2018-08-15T12:20:38-05:00 2017-09-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2016-10-01 480543789 Stormont-Vail Healthcare Inc % ROBERT LANGLAND STOR 7853546000 1500 SW 10TH Avenue Topeka KS 66604 ROBERT LANGLAND SR VP AND CFO 7853546000 2018-08-15 true Kevin R Ensminger CPA P01310558 8162216300 2016 2022-09-23 18:48:47Z RANDALL PETERSON 1500 SW 10TH AVENUE TOPEKA KS 66604 702618546 false X WWW.STORMONTVAIL.ORG X 1894 KS WORKING TOGETHER TO IMPROVE THE HEALTH CARE OF OUR COMMUNITY BY PROVIDING QUALITY SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY 14 12 5488 500 266833 17574 1358132 1112383 656068382 694829354 7178523 1649686 868503 4398565 665473540 701989988 748361 748416 0 0 384617373 400788306 0 0 0 242835091 293071628 628200825 694608350 37272715 7381638 697638624 746107240 370450020 349105851 327188604 397001389 X WORKING 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. false false 573256566 748416 694829354 SEE SCHEDULE O 573256566 true true false true false false false false true true true false false true false false true false false true false false false false false true true true false true true false false false false false false false false true false true false false false true true true true false false true 196 0 true 5488 true true true false false false false false false false false false X 14 12 false false false false false false false true true false false true true true true true true true true true true X ROBERT LANGLAND 7853546000 1500 SW 10TH AVENUE TOPEKA KS 66604 S KENNETH ALEXANDER III DIRECTOR 3.0 0.0 X 0 0 0 PAMELA JOHNSON-BETTS DIRECTOR 3.0 0.0 X 0 0 0 C RICHARD BONEBRAKE DIRECTOR THRU 7-31-17 3.0 0.0 X 0 0 0 DEBRA CLAYTON DIRECTOR 3.0 0.0 X 0 0 0 JAMES S HAINES DIRECTOR 3.0 0.0 X 0 0 0 ANDREW J JETTER DIRECTOR 3.0 0.0 X 0 0 0 BRENDA SUE MILLS DIRECTOR 3.0 0.0 X 0 0 0 JAMES PARRISH DIRECTOR/TREASURER 3.0 1.0 X X 0 0 0 JAMES R SCHMANK DIRECTOR/BOARD CHAIR 3.0 0.0 X X 0 0 0 SUEANN V SCHULTZ DIRECTOR 3.0 0.0 X 0 0 0 RICK WIENCKOWSKI DIRECTOR/VICE CHAIR 3.0 0.0 X X 0 0 0 ROBERT KENAGY VICE PRESIDENT 50.0 0.0 X 415434 0 16311 KEVIN HAN VICE PRES/CFO THRU 6-30-17 50.0 1.0 X X 478689 0 149843 RANDALL PETERSON PRESIDENT CEO 50.0 1.0 X X 1112220 0 202910 MARK KNACKENDOFFEL DIRECTOR 3.0 0.0 X 0 0 0 ROBERT ST PETER DIRECTOR 3.0 0.0 X 0 0 0 BERNARD H BECKER VICE PRESIDENT THRU 9-15-17 50.0 0.0 X 393888 0 142656 DAVID J CUNNINGHAM VICE PRESIDENT 50.0 0.0 X 339090 0 84136 KEVIN DISHMAN MD OPERATING COMMITTEE 50.0 0.0 X 876131 0 52854 CLIFF JONES MD VICE PRESIDENT 50.0 0.0 X 407326 0 48039 CAROL S PERRY VICE PRESIDENT 50.0 0.0 X 418553 0 43284 DOUGLAS ROSE MD VICE PRESIDENT 50.0 0.0 X 519168 0 156688 JANET K STANEK VICE PRESIDENT 50.0 1.0 X 593674 0 115330 ERIC VOTH MD VICE PRESIDENT 50.0 0.0 X 471404 0 168632 DEBRA YOCUM VICE PRESIDENT 50.0 0.0 X 413120 0 67546 WILLIAM SACHS MD VICE PRESIDENT 50.0 0.0 X 558714 0 34650 MICHAEL KONGS DIRECTOR FINANCE 50.0 1.0 X 200631 0 40356 TRACY O'ROURKE VICE PRESIDENT 50.0 1.0 X 283457 0 54769 AMY KINCADE VICE PRESIDENT 50.0 3.0 X 170020 0 21302 TEWODRO ADDISSE MD PHYSICIAN 50.0 0.0 X 1020095 0 23586 CHU CHI CHEN MD PHYSICIAN 50.0 0.0 X 1327708 0 19314 MATTHEW J WILLS MD PHYSICIAN 50.0 0.0 X 1795476 0 37938 MARC BARABAN MD PHYSICIAN 50.0 0.0 X 1053934 0 33450 JOSEPH MUMFORD MD PHYSICIAN 50.0 0.0 X 1035631 0 43080 KENT PALMBERG MD FORMER VICE PRESIDENT 50.0 0.0 X 892965 0 34495 CAROL WHEELER FORMER VICE PRESIDENT 50.0 0.0 X 361242 0 19666 15138570 0 1610835 479 true true false MURRAY COMPANY 7300 COLLEGE BLVD SUITE 210 OVERLAND PARK KS 66210 CONSTRUCTION 5504938 RADIOLOGY NUCLEAR MEDICINE LLC BOX 2312 WICHITA KS 67201 PHYSICIAN SERVICES 2653910 ANESTHESIA ASSOCIATES 823 SW MULVANE SUITE 2A TOPEKA KS 66606 PHYSICIAN SERVICES 2302500 SODEXO INC AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE SERVICE 1668645 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 1442546 52 870930 241453 201963 1112383 NET PATIENT SERVICE REVENUE 621300 683192274 683192274 PHARMACY 621300 2395247 2127305 267942 NUTRITIONAL SERVICES 621300 2058389 2058389 EDUCATION SERVICES/SCHOOL OF NURS 621300 2201157 2201157 MEANINGFUL USE/EHR 621300 621701 621701 4360586 4360586 694829354 221099 -1109 222208 0 0 545723 545723 0 545723 545723 2057145 628558 2057145 -628558 1428587 1428587 0 0 0 0 0 0 0 0 0 EARNINGS - EQUITY