2016-07-19T14:29:34-05:00 2015-09-30 481066439 BERBERICH TRAHAN & CO PA 3630 SW BURLINGAME ROAD TOPEKA KS 666112050 990 2014-10-01 480543789 STORMONT-VAIL HEALTHCARE INC STOR 7853546000 1500 SW 10TH AVENUE TOPEKA KS 666041353 KEVIN J HAN VICE PRESIDENT 7853546000 2016-07-13 1 CHERYL G HAYWARD P00016097 7852343427 2014 2016-09-27 15:27:22Z KEVIN J HAN 1500 SW 10TH AVENUE TOPEKA KS 666041353 652856551 0 X WWW.STORMONTVAIL.ORG X 1894 KS STORMONT-VAIL'S MISSION IS "WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY" BY PROVIDING QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 14 12 4999 688 0 89010 344266 1092470 543453900 579320638 6116053 10329419 456383 776633 550370602 591519160 0 0 0 0 330729484 356672655 0 0 0 184916367 195996112 515645851 552668767 34724751 38850393 640070550 664265931 332819981 366780151 307250569 297485780 X WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY 0 0 469888064 579320638 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, 2015, 20,574 INPATIENTS, 65,481 EMERGENCY ROOM PATIENTS, 1,797 NEWBORNS, AND 403 NEONATAL INTENSIVE CARE BABIES WERE SERVED. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF STORMONT VAIL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. STORMONT VAIL'S MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION REGARDLESS OF ABILITY TO PAY. AS PART OF THIS MISSION, STORMONT VAIL PROVIDES CARE TO PERSONS COVERED BY MEDICARE AND MEDICAID PATIENTS. FOLLOWING ARE SOME OF THE BENEFITS PROVIDED AT REDUCED RATES FOR THE FISCAL YEAR:IN ADDITION TO THE CHARITY CARE PROVIDED, STORMONT VAIL ALSO PROVIDED SERVICE TO PATIENTS THAT RESULTED IN UNCOLLECTIBLE AMOUNTS AS FOLLOWS:BAD DEBT EXPENSE AT COST $11,191,344SHORTFALL OF MEDICARE PAYMENTS AT COST $49,385,978SHORTFALL OF MEDICAID PAYMENTS AT COST $23,951,880 STORMONT VAIL ALSO PROVIDES OTHER HEALTH CARE SERVICES AND PROGRAMS FOR THE BENEFIT OF THE COMMUNITY, FREE OR AT REDUCED RATES. EXAMPLES OF THESE INCLUDE:- SUBSIDY OF NURSING EDUCATION, MEDICAL EDUCATION, AND ALLIED HEALTH EDUCATION- OPERATING THE REGIONS ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) SERVING A HIGH PERCENTAGE OF MEDICALLY INDIGENT PATIENTS- OPERATING A LEVEL II TRAUMA CENTER SERVING NORTHEAST KANSAS- PROVIDE SUPPORT TO LIFESTAR, THE AIR AMBULANCE SERVICE IN NORTHEAST KANSAS- ORGANIZED SUPPORT GROUPS FOR A VARIETY OF TOPICS- APPROXIMATELY 52,000 HOURS OF VOLUNTEER TIME WERE DONATED TO STORMONT VAIL HELPING TO REDUCE THE COST OF PROVIDING HEALTH CARE- MAINTAINING THE HEALTH SCIENCES LIBRARY THAT IS MADE AVAILABLE TO THE PUBLIC FREE OF CHARGE AS A MEDICAL RESOURCE - STORMONT VAIL EMPLOYEES SUPPORT THE CARE LINE, WHICH IS AN EMERGENCY FUND FOR PATIENTS IN FINANCIAL DISTRESS, PROVIDING SERVICES AND SUPPLIES ON A SHORT-TERM BASIS- USE OF POZEZ EDUCATION CENTER FACILITIES FOR A VARIETY OF COMMUNITY GROUPS AND PROGRAMS- PARTICIPATED IN NUMEROUS CLINICAL RESEARCH TRIALS THROUGH THE CLINICAL RESEARCH DEPARTMENT- STORMONT-VAIL WEST BEHAVIORAL HEALTH SERVICES OPERATES A SUBSTANCE ABUSE PROGRAM- OPERATED A PALLIATIVE CARE PROGRAM TO PROVIDE COMFORT CARE TO PATIENTS WITH CHRONIC CONDITIONS- PROVIDE SUPPORT AND EDUCATION FOR PATIENTS WITH DIABETES THROUGH THE DIABETES LEARNING CENTER.- STORMONT-VAIL IS A REGIONAL NETWORK OF 32 LOCATIONS IN NORTHEAST KANSAS IMPROVING ACCESS TO MEDICAL CARE IN SEVERAL CITIES THAT OTHERWISE WOULD NOT HAVE ACCESS, PARTICULARLY ON WEEKENDS- MATERNAL FETAL MEDICINE PROGRAM PROVIDED CARE AND ACCESS TO SCREENINGS AND GENETIC COUNSELING FOR WOMEN WITH AT-RISK PREGNANCIES.