2017-08-15T15:32:32-05:00 2016-09-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2015-10-01 480543789 STORMONT-VAIL HEALTHCARE INC % MICHAEL J KONGS STOR 7853546000 1500 SW 1OTH AVENUE TOPEKA KS 66604 MICHAEL J KONGS INTERIM CFO 7853546000 2017-08-15 true Kevin R Ensminger CPA P01310558 8162216300 2015 2021-01-29 14:40:06Z RANDALL PETERSON 1500 SW 10TH AVE TOPEKA KS 66604 665633697 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. 13 11 5355 500 286179 90951 1092470 1358132 579320638 656068382 10329419 7178523 776633 868503 591519160 665473540 702327 748361 0 0 356672655 384617373 0 0 0 195293785 242835091 552668767 628200825 38850393 37272715 664265931 697638624 366780151 370450020 297485780 327188604 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 516094899 748361 656068382 SEE SCHEDULE O 516094899 true true false true false false false false true true true false false true false false true false false false 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 200 0 true 5355 true true true false false false false false false false false false X 13 11 false false false false false false false true true false false true true true true true true true true true false X MICHAEL J KONGS 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 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 0 0 0 KENT E PALMBERG MD VICE PRESIDENT 50.0 0.0 X 824508 0 30329 RANDALL PETERSON PRESIDENT CEO 50.0 1.0 X X 1072302 0 195085 KEVIN HAN VICE PRESIDENT/CFO 50.0 1.0 X 451971 0 138689 MICHAEL J KONGS INTERIM CFO 50.0 0.0 X 190979 0 30064 BERNARD H BECKER VICE PRESIDENT 50.0 0.0 X 384019 0 134917 DAVID J CUNNINGHAM VICE PRESIDENT 50.0 0.0 X 312974 0 72603 KEVIN DISHMAN MD OPERATING COMMITTEE 50.0 0.0 X 858121 0 43678 CLIFF JONES MD VICE PRESIDENT 50.0 0.0 X 361200 0 39793 CAROL S PERRY VICE PRESIDENT 50.0 0.0 X 405313 0 35553 DOUGLAS ROSE MD VICE PRESIDENT 50.0 0.0 X 494848 0 151103 JANET K STANEK VICE PRESIDENT 50.0 3.0 X 571929 0 104693 ERIC VOTH MD VICE PRESIDENT 50.0 0.0 X 462352 0 157741 LAMBERT WU MD OPERATING COMMITTEE 50.0 0.0 X 553126 0 38227 DEBRA YOCUM VICE PRESIDENT 50.0 0.0 X 379508 0 59593 TEWODRO ADDISSE MD PHYSICIAN 50.0 0.0 X 975404 0 21013 CHU CHI CHEN MD PHYSICIAN 50.0 0.0 X 1193198 0 17294 STEPHEN EICHERT MD PHYSICIAN 50.0 0.0 X 937542 0 26945 PETER TUTUSKA MD PHYSICIAN 50.0 0.0 X 936682 0 27502 MATTHEW J WILLS PHYSICIAN 50.0 0.0 X 1785262 0 31070 CAROL L WHEELER FORMER VICE PRESIDENT 0.0 0.0 X 485290 0 27500 13636528 0 1383392 432 true true false ANESTHESIA ASSOCIATES 823 SW MULVANE SUITE 2A TOPEKA KS 66606 ANESTHESIA SERVICES 2284981 RADIOLOGY NUCLEAR MEDICINE 1305 SW FIRST AMERICAN PLACE TOPEKA KS 66604 RADIOLOGY SERVICES 1016537 PROBASCO ASSOCIATES PA 615 S TOPEKA BLVD TOPEKA KS 66603 COLLECTION ATTORNEY 800182 PEDIATRIX MEDICAL GROUP OF KANSAS I PO BOX 281034 ATLANTA GA 30384 PHYSICIAN SERVICES 796342 TOTAL RENAL CARE INC PO BOX 781607 PHILADELPHIA PA 19178 DIALYSIS SERVICES 791445 12 1048198 309934 348168 1358132 NET PATIENT SERVICE REVENUE 621300 646729767 646729767 PHARMACY 621300 1903477 1614944 288533 NUTRITIONAL SERVICES 621300 2245160 2245160 EDUCATION SERVICES/SCHOOL OF NURSING 