STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

STORMONT-VAIL HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
STORMONT-VAIL HEALTHCARE INC (EIN 48-0543789)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-17
IRS object ID
202042309349300134
Schema version
2018v3.3
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)
Return2020-08-17T08:51:39-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480543789EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ROBERT LANGLANDInCareOfNm
Business Name ControlSTORBusinessNameControlTxt
Phone7853546000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT LANGLANDPersonNm
Person TitleSR VP AND CFOPersonTitleTxt
Phone7853546000PhoneNum
Signature2020-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael J EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
Preparation2020-08-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43372220202305000006FederalOriginalSubmissionId
Federal Original Submission Id2020-08-17FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4FF701660D093BB059534A9D2307DE1523344BB3AtSubmissionCreationDeviceId
At Submission Filing Device Id355CC2E4B6E27E32DAADC48E1CA8D97843AD7DA8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT KENAGYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$768,362,871GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STORMONTVAIL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1894FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionWORKING TOGETHER TO IMPROVE THE HEALTHCARE OF OUR COMMUNITY BY PROVIDING QUALITY SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAYActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee5944TotalEmployeeCnt
Total Volunteers500TotalVolunteersCnt
Total Gross UBI$136,296TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$8,983NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$737,840PYContributionsGrantsAmt
CY Contributions Grants$732,057CYContributionsGrantsAmt
PY Program Service Revenue$766,348,331PYProgramServiceRevenueAmt
CY Program Service Revenue$754,374,713CYProgramServiceRevenueAmt
PY Investment Income$48,893,893PYInvestmentIncomeAmt
CY Investment Income$4,794,185CYInvestmentIncomeAmt
PY Other Revenue$6,951,226PYOtherRevenueAmt
CY Other Revenue$8,109,675CYOtherRevenueAmt
PY Total Revenue$822,931,290PYTotalRevenueAmt
CY Total Revenue$768,010,630CYTotalRevenueAmt
PY Grants And Similar Paid$656,844PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$943,489CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$438,054,113PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$447,273,608CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$296,363,271PYOtherExpensesAmt
CY Other Expenses$285,774,858CYOtherExpensesAmt
PY Total Expenses$735,074,228PYTotalExpensesAmt
CY Total Expenses$733,991,955CYTotalExpensesAmt
PY Revenues Less Expenses$87,857,062PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$34,018,675CYRevenuesLessExpensesAmt
Total Assets BOY$822,944,546TotalAssetsBOYAmt
Total Assets EOY$834,176,342TotalAssetsEOYAmt
Total Liabilities BOY$327,499,987TotalLiabilitiesBOYAmt
Total Liabilities EOY$367,307,784TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$495,444,559NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$466,868,558NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWORKING TOGETHER TO IMPROVE THE HEALTH CARE OF OUR COMMUNITY BY PROVIDING QUALITY SERVICES REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$637,751,030ExpenseAmt
Grant$943,489GrantAmt
Revenue$754,238,417RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$637,751,030TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document216IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5944EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonROBERT LANGLANDPersonNm
Phone7853546000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66604ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAMELA JOHNSON-BETTS
DIRECTOR3.00.0Yes (X)$0$0$0
DEBRA CLAYTON
DIRECTOR3.00.0Yes (X)$0$0$0
BRENDA SUE MILLS
DIRECTOR3.00.0Yes (X)$0$0$0
JAMES PARRISH
DIRECTOR/SECRETARY3.00.0Yes (X)$0$0$0Yes (X)
JAMES R SCHMANK
DIRECTOR/VICE CHAIR3.00.0Yes (X)$0$0$0Yes (X)
SUEANN V SCHULTZ
DIRECTOR3.00.0Yes (X)$0$0$0
RICK WIENCKOWSKI
DIRECTOR/CHAIRMAN3.00.0Yes (X)$0$0$0Yes (X)
ROBERT KENAGY
PRESIDENT CEO50.01.0Yes (X)$648,166$0$115,421Yes (X)
RANDALL PETERSON
PRESIDENT CEO (Retired 3/2019)50.01.0Yes (X)$945,425$0$170,952Yes (X)
MARK KNACKENDOFFEL
DIRECTOR3.00.0Yes (X)$0$0$0
ROBERT ST PETER
DIRECTOR3.00.0Yes (X)$0$0$0
ALONZO HARRISON
DIRECTOR3.00.0Yes (X)$0$0$0
AILEEN MCCARTHY
DIRECTOR/PHYSICIAN50.00.0Yes (X)$264,302$0$24,876
MARSHA POPE
DIRECTOR3.00.0Yes (X)$0$0$0
MARK RUELLE
DIRECTOR3.00.0Yes (X)$0$0$0
KEVIN DISHMAN
DIRECTOR50.00.0Yes (X)$902,166$0$66,867
ROBERT O LANGLAND
VICE PRESIDENT/CFO50.01.0$370,710$0$59,035Yes (X)
JUDY CORZINE
VP & CHIEF INFORMATION OFFICER50.00.0$330,289$0$34,306Yes (X)
DAVID CUNNINGHAM
VP & FACILITIES OFFICER50.01.0$279,170$0$76,834Yes (X)
SRIDEVI DONEPUDI
SVP & CHIEF MEDICAL QUUALITY O50.00.0$305,024$0$63,011Yes (X)
CLIFTON JONES
VP & PHYSICIAN50.00.0$346,181$0$60,605Yes (X)
AMY KINCADE
VP POPULATION HEALTH50.00.0$211,453$0$43,217Yes (X)
MICHAEL KONGS
DIRECTOR FINANCIAL MANAGEMENT50.01.0$213,086$0$41,124Yes (X)
SALAH NAJM
VP ACUTE CARE & PHYSICIAN50.00.0$946,386$0$43,712Yes (X)
TRACY O'ROURKE
SVP & CHIEF ADMINISTRATIVE OFF50.00.0$324,386$0$82,538Yes (X)
CAROL PERRY
SVP & CHIEF NURSING OFFICER50.00.0$358,946$0$73,912Yes (X)
WILLIAM SACHS
VP SURGICAL SERVICES & PHYSICI50.00.0$960,386$0$73,795Yes (X)
JANET STANEK
SR VP RETIRED50.01.0$479,552$0$98,072Yes (X)
DARLENE STONE
SVP & CHIEF EXPERIENCE OFFICER50.01.0$305,055$0$81,261Yes (X)
ERIC VOTH
VP PRIMARY CARE & PHYSICIAN50.00.0$435,196$0$89,544Yes (X)
DEBRA YOCUM
VP CLINIC OPERATIONS50.00.0$346,131$0$69,644Yes (X)
MATTHEW WILLS
PHYSICIAN50.00.0$1,324,531$0$37,413Yes (X)
PETER TUTUSKA
PHYSICIAN50.00.0$1,151,419$0$34,863Yes (X)
NASON LUI
PHYSICIAN50.00.0$1,147,185$0$44,527Yes (X)
BENJAMIN BOUDREAUX
PHYSICIAN50.00.0$1,189,338$0$50,362Yes (X)
TEWODROS ADDISSE
PHYSICIAN50.00.0$1,229,842$0$22,810Yes (X)
KEVIN HAN
VP RETIRED0.00.0$303,313$0$11,067Yes (X)
DOUGLAS ROSE
VP RETIRED0.00.0$820,670$0$3,153Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$16,138,308TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,572,921TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K613IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SODEXO INC AFFILIATES
PO BOX 360170PITTSBURGPA152516170DIETARY SERVICES$2,590,199
ANESTHESIA ASSOCIATES
823 SW MULVANE SUITE 2ATOPEKAKS66606PHYSICIAN SERVICES$2,538,073
MCELROYS INC
PO BOX 5188TOPEKAKS66605BUILDING CONTRACTORS$1,859,183
RADIOLOGY NUCLEAR MEDICINE LLC
PO BOX 2312WICHITAKS67201PHYSICIAN SERVICES$1,418,450
LABORATORY CORP OF AMERICA
PO BOX 12140BURLINGTONNC27216LABORATORY SERVICES$1,386,760
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K61CntrctRcvdGreaterThan100KCnt
Related Organizations$599,857RelatedOrganizationsAmt
All Other Contributions$132,200AllOtherContributionsAmt
Noncash Contributions$125,414NoncashContributionsAmt
Total Contributions$732,057TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621300$747,440,249$747,440,249
PHARMACY621910$1,817,108$1,680,812$136,296
NUTRITIONAL SERVICES621300$1,800,647$1,800,647
EDUCATION SERVICES/SCHOOL OF NURS621300$2,275,126$2,275,126
OTHER SERVICE REVENUE621300$1,041,583$1,041,583
FieldValueIRS element (for citing)
Total Program Service Revenue$754,374,713TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,102,642TotalRevenueColumnAmt
Exclusion$3,102,642ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$493,851RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$493,851RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$493,851TotalRevenueColumnAmt
Exclusion$493,851ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,043,784SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$352,241OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,043,784SecuritiesAmt
Other-$352,241OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,691,543TotalRevenueColumnAmt
Exclusion$1,691,543ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
EARNINGS - EQUITY INVESTEES900099$6,419,061$6,419,061
MISCELLANEOUS INCOME900099$1,196,763$1,196,763
FieldValueIRS element (for citing)
Other Revenue Total$7,615,824OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$768,010,630TotalRevenueColumnAmt
Related Or Exempt Func Income$754,238,417RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$136,296UnrelatedBusinessRevenueAmt
Exclusion$12,903,860ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$943,489TotalAmt
Program Services$943,489ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,875,381TotalAmt
Program Services$9,548,338ProgramServicesAmt