- OPERATED THE HEALTHWISE PROGRAM WHICH PROVIDED OUTREACH PROGRAMS TO INDEPENDENT LIVING FACILITIES IN TOPEKA- OFFERED BLOOD PRESSURE CLINICS AT WEST RIDGE MALL AS WELL AS OUTREACH BLOOD PRESSURE CLINICS AT SIX OTHER LOCATIONS- OFFERED ONLINE CHILDBIRTH CLASSES THROUGH STORMONT-VAIL'S WEB SITE- PARTNERED WITH THE MARCH OF DIMES FOR THE NICU FAMILY SUPPORT PROGRAM- THE HEALTH CONNECTION PROGRAM, WHICH PROVIDES PHYSICIAN REFERRAL AND AFTER-HOUR ACCESS TO A NURSE, RECEIVED 542,816 CALLS- PROVIDED HEALTH INFORMATION THROUGH THE TOPEKA & SHAWNEE COUNTY PUBLIC LIBRARY'S HEALTH INFORMATION NEIGHBORHOOD- PARTNERED WITH BUILDING BLOCKS TO PROVIDE CHILDCARE SERVICES TO STAFF AND THE COMMUNITY- STORMONT-VAIL CLINICAL EDUCATORS PARTICIPATED IN THE AMERICAN HEALTH ASSOCIATION'S CPR FOR FAMILY AND FRIENDS CLASS TO TEACH OTHERS CPR- THE TRAUMA SERVICES DEPARTMENT PROVIDED COMMUNITY EDUCATION PROGRAMS ON FALL PREVENTION- STORMONT-VAIL WEST BEHAVIORAL HEALTH SERVICES PARTICIPATED IN A DEPRESSION SCREENING FOR THE COMMUNITY- PARTNERED IN THE KANSAS RED RIBBON CAMPAIGN TO PROMOTE A HEALTHY, DRUG-FREE LIFESTYLE FOR YOUTH- A SKIN SCREENING CLINIC FOR THE COMMUNITY WAS HELD AT THE COTTON-O'NEIL CANCER CENTER- CONNECT WITH THE COMMUNITY THROUGH THE ORGANIZATION WEBSITE, STORMONT.ORG- PARTNERED WITH HEALTH INNOVATION NETWORK OF KANSAS, A COALITION THAT GREW TO 21 HOSPITALS SHARING INFORMATION, EDUCATION AND OTHER NEEDED SERVICES- THE BOY TO MAN AND GIRL TO WOMAN COMMUNICATION EDUCATION PROGRAMS FACILITATE CONVERSATION BETWEEN ADULTS AND PRE-TEENS ABOUT FUTURE PHYSICAL AND EMOTIONAL CHANGES- STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE MEALS ON WHEELS PROGRAM- STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE UNITED WAY- DEVELOPING PATIENT CENTER MEDICAL HOME CONCEPT TO IMPROVE CARE WITH THE FOCUS ON PREVENTION AND WELLNESS- WORK WITH OTHERS IN THE COMMUNITY TO IMPROVE SAFETY NET SERVICES FOR UNDER INSURED AND UNINSURED- SERVED ON THE AMBULATORY ADVISORY BOARD DEALING WITH ISSUES RELATING TO AMBULANCE SERVICES- PRESENTED PERIPHERAL ARTERIAL DISEASE EDUCATION FOR NURSING HOMES AND EMPLOYERS- PRESENTED HEART HEALTH WEBINAR (EMPLOYERS AND NURSING HOMES)- PROVIDED THE PHARMACIST FOR A PHARMACOLOGY LECTURE FOR BAKER UNIVERSITY- PROVIDED STAFF TO SERVE ON THE UNITED WAY BOARD OF DIRECTORS- PROVIDED STAFF TO SERVE ON THE VNA BOARD OF DIRECTORS- PRESENTED THE HIGH FIVE EDUCATION PROGRAM- PROVIDED SERVER AT THE CELEBRITY SERVICER AT DOORSTEP- 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.) 469888064 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 197 0 1 4999 1 1 1 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KEVIN HAN 7853546000 1500 SW 10TH STREET TOPEKA KS 66604 S KENNETH ALEXANDERIII DIRECTOR 0.00 X 0 0 0 PAMELA JOHNSON-BETTS DIRECTOR 0.00 X 0 0 0 C RICHARD BONEBRAKEMD DIRECTOR 0.00 X 0 0 0 JOHN B DICUS DIRECTOR 0.00 X 0 0 0 RANDALL L PETERSON CHIEF EXECUTIVE OFFICER 50.00 X X 900336 0 193526 JAMES HAINES DIRECTOR 0.00 X 0 0 0 DEBRA CLAYTON DIRECTOR 0.00 X 0 0 0 SUEANN V SCHULTZ DIRECTOR 0.00 X 0 0 0 JAMES SCHMANK CHAIRPERSON 0.00 X X 0 0 0 CLIF JONES MD OPERATING COMMITTEE 50.00 X 334460 0 38399 ANDREW J JETTER DIRECTOR 0.00 X 0 0 0 JAMES PARRISH SECRETARY 0.00 X X 0 0 0 RICHARD WIENCKOWSKI DIRECTOR 0.00 X 0 0 0 BRENDA MILLS DIRECTOR 0.00 X 0 0 0 ERIC VOTH MD OPERATING COMMITTEE 60.00 X 413671 0 131063 DOUGLAS ROSE MD OPERATING COMMITTEE 50.00 X 455031 0 129728 KEVIN DISHMAN MD OPERATING COMMITTEE 60.00 X 968635 0 39175 LAMBERT WU MD OPERATING COMMITTEE 60.00 X 561501 0 32996 DAVID CUNNINGHAM VICE-PRESIDENT 50.00 X 277731 0 59687 CAROL WHEELER VICE-PRESIDENT 50.00 X 398863 0 27892 BERNIE BECKER VICE-PRESIDENT 50.00 X 350593 0 117012 KENT PALMBERG MD EXECUTIVE VICE-PRESIDENT 50.00 X 748599 0 28147 DEBRA YOCUM