INVESTEES 900099 3126338 3126338 All Other Misc Revenue 900099 726504 726504 3852842 701989988 694561412 266833 6049360 748416 748416 0 0 0 15226865 13064650 2162215 63615 63615 309914816 271807566 38107250 19115121 14582926 4532195 36551202 27345452 9205750 19916687 15138694 4777993 767647 585638 182009 746497 746497 184620 184620 0 0 804572 804572 17584800 13685110 3899690 0 1346684 8413 1338271 8198884 5860321 2338563 11770741 8567654 3203087 0 10476021 3843380 6632641 462499 226957 235542 0 104429 42057 62372 7281485 7281485 0 25004124 11896343 13107781 4817692 1516551 3301141 Supplies 119489561 117253528 2236033 Repairs & Maintenance 7778209 6036260 1741949 Nutrition & Food Service 2199303 1677848 521455 Bad Debt Expense 50733416 50733416 23320444 8635386 14685058 694608350 573256566 121351784 0 49472607 56975104 498948 499768 0 0 99586447 95003353 0 0 0 0 0 0 7558653 8364019 4740242 6139859 483034888 256293868 232028181 226741020 212204460 255421969 78284510 89022316 0 0 1878108 1565090 11386468 6374742 697638624 746107240 72223127 64539302 0 0 0 0 171437674 188456694 0 0 0 0 371417 320503 0 0 126417802 95789352 370450020 349105851 X 326210945 395962228 844800 906302 132859 132859 327188604 397001389 697638624 746107240 X 7381638 35197889 27233258 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 29239 true 3250 false false 32489 false SCHEDULE C, PART II-B THE 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. 276224 697 276921 266314 9910 276224 258083 8231 266314 249013 9070 258083 254042 -5029 249013 0.48100 0.51900 false false 21149238 21149238 294662602 120767121 173895481 0 167223048 135526747 31696301 226741020 INVESTMENTS - GROSVENOR FUND 42650602 F INVESTMENTS - PRINCIPAL 28974237 F INVESTMENTS - MORGAN CREEK 647862 F CLOSELY-HELD EQUITY INVESTMENT 16749615 F 89022316 0 Accrued Pension Obligation 91705637 95789352 694865222 35197889 9215333 44413222 650452000 804572 50733416 51537988 701989988 646569062 3498700 3498700 643070362 804572 50733416 51537988 694608350 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE GIFT IS ADDED TO THE FUND. SCHEDULE D, PART X, LINE 2 MANAGEMENT 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 2D RELATED ORGANIZATION REVENUE $ 13,106,643 ELIMINATIONS (3,891,310) ------------- $ 9,215,333 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $ 50,733,416 SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATION EXPENSES $ 4,342,461 ELIMINATIONS ( 843,761) ------------- $ 3,498,700 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $ 50,733,416 Central America and the Caribbean 0 0 Investments 689798 0 0 0 0 689798 689798 false false true false false false true true true X true X true true false true true 13312265 13312265 0.02070 73011791 47451811 25559980 0.03970 86324056 47451811 38872245 0.06040 1217953 401340 816613 0.00130 3782345 2224885 1557460 0.00240 1446364 310656 1135708 0.00180 6446662 2936881 3509781 0.00550 92770718 50388692 42382026 0.06590 false 50733416 228259075 285638330 -57379255 X true true 1 1 STORMONT VAIL HEALTHCARE INC 1500 SW 10TH AVENUE TOPEKA KS 66604 WWW.STORMONTVAIL.ORG X X STORMONT VAIL HEALTHCARE INC 1 false false true X X X X X X X X X 16 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 100 400. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3J THE SHAWNEE COUNTY HEALTH NEEDS ASSESSMENT IDENTIFIED 14 HEALTH ISSUES THE HEALTHCARE COMMUNITY SHOULD ADDRESS. THE FINAL REPORT HAS A DETAILED ANALYSIS OF EACH ISSUE THAT INCLUDES: DATA SOURCES, SHAWNEE COUNTY'S CURRENT PERFORMANCE, DISCUSSION OF THE ISSUE AND BARRIERS TO OVERCOME AND HEALTHY PEOPLE 2020 TARGETS. SCHEDULE H, PART V, SECTION B, LINE 5 FOCUS GROUPS - FOCUS GROUPS WERE COMPLETED WITH INDIVIDUALS REPRESENTING FRONTLINE HEALTHCARE PROFESSIONALS, PROFESSIONALS FROM SOCIAL SERVICE AGENCIES, AND MEMBERS OF TOPEKA NEIGHBORHOOD ASSOCIATIONS. THE INDIVIDUAL PARTICIPANTS WERE: KAREN CONLEY, SELECT SPECIALTY HOSPITAL ANNIE COLLINS, WASHBURN SON, COMMUNITY HEALTH NURSE SHIRLEY DINKEL, WASHBURN, DIR STUDENT HEALTH SERVICES TINA SEARCY LPN, COTTON-O'NEIL EXPRESS CARE LINDA BARBERY, HEALTH CONNECTIONS (ASK-A-NURSE) JULIE DEJEAN, DIRECTOR SV WEST BEVERLY ROGERS, WASHBURN RURAL SCHOOL NURSE DIANE BOTTORFF, BAKER SCHOOL OF NURSING CAROL TRAHAN, BAKER SCHOOL OF NURSING RENAE WRIGHT, ALDERSGATE VILLAGE, SNF DIRECTOR MARTY