621300 2262081 2262081 MEANINGFUL USE/EHR 621300 1346721 1346721 1581176 1581176 656068382 171487 -2354 173841 0 0 704742 704742 0 704742 704742 7167193 160157 7167193 -160157 7007036 7007036 0 0 0 MISCELLANEOUS REVENUE 900099 393286 393286 LOSS ON INV IN EQUITY INVESTEES 900099 -229525 -229525 163761 665473540 655779849 286179 8049380 748361 748361 0 0 0 7731978 6767055 964923 74076 74076 304962312 266904131 38058181 17477753 13333778 4143975 35205398 26502998 8702400 19165856 14525131 4640725 735780 561327 174453 719024 719024 174955 174955 0 0 720744 720744 13254320 10648405 2605915 0 1490365 7148 1483217 7985762 5914492 2071270 10826788 7963952 2862836 0 9658161 3667832 5990329 451322 236565 214757 0 89051 52350 36701 7936242 7936242 0 24404494 12181140 12223354 4426926 1596897 2830029 Supplies 102980350 100725969 2254381 Repairs & Maintenance 7599704 6175881 1423823 Nutrition & Food Service 2305220 1758652 546568 Bad Debt Expense 24713020 24713020 22362863 11109815 11253048 628200825 516094899 112105926 0 63308992 49472607 14327327 498948 0 0 83738205 99586447 0 0 0 0 0 0 6403355 7558653 4671503 4740242 477002936 244974755 223761311 232028181 191435502 212204460 71244589 78284511 0 0 2191126 1878108 3184021 11386467 664265931 697638624 81141929 72223127 0 0 0 0 174010000 171437674 0 0 0 0 2044356 371417 0 0 109583866 126417802 366780151 370450020 X 296539689 326210943 813232 844802 132859 132859 297485780 327188604 664265931 697638624 X 37272715 16808333 -24378224 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 2765 true 4875 false false 7640 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. 266314 9910 276224 258083 8231 266314 249013 9070 258083 254042 -5029 249013 244424 9618 254042 0.48100 0.51900 false false 20181853 20181853 290573650 118575000 171998650 166247433 126399755 39847678 232028181 INVESTMENTS - GROSVENOR FUND 37267033 F INVESTMENTS - PRINCIPAL 26116602 F INVESTMENTS - MORGAN CREEK 963715 F CLOSELY-HELD EQUITY INVESTMNTS 13937161 F 78284511 0 Accrued Pension Obligation 126417802 126417802 662229457 16808333 6129709 22938042 639291415 720744 25461381 26182125 665473540 605438929 3420229 3420229 602018700 720744 25461381 26182125 628200825 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 $ 6,637,418 ELIMINATIONS ( 507,709) ------------- $ 6,129,709 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $ 24,713,020 GRANT TO SV FOUNDATION 748,361 ------------- $ 25,461,381 SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATION EXPENSE $ 4,263,990 ELIMINATIONS ( 843,761) ------------- $ 3,420,229 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $ 24,713,020 GRANT TO SV FOUNDATION 748,361 ------------- $ 25,461,381 true true true X true X true true false true true 11458010 11458010 0.01900 65231383 40550784 24680599 0.04100 76689393 40550784 36138609 0.06000 729713 194982 534731 0.00090 3929592 2175880 1753712 0.00290 2780210 1962765 817445 0.00140 3442906 3292080 150826 0.00030 10882421 7625707 3256714 0.00550 87571814 48176491 39395323 0.06550 false 24713020 208119042 266256332 -58137290 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 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 