VICE-PRESIDENT 50.00 X 352435 0 53937 JANET STANEK VICE-PRESIDENT 50.00 X 515127 0 85133 CAROL PERRY VICE-PRESIDENT 50.00 X 369087 0 32497 KEVIN HAN CHIEF FINANCIAL OFFICER 50.00 X 409390 0 118975 MICHAEL KONGS KEY EMPLOYEE 50.00 X 175170 0 25671 ALAN WYNNE MD PHYSICIAN 60.00 X 875494 0 30939 MATTHEW WILLS MD PHYSICIAN 60.00 X 1832494 0 25939 TEWODRO ADDISSE MD PHYSICIAN 60.00 X 970699 0 19410 CHU CHI CHEN MD PHYSICIAN 60.00 X 1083412 0 16872 MICHAEL MCCOY MD PHYSICIAN 60.00 X 804010 0 24413 MAYNARD OLIVERIUS FORMER CHIEF EXEC. OFFICER 0.00 X 145031 0 0 12941769 0 1231411 393 1 1 0 ANESTHESIA ASSOCIATES 823 MULVANE SUITE 2A TOPEKA KS 66606 ANESTHESIA PHYSICIAN SERVICES 1969094 PROBASCO & ASSOCIATES PA 615 S TOPEKA BLVD TOPEKA KS 66603 COLLECTION AGENCY 1029747 FOULSTON SIEFKIN LLP 1551 NORTH WATERFRONT PARK STE 100 WICHITA KS 67202 LEGAL SERVICES 601209 TOPEKA PATHOLOGY GROUP 1000 W 10TH ST TOPEKA KS 66604 PATHOLOGY SERVICES 571381 TOPEKA EAR NOSE & THROAT PA 920 SW LANE STREET STE 200 TOPEKA KS 66606 PHYSICIAN SERVICES 534359 12 946706 145764 342797 1092470 NET PATIENT SERVICE REVENUE 621300 568197728 568197728 PHARMACY 621300 2399275 2399275 NUTRITIONAL SERVICES 621300 2158909 2158909 EDUCATION SERVICES/SCHOOL OF NURS 611600 2104290 2104290 MEDICAL SURGICAL 621300 435000 435000 4025436 4025436 579320638 3323444 3323444 776633 0 776633 776633 776633 68330178 13188 61010487 326904 7319691 -313716 7005975 7005975 591519160 579320638 0 11106052 8024720 3529821 4494899 283174955 249612943 33562012 8435212 6403325 2031887 39395937 29265499 10130438 17641831 13166729 4475102 2493725 34 2493691 166990 166990 603223 603223 16615786 13198480 3417306 1025992 4118 1021874 3736428 2333616 1402812 9377557 7064037 2313520 7152658 2912283 4240375 252202 234699 17503 7257643 7257643 21724626 21724626 2645618 608708 2036910 SUPPLIES 99725971 96629982 3095989 REPAIR & MAINTENANCE 8276936 6569396 1707540 NUTRITION & FOOD SERVIC 2214867 708757 1506110 CONTRIBUTION TO S-V FOU 702327 702327 12023563 7961041 4062522 552668767 469888064 82780703 0 41204051 63308992 34693537 14327327 80713069 83738205 6139112 6403355 5097129 4671503 468136703 244375392 192277456 223761311 219082537 191435502 55744677 71244589 5118982 5375147 640070550 664265931 67387215 81141929 177820000 174010000 2616133 2044356 84996633 109583866 332819981 366780151 X 306367396 296539689 750314 813232 132859 132859 307250569 297485780 640070550 664265931 X 38850393 -17087537 -31527645 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 0 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE KANSAS HOSPITAL ASSOCIATION. THESE ORGANIZATIONS HAVE INFORMED THE TAXPAYER THAT A PORTION OF THEIR DUES ARE ATTRIBUTED TO LOBBYING AND ADVOCACY ACTIVITIES. THE AHA PERCENTAGE FOR 2014 IS 22.80%. OCCASIONALLY, THE CEO WILL SPEAK TO LEGISLATORS REGARDING BILLS THAT WOULD AFFECT THE ORGANIZATION OR HEALTHCARE INDUSTRY. 258083 8231 266314 249013 9070 258083 254042 -5029 249013 244424 9618 254042 239410 5014 244424 0.00000 0.49890 0.50110 0 0 18475105 18475105 280601458 116854095 163747363 169060140 127521297 41538843 223761311 15469460 F MORGAN CREEK FUND, LTD CLASS A 1600483 F INVESTMENT IN GROSVENOR 32072112 F INVESTMENT IN PRINCIPAL 22102534 F 71244589 ACCRUED PENSION PAYABLE 109583866 109583866 X 541871685 -17087537 -31956715 -49044252 590915937 603223 603223 591519160 551636474 91420 91420 551545054 603223 520490 1123713 552668767 PART V, LINE 4: ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE GIFT IS ADDED TO THE FUND. PART X, LINE 2: AS OF SEPTEMBER 30, 2015 AND 2014 THERE WERE NO UNCERTAIN TAX BENEFITS INDENTIFIED AND RECORDED AS A LIABILITY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATE NET INCOME 350,007. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES 381,297. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -32,688,019. PART XII, LINE 2D - OTHER ADJUSTMENTS: BOOK AMORTIZATION GREATER THAN TAX 91,420. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES OF SINGLE MEMBER LLC, SEPARATELY STATED FOR AUDIT 520,490. 1 1 1 X 1 X 1 1 1 0 1 1 11055911 11055911 0.02000 62785871 38833991 23951880 0.04330 73841782 38833991 35007791 0.06330 948833 190865 757968 0.00140 3886868 2093284 1793584 0.00320 2616358 919389 1696969 0.00310 7452059 3203538 4248521 0.00770 81293841 42037529 39256312 0.07100 0 11191344 0 201110220 250496198 -49385978 X 1 1 1 1 STORMONT-VAIL HEALTHCARE 1500 SW 10TH STREET TOPEKA KS 66604 X X X STORMONT-VAIL HEALTHCARE 1 0 0 1 X X X X X X X X X 13 1 1 1 1 X HTTPS://WWW.STORMONTVAIL.ORG X HTTP://SHAWNEEHEALTH.ORG/DOCUMENTCENTER/VIEW/160 X X 1 13 1 HTTPS://WWW.STORMONTVAIL.ORG 0 0 1 X 100.000000000000 400.000000000000 X X X X X 1 1 1 X HTTPS://WWW.STORMONTVAIL.ORG X 1 0 X X X 1 X X 0 0 STORMONT-VAIL HEALTHCARE 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-HEALTHY PEOPLE 2020 NATIONAL TARGETS STORMONT-VAIL HEALTHCARE PART V, SECTION B, LINE 5: PURPOSE AND SCOPE OF THE CHNA- TO IDENTIFY AND PRIORITIZE TOP HEALTH NEEDS IN SHAWNEE COUNTY.- COLLABORATE WITH LOCAL HEALTH CARE EXPERTS AND COMMUNITY STAKEHOLDERS TO COLLECT AND ANALYZE DATA TO IDENTIFY THE TOP COMMUNITY HEALTH ISSUES IN SHAWNEE COUNTY.HEALTHY SHAWNEE COUNTY TASK FORCETHE 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 CHNAQUANTITATIVE PUBLIC HEALTH DATA FOR SHAWNEE COUNTY ARE AVAILABLE THROUGH THE KANSAS HEALTH MATTERS WEBSITE. A COMMUNITY SURVEY, WIDELY DISSEMINATED VIA EMAIL, PROVIDED ADDITIONAL QUANTITATIVE DATA. QUALITATIVE DATA WERE OBTAINED FROM THREE FOCUS GROUPS AND A SURVEY OF LOCAL PUBLIC HEALTH EXPERTS.QUANTITATIVE DATA SOURCES- KANSAS HEALTH MATTERS IS A ONE STOP SOURCE OF NON-BIASED DATA AND INFORMATION ABOUT COMMUNITY HEALTH IN KANSAS. IT IS INTENDED TO HELP HOSPITALS, HEALTH DEPARTMENTS, POLICY MAKERS AND COMMUNITY PLANNERS LEARN ABOUT ISSUES, IDENTIFY IMPROVEMENTS AND COLLABORATE FOR POSITIVE CHANGE. THIS VALUABLE RESOURCE WAS DEVELOPED BY THE KANSAS PARTNERSHIP FOR IMPROVING COMMUNITY HEALTH.USING KANSAS HEALTH MATTERS, THE TASK FORCE WAS ABLE TO COMPARE SHAWNEE COUNTY TO THE STATEWIDE AVERAGE ON 103 HEALTH INDICATORS. ALSO AVAILABLE ON THIS WEBSITE IS A 'COMMUNITY HEALTH NEEDS ASSESSMENT TOOLBOX AND HYPERLINKS TO PROMISING PRACTICES REGARDING COMMUNITY HEALTH.- THE HEALTHY SHAWNEE COUNTY COMMUNITY PERCEPTION SURVEY WAS AVAILABLE ON-LINE FROM JULY 16 THROUGH AUGUST 31, 2012. THIS SURVEY TOOK 48 HEALTH INDICATORS FROM THE KANSAS HEALTH MATTERS WEBSITE AND ASKED PARTICIPANTS TO IDENTIFY THE LEVEL OF ATTENTION NEEDED FOR THOSE INDICATORS ON A 1-5 LIKERT SCALE (1 = MUCH LESS ATTENTION, 5 = MUCH MORE ATTENTION. 548 COMMUNITY AND 229 ORGANIZATION MEMBERS COMPLETED THE SURVEY. THE SURVEY RESULTS WERE ANALYZED BY BIOSTATISTICS AND EVALUATION SERVICES AND TRAINING (BEST) CENTER, UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER, SCHOOL OF PUBLIC HEALTH.QUALITATIVE DATA SOURCES- INSIGHT INTO SHAWNEE COUNTY'S HEALTH-RELATED NEEDS WAS ALSO PROVIDED BY THREE FOCUS GROUPS. EACH GROUP HAD A DIFFERENT SET OF PARTICIPANTS, HEALTH CARE PROFESSIONALS, SOCIAL SERVICE PROFESSIONALS AND NEIGHBORHOOD LEADERS. THESE FOCUS GROUPS WERE FACILITATED BY VIRDEN AND ASSOCIATES OF KANSAS CITY AND CONDUCTED AUGUST 15 AND 16, 2012 AT THE TOPEKA-SHAWNEE COUNTY PUBLIC LIBRARY. FOCUS GROUP PARTICIPANTSHEALTHCARE PROFESSIONALS, AUGUST 15, 2012 AT 6:30 