Management And General$1,327,043ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$56,301TotalAmt
Management And General$56,301ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$368,931,181TotalAmt
Program Services$323,948,533ProgramServicesAmt
Management And General$44,982,648ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,820,866TotalAmt
Program Services$11,306,839ProgramServicesAmt
Management And General$3,514,027ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,381,409TotalAmt
Program Services$26,714,263ProgramServicesAmt
Management And General$4,667,146ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,208,470TotalAmt
Program Services$18,006,273ProgramServicesAmt
Management And General$3,202,197ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$740,827TotalAmt
Program Services$565,177ProgramServicesAmt
Management And General$175,650ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$625,584TotalAmt
Management And General$625,584ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$189,230TotalAmt
Management And General$189,230ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$693,377TotalAmt
Management And General$693,377ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,333,969TotalAmt
Program Services$16,518,322ProgramServicesAmt
Management And General$3,815,647ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$925,028TotalAmt
Program Services$7,991ProgramServicesAmt
Management And General$917,037ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,971,202TotalAmt
Program Services$5,723,882ProgramServicesAmt
Management And General$2,247,320ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,414,674TotalAmt
Program Services$10,041,672ProgramServicesAmt
Management And General$4,373,002ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,909,716TotalAmt
Program Services$9,313,278ProgramServicesAmt
Management And General$1,596,438ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$621,666TotalAmt
Program Services$271,553ProgramServicesAmt
Management And General$350,113ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$143,579TotalAmt
Program Services$65,616ProgramServicesAmt
Management And General$77,963ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,194,390TotalAmt
Program Services$4,725,700ProgramServicesAmt
Management And General$1,468,690ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,526,371TotalAmt
Program Services$19,111,053ProgramServicesAmt
Management And General$4,415,318ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,563,166TotalAmt
Program Services$8,112,480ProgramServicesAmt
Management And General$1,450,686ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$129,598,522$128,513,308$1,085,214
Repairs & Maintenance$9,528,290$7,260,622$2,267,668
Nutrition & Food Service$2,054,582$1,460,593$593,989
Bad Debt Expense$27,988,058$27,988,058

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,752,627TotalAmt
Program Services$7,603,990ProgramServicesAmt
Management And General$12,148,637ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$733,991,955TotalAmt
Program Services$637,751,030ProgramServicesAmt
Management And General$96,240,925ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$102,897,560BOYAmt
EOY$111,048,991EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$497,295BOYAmt
EOY$1,246,770EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$93,945,103BOYAmt
EOY$90,824,227EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,503,740BOYAmt
EOY$11,537,573EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,766,507BOYAmt
EOY$8,538,330EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$514,013,010LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$283,504,691LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$231,364,631BOYAmt
EOY$230,508,319EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$180,768,403BOYAmt
EOY$177,433,405EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$184,531,553BOYAmt
EOY$192,716,041EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,036,086BOYAmt
EOY$3,372,387EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,633,668BOYAmt
EOY$6,950,299EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$822,944,546BOYAmt
EOY$834,176,342EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$84,837,513BOYAmt
EOY$84,158,814EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$181,324,608BOYAmt
EOY$173,561,838EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,250,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,337,866BOYAmt
EOY$107,337,132EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$327,499,987BOYAmt
EOY$367,307,784EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$494,331,579BOYAmt
EOY$465,795,277EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$980,121BOYAmt
EOY$940,422EOYAmt

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$495,444,559BOYAmt
EOY$466,868,558EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$822,944,546BOYAmt
EOY$834,176,342EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$34,018,675ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,406,638NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$69,001,314OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$23,098GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$2,926DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$26,024TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-BFormAndLineReferenceDesc
ExplanationTHE GRANTS TO ORGANIZATIONS FOR LOBBYING REPRESENTS THAT A PORTION OF HOSPITAL ASSOCIATION DUES WHICH ARE ATTRIBUTED TO LOBBYING AND ADVOCACY ACTIVITIES. DIRECT ACTIVITIES ENTAIL THE CEO'S OCCASIONAL INTERACTION WITH LEGISLATORS REGARDING BILLS THAT WOULD AFFECT THE ORGANIZATION OR HEALTHCARE INDUSTRY.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$274,250BeginningYearBalanceAmt
Investment Earnings Or Losses$18,160InvestmentEarningsOrLossesAmt
End Year Balance$292,410EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$276,921BeginningYearBalanceAmt
Investment Earnings Or Losses-$2,671InvestmentEarningsOrLossesAmt
End Year Balance$274,250EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$276,224BeginningYearBalanceAmt
Investment Earnings Or Losses$697InvestmentEarningsOrLossesAmt
End Year Balance$276,921EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$266,314BeginningYearBalanceAmt
Investment Earnings Or Losses$9,910InvestmentEarningsOrLossesAmt
End Year Balance$276,224EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$258,083BeginningYearBalanceAmt
Investment Earnings Or Losses$8,231InvestmentEarningsOrLossesAmt
End Year Balance$266,314EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,105,670OtherCostOrOtherBasisAmt
Book Value$21,105,670BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$306,481,117OtherCostOrOtherBasisAmt
Depreciation$127,601,602DepreciationAmt
Book Value$178,879,515BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$182,044,762OtherCostOrOtherBasisAmt
Depreciation$155,903,089DepreciationAmt
Book Value$26,141,673BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,381,461OtherCostOrOtherBasisAmt
Book Value$4,381,461BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$230,508,319TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$25,925,102BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescALTERNATIVE INVESTMENTSDesc
Book Value$166,790,939BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$192,716,041TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Accrued Pension Obligation$104,601,831
Due to Related Parties$2,290,142
2016 Bonds Interest Payable$445,159
FieldValueIRS element (for citing)
Total Liability$107,337,132TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$770,603,173TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$6,406,638NetUnrealizedGainsInvstAmt
Other Revenue$24,867,340OtherRevenueAmt
Revenue Not Reported$31,273,978RevenueNotReportedAmt
Revenue Subtotal$739,329,195RevenueSubtotalAmt
Investment Expenses Not Incld$693,377InvestmentExpensesNotIncldAmt
Other Revenues Not Included$27,988,058OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$28,681,435RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$768,010,630TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$725,488,082TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$20,177,563OtherExpensesIncludedAmt
Expenses Not Reported$20,177,563ExpensesNotReportedAmt
Expenses Subtotal$705,310,519ExpensesSubtotalAmt
Investment Expenses Not Incld2$693,377InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$27,988,059OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$28,681,436ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$733,991,955TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE GIFT IS ADDED TO THE FUND.
SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DRELATED ORGANIZATION REVENUE $ 31,305,273 ELIMINATIONS (6,437,933) ------------- $ 24,867,340
SCHEDULE D, PART XI, LINE 4BBAD DEBT EXPENSE $27,988,058
SCHEDULE D, PART XII, LINE 2DRELATED ORGANIZATION EXPENSES $ 23,942,703 ELIMINATIONS (3,765,140) ------------- $ 20,177,563
SCHEDULE D, PART XII, LINE 4BBAD DEBT EXPENSE $27,988,058

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$604,160RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$604,160SubtotalSpentAmt
Total Spent$604,160TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3 COLUMN FFormAndLineReferenceDesc
ExplanationTHE ACCRUAL METHOD OF ACCOUNTING IS USED TO REPORT THE AMOUNT OF THE PASSIVE FOREIGN INVESTMENTS IN COLUMN F.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,440,021TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,440,021NetCommunityBenefitExpnsAmt
Total Expense0.02610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,315,638TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,447,690DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,867,948NetCommunityBenefitExpnsAmt
Total Expense0.03520TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,755,659TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,447,690DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,307,969NetCommunityBenefitExpnsAmt
Total Expense0.06130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,232,330TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$177,571DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,054,759NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,035,023TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,311,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,723,860NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,674,548TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,142,814DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,531,734NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,800TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,800NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,950,701TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,631,548DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,319,153NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$104,706,360TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,079,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,627,122NetCommunityBenefitExpnsAmt
Total Expense0.06880TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$27,988,058BadDebtExpenseAmt
Reimbursed By Medicare$256,182,038ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$331,541,470CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$75,359,432MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66604ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STORMONTVAIL.ORGWebsiteAddressTxt
State LicenseH-089-003StateLicenseNum
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 HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3JTHE SHAWNEE COUNTY HEALTH NEEDS ASSESSMENT IDENTIFIED 14 HEALTH ISSUES THE HEALTHCARE COMMUNITY SHOULD ADDRESS. THE FINAL REPORT HAS A DETAILED ANALYSIS OF EACH ISSUE THAT INCLUDES: DATA SOURCES, SHAWNEE COUNTY'S CURRENT PERFORMANCE, DISCUSSION OF THE ISSUE AND BARRIERS TO OVERCOME AND HEALTHY PEOPLE 2020 TARGETS.
SCHEDULE H, PART V, SECTION B, LINE 5SINCE THE DEVELOPMENT OF THE 2015 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), HEARTLAND HEALTHY NEIGHBORHOODS (HHN) HAS LED THE CHIP EFFORTS FOR TOPEKA AND SHAWNEE COUNTY. THE CHIP STEERING COMMITTEE, CONSISTING OF HHN'S CURRENT CHAIR, VICE-CHAIR, IMMEDIATE PAST CHAIR, SHAWNEE COUNTY HEALTH DEPARTMENT'S COMMUNITY HEALTH PLANNER AND THE DIRECTOR OF STRATEGY AND BUSINESS DEVELOPMENT FOR STORMONT VAIL HEALTH, HAS SPEARHEADED THE DEVELOPMENT PROCESS OF THIS MOST RECENT CHIP WITH ASSISTANCE FROM HHN WORKGROUPS, COMMUNITY ORGANIZATIONS, AND TWO CONSULTANTS FROM THE KANSAS HEALTH INSTITUTE. FOR THE CURRENT ROUND OF COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLANNING, A CONSULTANT (VVV CONSULTANTS LLC), WAS HIRED BY STORMONT VAIL HEALTH TO CONDUCT THE CHNA. THE CHNA PROCESS CONSISTED OF: 1) A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COMMUNITY SURVEY, WHICH WAS DISTRIBUTED IN THE SUMMER OF 2018. 2) COMPILATION OF SECONDARY DATA OF HEALTH OUTCOMES AND HEALTHCARE DELIVERY SERVICES IN THE COUNTY, INCLUDING COUNTY HEALTH RANKINGS AND OTHER MEASURES OF MORBIDITY AND MORTALITY. AS OF APRIL 2019, SHAWNEE COUNTY IS RANKED 59TH FOR HEALTH FACTORS, AND 79TH FOR HEALTH OUTCOMES OUT OF 102 RANKED COUNTIES IN KANSAS. YEARS OF POTENTIAL LIFE LOST (YPLL) FROM MORTALITY DUE TO CHRONIC DISEASES, DRUG OVERDOSES AND SUICIDE, IS A MEASURE FROM THE COUNTY HEALTH RANKINGS THAT CONTRIBUTES MOST TO LOWERING SHAWNEE COUNTY'S RANKING. 3) TOWN HALL MEETINGS ACROSS THE COUNTY TO PRESENT AND DISCUSS THE SURVEY AND DATA. DURING THE TOWN HALLS, PARTICIPANTS WERE GIVEN THE CHANCE TO PROVIDE INPUT ON WHAT THEY PERCEIVED TO BE THE TOP HEALTH ISSUES FOR SHAWNEE COUNTY. THAT LIST OF ISSUES IS WHAT WAS USED FOR CHIP PRIORITIZATION. A LIST OF THE TOP ISSUES FROM THE CHNA COMMUNITY SURVEY AND THE LIST OF TOP ISSUES FROM THE TOWN HALL MEETINGS WERE COMBINED AND USED FOR PRIORITIZATION OF ISSUES FOR THE CHIP. THE TOP ISSUES FROM THE CHNA SURVEY AND CHNA TOWN HALL MEETINGS WERE EVALUATED AGAINST THE FOLLOWING CRITERIA: - SERIOUSNESS - HOW MUCH OF AN IMPACT DOES THE POTENTIAL PRIORITY AREA HAVE ON THE MORBIDITY, MORTALITY AND QUALITY OF LIFE IN THE COMMUNITY? - FEASIBILITY - HOW LIKELY IS IT THAT THE CHIP CAN HAVE AN IMPACT ON THE POTENTIAL PRIORITY AREA? - ALIGNMENT - HOW WELL DOES THE POTENTIAL PRIORITY AREA SUPPORT OTHER EFFORTS IN THE COMMUNITY? - MEASURABILITY - IS IT POSSIBLE TO MEASURE PROGRESS IN THE POTENTIAL PRIORITY AREA? - CONCERN - WHAT IS THE LEVEL OF CONCERN IN THE COMMUNITY REGARDING THE POTENTIAL PRIORITY AREA? PARTICIPANTS AT TWO COMMUNITY MEETINGS, HELD ON MARCH 29, 2019, AND APRIL 8, 2019, REPRESENTING OVER 100 COMMUNITY VOICES, COMPLETED THE PRIORITIZATION PROCESS. FOR EACH ISSUE IN THE LIST, THEY WERE INSTRUCTED TO JUDGE THE ISSUE AGAINST THE FIVE CRITERIA AND RATE THE ISSUE FROM 1 (LOWEST) TO 5 (HIGHEST) FOR EACH OF THE CRITERIA. USING THE RESULTS FROM THE PRIORITIZATION PROCESS, FOUR ISSUES ROSE TO THE TOP AS PRIORITIES TO FOCUS ON DURING THE CHIP PROCESS. THE CHIP STEERING COMMITTEE SUMMARIZED THESE TOP PRIORITIES INTO THE FOLLOWING FOUR PRIORITY AREAS: 1. BEHAVIORAL HEALTH 2. ACCESS TO FOOD 3. SUBSTANCE USE 4. HEALTH EQUITY CHIP WORKGROUPS FOR EACH PRIORITY AREA WERE CREATED FROM EXISTING AND NEWLY-FORMED HHN WORKGROUPS, COMMUNITY ORGANIZATIONS, AND OTHER STAKEHOLDERS. A SCHEMATIC DIAGRAM OF THE WORKGROUPSINVOLVED IN EACH PRIORITY AREA CAN BE FOUND IN APPENDIX E. THIS CHIP AIMS TO INCREASE COMMUNITY CAPACITY BY REMOVING BARRIERS FOR COLLABORATION. BY COLLABORATING WITH EXISTING ORGANIZATIONS, HHN LEADERSHIP ALSO AIMS TO BUILD COMMUNITY CAPACITY AND SUSTAINABILITY OF CHIP EFFORTS. THE CHIP STEERING COMMITTEE DEVELOPED THE GOALS UNDER EACH PRIORITY AREA AND SOUGHT FEEDBACK FROM THE HHN WORKGROUPS AND OTHER COMMUNITY PARTNERS ON THE CONTENT OF THESE PRIORITY AREAS AND GOALS. OBJECTIVES FOR EACH PRIORITY AREA WERE DRAFTED BY THE CHIP STEERING COMMITTEE AND REFINED BASED ON FEEDBACK FROM THE CHIP WORKGROUPS AND PARTNERING COMMUNITY ORGANIZATIONS. TARGETS FOR THE OUTCOMEOBJECTIVES WERE DETERMINED BY EXAMINING SHAWNEE COUNTY DATA TRENDS OVER TIME IN ORDER TO CREATE FEASIBLE OUTCOME OBJECTIVES WITHIN THE GIVEN TIMEFRAME. THE DEGREE OF CHANGE FROM YEAR-TO-YEAR WAS USED TO ESTABLISH A REASONABLE MEASURE OF CHANGE BY THE YEAR 2022. ADDITIONALLY, THE GROUP CONSIDERED THAT HEALTHY PEOPLE 2020 (HP 2020) OBJECTIVES TYPICALLY AIM FOR A 10 PERCENT IMPROVEMENT OVER THE COURSE OF 10 YEARS. BECAUSE THIS CHIP COVERS A SPAN OF THREE YEARS, EXPECTATIONS WERE ADJUSTED ACCORDINGLY. THE BENCHMARKING AGAINST HP 2020 TARGETS PROVIDED A GENERAL ESTIMATE, WHILE THE TREND ANALYSIS (IF AVAILABLE) PROVIDED MORE SPECIFICITY TO THE LOCAL MEASURES AND CHANGES OVER TIME.ONCE THE PRIORITY AREAS, GOALS AND OBJECTIVES WERE FINALIZED, INTERVENTIONS AND ACTIVITIES TO BE UNDERTAKEN WERE DEVELOPED BY THE WORKGROUPS AND PARTNERING ORGANIZATIONS FOR EACH PRIORITY AREA, INCONSULTATION WITH THE CHIP STEERING COMMITTEE. THE INTERVENTIONS CHOSEN TO ACHIEVE THE OBJECTIVES IN THIS CHIP ADDRESS AREAS OF BOTH MIDSTREAM AND UPSTREAM HEALTH, AND WILL CONTINUE TO EVOLVE AND EMERGE IN ACCORDANCE WITH THE COMMUNITY CONTEXT IN PREPARATION FOR THE CHIPS IMPLEMENTATION. ADDITIONALLY, THE CHIP INCLUDES INTERVENTIONS THAT ADDRESS BOTH INDIVIDUAL SOCIAL NEEDS, AS WELL AS IMPROVING COMMUNITY CONDITIONS THAT WILL SUPPORT HEALTHIER LIVES FOR ALL SHAWNEE COUNTY RESIDENTS. THROUGHOUT THE DEVELOPMENT OF THE CHIP, THE STEERING COMMITTEE CONSIDERED UPSTREAM SOLUTIONS THAT ADDRESSED THE SOCIAL DETERMINANTS OF HEALTH AND FOCUSED ON POLICIES, SYSTEMS, AND ENVIRONMENT CHANGES IN EACH OF THE PRIORITY AREAS.