DERNIER, KANSAS REHAB HOSPITAL, CEO ANGIE GAMBER, STORMONT-VAIL ED RUTH HUMBERT, MARIAN CLINIC SANDY SIEBERT, ST. FRANCIS EMERGENCY DEPARTMENT LEE LEINWETTER, D.O. SHAWNEE COUNTY HEALTH CENTER DR. JULIE HARRIS, MARIAN CLINIC KIM RIBELIN, UNITED WAY DIR COMMUNITY IMPACT TIM STRATTON, UNITED WAY VP COMMUNITY IMPACT KARLA HEDQUIST, DIR HEALTHACCESS SHARITA DAVIS, AM RED CROSS, HEALTH & SAFETY SERVICES BOB MACKEY, DIRECTOR HOUSING-CREDIT COUNSELING CATHY LYON, CATHOLIC CHARITIES CHRIS HARTMAN, FAMILY SERVICE AND GUIDANCE, CFO DANETTE TIPTON, BREAKTHROUGH HOUSE BRIAN COLE, SHAWNEE COUNTY DEPT CORRECTIONS SHELLY LOWERY, DIRECTOR LET'S HELP LISA CLARK, DOORSTEP ROGER VIOLA, TOPEKA COMMUNITY FOUNDATION MARSHA KENT, MIDLAND CARE MARILYN RIVERA, MEALS ON WHEELS SOCIAL WORKER MIKE PURDON, TARC JAMI NICHOLS, VALEO, BEHAVIORAL HEALTH CATHY NYE, RN, SV CASE MANAGER THERESA VINCENT, SV SOCAIL WORKER CLAYTON HUNTER, RED CROSS KANSAS CITY ELENE MCGIVERN, BREWSTER PLACE FRANK MEADOWS, COLLEGE HILL BOB CLAWSON, QUNINTON HEIGHTS CLAY LOYD, GREATER AUBURNDALE FRED MARTINEZ, ROLLING MEADOWS NANCY METZLER, SV COMMUNITY ADVISORY COMMITTEE BENNIE DAVIS, SOUTHERN HILLS TJ BROWN, OAKLAND MARK TYREE ELMHURST LOIS JONES, SV VOLUNTEER JUNE MITTS, SV VOLUNTEER RUTH LONG, SV VOLUNTEER COMMUNITY SURVEY IN AUGUST OF 2015, A COMMUNITY SURVEY WAS DISTRIBUTED VIA EMAIL (SURVEY MONKEY). THIS SURVEY WAS SENT TO HEARTLAND HEALTHY NEIGHBORHOODS MEMBERSHIP WITH INSTRUCTIONS TO FORWARD IT ON TO OTHER CONTACTS. THE SURVEY WAS ALSO AVAILABLE THROUGH THE COMMUNITY RESOURCE COUNCILS ELECTRONIC NEWSLETTER. EMPLOYEES OF THE HEALTHY SHAWNEE COUNTY TASK FORCE MEMBERS ALSO RECEIVED THE SURVEY THIS SURVEY ASKED RESPONDENTS TO IDENTIFY THE GREATEST HEALTH CHALLENGES FACING THEM AND THEIR FAMILY. IT ALSO ASKED RESPONDENTS TO RATE THE AVAILABILITY OF VARIOUS HEALTH CARE SERVICES IN THE COMMUNITY. THE FINAL QUESTION WAS OPENED ENDED AND ASKED WHAT DOES THE COMMUNITY NEED TO DO TO MAKE SHAWNEE COUNTY A HEALTHIER PLACE? 1362 RESPONSES WERE COLLECTED. THIS INCLUDES 748 RESPONSES TO THE OPEN ENDED QUESTION. INTERVIEWS WITH COMMUNITY LEADERS/PROVIDERS TWELVE KEY COMMUNITY PROVIDERS WERE INTERVIEWED. AMONG THOSE INTERVIEWED INCLUDED THE EMERGENCY DEPARTMENT DIRECTORS OF BOTH HOSPITALS, THE MEDICAL DIRECTORS OF BOTH HOSPITALIST PROGRAMS AND THE DIRECTORS OF BOTH COMMUNITY SAFETY NET CLINICS. EACH PARTICIPANT WAS ASKED WHAT ARE THE MOST IMPORTANT ISSUES FACING SHAWNEE COUNTY; WHAT ARE THE BIGGEST CHALLENGES/BARRIERS IN ADDRESSING THESE ISSUES; WHAT ARE POTENTIAL SOLUTIONS. COMMUNITY PROVIDERS/LEADERS INTERVIEWED: GLENDA DUBOISE, INTERIM EXECUTIVE DIRECTOR MARIAN CLINIC THOMAS HAMILTON, M.D. CHIEF MEDICAL OFFICER, ST. FRANCIS HEALTH JENNA HERRON, DIRECTOR OF MISSION AND ETHICS, ST. FRANCIS HEALTH SAM HO, M.D., MEDICAL DIRECTOR HOSPITALIST SERVICES, ST. FRANCIS HEALTH JOHN HOMLISH, DIRECTOR OF COMMUNITY ACTION, INC. AMY KINCADE, ADMINISTRATIVE DIRECTOR CONTINUUM OF CARE, STORMONT VAIL HEALTH PAUL LEAVENS, DIRECTOR OF EMERGENCY SERVICES, ST. FRANCIS HEALTH SALLY ANNE SCHNEIDER, ADMINISTRATIVE DIRECTOR BEHAVIORAL HEALTH, STORMONT VAIL HEALTH CHRIS TUCK, HEALTH SERVICES DIRECTOR, TOPEKA USD 345 ERIC VOTH, M.D., VICE PRESIDENT PRIMARY CARE, STORMONT VAIL HEALTH ALICE WEINGARTNER, DIRECTOR COMMUNITY HEALTH CENTER, SHAWNEE COUNTY HEALTH AGENCY BETH WILLIAMS, DIRECTOR OF NURSING SERVICES, ST. FRANCIS HEALTH BETH WILLIAMS, DIRECTOR OF NURSING SERVICES, ST. FRANCIS HEALTH SCHEDULE H, PART V, SECTION B, LINES 6A & 6B 6A - OTHER HOSPITAL FACILITIES - ST. FRANCIS HEALTH 6B - OTHER ORGANIZATIONS - SHAWNEE COUNTY HEALTH AGENCY HEARTLAND HEALTHY NEIGHBORHOODS SCHEDULE H, PART V, SECTION B, LINES 7A & 7B 7A - HTTPS://WWW.STORMONTVAIL.ORG/ABOUT-US/ 7B - http://www.kansashealthmatters.org/resourcelibrary/index/ view?id=XXX-XX-XXXX SCHEDULE H, PART V, SECTION B, LINE 10A https://www.stormontvail.org/about-us/quality-safety/community-health-need s-assessment/ SCHEDULE H, PART V, SECTION B, LINE 11 STORMONT-VAIL'S 2016 IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA HAS THREE MAJOR INITIATIVES: 1. ADDRESS ACCESS TO CARE AND CHRONIC CONDITIONS 2. ADDRESS THE HEALTH OF BABIES AND YOUTH 3. ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE THESE STRATEGIES ARE INCORPORATED INTO STORMONT-VAIL'S FY2016 STRATEGIC PLAN. STEPS TO ADDRESS THE IDENTIFIED HEALTH CARE NEEDS ACCESS TO CARE AND CHRONIC CONDITIONS - A SUPER UTILIZER CLINIC HAS BEEN STARTED. THIS CLINIC IS ESTABLISHED FOR PEOPLE WITHOUT A PCP AND WHO MAKE FREQUENT VISITS TO THE EMERGENCY DEPARTMENT. IT IS RUN BY AN APP. - STORMONT VAIL HAS ESTABLISHED A DIABETES FOLLOW-UP CLINIC, RUN BY AN APP. THE PROVIDER COMPLETES THE 7 DAY POST DISCHARGE FOLLOW-UP APPOINTMENT FOR THOSE PATIENTS WITHOUT A PCP. - COPD CLINIC WILL USE HEALTH CONNECTIONS STAFF TO PROACTIVELY CONTACT PATIENTS AND CHECK ON THEIR STATUS. - A TRANSITION CLINIC WAS ESTABLISHED. THIS CLINIC PROVIDES FOLLOWUP FROM INPATIENT STAYS ASSIGNED CITY CALL AND FOR PATIENTS WHO HAVE BEEN TERMINATED FROM CO CLINIC OFFICES. IT IS STAFFED BY AN APP. - AN ED ALTERNATIVE HAS BEEN DEVELOPED BY OPENING A EXPRESSCARE LOCATION IN CENTRAL TOPEKA NEAR THE STORMONT VAIL CAMPUS. - TRANSITION OF THE COUNTY'S FQHC TO GRACEMED WAS COMPLETED. BABIES AND YOUTH - STORMONT VAIL CLINICS ARE PROVIDING PRENATAL CARE, WELL WOMEN CHECKS, AND APPROPRIATE IMMUNIZATIONS. - STAFF WORKS WITH NEW MOMS TO COMPLETE THE NECESSARY PAPERWORK TO RECEIVE A FREE BREAST PUMP. - POST-PARTUM DEPRESSION ACTIVITIES HAVE BEEN STARTED AS WELL. MENTAL HEALTH AND SUBSTANCE ABUSE - AN APP WAS ESTABLISHED TO COMPLETE IMMEDIATE TRIAGE AT THE EMERGENCY DEPARTMENT. WHEN APPROPRIATE THE PATIENT IS SENT TO ZONE 3, THE BEHAVIORAL HEALTH AREA. - CASE MANAGEMENT/SOCIAL WORK ARE NOW AVAILABLE 24/7 IN THE EMERGENCY DEPARTMENT. - THE CENTRAL KANSAS FOUNDATION (CKF) WAS CONTRACTED TO DO SUBSTANCE ABUSE SCREENING AT THE EMERGENCY DEPARTMENT AND AT STORMONT VAIL WEST. - BEHAVIORAL HEALTH HAS BEEN INCORPORATED INTO THE FOLLOWING PHYSICIAN OFFICES: ONCOLOGY ENDOCRINOLOGY PEDIATRICS FAMILY PRACTICE 901, 823 AND NORTH CLINIC - ADULT OUTPATIENT AND PARTIAL HOSPITALIZATION PSYCHIATRIC SERVICES WERE EXPANDED WITH 2 APPS AND 2 PSYCHOLOGISTS - REGULAR MEETINGS BETWEEN STORMONT VAIL, VALEO AND FAMILY SERVICE AND GUIDANCE ARE OCCURRING. THE GOAL IS TO DIRECT BEHAVIORAL HEALTH PATIENTS TO THE APPROPRIATE LEVEL OF CARE (CONTINUUM OF BEHAVIORAL HEALTH SERVICE OPTIONS). - MONTHLY MEETINGS ARE HELD WITH BEHAVIORAL HEALTH PROVIDERS AND LOCAL LAW ENFORCEMENT. - STORMONT VAIL WEST PSYCHIATRIC FACILITY BEGAN PROMOTING CRISIS INTERVENTION TRAINING (CIT) - THE 5 LARGEST HEALTH PROVIDERS IN SHAWNEE COUNTY (FAMILY SERVICE AND GUIDANCE, ST. FRANCIS, STORMONT VAIL, VALEO AND THE SHAWNEE COUNTY HEALTH AGENCY) FORMED A WORK GROUP TO DISCUSS THE TREATMENT OF CHRONIC PAIN IN OUR COMMUNITY. IDENTIFIED HEALTH NEEDS NOT BEING DIRECTLY ADDRESSED BY THE HOSPITAL - TRANSPORTATION TO/KNOWLEDGE OF AVAILABLE SERVICES - OVERWEIGHT/OBESE - EAT FRUIT/VEGETABLES 5 TIMES DAILY - PARTICIPATE IN RECOMMENDED LEVEL OF PHYSICAL ACTIVITY - ADULT CIGARETTE SMOKING - CHILDREN WITHOUT ADEQUATE ORAL HEALTH THESE COMMUNITY HEALTH PRIORITIES ARE BEING ADDRESSED BY THE SAFETY NET SUMMIT AND THE HHN GROUPS HEALTHY EATING/ACTIVE LIVING, HEALTHY BABIES, ACTIVE ENVIRONMENT, AND HEALTH EQUITY. AREAS IDENTIFIED, BUT NOT SPECIFICALLY ADDRESSED BY THE CHIP ARE: - ADULT CIGARETTE SMOKING THIS AREA IS IMPORTANT, BUT STORMONT VAIL'S HEALTH IMPROVEMENT EFFORTS DO NOT FOCUS DIRECTLY ON THIS. CONCERNING ADULT CIGARETTE SMOKING, STORMONT VAIL HAS SMOKING CESSATION PROGRAMS FOR EMPLOYEES, BUT NOT FOR THE PUBLIC. THE SHAWNEE COUNTY HEALTH AGENCY PROVIDES SMOKING CESSATION PROGRAMS FOR THE PUBLIC. THE MOST RECENT KANSAS HEALTH MATTERS DATA HAS SHAWNEE COUNTY'S ADULT SMOKING POPULATION AT 21%, COMPARED TO THE STATEWIDE AVERAGE OF 17.7%. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16C THE FINANCIAL ASSISTANCE APPLICATION FORM, INSTRUCTIONS AND A PLAIN LANGUAGE SUMMARY CAN BE LOCATED AT: https://www.stormontvail.org/financial-assistance 34 COTTON O'NEIL LAWRENCE CLINIC 330 ARKANSAS LAWRENCE KS 66044 PHYSICIAN OFFICE COTTON O'NEIL ROSSVILLE CLINIC 423 MAIN ST ROSSVILLE KS 66533 PHYSICIAN OFFICE COTTON O'NEIL LEBO CLINIC 118 W 4TH ST LEBO KS 66856 PHYSICIAN OFFICE COTTON O'NEIL MERIDEN CLINIC 407 E WYANDOTTE MERIDEN KS 66512 PHYSICIAN OFFICE COTTON O'NEIL NOTO CLINIC 1130 N KANSAS AVE TOPEKA KS 66608 PHYSICIAN OFFICE COTTON O'NEIL OSKALOOSA CLINIC 209 W JEFFERSON OSKALOOSA KS 66066 PHYSICIAN OFFICE STORMONT VAIL WORK CARE 1504 SW 8TH STREET TOPEKA KS 66606 PHYSICIAN OFFICE COTTON O'NEIL OSAGE CITY CLINIC 131 WEST MARKET ST OSAGE CITY KS 