2015-07-22T13:14:11-05:00 2014-09-30 481066439 BERBERICH TRAHAN & CO PA 3630 SW BURLINGAME ROAD TOPEKA KS 666112050 990 2013-10-01 480543789 STORMONT-VAIL HEALTHCARE INC STOR 7853546000 1500 SW 10TH AVENUE TOPEKA KS 666041353 KEVIN J HAN VICE PRESIDENT 7853546000 2015-07-21 1 CHERYL G HAYWARD P00016097 7852343427 2013 2016-02-25 16:41:14Z KEVIN J HAN 1500 SW 10TH AVENUE TOPEKA KS 666041353 626762514 0 X WWW.STORMONTVAIL.ORG X 1894 KS STORMONT-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. 15 13 4874 639 0 37076 430397 344266 515883852 543453900 331606 6116053 466788 456383 517112643 550370602 0 0 0 0 313985036 330729484 0 0 0 182337931 184916367 496322967 515645851 20789676 34724751 565232540 640070550 282723434 332819981 282509106 307250569 X WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY 0 0 475602889 543453900 STORMONT-VAIL HEALTHCARE, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. FOR THE YEAR ENDED SEPTEMBER 30, 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.) 475602889 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 228 0 1 4874 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KEVIN HAN 7853546000 1500 SW 10TH STREET TOPEKA KS 66604 STEVEN WATKINS MD DIRECTOR 60.00 X 754654 0 24509 S KENNETH ALEXANDERIII DIRECTOR 0.00 X 0 0 0 PAMELA JOHNSON-BETTS DIRECTOR 0.00 X 0 0 0 C RICHARD BONEBRAKEMD DIRECTOR 0.00 X 0 0 0 GARY B FLEENOR DIRECTOR 0.00 X 0 0 0 JOHN B DICUS DIRECTOR 0.00 X 0 0 0 RANDALL L PETERSON CHIEF EXECUTIVE OFFICER 50.00 X X 813994 0 191503 JAMES HAINES CHAIRPERSON 0.00 X X 0 0 0 PATRICIA PRESSMAN PHD SECRETARY 0.00 X X 0 0 0 SUEANN V SCHULTZ DIRECTOR 0.00 X 0 0 0 JAMES SCHMANK DIRECTOR 0.00 X 0 0 0 ANDREW J JETTER DIRECTOR 0.00 X 0 0 0 JAMES PARRISH DIRECTOR 0.00 X 0 0 0 RICHARD WIENCKOWSKI DIRECTOR 0.00 X 0 0 0 BRENDA MILLS DIRECTOR 0.00 X 0 0 0 ERIC VOTH MD OPERATING COMMITTEE 60.00 X 389035 0 131046 DOUGLAS ROSE MD OPERATING COMMITTEE 50.00 X 455982 0 129557 KEVIN DISHMAN MD OPERATING COMMITTEE 60.00 X 863791 0 39319 LAMBERT WU MD OPERATING COMMITTEE 60.00 X 699165 0 36583 DAVID CUNNINGHAM VICE-PRESIDENT 50.00 X 285786 0 59301 CAROL WHEELER VICE-PRESIDENT 50.00 X 444422 0 27972 BERNIE BECKER VICE-PRESIDENT 50.00 X 372249 0 116896 KENT PALMBERG MD EXECUTIVE VICE-PRESIDENT 50.00 X 782275 0 385191 DEBRA YOCUM VICE-PRESIDENT 50.00 X 364404 0 49971 JANET STANEK VICE-PRESIDENT 50.00 X 519514 0 85225 CAROL PERRY VICE-PRESIDENT 50.00 X 392941 0 32280 KEVIN HAN CHIEF FINANCIAL OFFICER 50.00 X 435457 0 118638 MICHAEL KONGS KEY EMPLOYEE 50.00 X 176053 0 26181 MATTHEW WILLS MD PHYSICIAN 60.00 X 2266770 0 26344 TEWODRO ADDISSE MD PHYSICIAN 60.00 X 1114140 0 19424 DAVID LUTES MD PHYSICIAN 60.00 X 797109 0 20109 CHU CHI CHEN MD PHYSICIAN 60.00 X 1248019 0 20109 PETER TUTUSKA MD PHYSICIAN 60.00 X 794408 0 24509 MAYNARD OLIVERIUS FORMER CHIEF EXEC. OFFICER 0.00 X 340593 0 0 14310761 0 1564667 377 1 1 0 ANESTHESIA ASSOCIATES 823 MULVANE SUITE 2A TOPEKA KS 66606 ANESTHESIA PHYSICIAN SERVICES 1796056 PROBASCO & ASSOCIATES PA 615 S TOPEKA BLVD TOPEKA KS 66603 COLLECTION AGENCY 1124566 GOODELL STRATTON EDMOND & PALMER 515 S KANSAS AVE TOPEKA KS 66603 LEGAL SERVICES 697648 PERINATAL CONSULTANTS 900 SW ROBINSON TOPEKA KS 