SCHEDULE H, PART V, SECTION B, LINE 6AUNIVERSITY OF KANSAS HOSPITAL SYSTEM - ST. FRANCIS CAMPUS
SCHEDULE H, PART V, SECTION B, LINE 6BTHE FOLLOWING IS A LIST OF PARTNERS AND COMMUNITY ORGANIZATIONS INVOLVED WITH HHN: ADVENTURE DENTAL AND VISION ALDERSGATE VILLAGE AMERICAN HEART ASSOCIATION ANGELS CARE HOME HEALTH AUBURN WASHBURN - USD 437 BAJILLION AGENCY BAKER UNIVERSITY SCHOOL OF NURSING BLUE CROSS AND BLUE SHIELD OF KANSAS BOYS & GIRLS CLUB OF TOPEKA BREAKTHROUGH HOUSE, INC. BREWSTER PLACE CAREGIVERS HOME HEALTH CHILDCARE AWARE OF EASTERN KANSAS CITY OF TOPEKA COMMUNITY ACTION HEAD START COMMUNITY ACTION, INC. COMMUNITY RESOURCES COUNCIL COMMUNITY VOLUNTEERS EL CENTRO OF TOPEKA FAMILY SERVICE & GUIDANCE CENTER FIRST LUTHERAN CHURCH FLORENCE CRITTENTON SERVICES OF TOPEKA, INC. GRACEMED GREATER TOPEKA PARTNERSHIP HARVESTERS HARVESTERS COMMUNITY FOOD NETWORK HEALTHACCESS INTERIM HEALTH CARE J AYHAWK AREA AGENCY ON AGING K-STATE RESEARCH AND EXTENSION KANSAS BREASTFEEDING COALITION, INC. KANSAS CHILDREN'S SERVICE LEAGUE KANSAS DEPARTMENT OF CHILDREN AND FAMILIES KANSAS FOUNDATION FOR MEDICAL CARE, INC. KANSAS HEALTH INSTITUTE KANSAS REHABILITATION HOSPITAL LINCOLN CENTER MIDLAND CARE MIDWEST HEALTH NAMI TOPEKA NEW DAWN WELLNESS AND RECOVERY ONE HEART PROJECT ORAL HEALTH KANSAS POSITIVE CONNECTIONS PREVENTION AND RECOVERY SERVICES, INC. SAFE STREETS SEAMAN USD 345 SHAWNEE COUNTY COMMISSION SHAWNEE COUNTY HEALTH DEPARTMENT SHAWNEE COUNTY PARKS AND RECREATION STORMONT VAIL HEALTH TANGLEWOOD HEALTH & REHABILITATION TARC, INC. TOPEKA AND SHAWNEE COUNTY PUBLIC LIBRARY TOPEKA CHAPTER OF THE LINKS, INC. TOPEKA COMMON GROUND TOPEKA COMMUNITY CYCLE PROJECT TOPEKA COMMUNITY FOUNDATION TOPEKA DOULA PROJECT TOPEKA HOUSING AUTHORITY TOPEKA JUMP TOPEKA KANSAS BLACK NURSES ASSOCIATION TOPEKA METRO TOPEKA METROPOLITAN TRANSIT AUTHORITY TOPEKA POLICE DEPARTMENT TOPEKA PUBLIC SCHOOLS PARENTS AS TEACHERS TOPEKA PUBLIC SCHOOLS USD 501 UNITED WAY OF GREATER TOPEKA VALEO BEHAVIORAL HEALTH CARE WASHBURN UNIVERSITY THE FOLLOWING IS A LIST OF ORGANIZATIONS REPRESENTED IN THE COMMUNITY PRIORITIZATION MEETINGS: ADVISORS EXCEL BAKER SCHOOL OF NURSING BARTLETT AND WEST BLUE CROSS AND BLUE SHIELD OF KANSAS CAPITOL FEDERAL SAVINGS BANK CENTRAL NATIONAL BANK CHAOS LIMITED CIRCLES OF GREATER TOPEKA CITY OF TOPEKA CITY OF TOPEKA POLICE DEPARTMENT CLAYTON WEALTH PARTNERS COMMUNITY ACTION, INC. COMMUNITY MEMBERS CORE FIRST BANK & TRUST COX COMMUNICATIONS EAST TOPEKA SENIOR CENTER EL CENTRO OF TOPEKA FAMILY SERVICE AND GUIDANCE CENTER FLORENCE CRITTENTON SERVICES OF TOPEKA GLASS ASSOCIATION OF NORTH AMERICA GOODELL, STRATTON, EDMONDS & PALMER, LLP GRACEMED GREATER TOPEKA CHAMBER OF COMMERCE GREATER TOPEKA PARTNERSHIP HARVESTERS HEARTLAND VISIONING JOHN B. TURNEY CHARTERED K-STATE RESEARCH AND EXTENSION KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVED KANSAS BUREAU OF INVESTIGATION KANSAS CHILDREN'S SERVICE LEAGUE KANSAS DEPARTMENT FOR AGING DISABILITY SERVICES KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES KANSAS DEPARTMENT OF REVENUE KANSAS HEALTH INSTITUTE KANSAS INDEPENDENT COLLEGE ASSOCIATION KANSAS STATE UNIVERSITY KEARNEY AND ASSOCIATES KUJIMA COLLECTIVE MCPHERSON CONTRACTORS, INC. MIDLAND CARE NEW DAWN WELLNESS AND RECOVERY PARENTS AS TEACHERS PREVENTION AND RECOVERY SERVICES (PARS) SEAMAN USD 345 SECURITY BENEFIT SHAWNEE COUNTY BOARD OF COUNTY COMMISSIONERS SHAWNEE COUNTY DEPARTMENT OF CORRECTIONS SHAWNEE COUNTY HEALTH DEPARTMENT SHAWNEE COUNTY PARKS AND RECREATION SHAWNEE HEIGHTS HIGH SCHOOL SOWARDS GLASS STORMONT VAIL HEALTH SUCCESSFUL CONNECTION (CHILD CARE AWARE) SUPREME COURT OF KANSAS LAW LIBRARY THE VILLAGES INC. TOPEKA AND SHAWNEE COUNTY PUBLIC LIBRARY TOPEKA CAPITAL-JOURNAL TOPEKA COMMUNITY FOUNDATION TOPEKA FIRE DEPARTMENT TOPEKA HOUSING AUTHORITY TOPEKA POLICE DEPARTMENT TOPEKA PUBLIC SCHOOLS UNITED STATES AIR FORCE AIR NATIONAL GUARD 190TH UNITED WAY OF GREATER TOPEKA U.S. BANK VALEO WASHBURN UNIVERSITY WESTAR ENERGY WIBW
SCHEDULE H, PART V, SECTION B, LINE 7A & 7B7A - WWW.STORMONTVAIL.ORG/WP-CONTENT/UPLOADS/2019/10/2020-2022-SNCO-CHIP-9 -30-19.PDF 7B - HTTP://WWW.KANSASHEALTHMATTERS.ORG/RESOURCELIBRARY/INDEX/VIEW?ID=XXX-XX-XXXX
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16CTHE FINANCIAL ASSISTANCE APPLICATION FORM, INSTRUCTIONS AND A PLAIN LANGUAGE SUMMARY CAN BE LOCATED AT: https://www.stormontvail.org/financial-assistance
FieldValueIRS element (for citing)
Facility35FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
COTTON O'NEIL HEART CENTER
929 SW MULVANE STTOPEKAKS66606PHYSICIAN OFFICE
COTTON O'NEIL CANCER CENTER
1414 SW 8TH STREETTOPEKAKS66606CANCER CENTER