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 true X false X X X true X 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 PURPOSE AND SCOPE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): -TO IDENTIFY AND PRIORITIZE TOP HEALTH NEEDS IN SHAWNEE COUNTY. -COLLABORATE WITH LOCAL HEALTH CARE EXPERTS AND COMMUNITY STAKEHOLDERS TO COLLECT AND ANALYZE DATA TO IDENTIFY THE COMMUNITY HEALTH ISSUES IN SHAWNEE COUNTY. HEALTH SHAWNEE COUNTY TASK FORCE: THE 2013 SHAWNEE COUNTY HEALTH NEEDS ASSESSMENT WAS A COLLABORATIVE EFFORT BETWEEN THE SHAWNEE COUNTY HEALTH DEPARTMENT, ST. FRANCIS HEALTH OF TOPEKA AND STORMONT VAIL HEALTHCARE OF TOPEKA. THESE THREE ENTITIES WERE DESIGNATED THE HEALTHY SHAWNEE COUNTY TASK FORCE. INPUT AND DATA SOURCES FOR THE CHNA; QUANTITATIVE PUBLIC HEALTH DATA FOR SHAWNEE COUNTY ARE AVAILABLE THROUGH THE KANSAS HEALTH MATTERS WEBSITE. A COMMUNITY SURVEY, WIDELY DISSEMINATED VIA EMAIL, PROVIDED ADDITIONAL QUANTITATIVE DATA. QUALITATIVE DATA WERE OBTAINED FROM THREE FOCUS GROUPS AND A SURVEY OF LOCAL PUBLIC HEALTH EXPERTS. QUANTITATIVE DATA SOURCES: KANSAS HEALTH MATTERS IS A ONE STOP SOURCE OF NON-BIASED DATA AND INFORMATION ABOUT COMMUNITY HEALTH IN KANSAS. IT IS INTENDED TO HELP HOSPITALS, HEALTH DEPARTMENTS, POLICY MAKERS AND COMMUNITY PLANNERS LEARN ABOUT ISSUES, IDENTIFY IMPROVEMENTS AND COLLABORATE FOR POSITIVE CHANGE. THIS VALUABLE RESOURCE WAS DEVELOPED BY THE KANSAS PARTNERSHIP FOR IMPROVING COMMUNITY HEALTH. USING KANSAS HEALTH MATTERS, THE TASK FORCE WAS ABLE TO COMPARE SHAWNEE COUNTY TO THE STATEWIDE AVERAGE ON 103 HEALTH INDICATORS. ALSO AVAILABLE ON THIS WEBSITE IS A COMMUNITY HEALTH NEEDS ASSESSMENT TOOLBOX, AND HYPERLINKS TO PROMISING PRACTICES REGARDING COMMUNITY HEALTH. THE HEALTHY SHAWNEE COUNTY COMMUNITY PERCEPTION SURVEY WAS AVAILABLE ON-LINE FROM JULY 16 THROUGH AUGUST 31, 2012. THIS SURVEY TOOK 48 HEALTH INDICATORS FROM THE KANSAS HEALTH MATTERS WEBSITE AND ASKED PARTICIPANTS TO IDENTIFY THE LEVEL OF ATTENTION NEEDED FOR THOSE INDICATORS ON A 1-5 LIKERT SCALE (1=MUCH LESS ATTENTION, 5= MUCH MORE ATTENTION). THERE WERE 548 COMMUNITY AND 229 ORGANIZATION MEMBERS THAT COMPLETED THE SURVEY. THE SURVEY RESULTS WERE ANALYZED BY BIOSTATISTICS AND EVALUATION SERVICES AND TRAINING (BEST) CENTER, UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER, SCHOOL OF PUBLIC HEALTH. QUALITATIVE DATA SOURCES: INSIGHT INTO SHAWNEE COUNTY'S HEALTH-RELATED NEEDS WAS ALSO PROVIDED BY THREE FOCUS GROUPS. EACH GROUP HAD A DIFFERENT SET OF PARTICIPANTS, HEALTH CARE PROFESSIONALS, SOCIAL SERVICE PROFESSIONALS AND NEIGHBORHOOD LEADERS. THESE FOCUS GROUPS WERE FACILITATED BY VIRDEN AND ASSOCIATES OF KANSAS CITY AND CONDUCTED AUGUST 15 AND 16, 2012 AT THE TOPEKA-SHAWNEE COUNTY PUBLIC LIBRARY. FOCUS GROUP PARTICIPANTS: HEALTHCARE PROFESSIONALS, AUGUST 15, 2012 AT 6:30 P.M., REPRESENTATIVES FROM: SELECT SPECIALTY HOSPITAL WASHBURN RURAL SCHOOL NURSE COTTON-O'NEIL EXPRESSCARE HEALTH CONNECTIONS (ASK-A-NURSE) KANSAS REHAB HOSPITAL STORMONT VAIL BEHAVIORAL SERVICES ALDERSGATE VILLAGE MARIAN CLINIC, MEDICAL DIRECTOR STORMONT VAIL EMERGENCY DEPARTMENT MARIAN CLINIC, PATIENT