66523 PHYSICIAN OFFICE COTTON O'NEIL CARBONDALE CLINIC 211 EAST MAIN ST CARBONDALE KS 66614 PHYSICIAN OFFICE COTTON O'NEIL WAMEGO CLINIC 1704 COMMERCIAL CIRCLE WAMEGO KS 66547 PHYSICIAN OFFICE COTTON O'NEIL CARDIAC THORACIC SURGEONS 830 SW MULVANE TOPEKA KS 66606 PHYSICIAN OFFICE STORMONT VAIL MRI CENTER 631 SW MULVANE TOPEKA KS 66606 IMAGING CENTER COTTON O'NEIL NORTH 4505 NW FIELDING ROAD TOPEKA KS 66618 PHYSICIAN OFFICE COTTON O'NEIL DERMATOLOGY CLINIC 6650 SW MISSION VALLEY DRIVE TOPEKA KS 66614 PHYSICIAN OFFICE COTTON O'NEIL URISH CLINIC 6725 SW 29TH TOPEKA KS 66614 PHYSICIAN OFFICE STORMONT VAIL SLEEP CENTER 920 SW WASHBURN TOPEKA KS 66610 SLEEP CENTER CLINIC COTTON O'NEIL CROCO CLINIC 2909 SW WALNET DR TOPEKA KS 66605 PHYSICIAN OFFICE COTTON O'NEIL PEDIATRIC 4100 SW 15TH ST TOPEKA KS 66604 PHYSICIAN OFFICE COTTON O'NEIL DIABETESENDOCRINOLOGY CTR 3520 SW 6TH AVE TOPEKA KS 66606 PHYSICIAN OFFICE COTTON O'NEIL CANCER CENTER 1414 SW 8TH ST TOPEKA KS 66606 CANCER CENTER COTTON O'NEIL EMPORIA CLINIC 1301 SW 12TH ST TOPEKA KS 66801 PHYSICIAN OFFICE COTTON O'NEIL MANHATTAN 1133 COLLEGE ST SUITE E-110 MANHATTAN KS 66502 PHYSICIAN OFFICE COTTON O'NEIL DIGESTIVE HEALTH CLINIC 720 LANE ST TOPEKA KS 66606 PHYSICIAN OFFICE STORMONT VAIL BEHAVIORAL HEALTH 3707 SW 6TH ST TOPEKA KS 66606 PSYCHIATRIC SERVICES COTTON O'NEIL GARFIELD 901 SW GARFIELD TOPEKA KS 66606 PHYSICIAN OFFICE COTTON O'NEIL MULVANE 823 SW MULVANE TOPEKA KS 66606 PHYSICIAN OFFICE COTTON O'NEIL HEART CENTER 929 SW MULVANE ST TOPEKA KS 66606 PHYSICIAN OFFICE COTTON O'NEIL KANZA PARK 2660 SW 3RD ST TOPEKA KS 66606 PHYSICIAN OFFICE STORMONT VAIL SURGERY CENTER 920 SW LANE TOPEKA KS 66606 SURGERY CENTER COTTON O'NEIL CORPORATE VIEW CLINIC 601 CORPORATE VIEW ROAD TOPEKA KS 66615 PHYSICIAN CLINIC COTTON O'NEIL EXPRESS CARE MIDTOWN 909 SW MULVANE STREET TOPEKA KS 66604 PHYISICAN CLINIC COTTON O'NEIL NEUROSPINE 2660 SW 3RD STREET TOPEKA KS 66606 PHYSICIAN CLINIC STORMONT VAIL OP SURGERY CENTER 2660 SW 3RD STREET TOPEKA KS 66606 SURGERY CENTER COTTON O'NEIL GENERAL SURGERY 1516 SW 6TH AVENUE TOPEKA KS 66606 PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 3C THE ELIGIBIITY CRITERIA FOR FINANCIAL ASSISTANCE, IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, INCLUDE ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS AND RESIDENCY. SCHEDULE H, PART I, LINE 7 THE 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 7G STORMONT 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 I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $50,733,416. SCHEDULE H, PART III, SECTION A, LINE 2 THE 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 3 WE ARE NOT AWARE OF ANY PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT WERE CONSIDERED TO BE BAD DEBT. SCHEDULE H, PART III, SECTION A, LINE 4 THE FINANCIAL STATEMENT FOOTNOTE ADDRESSING BAD DEBT EXPENSE IS ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 STORMONT 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 9B AN ESSENTIAL ELEMENT OF THE MISSION OF STORMONT VAIL HEALTHCARE IS TO BE GOOD FINANCIAL STEWARDS AS WE STRIVE TO IMPROVE THE HEALTHCARE OF OUR COMMUNITY. AS PART OF THAT STEWARDSHIP, WE MUST DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH PATIENTS CAN AFFORD TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE WORK VERY HARD TO MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION 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 2 IN 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 3 STORMONT 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 4 THE COMMUNITY OF TOPEKA, KANSAS CONTAINS A POPULATION OF APPROXIMATELY 125,000 PEOPLE AND IS THE STATE CAPITAL. IT IS LOCATED IN SHAWNEE COUNTY IN NORTHEAST KANSAS. THE POPULATION OF THE COUNTY IS ROUGHLY 175,000 AND IS THE THIRD LARGEST COUNTY IN KANSAS. THE 2010 CENSUS INDICATED THAT 76 PERCENT OF THE POPULATION WAS WHITE, 13 PERCENT WERE HISPANIC OR LATINO AND 11 PERCENT WERE AFRICAN AMERICAN. SCHEDULE H, PART VI, LINE 5 STORMONT 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 6 NONE SCHEDULE H, PART VI, LINE 7 KS true STORMONT VAIL FOUNDATION 1500 SW 10TH AVENUE TOPEKA KS 66604 480980926 501 (C) (3) 748416 SUPPORT 1 SCHEDULE I, PART I, LINE 2 GRANTS 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. X X X X X true true false true false false false false false