COTTON O'NEIL GARFIELD
901 SW GARFIELD STTOPEKAKS66606PHYSICIAN OFFICES
COTTON O'NEIL MULVANE
823 SW MULVANE STTOPEKAKS66606PHYSICIAN OFFICES
STORMONT VAIL BEHAVIORAL HEALTH
3707 SW 6TH STTOPEKAKS66606PSYCHIATRIC SERVICES
COTTON O'NEIL KANZA PARK
2660 SW 3RD STTOPEKAKS66606PHYSICIAN OFFICE
STORMONT VAIL SURGERY CENTER
920 SW LANETOPEKAKS66606SURGERY CENTER
COTTON O'NEIL DIGESTIVE HEALTH CLINIC
720 SW LANE STTOPEKAKS66606PHYSICIAN OFFICE
STORMONT VAIL OP SURGERY CENTER
2660 SW 3RD STTOPEKAKS66606SURGERY CENTER
COTTON O'NEIL EMPORIA CLINIC
1301 SW 12TH STEMPORIAKS66801PHYSICIAN OFFICE
COTTON O'NEIL MANHATTAN
1133 COLLEGE ST SUITE E-110MANHATTANKS66502PHYSICIAN OFFICE
COTTON O'NEIL DERMATOLOGY CLINIC
6650 SW MISSION VALLEY DRIVETOPEKAKS66614PHYSICIAN OFFICE
COTTON O'NEIL DIABETESENDOCRINOLOGY CTR
3520 SW 6TH AVETOPEKAKS66606PHYSICIAN OFFICE
COTTON O'NEIL NORTH
4505 NW FIELDING ROADTOPEKAKS66618PHYSICIAN OFFICE
COTTON O'NEIL URISH CLINIC
6725 SW 29THTOPEKAKS66614PHYSICIAN OFFICE
COTTON O'NEIL PEDIATRIC
4100 SW 15TH STTOPEKAKS66604PHYSICIAN CLINIC
COTTON O'NEIL CROCO CLINIC
2909 SW WALNUT DRTOPEKAKS66605PHYSICIAN OFFICE
STORMONT VAIL SLEEP CENTER
920 SW WASHBURN STTOPEKAKS66610SLEEP CENTER CLINIC
COTTON O'NEIL CORPORATE VIEW CLINIC
601 CORPORATE VIEW ROADTOPEKAKS66615PHYSICIAN OFFICE
STORMONT VAIL MRI CENTER
830 SW MULVANE STTOPEKAKS66606IMAGING CENTER
COTTON O'NEIL WAMEGO CLINIC
1704 COMMERCIAL CIRCLEWAMEGOKS66547PHYSICIAN OFFICE
COTTON O'NEIL NEUROSPINE CLINIC
2660 SW 3RD STTOPEKAKS66606PHYSICIAN OFFICE
COTTON O'NEIL CARBONDALE CLINIC
211 EAST MAIN STCARBONDALEKS66614PHYSICIAN OFFICE
COTTON O'NEIL OSAGE CITY CLINIC
131 WEST MARKET STOSAGE CITYKS66523PHYSICIAN CLINIC
COTTON O'NEIL CARDIAC THORACIC SURGEONS
830 SW MULVANETOPEKAKS66606PHYSICIAN OFFICE
COTTON O'NEIL GENERAL SURGERY
1516 SW 6TH AVETOPEKAKS66606PHYSICIAN OFFICE
COTTON O'NEIL OSKALOOSA CLINIC
209 W JEFFERSON STOSKALOOSAKS66066PHYSICIAN OFFICE
COTTON O'NEIL NOTO CLINIC
1130 N KANSAS AVETOPEKAKS66608PHYSICIAN CLINIC
COTTON O'NEIL EXPRESS CARE MIDTOWN
909 SW MULVANE STTOPEKAKS66604PHYSICIAN CLINIC
STORMONT VAIL WORK CARE
1504 SW 8TH STTOPEKAKS66606PHYSICIAN OFFICE
STORMONT VAIL PAIN MANAGEMENT CENTER
823 SW MULVANE STTOPEKAKS66606PHYSICIAN OFFICE
COTTON O'NEIL LEBO CLINIC
118 W 4TH STLEBOKS66856PHYSICIAN OFFICE
COTTON O'NEIL MERIDEN CLINIC
407 E WYANDOTTEMERIDENKS66512PHYSICIAN CLINIC
COTTON O'NEIL ROSSVILLE CLINIC
423 MAIN STROSSVILLEKS66533PHYSICIAN CLINIC
COTTON O'NEIL LAWRENCE CLINIC
330 ARKANSASLAWRENCEKS66044PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO.
SCHEDULE H, PART I, LINE 7FTHE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $21,317,341
SCHEDULE H, PART I, LINE 7GSTORMONT VAIL PROVIDES INTERNAL FETAL MEDICINE SERVICES TO THE COMMUNITY. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
SCHEDULE H, PART III, SECTION A, LINE 2THE BAD DEBT EXPENSE AMOUNT IS CALCULATED BY DETERMINING THE AMOUNT OF THE ACCOUNTS THAT WERE WRITTEN OFF AS BAD DEBT NET OF ANY RECOVERIES. A COST TO CHARGE RATIO WAS APPLIED TO THE NET BAD DEBT AMOUNT IN ORDER TO DETERMINE COST. THE AMOUNT WRITTEN OFF AS BAD DEBT HAS BEEN REDUCED BY ANY APPLICABLE DISCOUNTS.
SCHEDULE H, PART III, SECTION A, LINE 3WE ARE NOT AWARE OF ANY PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT WERE CONSIDERED TO BE BAD DEBT.
SCHEDULE H, PART III, SECTION A, LINE 4THE FINANCIAL STATEMENT FOOTNOTE ADDRESSING BAD DEBT EXPENSE IS ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8STORMONT VAIL HEALTHCARE BELIEVES THAT SOME PORTION OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED TO BE A COMMUNITY BENEFIT. STORMONT VAIL PROVIDES MEDICAL CARE TO THE MEMBERS OF THE COMMUNITY, INCLUDING MEDICARE PATIENTS, EVEN IF THE COSTS OF THAT CARE ARE NOT COMPLETELY REIMBURSED. THE HEALTH OF THE COMMUNITY WOULD SUFFER IF STORMONT VAIL DID NOT PROVIDE THESE SERVICES.
SCHEDULE H, PART III, SECTION C, LINE 9BAN ESSENTIAL ELEMENT OF THE MISSION OF STORMONT VAIL HEALTHCARE IS TO BE GOOD FINANCIAL STEWARDS AS WE STRIVE TO IMPROVE THE HEALTHCARE OF OUR COMMUNITY. AS PART OF THAT STEWARDSHIP, WE MUST DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH PATIENTS CAN AFFORD TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE WORK VERY HARD TO MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. OUR REPRESENTATIVES WORK WITH PATIENTS TO TRY TO REACH THE MOST EQUITABLE SOLUTION IN ORDER TO RESOLVE A PATIENT BILL. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.
SCHEDULE H, PART VI, LINE 2IN ADDITION TO THE CHNA, STORMONT VAIL AND STAFF ARE ACTIVE IN THE COMMUNITY. BY DOING SO, STORMONT VAIL IS ABLE TO LEARN ABOUT ISSUES IMPACTING THE COMMUNITY AND CITIZENS.