P.M., REPRESENTATIVES FROM:SELECT SPECIALTY HOSPITALWASHBURN RURAL SCHOOL NURSECOTTON-O'NEIL EXPRESSCAREHEALTH CONNECTIONS (ASK-A-NURSE)KANSAS REHAB HOSPITALSTORMONT-VAIL BEHAVIORAL SERVICESALDERSGATE VILLAGEMARIAN CLINIC, MEDICAL DIRECTORSTORMONT-VAIL EMERGENCY DEPARTMENTMARIAN CLINIC, PATIENT CARE DIRECTORST. FRANCIS EMERGENCY DEPARTMENTSHAWNEE COUNTY HEALTH AGENCY, MEDICAL DIRECTORBAKER SCHOOL OF NURSINGWASHBURN UNIVERSITY, DIRECTOR STUDENT HEALTHWASHBURN SCHOOL OF NURSING, COMMUNITY HEALTH NURSESOCIAL SERVICE AGENCIES, AUGUST 16, 2012 AT NOON, REPRESENTATIVE FROM:UNITED WAY OF GREATER TOPEKAHEALTH ACCESSAMERICAN RED CROSSHOUSING AND CREDIT COUNSELINGCATHOLIC CHARITIESBREAKTHROUGH HOUSEFAMILY SERVICE AND GUIDANCELET'S HELPTOPEKA COMMUNITY FOUNDATIONSHAWNEE COUNTY DEPARTMENT OF CORRECTIONSDOORSTEPMIDLAND CAREMEALS ON WHEELSBREWSTER PLACEVALEO BEHAVIORAL HEALTHSTORMONT-VAIL CASE MANAGERTOPEKA ASSOCIATION FOR RETARDED CITIZENSTOPEKA NEIGHBORHOOD ASSOCIATIONS/COMMUNITY VOLUNTEERS, AUGUST 16, 2012 6:30 P.M., REPRESENTATIVES FROM:COLLEGE HILL NEIGHBORHOODQUINTON HEIGHTS NEIGHBORHOODGREATER AUBURNDALE NEIGHBORHOODROLLING MEADOWS NEIGHBORHOODSOUTHERN HILLS NEIGHBORHOODOAKLAND NEIGHBORHOODELMHURST NEIGHBORHOODSTORMONT-VAIL COMMUNITY ADVISORY COUNCILCOMMUNITY VOLUNTEERS - 3-EIGHT COMMUNITY STAKEHOLDERS WITH PUBLIC HEALTH EXPERTISE WERE SENT AN E-MAIL SURVEY. THE QUESTIONS WERE OPENED ENDED IN ORDER TO COLLECT A BROADER BASE OF ANALYSIS - BASED UPON THE INSIGHT OF THE PARTICIPANTS. THE EXPERTS WERE DRAWN FROM A POOL OF COMMUNITY EXPERTISE THAT DEFINES PUBLIC HEALTH BROADLY. RESPONDING TO THE SURVEY WERE:-DAVID BECK, BREWSTER PLACE RETIREMENT COMMUNITY-DONA BOOE, KANSAS CHILDREN'S SERVICE LEAGUE-DEBBIE GUILBAULT, POSITIVE CONNECTIONS, INC.-CATHY HARDING, KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVED-JOHN HOMLISH, COMMUNITY ACTION-MIRIAM KREHBIEL, UNITED WAY OF GREATER TOPEKA-LEE LEINWETTER, D.O., SHAWNEE COUNTY HEALTH AGENCY-MAX WILSON, RETIRED NON-PROFIT EXECUTIVE DIRECTORADDITIONAL INPUT WAS ALSO PROVIDED BY THE ASSESSMENT ADVISORY COMMITTEE. THE MEMBERS ARE LISTED:-PAMELA BETTS,501 FOUNDATION-KARILY TAYLOR, MARIAN CLINIC-DONA BOOE, KANSAS CHILDREN'S SERVICE LEAGUE-GARRY CUSHIONBERRY, COREFIRST BANK-JOHN HOMLISH, COMMUNITY ACTION-NANCY JOHNSON, COMMUNITY RESOURCES COUNCIL-MAX WILSON, COMMUNITY VOLUNTEER-JOCELYN LYONS, JAYHAWK AREA AGENCY ON AGING-MIRIAM KREHBIEL, UNITED WAY OF GREATER TOPEKA-REV. T.D. HICKS, ANTIOCH BAPTIST CHURCH STORMONT-VAIL HEALTHCARE PART V, SECTION B, LINE 6A: ST. FRANCIS HEALTH CENTER WORKED WITH STORMONT-VAIL HEALTHCARE TO DEVELOP THE 2013 CHNA. STORMONT-VAIL HEALTHCARE PART V, SECTION B, LINE 6B: THE SHAWNEE COUNTY HEALTH AGENCY WORKED WITH STORMONT-VAIL AND ST. FRANCIS TO DEVELOP THE 2013 CHNA. THESE THREE ORGANIZATIONS WERE THE HEALTHY SHAWNEE COUNTY TASK FORCE:-HEALTHY SHAWNEE COUNTY HEALTH TASK FORCE -SHAWNEE COUNTY HEALTH AGENCY ALLISON ALEJOS, DIRECTOR BOB HEDBERG, GRANTS & SPECIAL PROJECTS OFFICER -ST. FRANCIS HEALTH CENTER MARY HOMAN, DIRECTOR, MISSION & ETHICS PAULA ELLIS, DIRECTOR COMMUNITY BENEFIT, ACO AND PATIENT CENTERED MEDICAL HOME DEVELOPMENT -STORMONT-VAIL HEALTHCARE THOMAS LUELLEN, DIRECTOR OF PLANNING & DECISION SUPPORT STORMONT-VAIL HEALTHCARE PART V, SECTION B, LINE 7D: WITH THE COMPLETION OF THE DATA COLLECTION/ANALYSIS AND SELECTION OF PRIORITIES, THE NEXT STEP IN THE PROCESS WAS DOCUMENTING AND COMMUNICATING THE RESULTS. IN ADDITION TO MAKING THE CHNA AVAILABLE ON EACH ORGANIZATION'S WEBSITE, THE FINAL REPORT WAS ALSO COMMUNICATED VIA:-DISTRIBUTE REPORT TO ASSESSMENT ADVISORY COUNCIL MEMBERS-DISTRIBUTE REPORT TO FOCUS GROUP PARTICIPANTS-PRESENTATIONS TO