CARE DIRECTOR ST. FRANCIS EMERGENCY DEPARTMENT SHAWNEE COUNTY HEALTH AGENCY, MEDICAL DIRECTOR BAKER SCHOOL OF NURSING WASHBURN UNIVERSITY, DIRECTOR STUDENT HEALTH WASHBURN SCHOOL OF NURSING, COMMUNITY HEALTH NURSE SOCIAL SERVICE AGENCIES, AUGUST 16, 2012 AT NOON, REPRESENTATIVE FROM: UNITED WAY OF GREATER TOPEKA HEALTH ACCESS AMERICAN RED CROSS HOUSING AND CREDIT COUNSELING CATHOLIC CHARITIES BREAKTHROUGH HOUSE FAMILY SERVICE AND GUIDANCE LET'S HELP TOPEKA COMMUNITY FOUNDATION SHAWNEE COUNTY DEPARTMENT OF CORRECTIONS DOORSTEP MIDLAND CARE MEALS ON WHEELS BREWSTER PLACE VALEO BEHAVIORAL HEALTH STORMONT VAIL CASE MANAGER TARC TOPEKA NEIGHBORHOOD ASSOCIATIONS/COMMUNITY VOLUNTEERS, AUGUST 16, 2012 6;30 P.M., REPRESENTATIVES FROM: COLLEGE HILL NEIGHBORHOOD QUINTON HEIGHTS NEIGHBORHOOD GREATER AUBURNDALE NEIGHBORHOOD ROLLING MEADOWS NEIGHBORHOOD SOUTHERN HILLS NEIGHBORHOOD OAKLAND NEIGHBORHOOD ELMHURST NEIGHBORHOOD STORMONT VAIL COMMUNITY ADVISORY COUNCIL COMMUNITY VOLUNTEERS - 3 EIGHT COMMUNITY STAKEHOLDERS WITH PUBLIC HEALTH EXPERTISE WERE SENT AN E-MAIL SURVEY. THE QUESTIONS WERE OPEN-ENDED IN ORDER TO COLLECT A BROADER BASE OF ANALYSIS BASED UPON THE INSIGHT OF THE PARTICIPANTS. THE EXPERTS WERE DRAWN FROM A POOL OF COMMUNITY EXPERTISE THAT DEFINES PUBLIC HEALTH BROADLY. RESPONDING TO THE SURVEY WERE REPRESENTATIVES FROM: -BREWSTER PLACE RETIREMENT COMMUNITY -KANSAS CHILDREN'S SERVICE LEAGUE -POSITIVE CONNECTIONS, INC. -KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVICED -COMMUNITY ACTION -UNITED WAY OF GREATER TOPEKA -SHAWNEE COUNTY HEALTH AGENCY -A RETIRED NON-PROFIT EXECUTIVE DIRECTOR ADDITIONAL INPUT WAS ALSO PROVIDED BY THE ASSESSMENT ADVISORY COMMITTEE. THE MEMBERS REPRESENTED THE FOLLOWING ORGANIZATIONS: -501 FOUNDATION -MARIAN CLINIC -KANSAS CHILDREN'S SERVICE LEAGUE -JAYHAWK AREA AGENCY ON AGING -UNITED WAY OF GREATER TOPEKA -ANTIOCH BAPTIST CHURCH SCHEDULE H, PART V, SECTION B, LINES 6A & 6B 6A - OTHER HOSPITAL FACILITIES - ST. FRANCIS HEALTH 6B - OTHER ORGANIZATIONS - SHAWNEE COUNTY HEALTH AGENCY SCHEDULE H, PART V, SECTION B, LINES 7A & 7B 7A - HOSPITAL FACILITY WEBSITE - www.stormontvail.org/community-needs-assessment 7B - OTHER WEBSITE - www.stfrancistopeka.org/about-us/community-health-needs-assessment/ SCHEDULE H, PART V, SECTION B, LINE 10A www.stormontvail.org or www.stormontvail.org/userfiles/file/Shawnee%20Co%20Comm%20Health%20Imp%20P lan%202015.pdf 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 & 16D THE FINANCIAL ASSISTANCE APPLICATION FORM, INSTRUCTIONS AND A PLAIN LANGUAGE SUMMARY CAN BE LOCATED AT https://www.stormontvail.org/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 22D LOOKBACK METHOD - USED PRIOR YEAR MEDICARE AND PRIVATE HEALTH INSURANCE PAID CLAIMS ACCORDING TO 501(R)(5) 32 ALMA CLINIC 701 MISSOURI ALMA KS 66401 PHYSICIAN OFFICE LYNDON CLINIC 715 WASHINGTON STREET LYNDON KS 66451 PHYSICIAN OFFICE LAWRENCE CLINIC 330 ARKANSAS LAWRENCE KS 66044 PHYSICIAN OFFICE ROSSVILLE CLINIC 423 MAIN ST ROSSVILLE KS 66533 PHYSICIAN OFFICE LEBO CLINIC 118 W 4TH ST LEBO KS 66856 PHYSICIAN OFFICE MERIDEN CLINIC 407 E WYANDOTTE MERIDEN KS 66512 PHYSICIAN OFFICE NOTO CLINIC 1130 N