SCHEDULE H, PART VI, LINE 3STORMONT VAIL WIDELY PUBLICIZES THE FINANCIAL ASSISTANCE PROGRAM BY POSTING INFORMATION ON THE STORMONT VAIL WEBSITE, NOTIFYING AND DISTRIBUTING INFORMATION TO PATIENTS AT ALL REGISTRATION AREAS WHEN THEY PRESENT FOR SERVICE, MAKING INFORMATION AVAILABLE IN REGISTRATION WAITING ROOMS, INCLUDING INFORMATION ON PATIENT BILLING STATEMENTS, MENTIONING THE FAP WHEN DISCUSSING AN INDIVIDUAL'S BILL OVER THE TELEPHONE AND BY PUBLICIZING THE FAP TO COMMUNITY HEALTH CENTERS AND SOCIAL SERVICE AGENCIES. STORMONT VAIL ALSO ASSISTS PATIENTS IN OBTAINING COVERAGE THROUGH GOVERNMENTAL PROGRAMS.
SCHEDULE H, PART VI, LINE 4TOPEKA IS THE MAJOR URBAN CENTER IN SHAWNEE COUNTY. WITH A POPULATION OF 178,406, SHAWNEE COUNTY IS THE THIRD LARGEST COUNTY IN THE STATE. IT IS ONE OF THE FEW URBAN COUNTIES IN KANSAS. THEREFORE, IT IS MORE RACIALLY DIVERSE AND HAS A HIGHER RATE OF POVERTY THAN MOST OF THE STATE. AFRICAN AMERICAN POPULATION IN SHAWNEE COUNTY IS 8.8% VERSUS 6.3% STATEWIDE. HISPANIC OR LATINO IN SHAWNEE COUNTY IS 11.6% VERSUS 11.4% STATEWIDE. PERSONS IN POVERTY IN SHAWNEE COUNTY IS 15.0% WHILE IN THE STATE, 13.6% LIVE IN POVERTY. PERSONS WITHOUT HEALTH INSURANCE IN SHAWNEE COUNTY IS 13.9% AND 11.8% IN KANSAS.
SCHEDULE H, PART VI, LINE 5STORMONT VAIL IS A NON-PROFIT CORPORATION SO ANY SURPLUS FUNDS ARE RE-INVESTED BACK INTO THE ORGANIZATION AND NOT PAID TO INVESTORS. THE HEALTH SYSTEM IS MANAGED BY A LOCAL BOARD OF DIRECTORS WHO ARE COMMUNITY LEADERS. STORMONT VAIL ACCEPTS ALL PATIENTS REGARDLESS OF INSURANCE COVERAGE SO THAT CARE IS PROVIDED TO ALL WHO NEED CARE.
SCHEDULE H, PART VI, LINE 6NONE
SCHEDULE H, PART VI, LINE 7KS

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
GRACEMED
1122 N TOPEKA STWICHITAKS67214480980926501 (C) (3)$8,800SUPPORT
STORMONT VAIL FOUNDATION
1500 SW 10TH AVENUETOPEKAKS66604480980926501 (C) (3)$943,849
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANTS ARE HISTORICALLY ONLY MADE TO THE STORMONT-VAIL FOUNDATION, A RELATED 501(C)(3) ORGANIZATION. DUE TO OVERLAP OF OFFICERS/DIRECTORS BETWEEN THE ORGANIZATIONS, NO MONITORING OF THE USAGE OF FUNDS AFTER THE FACT IS DEEMED NECESSARY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 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 OrgCompReportPrior990FilingOrgAmt
ROBERT KENAGY
PRESIDENT CEO$624,122$0$0$0$24,044$0$82,847$0$32,574$0$763,587$0$34,565
RANDALL PETERSON
PRESIDENT CEO (Retired 3/2019)$921,281$0$100$0$24,044$0$136,001$0$34,951$0$1,116,377$0$122,401
ROBERT O LANGLAND
VICE PRESIDENT/CFO$349,599$0$0$0$21,111$0$37,001$0$22,034$0$429,745$0
AILEEN MCCARTHY
DIRECTOR/PHYSICIAN$228,744$0$14,436$0$21,122$0$12,543$0$12,333$0$289,178$0
KEVIN DISHMAN
DIRECTOR$881,734$0$0$0$20,432$0$33,749$0$33,118$0$969,033$0
MATTHEW WILLS
PHYSICIAN$1,321,122$0$1,477$0$1,932$0$8,100$0$29,313$0$1,361,944$0
PETER TUTUSKA
PHYSICIAN$1,027,375$0$100,000$0$24,044$0$13,600$0$21,263$0$1,186,282$0
NASON LUI
PHYSICIAN$1,092,264$0$20,000$0$34,921$0$13,600$0$30,927$0$1,191,712$0
BENJAMIN BOUDREAUX
PHYSICIAN$1,168,014$0$2,068$0$19,256$0$13,600$0$36,762$0$1,239,700$0
TEWODROS ADDISSE
PHYSICIAN$1,209,410$0$0$0$20,432$0$13,600$0$9,210$0$1,252,652$0
JUDY CORZINE
VP & CHIEF INFORMATION OFFICER$311,914$0$0$0$18,375$0$13,600$0$20,706$0$364,595$0
DAVID CUNNINGHAM
VP & FACILITIES OFFICER$277,227$0$0$0$1,943$0$42,056$0$34,778$0$356,004$0
SRIDEVI DONEPUDI
SVP & CHIEF MEDICAL QUUALITY O$286,051$0$0$0$18,973$0$35,875$0$27,136$0$368,035$0
KEVIN HAN
VP RETIRED$0$0$0$0$303,313$0$0$0$11,067$0$314,380$0
CLIFTON JONES
VP & PHYSICIAN$341,136$0$0$0$5,045$0$35,638$0$24,967$0$406,786$0$22,038
AMY KINCADE
VP POPULATION HEALTH$199,163$0$0$0$12,290$0$31,183$0$12,034$0$254,670$0
MICHAEL KONGS
DIRECTOR FINANCIAL MANAGEMENT$211,671$0$0$0$1,415$0$10,930$0$30,194$0$254,210$0
SALAH NAJM
VP ACUTE CARE & PHYSICIAN$927,030$0$100$0$19,256$0$13,600$0$30,112$0$990,098$0
TRACY O'ROURKE
SVP & CHIEF ADMINISTRATIVE OFF$305,650$0$0$0$18,736$0$53,409$0$29,129$0$406,924$0
CAROL PERRY
SVP & CHIEF NURSING OFFICER$327,862$0$0$0$31,084$0$48,704$0$25,208$0$432,858$0
DOUGLAS ROSE
VP RETIRED$78,907$0$0$0$741,763$0$1,656$0$1,497$0$823,823$0$672,810
WILLIAM SACHS
VP SURGICAL SERVICES & PHYSICI$941,126$0$0$0$19,260$0$41,717$0$32,078$0$1,034,181$0
JANET STANEK
SR VP RETIRED$457,623$0$0$0$21,929$0$70,768$0$27,304$0$577,624$0
DARLENE STONE
SVP & CHIEF EXPERIENCE OFFICER$303,904$0$0$0$1,151$0$46,123$0$35,138$0$386,316$0
ERIC VOTH
VP PRIMARY CARE & PHYSICIAN$430,862$0$0$0$4,334$0$53,422$0$36,122$0$524,740$0$39,822
DEBRA YOCUM
VP CLINIC OPERATIONS$331,778$0$0$0$14,353$0$46,961$0$22,683$0$415,775$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4AKevin Han $201,947
SCHEDULE J, PART I, LINE 4BVESTED ACCRUED ---------- ----------- CLIFTON JONES $ 22,038 $ - ROBERT KENAGY $ 34,565 $ - RANDALL PERTERSON $ 122,401 $ - ERIC VOTH $ 39,822 $ - DAVID CUNNINGHAM $ - $ 28,456 KEVIN DISHMAN $ - $ 20,149 SRIDEVI DONEPUDI $ - $ 23,734 AMY KINCADE $ - $ 20,500 ROBERT LANGLAND $ - $ 37,001 TRACY O'ROURKE $ - $ 39,809 CAROL PERRY $ - $ 35,104 DOUGLAS ROSE $ 672,810 $ - WILLIAM SACHS $ - $ 28,117 JANET STANEK $ - $ 57,168 DARLENE STONE $ - $ 37,293 DEBRA YOCUM $ - $ 33,361
SCHEDULE J, PART I, LINE 4C457F - ANNUAL CONTRIBUTIONS MADE AS PERCENT OF BASE SALARY IN DECEMBER. IF OVER AGE 60 CONTRIBUTIONS ARE VESTED AND TAXES ARE WITHHELD. IF LESS THAN 60 CONTRIBUTIONS DO NOT VEST UNTIL EARLIER OF 5 ANNUAL CONTRIBUTIONS OR AGE 60. ACCOUNT IS NOT DISTRIBUTED UNTIL TERMINATION. DOUGLAS ROSE WAS 457F DISTRIBUTION WAS UNDER PREVIOUS 457F PLAN DESIGN. VESTING AND DISTRIBUTION DID NOT OCCUR UNTIL AFTER TERMINATION.