ROBERT KENAGY VICE PRESIDENT 365727 0 36182 0 13525 0 0 0 16311 0 431745 0 KEVIN HAN VICE PRES/CFO THRU 6-30-17 372863 0 101919 0 3907 0 126771 0 23072 0 628532 0 RANDALL PETERSON PRESIDENT CEO 742971 0 363705 0 5544 0 170622 0 32288 0 1315130 0 KENT PALMBERG MD FORMER VICE PRESIDENT 683688 0 201071 0 8206 0 15900 0 18595 0 927460 0 TEWODRO ADDISSE MD PHYSICIAN 940343 0 78492 0 1260 0 15025 0 8561 0 1043681 0 CHU CHI CHEN MD PHYSICIAN 1226693 0 90347 0 10668 0 15900 0 3414 0 1347022 0 MATTHEW J WILLS MD PHYSICIAN 1737488 0 56728 0 1260 0 10600 0 27338 0 1833414 0 MARC BARABAN MD PHYSICIAN 1012463 0 30803 0 10668 0 15900 0 17550 0 1087384 0 JOSEPH MUMFORD MD PHYSICIAN 918511 0 113508 0 3612 0 15900 0 27180 0 1078711 0 BERNARD H BECKER VICE PRESIDENT THRU 9-15-17 303670 0 86929 0 3289 0 120190 0 22466 0 536544 0 DAVID J CUNNINGHAM VICE PRESIDENT 265399 0 72726 0 965 0 52149 0 31987 0 423226 0 KEVIN DISHMAN MD OPERATING COMMITTEE 777543 0 97328 0 1260 0 19692 0 33162 0 928985 0 CLIFF JONES MD VICE PRESIDENT 331977 0 71856 0 3493 0 15900 0 32139 0 455365 0 CAROL S PERRY VICE PRESIDENT 324447 0 91810 0 2296 0 20796 0 22488 0 461837 0 DOUGLAS ROSE MD VICE PRESIDENT 405227 0 111032 0 2909 0 140554 0 16134 0 675856 0 JANET K STANEK VICE PRESIDENT 444504 0 145925 0 3245 0 79875 0 35455 0 709004 0 ERIC VOTH MD VICE PRESIDENT 365765 0 101585 0 4054 0 134800 0 33832 0 640036 0 DEBRA YOCUM VICE PRESIDENT 325732 0 85210 0 2178 0 44815 0 22731 0 480666 0 WILLIAM SACHS MD VICE PRESIDENT 515007 0 42867 0 840 0 15900 0 18750 0 593364 0 MICHAEL KONGS DIRECTOR FINANCE 182404 0 17033 0 1194 0 11974 0 28382 0 240987 0 TRACY O'ROURKE VICE PRESIDENT 282994 0 0 0 463 0 25260 0 29509 0 338226 0 CAROL WHEELER FORMER VICE PRESIDENT -4320 0 96113 0 269449 0 6762 0 12904 0 380908 0 AMY KINCADE VICE PRESIDENT 156290 0 13391 0 339 0 10151 0 11151 0 191322 0 SCHEDULE J, PART I, LINE 4A CAROL WHEELER $ 264,138 SCHEDULE J, PART I, LINE 4B ACCRUED KEVIN HAN $ 110,871 RANDALL PETERSON $ 154,722 BERNARD BECKER $ 104,290 CAROL PERRY $ 4,896 DAVID CUNNINGHAM $ 36,249 DEBRA YOCUM $ 34,215 DOUGLAS ROSE MD $ 124,654 ERIC VOTH MD $ 118,900 JANET STANEK $ 63,975 KEVIN DISHMAN MD $ 4,060 TRACY O'ROURKE $ 25,260 SCHEDULE J, PART I, LINE 5A EMPLOYED PHYSICIANS MAY EARN ADDITIONAL COMPENSATION IF THE RELATIVE VALUE UNITS THAT ARE GENERATED FROM THEIR PRACTICE EXCEEDS CERTAIN LEVELS. A KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 48543BMW5 2007-08-31 61193487 HEALTH FACILITIES false false false B KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 485438PD4 2013-11-21 39321250 HEALTH FACILITIES false false false C KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2016-12-15 70350000 HEALTH FACILITIES false false false D KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2017-08-21 31870000 REFUND 2016O TAXABLE NOTE false false false A 10440000 0 61196914 0 32263 0 830826 0 0 10008295 50325531 0 2013 true false true true B 290000 0 39327332 0 0 0 670848 0 0 38656483 0 0 2017 false false true true C 0 0 70419031 0 11 42316090 684718 0 0 6760526 7528754 13128932 true true false true D 0 0 31870000 0 0 0 0 0 0 0 31870000 0 2001 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C true false true true true true 0.00000 0.00000 0.00000 false false false true D true 0 A false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true false 0 false 0 true true D false true true false 0 0 A true B true C true D SCHEDULE K, PART II, LINE 13, COLUMN D The Series 2017 Bonds refunded bonds where the original project completion date occurred in 2001. SCHEDULE K, PART IV, LINE 2A, COLUMN A THE REBATE CALCULATION WAS PERFORMED ON 8/1/2013 SEE PART V SEE PART V SCHEDULE L, PART IV LINE (1) A) KEVIN HAN II B) HAS A FAMILY RELATIONSHIP WITH KEVIN HAN, WHO IS AN OFFICER OF STORMONT VAIL HEALTHCARE, INC. C) $10,591 D) EMPLOYEE COMPENSATION E) NO LINE (2) A) KEEGAN J HAN B) HAS A FAMILY RELATIONSHIP WITH KEVIN HAN, WHO IS AN OFFICER OF STORMONT VAIL HEALTHCARE, INC. C) $53,024 D) EMPLOYEE COMPENSATION E) NO X MEDICAL EQUIPMENT 1 201963 FMV false false false SCHEDULE M, PART I, COLUMN B THE NUMBER IN COLUMN B REFLECTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART III, LINE 4A Stormont-Vail HealthCare, Inc. provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. For the year ended September 30, 2017, 23,827 