66614 PHYSICIAN SERVICES 689250 TOPEKA PATHOLOGY GROUP 1000 W 10TH ST TOPEKA KS 66604 PATHOLOGY SERVICES 557651 13 178894 165372 226894 344266 NET PATIENT SERVICE REVENUE 621300 532551835 532551835 NUTRITIONAL SERVICES 621300 2164055 2164055 EDUCATION SERVICES/SCHOOL OF NURS 611600 2103484 2103484 PHARMACY 621300 796358 796358 MEDICAL SURGICAL 621300 209160 209160 5629008 5629008 543453900 6166958 6166958 456383 0 456383 456383 456383 76322122 18885 76295937 95975 26185 -77090 -50905 -50905 550370602 543453900 0 6572436 9377023 4832215 4544808 261014074 245688097 15325977 6723275 6168951 554324 37284544 33245443 4039101 16330568 14505223 1825345 2438165 374 2437791 163340 163340 425197 425197 16262725 14454162 1808563 942327 938064 4263 3234459 2184986 1049473 9121508 7976660 1144848 8152224 7984967 167257 254157 240342 13815 8576661 8576661 21372406 21372406 3836556 2362785 1473771 SUPPLIES 87470628 86891887 578741 REPAIR & MAINTENANCE 8095437 7723507 371930 NUTRITION & FOOD SERVIC 2189824 832133 1357691 CONTRIBUTION TO S-V FOU 420000 420000 11960753 9204026 2756727 515645851 475602889 40042962 0 90388835 41204051 8269095 34693537 75615981 80713069 5114532 6139112 5676443 5097129 428795212 236517756 196900448 192277456 125231593 219082537 53021631 55744677 5013982 5118982 565232540 640070550 62074619 67387215 141430000 177820000 3894894 2616133 75323921 84996633 282723434 332819981 X 281653583 306367396 722664 750314 132859 132859 282509106 307250569 565232540 640070550 X 34724751 10434226 -20417514 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 0 0 PART II-B, LINE 1: THE 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. 249013 9070 258083 254042 -5029 249013 244424 9618 254042 239410 5014 244424 239400 10 239410 0.00000 0.51480 0.48520 0 0 16827494 16827494 251152632 117983820 133168812 160815086 118533936 42281150 192277456 17913204 F MORGAN CREEK FUND, LTD CLASS A 5831473 F INVESTMENT IN GROSVENOR 32000000 F 55744677 ACCRUED PENSION PAYABLE 84996633 84996633 X 540081713 10434226 -20297918 -9863692 549945405 425197 425197 550370602 515340249 119595 119595 515220654 425197 425197 515645851 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. 1 1 1 X 1 X 1 1 1 0 1 1 9374120 9374120 0.01820 64273804 40753722 23520082 0.04560 73647924 40753722 32894202 0.06380 622393 192793 429600 0.00080 3793230 1996605 1796625 0.00350 2410466 932726 1477740 0.00290 22450 22450 0.00000 6848539 3122124 3726415 0.00720 80496463 43875846 36620617 0.07100 0 9088114 0 192023144 234553132 -42529988 X 1 1 1 1 STORMONT-VAIL HEALTHCARE 1500 SW 10TH STREET TOPEKA KS 66604 X X X STORMONT-VAIL HEALTHCARE 1 1 X X X X X X X X X 12 1 1 1 X HTTPS://WWW.STORMONTVAIL.ORG/PAGES/COMMUN X HTTP://SHAWNEEHEALTH.ORG/INDEX.ASPX?NID=161 X X X X X X X X X 0 0 1 1 100.