERSITY NURSING PATIENT CARE SERVICES UNIVERSITY OF MISSOURI-KC NURSING COTTON-O'NEIL CLINICS NEBRASKA MEDICAL CENTER/WU MEDICAL TECHNOLOGIST LABORATORY NEMAHA VALLEY COMM HOSPITAL NURSING PATIENT CARE SERVICES NEOSHO COMMUNITY COLLEGE NURSING PATIENT CARE SERVICES NEWMAN REGIONAL HEALTH NURSING ALL AREAS ROCKHURST UNIVERSITY PT/OT REHAB SERVICES SABETHA HOSPITAL NURSING STAFF PATIENT CARE SERVICES UNIVERSITY OF SOUTHERN IN NURSING PATIENT CARE SERVICES TEXAS WESLEYAN UNIVERSITY CRNA SURGERY USD #501 HIGH SCHOOL MULTIPLE WALDEN UNIVERSITY NURSING PATIENT CARE SERVICES WASHBURN UNIVERSITY KINESIOLOGY HEART CENTER WASHBURN UNIVERSITY HEALTH INFORMATION HEALTH INFO MGMT WASHBURN UNIVERSITY NURSING MULTIPLE WASHBURN UNIVERSITY OT REHAB SERVICES WASHBURN UNIVERSITY PT ASSISTANTS REHAB SERVICES WASHBURN UNIVERSITY IMAGING SCIENCES MEDICAL IMAGING WASHBURN UNIVERSITY RADIATION THERAPY CANCER CENTER WASHBURN UNIVERSITY RESP THERAPY PULMONARY CARE WASHBURN UNIVERSITY SOCIAL WORK SV BEHAVIORAL HEALTH WASHBURN UNIVERSITY ULTRASOUND-CARDIO RADIOLOGY/ULTRASOUND WASHBURN UNIVERSITY ULTRASOUND-GEN RADIOLOGY ULTRASOUND WASHBURN INSTITUTE OF TECH LPNS MULTIPLE WASHBURN INSTITUTE OF TECH SURG TECHS SURGICAL SERVICES/TSDS WASHBURN INSTITUTE OF TECH EMT PATIENT CARE SERVICES WASHINGTON COUNTY HOSPITAL NURSING PATIENT CARE SERVICES WELLNESS WORKDAYS DIETITIANS NUTRITIONAL SERVICES WICHITA STATE UNIVERSITY NURSING MULTIPLE WICHITA STATE UNIVERSITY PA MULTIPLE
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF THE RETURN IS PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. ANY CHANGES ARE COMMUNICATED TO THE PAID PREPARER. A COPY OF THE RETURN IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. WITH THE BOARD'S APPROVAL, THE PAID PREPARER THEN FILES THE RETURN ELECTRONICALLY.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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, ANY APPROPRIATE ACTION IF REQUIRED AND APPROVAL. THE CHAIRMAN ALSO THEN REPORTS THE RESULTS TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE PERFORMANCE COMMITTEE OF THE STORMONT-VAIL HEALTHCARE BOARD OF DIRECTORS ENGAGED INTEGRATED HEALTHCARE STRATEGIES, AN EXECUTIVE COMPENSATION CONSULTING FIRM, TO PROVIDE RECOMMENDATIONS REGARDING ALL ASPECTS OF COMPENSATION OF THE ORGANIZATION'S SENIOR LEADERSHIP GROUP, INCLUDING THE PRESIDENT & CEO. THAT ENGAGEMENT INCLUDED THE FOLLOWING COMPONENTS: -REVIEW OF BACKGROUND DATA, INCLUDING INFORMATION ON CURRENT PROGRAM; -COMPILATION OF DATA ON COMPENSATION AND BENEFIT PRACTICES OF COMPARABLE ORGANIZATIONS; -COMPARISON OF BASE SALARIES AT SVHC TO BASE SALARY LEVELS IN THE MARKET; -COMPARISON OF ANNUAL AND LONG-TERM INCENTIVES AT SVHC TO INCENTIVE LEVELS IN THE MARKET; -ANALYSIS OF BENEFITS ON BOTH A QUANTITATIVE AND QUALITATIVE BASIS; -COMPARISON OF SVHC TOTAL COMPENSATION (BASE, INCENTIVE, BENEFITS) TO PEER GROUP TOTAL COMPENSATION; -PREPARATION OF REPORT TO FACILITATE SVHC BOARD DISCUSSION OF THE TOTAL COMPENSATION; AND -RECOMMENDATIONS REGARDING ESTABLISHMENT OF SALARY RANGES FOR SENIOR LEADERSHIP POSITIONS. THE DELIBERATIONS AND DECISIONS OF THE PERFORMANCE COMMITTEE AND THE BOARD OF DIRECTORS ARE DOCUMENTED IN MEETING MINUTES MAINTAINED BY SVHC.