inpatients, 66,143 emergency room patients, 1,812 newborns, and 434 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 Vails 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 provided, the Stormont Vail also provided service to patients that resulted in uncollectible amounts as follows: Bad Debt Expense at Cost $ 10,852,000 Shortfall of Medicare Payments at Cost $ 57,379,256 Shortfall of Medicaid Payments at Cost $ 25,559,979 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. Subsidy of 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. Provide support to Lifestar, the air ambulance service in northeast Kansas 5. Organized support groups for a variety of topics 6. Approximately 49,000 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 with chronic conditions 13. Provide support and education for patients with diabetes through the Diabetes Learning Center. 14. Stormont-Vail is a regional network of 34 locations in northeast Kansas improving 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. Operated the HealthWise program which provided outreach programs to independent living facilities in Topeka 17. Offered online childbirth classes through Stormont-Vails web site 18. Partnered with the March of Dimes for the NICU Family Support Program 19. The Health Connection program, which provides physician referral and after-hour access to a nurse, received 575,686 calls 20. Provided health information through the Topeka & Shawnee County Public Librarys Health Information Neighborhood 21. Partnered with Building Blocks to provide childcare services to staff and the community 22. Stormont-Vail clinical educators participated in the American Health Associations CPR for Family and Friends class to teach others CPR 23. A skin screening clinic for the community was held at the Cotton-ONeil Cancer Center 24. Connect with the community through the organization website, www.stormontvail.org 25. Partnered with Health Innovation Network of Kansas, a coalition that now has 20 hospitals sharing information, education and other needed services 26. The Boy to Man and Girl to Woman communication education programs facilitate conversation between adults and pre-teens about future physical and emotional changes 27. Stormont Vail and its employees donated funds and staff time to the Meals on Wheels program 28. Stormont Vail and its employees donated funds and staff time to the United Way 29. Implemented the Patient Center Medical Home concept to improve care with the focus on prevention and wellness 30. Work with others in the community to improve safety net services for under insured and uninsured 31. Provided staff to serve on the Board of Directors for the United Way of Topeka, Topeka Community Foundation Go Topeka, Harvesters and others. 32. Provided server at the celebrity servicer at Doorstep 33. 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.) 34. Provided transportation to patients who are unable to get to their me. 35. Provide screening and coordination for participants for a drug program benefit to help patients obtain needed medication 36. Stormont Vail and its employees sponsor a Meals on Wheels route 3 times a week. CONTINUED IN THE NEXT SECTION FORM 990, PART III, LINE 4A - CONT'D In addition to these community contributions, Stormont-Vail provided supervised clinical experience for 1,197 students and 208,878 hours to the following entities: Type of Name/Location Students Dept/Division ------------------------------ ---------- ------------------ Abilene Memorial Hospital Nursing Staff Patient Care Services Baker University Nursing Multiple Barton Co Community College Phlebotomy Laboratory Benedictine College Nursing Multiple Bradley University Nursing Multiple University of Cincinnati Nursing Multiple Coffey Health System Nursing Multiple Colby Community College PT Rehabilitation Services Creighton University Pharmacy Pharmacy Creighton University OT Occupational Therapy Des Moines University Phys Asst Patient Care Services Emporia State University Art Therapy Behavioral Health Emporia State University Psychology Behavioral Health Emporia State University Nursing Medical Arts Clinic-Emporia Flint Hills Technical College LPN Medical Arts Clinic-Emporia Fort Hays MRI Imaging Services Fort Hays Nursing Nursing Multiple Frontier School of Midwifery Nursing The