HOSPITAL LEADERSHIP AND BOARDS (LISTED BELOW)-PRESENT TO HEARTLAND HEALTHY NEIGHBORHOOD ADVISORY COUNCIL-MARCH 2013 COUNTY COMMISSION MEETING PRESENTATION STORMONT-VAIL PRESENTATIONS OF THE SHAWNEE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTDATE GROUP NUMBER OF ATTENDEES12/18/12 STORMONT-VAIL OPERATING COMMITTEE 141/17/13 STORMONT-VAIL AUXILIARY 451/31/13 SAFETY NET CLINIC SUMMIT 252/19/13 STORMONT-VAIL COMMUNITY ADVISORY COUNCIL 223/5/13 SHAWNEE COUNTY HEALTH CLINIC BOARD OF DIRECTORS 253/21/13 SHAWNEE COUNTY COMMISSIONERS 253/21/13 STORMONT-VAIL ALL MANAGEMENT COUNCIL 1254/5/13 LEADERSHIP GREATER TOPEKA, CLASS OF 2013 654/8/13 HEARTLAND HEALTHY NEIGHBORHOOD 214/25/13 KANSAS HEALTH INSTITUTE CHNA WORKSHOP 287/24/13 TOPEKA BUSINESS LEADERS - FAT WEDNESDAY 159/9/13 HEARTLAND HEALTHY NEIGHBORHOOD 28 STORMONT-VAIL HEALTHCARE PART V, SECTION B, LINE 11: STORMONT-VAIL'S 2015 IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA HASTHREE MAJOR INITIATIVES:1. EXPAND THE CAPACITY OF CURRENT SAFETY NET PROVIDERS IN SHAWNEE COUNTY.2. PARTICIPATE IN THE DEVELOPMENT OF A COMMUNITY-WIDE PLAN.3. PARTICIPATE IN THE IMPLEMENTATION OF THE COMMUNITY-WIDE PLAN.THESE STRATEGIES ARE INCORPORATED INTO STORMONT-VAIL'S FY2015 STRATEGIC PLAN.STEPS TO ADDRESS THE IDENTIFIED HEALTH CARE NEEDSTHE 2013 SHAWNEE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ISSUES IN FOUR MAJORCATEGORIES: -IMPROVED ACCESS TO CARE FOR UNDERSERVED POPULATIONS -IMPROVED TRANSPORTATION TO HEALTHCARE SERVICES AND IMPROVED KNOWLEDGE OF HEALTH SERVICES -OBESITY/OVERWEIGHT AND THEIR CONTRIBUTING FACTORS -INFANT MORTALITY AND THE CONTRIBUTING FACTORSTO IMPROVE ACCESS TO CARE FOR UNDERSERVED POPULATIONS, STORMONT-VAIL INITIATED THE SHAWNEE COUNTY SAFETY NET SUMMIT. TO ADDRESS THE OTHER THREE CATEGORIES, STORMONT-VAIL SOLICITED THE HEARTLAND HEALTHY NEIGHBORHOODS COALITION.SHAWNEE COUNTY SAFETY NET SUMMITIN 2013, STORMONT-VAIL HEALTHCARE AND ST. FRANCIS HEALTH INVITED ORGANIZATIONS THAT PROVIDE HEALTH CARE SERVICES PRIMARILY TO LOWER INCOME GROUPS TO JOIN THE SHAWNEE COUNTY SAFETY NETSUMMIT. PARTICIPANTS IN THIS GROUP WERE: STORMONT-VAIL HEALTHCARE ST. FRANCIS HEALTH SHAWNEE COUNTY HEALTH AGENCY (LOCAL FEDERALLY QUALIFIED HEALTH CLINIC, FQHC) VALEO (LOCAL COMMUNITY MENTAL HEALTH ORGANIZATION) MARIAN CLINIC (SAFETY NET CLINIC FOR THOSE WITHOUT HEALTH INSURANCE) FAMILY SERVICE AND GUIDANCE (MENTAL HEALTH PROVIDERS, PRIMARILY CHILDREN/ADOLESCENTS) HEALTH ACCESS (PHYSICIAN LEAD ORGANIZATION PROVIDING CARE TO THE UNINSURED) SHAWNEE COUNTY MEDICAL SOCIETYFROM THIS MEETING A SUB-COMMITTEE WAS CREATED TO INVESTIGATE OPTIONS TO INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERSERVED IN SHAWNEE. THE SUB-COMMITTEE SOLICITED MILLENNIA CONSULTING TO ASSIST IN THIS EFFORT. FUNDING FOR THE CONSULTANTS WAS PROVIDED BY A GRANT FROM THE SUNFLOWER FOUNDATION AND CONTRIBUTIONS FROM EACH ORGANIZATION IN THE SHAWNEE COUNTY SAFETY NET SUMMIT. IN JANUARY 2014 CONSULTANTS DELIVERED THE SHAWNEE COUNTY SAFETY NET REPORT.KEY RECOMMENDATIONS FROM SAFETY NET REPORT1. THE SHAWNEE COUNTY HEALTH AGENCY SHOULD SEPARATE THEIR FQHC FROM THE COUNTY GOVERNMENT AND BECOME A 501(C)(3). THIS SHOULD SIGNIFICANTLY INCREASE OPERATING EFFICIENCIES.2. THE MARIAN CLINIC SHOULD DIRECTLY LINK WITH THE NEW, PRIVATE FQHC.BOTH RECOMMENDATIONS WERE ACCEPTED AND IMPLEMENTATION IS UNDERWAY. THE COUNTY'S FQHC HAS APPLIED FOR 501(C)(3) STATUS AND THE MARIAN CLINIC WILL MERGE WITH THE NEW FQHC. BOTH ORGANIZATIONS HAVE SIGNED AN AGREEMENT FOR THIS NEW ENTITY TO BE MANAGED BY GRACEMED OUT OF WICHITA.DURING 2015 THERE WAS A SIGNIFICANT DELAY IN THIS PROCESS. THE "SUCCESSOR IN INTEREST