STORMONT VAIL FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
STORMONT VAIL FOUNDATION (EIN 48-0980926)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-14
IRS object ID
201321349349305237
Schema version
2011v1.5
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)
Timestamp2013-05-14T15:52:24-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN481066439EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13630 SW BURLINGAME ROADAddressLine1
CityTOPEKACity
StateKSState
ZIP Code666112050ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN480980926EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL FOUNDATION CO CORPORATE FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTORNameControl
Phone7853545623Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNETH L STONEName
TitleTREASURERTitle
Phone7853545623Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHERYL G HAYWARDName
PTINP00016097PTIN
Phone7852343427Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANE MACKEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3522825GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STORMONTVAIL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionSEE CONTINUATION ON SCHEDULE O: TO PROVIDE VOLUNTARY GIFT SUPPORT FOR STORMONT-VAIL HEALTHCARE, INC. PATIENT CARE SERVICES AND COMMUNITY HEALTH EDUCATION PROGRAMS, IN SUPPORT OF HEALTHCARE'S MISSION OF "WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY."ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year751039ContributionsGrantsPriorYear
Contributions Grants Current Year1190081ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year335786InvestmentIncomePriorYear
Investment Income Current Year446188InvestmentIncomeCurrentYear
Other Revenue Prior Year144919OtherRevenuePriorYear
Other Revenue Current Year159279OtherRevenueCurrentYear
Total Revenue Prior Year1231744TotalRevenuePriorYear
Total Revenue Current Year1795548TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year135775GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY129975GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year334874SalariesEtcPriorYear
Salaries Etc Current Year357855SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year187576TotalFundrsngExpCurrentYear
Other Expense Prior Year736749OtherExpensePriorYear
Other Expenses Current Year711023OtherExpensesCurrentYear
Total Expenses Prior Year1207398TotalExpensesPriorYear
Total Expenses Current Year1198853TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24346RevenuesLessExpensesPriorYear
Revenues Less Expenses CY596695RevenuesLessExpensesCY
Total Assets BOY11851902TotalAssetsBOY
Total Assets EOY14231303TotalAssetsEOY
Total Liabilities BOY125839TotalLiabilitiesBOY
Total Liabilities EOY120889TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11726063NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14110414NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE VOLUNTARY GIFT SUPPORT FOR STORMONT-VAIL HEALTHCARE, INC. PATIENT CARE SERVICES AND COMMUNITY HEALTH EDUCATION PROGRAMS, IN SUPPORT OF HEALTHCARE'S MISSION OF "WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY."MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense287651Expense
DescriptionFACILITIES:CONSISTENT WITH ITS MISSION, THE FOUNDATION PROVIDES STORMONT-VAIL HEALTHCARE WITH FUNDING FOR MEDICAL FACILITIES AND EQUIPMENT NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense173793Expense
DescriptionPATIENT CARE AND OTHER:A MAJORITY OF PROGRAM SERVICE EXPENDITURES IN THIS CATEGORY IS FOR DISCHARGE ASSISTANCE TO STORMONT-VAIL HEALTHCARE PATIENTS WHO HAVE CRITICAL NEEDS AT THE TIME OF DISCHARGE FROM THE HOSPITAL OR TREATMENT IN OUR CLINICS. TIMELY FUNDING IS PROVIDED FOR ITEMS SUCH AS CLOTHING, PRESCRIPTION DRUGS, TRANSPORTATION NEEDS, ETC. WHERE THE PATIENTS HAVE NO OTHER SOURCES OF FUNDING.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense129975Expense
DescriptionSCHOLARSHIPS:IN COOPERATION WITH BAKER UNIVERSITY, THE FOUNDATION PROVIDES SCHOLARSHIPS TO DESERVING NURSING STUDENTS ATTENDING THE BAKER UNIVERSITY SCHOOL OF NURSING AT STORMONT-VAIL. IN ADDITION TO BAKER UNIVERSITY, SCHOLARSHIPS ARE PROVIDED TO STUDENTS ATTENDING SOME OTHER POST SECONDARY ALLIED HEALTH EDUCATION PROGRAMS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense204585Expense