Birthplace Georgetown University Midwifery Students The Birthplace Graceland University Nursing Patient Care Services Hiawatha Community Hospital Nursing Patient Care Services Highland Community College Nursing Patient Care Services Hutchinson Community College HIM Health Information Mgt. Hutchinson Communtity College Nursing Patient Care Services Indiana State University Nursing Patient Care Services Institute of Midwifery-Phil. Midwifery The Birthplace Kansas State University Dieticians Nutritional Services University of Kansas Nursing Patient Care Services University of Kansas Pharmacy Pharmacy University of Kansas PT Asst. Rehabilitation Services University of Kansas Social Work Behavioral Health University of Kansas Speech Ther. Rehabilitation Services Kansas University Medical Ctr Medical Students Clinic Maryville University Nursing Patient Care Services MidAmerica Nazarene University Nursing Patient Care Services University of Massachusetts 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 Students Clinic Neosho Community College Nursing Patient Care Services University of Saint Mary PT Students Rehabilitation Seward County Community Coll. PT Students Rehabilitation South University Nursing Patient Care Services University of Southern Indiana 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 Info Health Information Mgmt. Washburn University Nursing Multiple Washburn University OT Rehabilitation Services Washburn University PT Asst. Rehabilitation Services Washburn University Imaging Medical Imaging Washburn University Phlebotomy Laboratory Washburn University Psychology Behavioral Health Washburn University Radiation Cancer Center Washburn University Resp Therapy Pulmonary Care Washburn University Social Work SV Behavioral Health Washburn University Ultrasound Medical Services Division Washburn University Ultrasound 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 Wichita State University Nursing Multiple Wichita State University Medical Technology Laboratory Wichita State University Phys Asst. Multiple University Phys Asst. Multiple FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND 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 12C THE OFFICERS, DIRECTORS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS TO THE CHAIRMAN OF THE AUDIT COMMITTEE OF STORMONT VAIL HEALTHCARE EACH YEAR. THE CHAIRMAN REVIEWS THE RESPONSES AND REPORTS TO THE AUDIT COMMITTEE FOR THEIR REVIEW 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 15A & 15B THE 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, INTEGRATED HEALTH STRATEGIES (IHS). IHS 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, IHS ON A REGULAR BASIS REVIEWS THE EXECUTIVE BENEFIT PROGRAM TO ALSO ENSURE IT IS APPROPRIATE AND REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 STORMONT 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 9 CHANGE IN UNRECOGNIZED FUNDED STATUS OF PENSION PLAN $ 25,544,415 NET ASSET TRANSFER RECEIVED 1,688,843 ------------ $ 27,233,258 COTTON-O'NEIL ACO LLC 1500 SW 10TH AVENUE TOPEKA KS 66604 465542929 SHARED SAVING KS -1694910 16507 SVHC STORMONT-VAIL FOUNDATION 1500 SW 10TH ST TOPEKA KS 66604 480980926 FUNDRAISING KS 501(C)(3) 7 SVHC true STORMONT-VAIL HEALTHCARE AUXILIARY 1500 SW 10TH ST TOPEKA KS 66604 486140517 FUNDRAISING KS 501(C)(3) 12A SVHC true URISH MEDICAL PLAZA LLC 1500 SW 10TH AVENUE TOPEKA KS 66604 480782848 REAL ESTATE KS SVHC RELATED 79592 755933 false true 0.71670 SVHC RADIATION ONCOLOGY LLC 1500 SW 10TH AVENUE TOPEKA KS 66604 814646356 ONCOLOGY SVC.S KS SVHC RELATED 3777566 4602666 false true 0.74000 STORMONT VAIL INC 901 GARFIELD TOPEKA KS 66606 480782848 RETAIL PHARMACY KS SVHC C-CORP 2597570 9857891 1.00000 true TENTH STREET PROPERTY INC 1500 SW 10TH ST TOPEKA KS 66604 480788844 REAL ESTATE KS SVHC C-CORP 41040 290309 1.00000 true CENTURY HEALTH SOLUTIONS INC 2951 SW WOODSIDE DR TOPEKA KS 66614 481206397 INSURANCE ADMIN KS SVHC C-CORP 534417 124586 1.00000 true false true true false false false false false false false false false false true true false true false false STORMONT VAIL FOUNDATION B 748416 FMV STORMONT VAIL FOUNDATION C 668967 FMV STORMONT VAIL AUXILIARY C 201957 FMV STORMONT VAIL INC O 1494206 FMV STORMONT VAIL FOUNDATION O 494661 FMV STORMONT VAIL AUXILIARY O 308000 FMV SVHC RADIATION ONCOLOGY LLC O 484669 FMV