APPLICATION" WAS NOT ACCEPTED. A "FULL" APPLICATION HAS BEEN SUBMITTED AND THIS TRANSITION WILL NOW OCCUR BY JULY 1, 2016. ALSO DURING THIS DELAY THE MARIAN CLINIC CLOSED ITS MEDICAL SERVICES AT THE END OF 2015. THEIR DENTAL CLINIC WILL REMAIN OPEN. MOST OF THE MEDICAL PATIENTS HAVE NOW BEEN ESTABLISHED WITH THE SHAWNEE COUNTY HEALTH AGENCY CLINIC. HEARTLAND HEALTHY NEIGHBORHOODS COALITIONFOR THE IMPLEMENTATION PHASE OF THE 3 OTHER MAJOR CATEGORIES IN THE CHNA, STORMONT-VAIL, ST.FRANCIS AND THE SHAWNEE COUNTY HEALTH AGENCY SOLICITED THE ASSISTANCE OF HEARTLAND HEALTHY NEIGHBORHOODS (HHN) COALITION. HHN IS A GRASS ROOTS ORGANIZATION REPRESENTING OVER 40 LOCAL COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS THAT DIRECTLY OR INDIRECTLY ADDRESS HEALTH CARE PROBLEMS IN THE COMMUNITY. THIS GROUP HAS REGULAR MONTHLY MEETINGS.STARTING IN LATE 2013, HHN'S MONTHLY MEETINGS WERE PRIMARILY DEVOTED TO DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR SHAWNEE COUNTY.THREE WORK GROUPS WERE THE CREATED TO ADDRESS THE REMAINING MAJOR CATEGORIES IN THE CHNA: HEALTHY EATING/ACTIVE LIVING- OVERWEIGHT/OBESE ISSUES HEALTHY BABIES- INFANT MORTALITY TRANSPORTATION AND KNOWLEDGE OF HEALTH CARE SERVICES- OTHER ACCESS ISSUESAFTER A YEAR OF WORK THE HHN GROUPS COMPLETED THE CHIP. IT WAS PRESENTED TO THE SHAWNEE COUNTY BOARD OF HEALTH IN APRIL 2, 2015. BELOW IS A SUMMARY OF THE PLAN.THE SHAWNEE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN SUMMARYHEALTHY BABIESGOAL: REDUCE INFANT MORTALITY IN SHAWNEE COUNTY FROM 8.3 INFANT DEATHS PER 1,000 LIVE BIRTHS TO THE STATE OF KANSAS LEVEL OF 7.0 BY 2017 AND TO THE HEALTHY PEOPLE 2020 GOAL OF 6.0 BY 2020.OBJECTIVE: REDUCE THE NUMBER OF INFANTS WHO DIE EACH YEAR IN SHAWNEE COUNTY DUE TO SUDDEN UNEXPLAINED INFANT DEATH (SUID) OVER A FIVE YEAR TIME PERIOD FROM 16 TO 14 BY 2017.OBJECTIVE: INCREASE THE INITIATION RATE OF BREASTFEEDING WOMEN IN SHAWNEE COUNTY FROM 76.4% TO82.4% BY 2017.OBJECTIVE: INCREASE THE DURATION RATE OF WIC PARTICIPANTS STILL BREASTFEEDING AT 6 MONTHS FROM18% TO 21% BY 2019.OBJECTIVE: INCREASE THE PROPORTION OF PREGNANT WOMEN WHO RECEIVE EARLY PRENATAL CARE BEGINNING IN THE FIRST TRIMESTER FROM 75.7% TO 77.9% BY 2020.OBJECTIVE: INCREASE THE PROPORTION OF PREGNANT WOMEN WHO RECEIVE EARLY AND ADEQUATE PRENATAL CARE FROM 83.5% TO 88.0% BY 2020.HEALTHY EATING/ACTIVE LIVINGGOAL: TO CREATE AN ENVIRONMENT AND CULTURE, THROUGH POLICY AND SYSTEM CHANGE, THAT WILL PROVIDE SHAWNEE COUNTY RESIDENTS WITH THE INFORMATION, TOOLS AND RESOURCES TO PROMOTE HEALTHY EATING WHILE ENCOURAGING AND REINFORCING ACTIVE LIFESTYLES FOR ALL AGES AND ABILITIES.OBJECTIVE: DECREASE THE PERCENT OF ADULTS WHO ARE CONSIDERED OVERWEIGHT FROM 36.3% TO 34.3% BY2018.OBJECTIVE: DECREASE THE PERCENT OF ADULTS WHO ARE CONSIDERED OBESE FROM 31% TO 29% Y 2018.OBJECTIVE: DECREASE THE PERCENT OF ADULTS WHO REPORTED CONSUMING FRUITS LESS THAN 1 TIME PER DAYFROM 40.1% TO 38.1% BY 2018.OBJECTIVE: DECREASE THE PERCENT OF ADULTS WHO REPORTED CONSUMING VEGETABLES LESS THAN 1 TIMEPER DAY FROM 21.3% TO 19.3% BY 2018.OBJECTIVE: INCREASE THE PERCENT OF ADULTS DOING ENOUGH PHYSICAL ACTIVITY TO MEET BOTH THE AEROBIC AND STRENGTHENING EXERCISE RECOMMENDATIONS FROM 19% TO 23% BY 2018.OBJECTIVE: INCREASE THE NUMBER OF HOUSEHOLDS LISTED AS FOOD SECURE FROM 84.6% TO 86.6% BY2018.ACCESS- TRANSPORTATION AND KNOWLEDGE OF HEALTH CARE SERVICESGOAL: PROMOTE AWARENESS AND CONNECTIVITY TO ALLOW INDIVIDUALS TO ACCESS COMMUNITY HEALTH AND TRANSPORTATION RESOURCES.OBJECTIVE: REDUCE THE GAPS IN HEALTH AND TRANSPORTATION RESOURCES.OBJECTIVE: CENTRALIZE RESOURCE ACCESS FOR RELIABLE AND TRANSPORTATION-RELATED INFORMATION.THE COMPLETE