KANSAS AVE TOPEKA KS 66608 PHYSICIAN OFFICE OSKALOOSA CLINIC 209 W JEFFERSON OSKALOOSA KS 66066 PHYSICIAN OFFICE OCCUPATIONAL MEDICINE 1504 SW 8TH STREET TOPEKA KS 66606 PHYSICIAN OFFICE OSAGE CITY CLINIC 131 WEST MARKET ST OSAGE CITY KS 66523 PHYSICIAN OFFICE CARBONDALE CLINIC 211 EAST MAIN ST CARBONDALE KS 66614 PHYSICIAN OFFICE WAMEGO CLINIC 1704 COMMERCIAL CIRCLE WAMEGO KS 66547 PHYSICIAN OFFICE CARDIAC THORACIC SURGEONS 830 SW MULVANE TOPEKA KS 66606 PHYSICIAN OFFICE MRI OF KANSAS 631 SW MULVANE TOPEKA KS 66606 IMAGING CENTER NW 46TH ST CLINIC 4505 NW FIELDING ROAD TOPEKA KS 66618 PHYSICIAN OFFICE DERMATOLOGY CLINIC 6650 SW MISSION VALLEY DRIVE TOPEKA KS 66614 PHYSICIAN OFFICE URISH CLINIC 6725 SW 29TH TOPEKA KS 66614 PHYSICIAN OFFICE STORMONT VAIL SLEEP CENTER 920 SW WASHBURN TOPEKA KS 66610 SLEEP CENTER CLINIC CROCO CLINIC 2909 SW WALNET DR TOPEKA KS 66605 PHYSICIAN OFFICE PEDIATRIC 4100 SW 15TH ST TOPEKA KS 66604 PHYSICIAN OFFICE DIABETES & ENDOCRINOLOGY CENTER 3520 SW 6TH AVE TOPEKA KS 66606 PHYSICIAN OFFICE CANCER CENTER 1414 SW 8TH ST TOPEKA KS 66606 CANCER CENTER EMPORIA CLINIC 1301 SW 12TH ST TOPEKA KS 66801 PHYSICIAN OFFICE MEDICAL ASSOCIATES OF MANHATTAN 1133 COLLEGE ST SUITE E-110 MANHATTAN KS 66502 PHYSICIAN OFFICE DIGESTIVE HEALTH CLINIC 720 LANE ST TOPEKA KS 66606 PHYSICIAN OFFICE STORMONT VAIL BEHAVIORAL HEALTH 3707 SW 6TH ST TOPEKA KS 66606 PSYCHIATRIC SERVICES CON PHYSICIAN CLINICS AT COTTON 901 SW GARFIELD TOPEKA KS 66606 PHYSICIAN OFFICE CON PHYSICIAN CLINICS AT O'NEIL 823 SW MULVANE TOPEKA KS 66606 PHYSICIAN OFFICE HEART CENTER 929 SW MULVANE ST TOPEKA KS 66606 PHYSICIAN OFFICE ORTHOPEDICS AND SPORTS MEDICINE 2660 SW 3RD ST TOPEKA KS 66606 PHYSICIAN OFFICE EXCELLENT SURGERY CENTER 920 SW LANE TOPEKA KS 66606 SURGERY CENTER STORMONT VAIL SINGLE DAY SURGERY 823 SW MULVANE TOPEKA KS 66606 SURGERY CENTER 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 $24,713,020. 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 PAGE 10 OF THE AUDIT REPORT SCHEDULE H, PART III, SECTION B, LINE 8 STORMONT VAIL HEALTHCARE DOES BELIEVE 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 THE 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) 748361 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 TEWODRO ADDISSE MD PHYSICIAN 914302 0 59842 0 1260 0 14825 0 6188 0 996417 0 CHU CHI CHEN MD PHYSICIAN 1098086 0 84444 0 10668 0 15700 0 1594 0 1210492 0 STEPHEN EICHERT MD PHYSICIAN 931998 0 0 0 5544 0 15143 0 11802 0 964487 0 PETER TUTUSKA MD PHYSICIAN 884206 0 48864 0 3612 0 15700 0 11802 0 964184 0 MATTHEW J WILLS PHYSICIAN 1738829 0 45173 0 1260 0 10400 0 20670 0 1816332 0 BERNARD H BECKER VICE PRESIDENT 296374 0 84444 0 3201 0 119990 0 14927 0 518936 0 DAVID J CUNNINGHAM VICE PRESIDENT 244686 0 67378 0 910 0 51346 0 21257 0 385577 0 KEVIN DISHMAN MD OPERATING COMMITTEE 759063 0 97798 0 1260 0 19506 0 24172 0 901799 0 KEVIN HAN VICE PRESIDENT/CFO 356831 0 91326 0 3814 0 126571 0 12118 0 590660 0 CLIFF JONES MD VICE PRESIDENT 321961 0 35746 0 3493 0 15700 0 24093 0 400993 0 MICHAEL J KONGS INTERIM CFO 177204 0 12622 0 1153 0 11611 0 18453 0 221043 0 KENT E PALMBERG MD VICE PRESIDENT 598760 0 