DescriptionEDUCATION:THE FOUNDATION COOPERATES WITH STORMONT-VAIL HEALTHCARE TO FUND EMPLOYEES' ATTENDANCE AT SELECT CONFERENCES, WORKSHOPS AND PROGRAMS IN ORDER TO GAIN KNOWLEDGE AND SKILLS, AND TO SHARE THAT KNOWLEDGE WITH PEERS,FURTHER ENHANCING PATIENT CARE AND IMPROVING THE HEALTH OF OUR COMMUNITYDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp204585TotalOfOtherProgramServiceExp
Total Program Service Expense796004TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledKSStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KENNETH L STONEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7853545623TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KEN STONE
SVF TREAS./DIR CORP ACCTG4.00XX014215644909
JEFF HEISTAND
SECRETARY1.00XX000
KEVIN M CASSIDY DDS
CHAIRPERSON1.00XX000
SUE BROWN
TRUSTEE1.00X000
JARED HOLROYD
TRUSTEE1.00X000
JIM BIRKBECK
TRUSTEE1.00X000
RICK JACKSON
TRUSTEE1.00X000
STEPHEN WANAMAKER
PAST PRESIDENT1.00XX000
TOM MCBRIDE
TRUSTEE1.00X000
SHELLE MCCOY
TRUSTEE1.00X000
JIM PARRISH
TRUSTEE1.00X000
JASON NEWELL
TRUSTEE1.00X000
DARREL PAVELKA
TRUSTEE1.00X000
DEBORAH ROSE
TRUSTEE1.00X000
KENT CORNISH
TRUSTEE1.00X000
SHAWN SMITH
TRUSTEE1.00X000
STEVE TYLER
TRUSTEE1.00X000
JANE MACKEY
PRESIDENT40.00XX000
JUDY MOLER
VICE-CHAIRPERSON1.00XX000
DAVID SOLLARS
TRUSTEE1.00X000
BOB WORTHINGTON
TRUSTEE1.00X000
MIKE WORSWICK
TRUSTEE1.00X000
MARY ANN DURALL
TRUSTEE1.00X000
RICHARD ROSS
TRUSTEE1.00X000
KEVIN HAN
VICE PRESIDENT/STORMONT CF1.00XX0281417110800
RANDY PETERSON
PRESIDENT & CEO STORMONT1.00X000
MAYNARD OLIVERIUS
FORMER PRES.& CEO STORMONT1.00X0915312177531
DONALD SCHEPKER
FORMER PRES./EXEC. DIR.40.00X014823027516
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1487115TotalReportableCompFrmRltdOrgs
Total Other Compensation360756TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events161982FundraisingEvents
Related Organizations360000RelatedOrganizations
All Other Contributions668099AllOtherContributions
Total Contributions1190081TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column498607TotalRevenueColumn
Related Or Exempt Function Income498607RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1598277Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1650696Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-52419Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-52419TotalRevenueColumn
Related Or Exempt Function Income-52419RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events235860GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events161982CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses76581FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column159279TotalRevenueColumn
Exclusion$159,279ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1795548TotalRevenueColumn
Related Or Exempt Function Income446188RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$159,279ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total129975Total
Program Services129975ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total357855Total
Program Services35019ProgramServices
Management And General152515ManagementAndGeneral
Fundraising170321Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10605Total
Management And General10605ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total20634Total
Management And General20634ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total40280Total
Program Services40280ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40624Total
Program Services8841ProgramServices
Management And General14979ManagementAndGeneral
Fundraising16804Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7347Total
Management And General7347ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total22Total
Management And General22ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4784Total
Management And General4784ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total187Total
Management And General187ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DESIGNATED DISBURSEMENT4629334614431490
EDUCATION PROGRAMS100558100105453
DUES, BOOKS & SUBSCRIPT22119203411778
MISCELLANEOUS930479451

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1198853Total
Program Services796004ProgramServices
Management And General215273ManagementAndGeneral
Fundraising187576Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1001BOY
EOY1001EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY981649BOY
EOY879813EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY265185BOY
EOY369970EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13058BOY
EOY8643EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31746LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31221LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY713BOY