FORM 990, PART VI, SECTION C, LINE 19STORMONT-VAIL HEALTHCARE, INC. MAKES THEIR FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS PART OF THE 990 INFORMATION RETURN. ANY CHANGES TO THE GOVERNING DOCUMENTS ARE INCLUDED WITH THE 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:EQUITY IN NET INCOME OF CONSOLIDATED AFFILIATES -182,783. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -20,269,965. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES 154,830. BOOK AMORTIZATION GREATER THAN TAX -119,596.
PART XII, LINE 2CNO CHANGE FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1COTTON-O'NEIL ACO LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVEAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesSHARED SAVINGS PROGRAMPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
End Of Year Assets$1,000EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCAREBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
STORMONT-VAIL FOUNDATION
1500 SW 10TH AVETOPEKAKS66604480980926GENERATE VOLUNTARY GIFTS TO SUPPORT STORMONT-VAIL HEALTHCAREKS501(C)(3)LINE 7STORMONT-VAIL HEALTHCARE0
STORMONT-VAIL HEALTHCARE AUXILARY
1500 SW 10TH AVETOPEKAKS66604486140517PROVIDE GIFT SHOP, RESTAURANT AND PROJECTS FOR THE CONVENIENCE OF PATIENTSKS501(C)(3)LINE 11A, I0N/A
STORMONT-VAIL SERVICES INC
1500 SW 10TH AVETOPEKAKS66604481021165MEDICAL SERVICESKS501(C)(3)LINE 70N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1URISH MEDICAL PLAZA LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10THAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode
FieldValueIRS element (for citing)
EIN480782848EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$70,779ShareOfTotalIncomeAmt
Share Of EOY Assets$811,554ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.71670OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
STORMONT-VAIL INC
901 GARFIELDTOPEKAKS66606480782848RETAIL PHARMACYKSSTORMONT-VAIL HEALTHCARE INCC$272,557$14,910,3531.000000
DECHAIRO HOSPITAL INC
1500 SW 10TH STTOPEKAKS66604480788844REAL ESTATEKSSTORMONT-VAIL INCC$359,4201.000000
CENTURY HEALTH SOLUTIONS INC
2951 SW WOODSIDE DRTOPEKAKS66614481206397INSURANCE MANAGEMENT OPERATIONSKSSTORMONT-VAIL INCC-$347,202$224,4801.000000
UAT INC
1500 SW 10TH STTOPEKAKS66604480907989MEDICAL BILLINGS PRACTICEKSSTORMONT-VAIL HEALTHCARE INCC$5,928$109,9591.000000
KOSM INC
1500 SW 10TH STTOPEKAKS66604480807000MEDICAL BILLINGS PRACTICEKSSTORMONT-VAIL HEALTHCARE INCC$46,450$227,8791.000000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 OrgYes (1)AssetPurchaseFromOtherOrgInd
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 FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
STORMONT-VAIL FOUNDATION
B$420,000
STORMONT-VAIL FOUNDATION
S$85,804
STORMONT-VAIL HEALTHCARE AUXILIARY
C$220,430
STORMONT-VAIL HEALTHCARE AUXILIARY
Q$252,837
STORMONT-VAIL INC
O$1,238,609
STORMONT-VAIL FOUNDATION
O$416,745