215080 0 10668 0 15700 0 14629 0 854837 0 RANDALL PETERSON PRESIDENT CEO 713237 0 353521 0 5544 0 170422 0 24663 0 1267387 0 CAROL S PERRY VICE PRESIDENT 313337 0 89756 0 2220 0 20596 0 14957 0 440866 0 DOUGLAS ROSE MD VICE PRESIDENT 383181 0 108932 0 2735 0 140354 0 10749 0 645951 0 JANET K STANEK VICE PRESIDENT 424287 0 145992 0 1650 0 79675 0 25018 0 676622 0 ERIC VOTH MD VICE PRESIDENT 363308 0 95242 0 3802 0 134600 0 23141 0 620093 0 CAROL L WHEELER FORMER VICE PRESIDENT 312429 0 92528 0 80333 0 14082 0 13418 0 512790 0 LAMBERT WU MD OPERATING COMMITTEE 482694 0 69592 0 840 0 15700 0 22527 0 591353 0 DEBRA YOCUM VICE PRESIDENT 298901 0 79516 0 1091 0 44615 0 14978 0 439101 0 SCHEDULE J, PART I, LINE 4A CAROL WHEELER RECEIVED $73,443 IN SEVERANCE PAY. SCHEDULE J, PART I, LINE 4B ACCRUED AMOUNTS BERNARD BECKER 104,290 DAVID CUNNINGHAM 36,249 KEVIN DISHMAN, MD 4,060 KEVIN HAN 110,871 TRACY O'ROURKE 25,260 CAROL PERRY 4,896 RANDALL PETERSON 154,722 DOUGLAS ROSE, MD 124,654 JANET STANEK 63,975 ERIC VOTH, MD 118,900 DEBRA YOCUM 34,215 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 48543BJT6 2007-08-27 50064927 HEALTH FACILITIES false false false B KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 48543BPD4 2013-11-15 39321250 HEALTH FACILITIES false false false C KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 484538mc9 2011-08-31 61193487 HEALTH FACILITIES false false false D KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 48453BNS3 2012-08-14 8750000 HEALTH FACILITIES false false false A 0 0 53519801 0 0 18107157 589770 1048000 0 30220000 0 0 2009 true true true true B 185000 0 39325828 0 0 0 670848 0 0 30726310 0 7928670 2017 false false false true C 8415000 0 61196912 0 0 50325531 863086 0 0 10008295 0 0 2013 true false true true D 1550000 0 8748898 0 0 0 148649 0 0 8600249 0 0 2014 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true A KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 48543BLG1 2008-03-31 27950575 HEALTH FACILITIES false false false A 4430000 0 27950075 0 0 27677500 272575 0 0 0 0 0 2008 true false true true A false false false false 0 false false false true A false true false false 0 false 0 false true A true 0 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) $25,526 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) $48,550 D) EMPLOYEE COMPENSATION E) NO X MEDICAL EQUIPMENT 8 185084 FMV X COMPUTER EQUIPMENT 2 7615 FMV X OTHER EQUIPMENT 6 155469 FMV 0 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, 2016, 21,625 INPATIENTS, 65,436 EMERGENCY ROOM PATIENTS, 1,868 NEWBORNS, AND 400 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, STORMONT VAIL PROVIDES CARE TO PERSONS COVERED BY MEDICARE AND MEDICAID. 