SCHEDULE J, PART I, LINE 5AEMPLOYED PHYSICIANS MAY EARN ADDITIONAL COMPENSATION IF THE RELATIVE VALUE UNITS THAT ARE GENERATED FROM THEIR PRACTICE EXCEEDS CERTAIN LEVELS.
SCHEDULE J, PART II, COLUMN FCOMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
KANSAS DEVELOPMENT FINANCE AUTHORITY
A48106658948543BMW52011-08-31$61,193,487SEE PART IVYes (true)falsefalse
KANSAS DEVELOPMENT FINANCE AUTHORITY
B481066589485438PD42013-11-21$39,321,250HEALTH FACILITIESfalsefalsefalse
KANSAS DEVELOPMENT FINANCE AUTHORITY
C4810665892016-12-15$70,350,000SEE PART IVfalsefalsefalse
KANSAS DEVELOPMENT FINANCE AUTHORITY
D4810665892017-08-21$31,870,000REFUND 2016O TAXABLE NOTEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$14,790,000$35,455,000$61,196,914$0$32,263$0$830,826$0$0$10,008,295$50,325,531$02013Yes (true)falseYes (true)Yes (true)
B$530,000$0$39,327,332$0$0$0$670,848$0$0$38,656,483$0$02017falsefalseYes (true)Yes (true)
C$2,425,000$0$70,704,999$0$15,110$0$684,718$0$0$18,514,625$49,844,844$1,645,702Yes (true)Yes (true)falseYes (true)
D$7,515,000$0$31,870,000$0$0$0$0$0$0$0$31,870,000$02001Yes (true)Yes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
AfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalsefalseYes (true)Yes (true)
D0.000000.000000.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetInd
0
AfalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalse0Yes (true)Yes (true)
0
CfalseYes (true)falsefalse0falseYes (true)Yes (true)
0
DfalseYes (true)falsefalse0falseYes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN FHEALTH FACILITIES, REFUND 2001K BONDS (05/15/2001), AND REFUND 2008E BONDS (04/02/2008).
SCHEDULE K, PART I, LINE C, COLUMN FHEALTH FACILITIES, REFUND 2007I BONDS (08/29/2007), REFUND 2008F BONDS (04/02/2008) AND REFUND 2012I BONDS (8/14/2012).
SCHEDULE K, PART II, LINE 3, COLUMN A, B & CAMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD.
SCHEDULE K, PART II, LINE 11, COLUMN A, B & cTHIS IS THE AMOUNT OF BOND PROCEEDS THAT HAVE BEEN USED AS OF THE FISCAL YEAR END TO REFUND PRIOR BONDS.
SCHEDULE K, PART II, LINE 13, COLUMN DTHE PROJECT FINANCED BY THE REFUNDED BONDS HAD AN ORIGINAL PROJECT COMPLETION DATE THAT OCCURRED IN 2001.
SCHEDULE K, PART II, LINE 13 & 16, COLUMN CPROJECT HAS NOT BEEN COMPLETED
SCHEDULE K, PART III, COLUMN DNOT REPORTED ON BECAUSE NEW MONEY PROJECT WAS PLACED IN SERVICE PRIOR TO 1/1/2003
SCHEDULE K, PART IV, LINE 2A, COLUMN ATHE REBATE CALCULATION WAS PERFORMED ON 8/1/2013
SCHEDULE K, PART IV, LINE 2C, COLUMN BTHE REBATE CALCULATION WAS COMPLETED AS OF 11/15/2018
SCHEDULE K, PART IV, LINE 6, COLUMN CTHE PROJECT FUND WAS INVESTED FOR 6 MONTHS BEYOND THE 3-YEAR TEMPORARY PERIOD. THE YIELD ON THE INVESTMENTS HELD AFTER THE 3-YEAR TEMPORARY PERIOD WAS BELOW THE BOND YIELD.

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 AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN481066589BondIssuerEIN
Bond Issued2019-08-19BondIssuedDt
Issue Price$36,265,000IssuePriceAmt
PurposeREFUND PORTION OF 2011 BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$36,265,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$35,898,209RefundingEscrowAmt
Issuance Costs From Proceeds$365,041IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$1,750UnspentAmt
Substantial Completion2013SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonKEEGAN HANPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSON OF RETIRED CFORelationshipDescriptionTxt
Transaction$56,301TransactionAmt
TransactionWAGESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationLINE (1) A) KEEGAN J HAN B) HAS A FAMILY RELATIONSHIP WITH KEVIN HAN, WHO IS A FORMER OFFICER OF STORMONT VAIL HEALTHCARE, INC. C) $56,301 D) EMPLOYEE COMPENSATION E) NOExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART II, LINE 4AStormont-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, 2019, 23,902 inpatients, 62,570 emergency room patients, 1,722 newborns, and 373 neonatal intensive care babies were served. Although reimbursement for services rendered is critical to the operation and stability of the 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, the 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 provideStormont-Vail Healthcare also provided service to patients that resulted in uncollectible amounts as follows: Bad Debt Expense at Cost $ 21,317,341 Shortfall of Medicare Payments at Cost $ 75,359,432 Shortfall of Medicaid Payments at Cost $ 24,867,948 Stormont Vail also provides other health care services and programs for the benefit of the community, free or at reduced rates. Examples of these include: 1. Subsidyof nursing education, medical education, and allied health education 2. Operating the regions only Level III Neonatal Intensive Care Unit (NICU) serving a high percentage of medically indigent patients 3. Operating a Level II Trauma Center serving northeast Kansas 4. Provided donations of healthcare equipment and materials to regional hospitals and charitable organizations. 5. Organized support groups for a variety of topics including Cancer Support Group, Diabetes Adult Support Group and the Pregnancy and Infant Loss Support Group 6. Approximately 50,000 hours of volunteer time were donated to the Stormont Vail helping to reduce the cost of providing health care 7. Maintaining the Health Sciences Library that is made available to the public free of charge as a medical resource 8. Stormont Vail employees support the Care Line, which is an emergency fund for patients in financial distress, providing services and supplies on a short-term basis 9. Use of Pozez Education Center facilities for a variety of community groups and programs 10. Participated in numerous clinical research trials through the Clinical Research Department 11. Stormont-Vail West Behavioral Health Services operates a substance abuse program 12. Operated a Palliative Care program to provide comfort care to patients witchronic conditions 13. Provide support and education for patients with diabetes through the Diabetes Learning Center. 14. Stormont-Vail is a regional network of 36 locations in northeast Kansas access to medical care in several cities that otherwise would not have access, particularly on weekends 15. Maternal Fetal Medicine program provided care and access to screenings and genetic counseling for women with at-risk pregnancies. 16. Offered various parenting and childbirth preparation programs through Stormont-Vail's web site 17. The Health Connection program, which provides physician referral and after-hour access to a nurse, received 580,293 calls 18. Partnered with Building Blocks to provide childcare services to staff and the community 19. A skin screening clinic for the community was held at the Cotton- O'Neil Cancer Center 20. Connect with the community through the organization website, www.stormontvail.org 21. Partnered with Health Innovation Network of Kansas, a coalition that has 17 hospitals sharing information, education and other needed services 22. The Boy to Man and Girl to Woman communication education programs facilitate conversation between adults and pre-teens about future physical and emotional changes 23. Stormont Vail and its employees donated funds and staff time to the Meals on Wheels program including sponsoring a Meals on Wheels route. 24. Stormont Vail and its employees donated funds and staff time to the United Way 25. Implemented the Patient Center Medical Home concept to improve care with the focus on prevention and wellness 26. Work with others in the community to improve safety net services for under insured and uninsured 27. Provided staff to serve on the Board of Directors for the United Way of Topeka, Topeka Community Foundation Go Topeka, Harvesters and others. 28. Provided education and material at various employee health fairs in the region. 29. Participated in community events providing health and wellness information conducting blood pressure screenings and handing out health related items (sunscreen, lip balm, hand sanitizer, etc.) 30. The HealthWise program provides health and wellness information as well as clinics such as blood pressure, vaccinations, etc. 31. Provided transportation to patients who are unable to get to their health care appointments or need transportation to return home. 32. Provide screening and coordination for participants for a drug program benefit to help patients obtain needed medication 33. Provides several programs to prevent or treat injuries such as Stepping On, ThinkFirst National Injury Prevention, Safe Kids Shawnee County, CarFit and Stop the Bleed. 34. SponWellpower program events such as community health fairs, children's play area at West Ridge Mall, and Healthy Steps.