EOY525EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4563531BOY
EOY5840348EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6026765BOY
EOY7131003EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11851902BOY
EOY14231303EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY66002BOY
EOY63330EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12270BOY
EOY10920EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY47567BOY
EOY46639EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY125839BOY
EOY120889EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY78169BOY
EOY496468EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1686256BOY
EOY2274293EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9961638BOY
EOY11339653EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11726063BOY
EOY14110414EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11851902BOY
EOY14231303EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses596695ReconcilationRevenueExpenses
Reconcilation Other Changes1787656ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4727677CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2417106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1684773CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year751039CurrentTaxYearMinus1Year
Current Tax Year1311397CurrentTaxYear
Total10891992Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4727677CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2417106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1684773CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year751039CurrentTaxYearMinus1Year
Current Tax Year1311397CurrentTaxYear
Total10891992Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total6139361AmountsSubstContributorsTotal
Public Support Total1704752631PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years580383CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years293005CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years392335CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year419219CurrentTaxYearMinus1Year
Current Tax Year498607CurrentTaxYear
Total2183549Total
FieldValueIRS element (for citing)
Total Support13075541TotalSupport
Gross Receipts From Admissions Etc1008380GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.36350PublicSupportPertcentage170
Public Support Pertcent Prior Year0.37500PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5070422BeginningOfYearBalance
Contributions453835Contributions
Investment Earnings Or Losses712526InvestmentEarningsOrLosses
Other Expenditures226047OtherExpenditures
End Of Year Balance6010736EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5086119BeginningOfYearBalance
Contributions228603Contributions
Investment Earnings Or Losses-102103InvestmentEarningsOrLosses
Other Expenditures142197OtherExpenditures
End Of Year Balance5070422EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4576716BeginningOfYearBalance
Contributions265279Contributions
Investment Earnings Or Losses395325InvestmentEarningsOrLosses
Other Expenditures151201OtherExpenditures
End Of Year Balance5086119EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4202552BeginningOfYearBalance
Contributions466673Contributions
Investment Earnings Or Losses45208InvestmentEarningsOrLosses
Grants Or Scholarships41016GrantsOrScholarships
Other Expenditures96701OtherExpenditures
End Of Year Balance4576716EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31746OtherCostOrOtherBasis
Depreciation31221Depreciation
Book Value525BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings525TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
ACCRUED INVESTMENT INCOME11066
CHARITABLE REMAINDER TRUST347374
BENEFICIAL INTEREST IN TRUST6772563
FieldValueIRS element (for citing)
Total Book Value Other Assets7131003TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO SVHCDescription
Amount$46,639Amount
FieldValueIRS element (for citing)
Total Of Amounts46639TotalOfAmounts
Total Revenue1795548TotalRevenue
Total Expenses1198853TotalExpenses
Excess Or Deficit For Year596695ExcessOrDeficitForYear
Net Unrealized GL On Investments682549NetUnrealizedGLOnInvestments
Other$1,105,107OtherAmount
Total Adjustments1787656TotalAdjustments
Excess Or Deficit Per FS2384351ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3594977TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments682549NetUnrealizedGainsInvestments
Other Revenues1105107OtherRevenues