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X 1 0 X X X 1 X X 0 0 STORMONT-VAIL HEALTHCARE PART 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 HEALTHCARE PART 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 HEALTHCARE PART 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 HEALTHCARE PART 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 HEALTHCARE PART 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 HEALTHCARE PART 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 HEALTHCARE PART 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 HEALTHCARE PART 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 5B CHNA AVAILABLE AT THESE WEBSITES:HTTPS://WWW.STFRANCISTOPEKA.ORG/~/MEDIA/STFRANCIS/STFRANCISFILES/COMMUNITYASSESSMENT2013.PDFHTTP://SHAWNEEHEALTH.ORG/INDEX.ASPX?NID=161 32 CANCER CENTER 1414 SW 8TH AVENUE TOPEKA KS 66606 CANCER CENTER HEART CENTER 929 MULVANE TOPEKA KS 66606 CARDIOLOGY OFFICE FAMILY PRACTICE 901 GARFIELD TOPEKA KS 66606 FAMILY PRACTICE PHYSICIAN OFFICES COTTON O'NEIL PHYSICIAN CLINICS 823 MULVANE TOPEKA KS 66606 VARIOUS PHYSICIAN OFFICES STORMONT VAIL WEST 3707 SW 6TH STREET TOPEKA KS 66606 PSYCHIATRIC COTTON O'NEIL GI CENTER 720 LANE TOPEKA KS 66606 GI CLINIC ORTHOPEDICS KOSM 909 SW MULVANE TOPEKA KS 66604 ORTHOPEDIC PHYSICIAN OFFICE EMPORIA CLINIC 1301 SW 12TH STREET EMPORIA KS 66801 PHYSICIAN OFFICES 6TH & FRAZIER 3520 SW 6TH STREET TOPEKA KS 66606 PHYSICIAN OFFICES REHABILTATION SERVICES 4019 SW 10TH AVE TOPEKA KS 66606 REHABILITATION THERAPY CROCO CLINIC 2909 SE WALNUT DR TOPEKA KS 66605 PHYSICIAN OFFICES PEDIATRICARE 4100 SW 15TH STREET TOPEKA KS 66604 PEDIATRICS PHYSICIAN OFFICE STORMONT VAIL SLEEP CENTER 920 SW WASHBURN TOPEKA KS 66606 SLEEP CENTER URISH CLINIC 6725 SW 29TH STREET TOPEKA KS 66614 PHYSICIAN OFFICES DERMATOLOGY CLINIC 6650 MISSION VALLEY DRIVE TOPEKA KS 66614 PHYSICIAN OFFICES WAMEGO CLINIC 1704 COMMERCIAL CIRCLE WAMEGO KS 66547 PHYSICIAN OFFICES CARBONDALE CLINIC 211 EAST MAIN CARBONDALE KS 66614 PHYSICIAN OFFICES OSAGE CITY CLINIC 131 WEST MARKET OSAGE CITY KS 66523 PHYSICIAN OFFICES OSKALOOSA CLINIC 209 W JEFFERSON OSKALOOSA KS 66066 PHYSICIAN OFFICES NORTH TOPEKA CLINIC 1130 N KANSAS AVENUE TOPEKA KS 66608 PHYSICIAN OFFICES LAWRENCE CLINIC 330 ARKANSAS LAWRENCE KS 66044 PHYSICIAN OFFICES ROSSVILLE CLINIC 423 MAIN ROSSVILLE KS 66533 PHYSICIAN OFFICES MERIDEN CLINIC 407 E WYANDOTTE MERIDEN KS 66512 PHYSICIAN OFFICES OCCUPATIONAL MEDICINE 1504 SW 8TH STREET TOPEKA KS 66606 WORKERS COMP PHYSICIAN OFFICE LEBO CLINIC 118 W 4TH LEBO KS 66856 PHYSICIAN OFFICES ALMA CLINIC 701 MISSOURI ALMA KS 66401 PHYSICIAN OFFICES CARDIAC THORACIC SURGEONS 830 MULVANE TOPEKA KS 66606 PHYSICIAN OFFICES MEDICAL ASSOCIATES OF MANHATTAN 1133 COLLEGE AVE STE E-110 MANHATTAN KS 66502 PHYSICIAN OFFICES MRI OF KANSAS 631 SW MULVANE TOPEKA KS 66606 MRI CENTER LYNDON CLINIC 715 WASHINGTON ST STE B LYNDON KS 66451 PHYSICIAN OFFICES EXCELLENT SURGERY CENTER 920 SW LANE TOPEKA KS 66606 SURGICAL FACILITY STORMONT VAIL SINGLE DAY SURGERY 823 MULVANE TOPEKA KS 66606 SURGICAL FACILITY 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. X X X X 0 1 0 0 0 1 0 0 0 STEVEN WATKINS MD DIRECTOR 642069 0 107041 0 5544 0 15100 0 9409 0 779163 0 0 0 RANDALL L PETERSON CHIEF EXECUTIVE OFFICER 713834 0 95748 0 4412 0 169356 0 22147 0 1005497 0 0 0 ERIC VOTH MD OPERATING COMMITTEE 313466 0 73348 0 2221 0 111004 0 20042 0 520081 0 0 0 DOUGLAS ROSE MD OPERATING COMMITTEE 348938 0 104545 0 2499 0 119668 0 9889 0 585539 0 0 0 KEVIN DISHMAN MD OPERATING COMMITTEE 756840 0 105691 0 1260 0 19742 0 19577 0 903110 0 0 0 LAMBERT WU MD OPERATING COMMITTEE 