IN ADDITION TO THESE COMMUNITY CONTRIBUTIONS, STORMONT-VAILprovided supervised clinical experience for 1,226 students and 240,407 hours to the following entities: Name/Location Students Dept/Division ------------------------------ ---------- ------------------ Baker University Nursing Multiple BARTON COUNTY CC PHLEBOTOMY LABORATORY BUTLER UNIVERSITY PHYS. ASSISTANT Multiple Clarkson College Phys. Assistant Pediatric Care Coffey Health System Nursing Multiple Colby Community College PT Rehab Services Creighton University Nursing Patient Care Services Creighton University OT Occupational Therapy Des Moines University Phys Assistant Patient Care Services Emporia State University Nursing Medical Arts Clinic Flint Hills Technical College LPN Medical Arts Clinic Fort Hays Nursing Nursing Multiple Fort Hays Speech Therapy Speech Therapy Rehab Services Frontier School of Midwifery Nursing The Birthplace Graceland University Nursing Patient Care Services Grand Canyon University Nursing Multiple Hiawatha Community Hospital Nursing Patient Care Services Highland Community College Nursing Patient Care Services Hutchinson Community College Nursing Patient Care Services Hutchinson Community College Nursing Patient Care Services University of Kansas Nursing Patient Care Services University of Kansas Pharmacy Pharmacy University of Kansas Psychology Behavioral Health University of Kansas Social Work Behavioral Health Kansas University Med Center Medical Students Clinic Manhattan Technical College MLT students Laboratory Maryville University Nursing Patient Care Services Massachusetts College Phys Assistant Clinic MidAmerica Nazarene Uni. Nursing Patient Care Services University of Missouri KC Nursing Cotton ONeil Clinics University of Missouri KC PA Students Cotton ONeil Clinics Nebraska Medical Center/WU Medical Tech Laboratory Nebraska Medical Center Medical Clinic Nemaha Vally Com. Hospital Nursing Patient Care Services Neosho Community College Nursing Patient Care Services Rasmussen College Nursing Students Multiple Research College of Nursing Nursing Multiple Rockhurst University PT OT Rehab Services Sabetha Hospital Nursing Patient Care Services Saint Louis University Nursing Patient Care Services Saint Lukes College of Health NP Multiple University of Saint Mary PT Students Rehabilitation Seaman High School H.S. Students Multiple South University Nursing Patient Care Services Texas Wesleyan University CRNA Surgical Services USD #501 High School Multiple Walden University Nursing Patient Care Services Washburn University Kinesiology Heart Center Washburn University Health Inform. Health Inform. Mgmt. Washburn University Nursing Multiple Washburn University OT Rehab Services Washburn University PT Assistants Rehab Services Washburn University Imaging Medical Imaging Washburn University Phlebotomy Laboratory Washburn University Psychology Behavioral Health Washburn University Radiologic Cert. CT Washburn University Radiation Therapy Cancer Center Washburn University Resp. Therapy Pulmonary Care Washburn University Social Work SV Behavioral Health Washburn University Ultrasound-Cardio Med. Services Division Washburn University Ultrasound-General 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 University PT Assistants Rehab Services Wichita State University Phys Assistant Multiple Wichita State University Medical Tech. Laboratory Wichita State University Phys Assistant Multiple
FORM 990, PART VI, SECTION B, LINE 11BSTORMONT VAIL HEALTHCARE STAFF AND AN INDEPENDENT ACCOUNTING FIRM PREPARES AND THE ACCOUNTING FIRM REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S STRATEGY AND FINANCE COMMITTEE. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S STRATEGY AND FINANCE COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.
FORM 990, PART VI, SECTION B, LINE 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 AND DETERMINATION OF ANY APPROPRIATE ACTION TO BE TAKEN. THE CHAIRMAN ALSO THEN REPORTS THE RESULTS TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE THAT IS CHARGED WITH THE OVERSIGHT AND REVIEW OF ALL EXECUTIVE COMPENSATION AND BENEFITS FOR THE CEO, SENIOR VICE PRESIDENTS AND VICE PRESIDENTS OF THE HEALTH SYSTEM. THE COMPENSATION IS REVIEWED ANNUALLY BY AN EXTERNAL INDEPENDENT CONSULTANT, GALLAGHER. GALLAGHER REVIEWS BASE COMPENSATION, INCENTIVE PROGRAMS AND TOTAL CASH COMPENSATION THAT ARE OFFERED ON AN ANNUAL BASIS TO ENSURE IT ALIGNS WITH FAIR MARKET VALUE AND COMPLIES WITH OUR ESTABLISHED COMPENSATION PHILOSOPHY. IN ADDITION, GALLAGHER ON A REGULAR BASIS REVIEWS THE EXECUTIVE BENEFIT PROGRAM TO ALSO ENSURE IT IS APPROPRIATE AND REASONABLE.
FORM 990, PART VI, SECTION B, LINE 15BGALLAGHER CONDUCTED A REVIEW IN 2019
FORM 990, PART VI, SECTION C, LINE 19STORMONT VAIL HEALTHCARE MAKES THEIR FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS PART OF THE FORM 990 INFORMATION RETURN. ANY CHANGES TO THE GOVERNING DOCUMENTS ARE INCLUDED WITH THE FORM 990 RETURN. AT THIS TIME, THE HEALTH CENTER DOES NOT MAKE THEIR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9CHANGE IN UNRECOGNIZED FUNDED STATUS OF PENSION PLAN - $ 62,218,078 NET ASSET TRANSFER - $ 6,783,237 ---------------- - $ 69,001,315

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1COTTON-O-NEIL ACO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH AVENUEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66604ZIPCd
FieldValueIRS element (for citing)
EIN465542929EIN
Primary ActivitiesSHARED SAVINGPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$15,747EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SVHCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
STORMONT-VAIL FOUNDATION
1500 SW 10TH AVENUETOPEKAKS66604480980926FUNDRAISINGKS501(C)(3)7SVHCYes (true)
STORMONT-VAIL HEALTHCARE AUXILIARY
1500 SW 10TH AVENUETOPEKAKS66604486140517FUNDRAISINGKS501(C)(3)12ASVHCYes (true)
TOPEKA AIR AMBULANCE INC
1500 SW 10TH AVENUETOPEKAKS66604480930553AIR AMBULANCEKS501(C)(3)3SVHCYes (true)
BUILDING BLOCKS OF TOPEKA INC
620 SW LANETOPEKAKS66606481121628CHILD DAYCAREKS501(C)(3)9SVHCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
URISH MEDICAL PLAZA LLC
1500 SW 10TH AVENUETOPEKAKS66604480782848REAL ESTATEKSSVIN/A
SVHC RADIATION ONCOLOGY LLC
1500 SW 10TH AVENUETOPEKAKS66604814646356ONCOLOGY SERVICESKSSVHCRELATED$6,024,453$3,180,496falseYes (true)0.74000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
STORMONT VAIL INC
901 GARFIELDTOPEKAKS66606480782848RETAIL PHARMACYKSSVHCC-CORP$15,818,450$7,195,1121.00000Yes (true)
CENTURY HEALTH SOLUTIONS INC
2951 SW WOODSIDE DRTOPEKAKS66614481206397INSURANCE ADMINKSSVHCC-CORP$529,400$107,2201.00000Yes (true)
TENTH STREET PROPERTY INC
1500 SW 10TH STTOPEKAKS66604480788844REAL ESTATEKSSVHCC-CORP$0$01.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
STORMONT VAIL FOUNDATION
B$943,849FMV
STORMONT VAIL FOUNDATION
C$574,073FMV
STORMONT VAIL AUXILIARY
C$239,326FMV
SVHC RADIATION ONCOLOGY LLC
F$5,732,711FMV
URISH MEDICAL PLAZA LLC
F$134,557FMV
STORMONT VAIL INC
F$750,000FMV
CENTURY HEALTH SOLUTIONS INC
F$310,000FMV
STORMONT VAIL INC
O$1,253,204FMV
STORMONT VAIL FOUNDATION
O$507,431FMV
SVHC RADIATION ONCOLOGY LLC
O$1,468,706FMV
CENTURY HEALTH SOLUTIONS INC
O$177,360FMV
STORMONT VAIL AUXILIARY
Q$414,850FMV
BUILDING BLOCKS OF TOPEKA
Q$942,373FMV
BUILDING BLOCKS OF TOPEKA
S$450,000FMV