Revenue Not Rptd F9901787656RevenueNotRptdF990
Revenue Subtotal1807321RevenueSubtotal
Investment Expenses Not Included20634InvestmentExpensesNotIncluded
Other Revenues Not Included-32407OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-11773RevenueNotRptdOnFinStmt
Total Revenue Per Form9901795548TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1210626TotExpensesEtcAuditedFinclStmt
Other Expenses Included32407OtherExpensesIncluded
Expenses Not Rptd F99032407ExpensesNotRptdF990
Expenses Subtotal1178219ExpensesSubtotal
Investment Expenses Not Included220634InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt20634ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901198853TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE GIFT IS ADDED TO THE FUND. ALL ENDOWMENTS ACCEPTED SUPPORT THE MISSION OF THE STORMONT-VAIL FOUNDATION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE FOUNDATION'S POLICY IS TO EVALUATE UNCERTAIN TAX POSITIONS ANNUALLY. MANAGEMENT EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAD TAKEN NO UNCERTAIN TAX POSITION THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 1,105,107.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 1,105,107.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -32,407.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISNG EXPENSES 32,407.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BIG HEARTS GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1165490GrossReceiptsEvent1
Gross Revenue Event1165490GrossRevenueEvent1
Non Cash Prizes Event116126NonCashPrizesEvent1
Rent Facility Costs Event111246RentFacilityCostsEvent1
Food And Beverage Event114392FoodAndBeverageEvent1
Other Direct Expenses Event11658OtherDirectExpensesEvent1
Name Of Event2FRIENDS OF CARE LINENameOfEvent2
Gross Receipts Event2213002GrossReceiptsEvent2
Charitable Contributions Event2161982CharitableContributionsEvent2
Gross Revenue Event251020GrossRevenueEvent2
Non Cash Prizes Event23792NonCashPrizesEvent2
Food And Beverage Event21208FoodAndBeverageEvent2
Other Direct Expenses Event27685OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events19350GrossReceiptsOtherEvents
Gross Revenue Other Events19350GrossRevenueOtherEvents
Rent Facility Costs Other Events5000RentFacilityCostsOtherEvents
Food And Beverage Other Events10224FoodAndBeverageOtherEvents
Other Direct Expenses Other Events5250OtherDirectExpensesOtherEvents
Gross Receipts Total397842GrossReceiptsTotal
Charitable Contributions Total161982CharitableContributionsTotal
Gross Revenue Total Events235860GrossRevenueTotalEvents
Non Cash Prizes Total Events19918NonCashPrizesTotalEvents
Rent Facility Costs Total Events16246RentFacilityCostsTotalEvents
Food And Beverage Total Events25824FoodAndBeverageTotalEvents
Other Direct Expenses Total Events14593OtherDirectExpensesTotalEvents
Direct Expense Summary Events76581DirectExpenseSummaryEvents
Net Income Summary159279NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1BAKER UNIVERSITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 65AddressLine1
CityBALDWIN CITYCity
StateKSState
ZIP Code66006ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient480543766EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant124275AmountOfCashGrant
Purpose Of GrantFUND NURSING SCHOLARSHIPSPurposeOfGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: FOR SCHOLARSHIPS REPORTED IN PART II OF THIS SCHEDULE, THE FOUNDATION PROVIDES SCHOLARSHIP FUNDING TO BAKER UNIVERSITY FOR SCHOLARSHIPS GRANTED TO STUDENTS OF THE SCHOOL OF NURSING PROGRAM WHICH OFFERS A BACHELOR OF SCIENCE IN NURSING DEGREE. THE SCHOOL IS OWNED BY STORMONT-VAIL HEALTHCARE, INC. BAKER UNIVERSITY CONFERS DEGREES AND MANAGES ADMISSIONS, SCHOLARSHIPS, AND ACADEMIC AFFAIRS. THE FOUNDATION RECEIVED DETAILED REPORTS LISTING SCHOLARSHIP RECIPIENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KEN STONE
0134818068970441024693020216018706500
KEVIN HAN
025959001867403153010729803502039221700
MAYNARD OLIVERIUS
0661136023934701482901624050151260109284300
DONALD SCHEPKER
01280560176090256502457502941017574600

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationMAYNARD OLIVERIUS 457(F) $161,405 KEVIN HAN 457(F) $20,352Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6STORMONT-VAIL HEALTHCARE, INC. IS THE SOLE VOTING MEMBER OF THE STORMONT-VAIL FOUNDATION. STORMONT-VAIL HEALTHCARE, INC. IS A 501(C)(3) EXEMPT NON-PROFIT HEALTH CARE PROVIDER WITH NUMEROUS LOCATIONS IN AND THROUGHOUT TOPEKA AND NORTHEAST KANSAS.