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 $10,446,827 SHORTFALL OF MEDICARE PAYMENTS AT COST $58,137,290 SHORTFALL OF MEDICAID PAYMENTS AT COST $24,680,606 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 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 32 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 WEBSITE 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 548,341 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.STORMONT-VAIL WEST BEHAVIORAL HEALTH SERVICES PARTICIPATED IN A DEPRESSION SCREENING FOR THE COMMUNITY 24.A SKIN SCREENING CLINIC FOR THE COMMUNITY WAS HELD AT THE COTTON-ONEIL CANCER CENTER 25.CONNECT WITH THE COMMUNITY THROUGH THE ORGANIZATION WEBSITE, WWW.STORMONTVAIL.ORG 26.PARTNERED WITH HEALTH INNOVATION NETWORK OF KANSAS, A COALITION THAT GREW TO 21 HOSPITALS SHARING INFORMATION, EDUCATION AND OTHER NEEDED SERVICES 27.THE BOY TO MAN AND GIRL TO WOMAN COMMUNICATION EDUCATION PROGRAMS FACILITATE CONVERSATION BETWEEN ADULTS AND PRE-TEENS ABOUT FUTURE PHYSICAL AND EMOTIONAL CHANGES 28.STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE MEALS ON WHEELS PROGRAM 29.STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE UNITED WAY 30.DEVELOPED THE PATIENT CENTER MEDICAL HOME CONCEPT TO IMPROVE CARE WITH THE FOCUS ON PREVENTION AND WELLNESS 31.WORK WITH OTHERS IN THE COMMUNITY TO IMPROVE SAFETY NET SERVICES FOR UNDER INSURED AND UNINSURED 32.PROVIDED STAFF TO SERVE ON THE UNITED WAY BOARD OF DIRECTORS 33.PROVIDED SERVER AT THE CELEBRITY SERVICER AT DOORSTEP 34.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.) IN ADDITION TO THESE COMMUNITY CONTRIBUTIONS, STORMONT-VAIL PROVIDED SUPERVISED CLINICAL EXPERIENCE FOR 1,217 STUDENTS AND 198,266 HOURS TO THE FOLLOWING ENTITIES: TYPE OF NAME/LOCATION STUDENTS DEPT/DIVISION ------------------------- -------- -------------------- ADVENTIST UNIV. OF HEALTH SCIENCES OT OCCUPATIONAL THERAPY BAKER UNIVERSITY NURSING MULTIPLE BENEDICTINE COLLEGE NURSING MULTIPLE UNIVERSITY OF CINCINNATI NURSING MULTIPLE CLARKSON UNIVERSITY PHYS ASST MULTIPLE CLAY CENTER MEDICAL CENTER ULTRASOUND HEART CENTER COLBY COMMUNITY COLLEGE PT REHABILITATION SVCS CREIGHTON UNIVERSITY PHARMACY PHARMACY CREIGHTON UNIVERSITY OT OCCUPATIONAL THERAPY DES MOINES UNIVERSITY SVCS PHYS ASST PATIENT CARE EMPORIA STATE UNIVERSITY ART THERAPY BEHAVIORAL HEALTH EMPORIA STATE UNIVERSITY NURSING MEDICAL ARTS CLINIC FLINT HILLS TECHNICAL COLL LPN MEDICAL ARTS CLINIC FORT HAYS NURSING NURSING MULTIPLE FRONTIER SCHOOL OF MIDWIF NURSING THE BIRTHPLACE GEARY COMMUNITY NURSING MULTIPLE GRACELAND UNIVERSITY NURSING PATIENT CARE SERVICES HIAWATHA COMMUNITY HOSP. NURSING PATIENT CARE SERVICES HIGHLAND COMMUNITY COLLEGE NURSING PATIENT CARE SERVICES HUTCHINSON COMMUNITY COLL HIM HEALTH INFORMATION MGT. INDIANA STATE UNIVERSITY NURSING PATIENT CARE SERVICES INSTITUTE OF MIDWIFERY- PHILADELPHIA MIDWIFERY THE BIRTHPLACE KANSAS STATE UNIVERSITY DIETICIANS NUTRITIONAL SERVICES UNIVERSITY OF KANSAS NURSING PATIENT CARE SERVICES UNIVERSITY OF KANSAS OT 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 MED CTR MEDICAL CLINIC KICKAPOO NATION HEALTH CTR NURSING PATIENT CARE SERVICES LIBERTY SCHOOL OF NURSING NURSING PATIENT CARE SERVICES MARYVILLE UNIVERSITY NURSING PATIENT CARE SERVICES MIDAMERICA NAZARENE UNIV NURSING PATIENT CARE SERVICES UNIVERSITY OF MISSOURI NURSING COTTON ONEIL CLINICS UNIVERSITY OF MISSOURI PA COTTON ONEIL CLINICS MORRIS COUNTY EMS EMT/NURSING ED/PCS/PHARMACY NEBRASKA MEDICAL CENTER/WU MEDICAL TECH LABORATORY NEBRASKA MEDICAL CENTER MEDICAL CLINIC NEOSHO COMMUNITY COLLEGE NURSING PATIENT