632003 0 66322 0 840 0 18909 0 17674 0 735748 0 0 0 DAVID CUNNINGHAM VICE-PRESIDENT 217343 0 67651 0 792 0 41769 0 17532 0 345087 0 0 0 CAROL WHEELER VICE-PRESIDENT 342265 0 98789 0 3368 0 15100 0 12872 0 472394 0 0 0 BERNIE BECKER VICE-PRESIDENT 281058 0 88179 0 3012 0 103802 0 13094 0 489145 0 0 0 KENT PALMBERG MD EXECUTIVE VICE-PRESIDENT 563365 0 213075 0 5835 0 372048 0 13143 0 1167466 0 0 0 DEBRA YOCUM VICE-PRESIDENT 278003 0 85376 0 1025 0 40918 0 9053 0 414375 0 0 0 JANET STANEK VICE-PRESIDENT 380706 0 136890 0 1918 0 63282 0 21943 0 604739 0 0 0 CAROL PERRY VICE-PRESIDENT 296658 0 95170 0 1113 0 19337 0 12943 0 425221 0 0 0 KEVIN HAN CHIEF FINANCIAL OFFICER 339520 0 93601 0 2336 0 113085 0 5553 0 554095 0 0 0 MICHAEL KONGS KEY EMPLOYEE 159096 0 16410 0 547 0 10499 0 15682 0 202234 0 0 0 MATTHEW WILLS MD PHYSICIAN 2194166 0 71344 0 1260 0 10000 0 16344 0 2293114 0 0 0 TEWODRO ADDISSE MD PHYSICIAN 1024570 0 88323 0 1247 0 14425 0 4999 0 1133564 0 0 0 DAVID LUTES MD PHYSICIAN 712897 0 82280 0 1932 0 15100 0 5009 0 817218 0 0 0 CHU CHI CHEN MD PHYSICIAN 1122562 0 114789 0 10668 0 15100 0 5009 0 1268128 0 0 0 PETER TUTUSKA MD PHYSICIAN 706198 0 84598 0 3612 0 15100 0 9409 0 818917 0 0 0 MAYNARD OLIVERIUS FORMER CHIEF EXEC. OFFICER 0 0 340593 0 0 0 0 0 0 0 340593 0 0 0 PART I, LINE 4B RANDALL 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 6 CERTAIN EMPLOYEES OF THE ORGANIZATION ARE ELIGIBLE FOR BONUSES UPON ACHIEVEMENT OF VARIOUS PERFORMANCE MEASURES AS OUTLINED IN THE ANNUAL INCENTIVE PLAN. A KANSAS DEVELOPMENT FINANCE AUTHORITY 48543BJT6 2007-08-27 50064927 HEALTH FACILITIES 0 0 0 B KANSAS DEVELOPMENT FINANCE AUTHORITY 48543BLG1 2008-03-31 27950075 HEALTH FACILITIES 0 0 0 C KANSAS DEVELOPMENT FINANCE AUTHORITY 484538MC9 2011-08-31 61193487 HEALTH FACILITIES 0 0 0 D KANSAS DEVELOPMENT FINANCE AUTHORITY 48453BNS3 2012-08-14 8750000 HEALTH FACILITIES 0 0 0 A 53519801 18107157 689770 1048000 30220000 2009 1 1 1 1 B 27950075 27677500 272575 2008 1 0 1 1 C 61196912 50325531 863086 10008295 2013 1 0 1 1 D 8748898 148649 8600249 2014 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 1 0 0 0 0 1 B 1 0 0 0 0 1 C 1 0 0 0 0 1 D 1 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K SUPPLENTAL INFORMATION THE PROJECT FOR THE 2013 BOND ISSUE WAS NOT COMPLETED AS OF SEPTEMBER 30, 2014 A KANSAS DEVELOPMENT FINANCE AUTHORITY 48543BPD4 2013-11-15 39321250 HEALTH FACILITIES 0 0 0 A 39323767 670848 11745322 26907597 0 0 0 1 A 0 0 0 0 0 0 1 A 1 0 0 0 0 1 A 1 X MEDICAL EQUIP 2 144818 FMV X COMPUTER EQUI 3 41264 FMV X OTHER EQUIPME 4 40812 FMV 0 0 0 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 11 A 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 12C THE OFFICERS, DIRECTORS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS TO THE CHAIRMAN OF THE AUDIT COMMITTEE OF STORMONT-VAIL HEALTHCARE EACH YEAR. THE CHAIRMAN REVIEWS THE RESPONSES AND REPORTS TO THE AUDIT COMMITTEE FOR THEIR REVIEW, 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 15 THE 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 19 STORMONT-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 2C NO CHANGE FROM PRIOR YEAR. 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