FORM 990, PART VI, SECTION A, LINE 7ATHE TRUSTEES ARE ELECTED BY THE VOTING MEMBER OF THE FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 11THE PRESIDENT AND THE TREASURER FURNISH A DRAFT OF FORM 990 TO THE FOUNDATION'S FINANCE COMMITTEE FOR A MEETING AT WHICH THE REPORT IS DISCUSSED. THE FINANCE COMMITTEE'S FEEDBACK IS CONSIDERED AND FURTHER DISCUSSED WITH THE PAID PREPARER AS THE BASIS OF MODIFICATIONS, AS APPROPRIATE, IN THE FINAL VERSION OF FORM 990 FOR FILING. THE FINAL, FILED VERSION IS MADE AVAILABLE TO THE BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE BOARD'S FOUNDATION RELATIONS COMMITTEE REVIEWS CONFLICTS OF INTEREST AND CONFIDENTIALITY STATEMENTS, AND CODE OF CONDUCT CERTIFICATIONS FOR ALL BOARD MEMBERS AND OFFICERS.
FORM 990, PART VI, SECTION B, LINE 15ALTHOUGH THE PRESIDENT AND EXECUTIVE DIRECTOR OF THE STORMONT-VAIL FOUNDATION IS NOT AN EMPLOYEE OF THE STORMONT-VAIL FOUNDATION, THE COMPENSATION OF THAT POSITION IS DETERMINED AS FOLLOWS: THE COMPENSATION COMMITTEE OF STORMONT-VAIL HEALTHCARE (COMPRISED OF THE TWO SENIOR VICE PRESIDENTS, ALL THE VICE PRESIDENTS, AND THE DIRECTORS OF COMPENSATION/BENEFITS AND FINANCE) REVIEW NATIONAL SURVEY DATA FOR THIS POSITION AND PROPOSE A PAY RANGE FOR THE POSITION. THE PRESIDENT AND CEO OF STORMONT-VAIL ALONG WITH THE CHAIR OF THE STORMONT-VAIL FOUNDATION BOARD REVIEWS THE FOUNDATION PRESIDENT AND EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION IS DETERMINED BY THAT REVIEW. COMPENSATION FOR OTHER PERSONS, WHOSE COMPENSATION IS DISCLOSED IN THIS FORM 990 AND SCHEDULE J, IS DETERMINED BY STORMONT-VAIL HEALTHCARE, INC. BOARD OF DIRECTORS, OFFICERS, MANAGEMENT AND/OR IN ACCORDANCE WITH ESTABLISHED POLICIES AND PRACTICES OF HEALTHCARE. ADDITIONAL INFORMATION MAY BE AVAILABLE ON SCHEDULE O FOR STORMONT-VAIL HEALTHCARE, INC.'S FORM 990.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. THE FOUNDATION INCLUDES A COPY OF ITS AUDITED FINANCIAL STATEMENTS WITH ITS ANNUAL FORM SC FILED WITH THE KANSAS SECRETARY OF STATE. A CONDENSED BALANCE SHEET AND REVENUE AND EXPENSE STATEMENT IS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 682,549. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 1,105,107. TOTAL TO FORM 990, PART XI, LINE 5: 1,787,656.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XII, LINE 2CNO CHANGE FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11500 SW 10TH STAddressLine1
CityTOPEKACity
StateKSState
ZIP Code666041353ZIPCode
FieldValueIRS element (for citing)
EIN480543789EIN
Primary ActivitiesPROVIDES HEALTH AND MEDICAL SERVICESPrimaryActivities
Legal Domicile StateKSLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)(III)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
STORMONT-VAIL HEALTHCARE INC
C360000
STORMONT-VAIL HEALTHCARE INC
N322836
STORMONT-VAIL HEALTHCARE INC
Q295800

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