CARE SERVICES NEWMAN UNIVERSITY OTA REHABILITATION SERVICES ROCKHURST UNIVERSITY PT/OT REHABILITATION SERVICES SABETHA HOSPITAL NURSING PATIENT CARE SERVICES UNIVERSITY OF SAINT MARY PT REHABILITATION SHENANDOAH UNIVERSITY MIDWIFERY THE BIRTHPLACE UNIVERSITY OF S. INDIANA NURSING PATIENT CARE SERVICES TEXAS WESLEYAN UNIVERSITY CRNA SURGICAL SERVICES USD #501 HIGH SCHOOL MULTIPLE WASHBURN UNIVERSITY KINESIOLOGY HEART CENTER WASHBURN UNIVERSITY HEALTH INFOR HEALTH INFORMATION MGT 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 WASHINGTON UNIVERSITY PT ASST REHABILITATION SERVICES WICHITA STATE UNIVERSITY NURSING MULTIPLE WICHITA STATE UNIVERSITY PHYS ASST MULTIPLE WICHITA STATE UNIVERSITY PT ASST REHABILITATION SERVICES 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 PERFORMANCE COMMITTEE OF THE STORMONT VAIL HEALTHCARE (SVHC) BOARD OF DIRECTORS ENGAGED INTEGRATED HEALTH STRATEGIES, AN EXECUTIVE COMPENSATION CONSULTING FIRM, TO PROVIDE RECOMMENDATIONS REGARDING ALL ASPECTS OF COMPENSATION OF THE ORGANIZATION'S SENIOR LEADERSHIP GROUP, INCLUDING THE PRESIDENT & CEO. THE ENGAGEMENT INCLUDED THE FOLLOWING COMPONENTS: -REVIEW OF BACKGROUND DATA, INCLUDING INFORMATION ON CURRENT PROGRAM -COMPILATION OF DATA ON COMPENSATION AND BENEFIT PRACTICES OF COMPARABLE ORGANIZATIONS. -COMPARISON OF BASE SALARIES AT SVHC TO BASE SALARY LEVELS IN THE MARKET. -COMPARISON OF ANNUAL AND LONG-TERM INCENTIVES AT SVHC TO INCENTIVE LEVELS IN THE MARKET. -ANALYSIS OF BENEFITS ON BOTH A QUANTITATIVE AND QUALITATIVE BASIS. -COMPARISON OF SVHC TOTAL COMPENSATION (BASE, INCENTIVE, BENEFITS) TO PEER GROUP TOTAL COMPENSATION -PREPARATION OF REPORT TO FACILITATE SVHC BOARD DISCUSSION OF THE TOTAL COMPENSATION -RECOMMENDATIONS REGARDING ESTABLISHMENT OF SALARY RANGES FOR SENIOR LEADERSHIP POSITIONS. THE DELIBERATIONS AND DECISION OF THE PERFORMANCE COMMITTEE AND THE BOARD OF DIRECTORS ARE DOCUMENTED IN MEETING MINUTES MAINTAINED BY SVHC INTEGRATED HEALTH STRATEGIES PERFORMED THEIR REVIEW IN 2015. 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 $( 25,564,693) NET ASSET TRANSFER RECEIVED 1,186,469 ------------ ( 24,378,224) COTTON-O'NEIL ACO LLC 1500 SW 10TH AVENUE TOPEKA KS 66604 465542929 SHARED SAVING KS -1175444 17053 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) 11A SVHC true URISH MEDICAL PLAZA LLC 1500 SW 10TH AVENUE TOPEKA KS 66604 480782848 REAL ESTATE KS SVHC RELATED 77947 758658 false true 0.71670 STORMONT VAIL INC 901 GARFIELD TOPEKA KS 66606 480782848 RETAIL PHARMACY KS SVHC C-CORP 556766 12118773 1.00000 true TENTH STREET PROPERTY INC 1500 SW 10TH ST TOPEKA KS 66604 480788844 REAL ESTATE KS SVHC C-CORP 296096 1.00000 true CENTURY HEALTH SOLUTIONS INC 2951 SW WOODSIDE DR TOPEKA KS 66614 481206397 INSURANCE ADMIN KS SVHC C-CORP -309968 121092 1.00000 true false true true false false false false true false false false false false true true true true false true STORMONT VAIL FOUNDATION B 748361 FMV STORMONT VAIL FOUNDATION C 891459 FMV STORMONT VAIL AUXILIARY C 156619 FMV STORMONT VAIL INC O 1210841 FMV STORMONT VAIL FOUNDATION O 488077 FMV STORMONT VAIL AUXILIARY P 289999 fmv STORMONT VAIL FOUNDATION R 929227 FMV