CHIP LISTS STRATEGIES AND OPPORTUNITIES FOR COMMUNITY ACTION FOR EACH OF THESEGOALS. THE FULL SHAWNEE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN IS AVAILABLE AT:HTTPS://WWW.STORMONTVAIL.ORGHTTP://HEALTH.SNCO.US/DOCUMENTCENTER/VIEW/221AS PREVIOUSLY MENTIONED, STORMONT-VAIL'S IMPLEMENTATION STRATEGY TO ADDRESS EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA WAS INCORPORATED INTO THE FY15 STRATEGIC PLAN.IDENTIFIED HEALTH NEEDS NOT BEING DIRECTLY ADDRESSED BY THE HOSPITAL.THE SHAWNEE COUNTY CHNA IDENTIFIED 14 COMMUNITY HEALTH PRIORITIES:O ACCESS FOR MEDICALLY UNDERSERVED POPULATIONSO TRANSPORTATION TO/KNOWLEDGE OF AVAILABLE SERVICESO POOR MENTAL HEALTHO DIABETES, HEART DISEASE/STROKEO OVERWEIGHT/OBESEO EAT FRUIT/VEGETABLES 5 TIMES DAILYO PARTICIPATE IN RECOMMENDED LEVEL OF PHYSICAL ACTIVITYO INFANT MORTALITYO TEEN BIRTHSO IMMUNIZED INFANTSO ADULT CIGARETTE SMOKINGO CHILDREN WITHOUT ADEQUATE ORAL HEALTHTHE FIRST 12 COMMUNITY HEALTH PRIORITIES ARE BEING ADDRESSED BY THE SAFETY NET SUMMIT AND THE HHN GROUPS HEALTHY EATING/ACTIVE LIVING, HEALTHY BABIES, AND TRANSPORTATION/KNOWLEDGE OF HEALTHCARE SERVICES.AREAS IDENTIFIED, BUT NOT SPECIFICALLY ADDRESSED BY THE CHIP ARE: -ADULT CIGARETTE SMOKING -CHILDREN WITHOUT ADEQUATE ORAL HEALTHBOTH AREAS ARE IMPORTANT, BUT STORMONT VAIL'S HEALTH IMPROVEMENT EFFORTS DO NOT FOCUS DIRECTLY ON EITHER AREA. 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 19.8%, COMPARED TO THE STATEWIDE AVERAGE OF 20.0%.CONCERNING CHILDREN WITHOUT ADEQUATE ORAL HEALTH, THE MARIAN CLINIC'S DENTAL SERVICES REMAIN OPEN. THE MOST RECENT KANSAS HEALTH MATTERS DATA HAS SHAWNEE COUNTY'S CHILDREN WITHOUT DENTAL SEALANTS IS 48.8%, COMPARED TO THE STATEWIDE AVERAGE OF 57.3%. BECAUSE OF THESE TWO FACTORS, STORMONT VAIL HAS CHOSEN TO FOCUS RESOURCES ON INCREASING ACCESS TO MEDICAL CARE. STORMONT-VAIL HEALTHCARE PART V, SECTION B, LINE 16I: FOR PATIENTS EXPRESSING THE INABILITY TO PAY, THEY ARE PROVIDED WITH CUSTOMER SERVICE PHONE NUMBERS ON THE WEBSITE, PATIENT STATEMENTS, PATIENT HANDBOOKS, AND BROCHURES GIVEN TO ALL INPATIENTS AND OUTPATIENTS. STORMONT-VAIL HEALTHCARE PART V, SECTION B, LINE 22D: LOOKBACK METHOD- USED PRIOR YEAR MEDICARE AND PRIVATE HEALTH INSURANCE PAID CLAIMS ACCORDING TO 501(R)(5) PART V, SECTION B, LINE 7B CHNA AVAILABLE AT THESE WEBSITES:HTTPS://WWW.STFRANCISTOPEKA.ORGHTTP://SHAWNEEHEALTH.ORG/DOCUMENTCENTER/VIEW/160 PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY STORMONT-VAIL HEALTHCARE PART V, SECTION B, LINE 16A WEBSITE: HTTPS://WWW.STORMONTVAIL.ORG 32 CANCER CENTER 1414 SW 8TH AVENUE TOPEKA KS 66606 CANCER CENTER HEART CENTER 929 MULVANE TOPEKA KS 66606 CARDIOLOGY OFFICE FAMILY PRACTICE 901 GARFIELD TOPEKA KS 66606 FAMILY PRACTICE PHYSICIAN OFFICES COTTON O'NEIL PHYSICIAN CLINICS 823 MULVANE TOPEKA KS 66606 VARIOUS PHYSICIAN OFFICES STORMONT VAIL WEST 3707 SW 6TH STREET TOPEKA KS 66606 PSYCHIATRIC COTTON O'NEIL GI CENTER 720 LANE TOPEKA KS 66606 GI CLINIC ORTHOPEDICS KOSM 909 SW MULVANE TOPEKA KS 66604 ORTHOPEDIC PHYSICIAN OFFICE EMPORIA CLINIC 1301 SW 12TH STREET EMPORIA KS 66801 PHYSICIAN OFFICES 6TH & FRAZIER 3520 SW 6TH STREET TOPEKA KS 66606 PHYSICIAN OFFICES REHABILTATION SERVICES 4019 SW 10TH AVE TOPEKA KS 66606 REHABILITATION THERAPY CROCO CLINIC 2909 SE WALNUT DR TOPEKA KS 66605 PHYSICIAN OFFICES PEDIATRICARE 4100 SW 15TH STREET TOPEKA KS 66604 PEDIATRICS PHYSICIAN OFFICE STORMONT VAIL SLEEP CENTER 920 SW WASHBURN TOPEKA KS 66606 SLEEP CENTER URISH CLINIC 6725 SW 29TH STREET TOPEKA KS 66614 PHYSICIAN OFFICES DERMATOLOGY CLINIC 6650 MISSION VALLEY DRIVE TOPEKA KS 66614 PHYSICIAN OFFICES WAMEGO CLINIC 1704 COMMERCIAL CIRCLE WAMEGO KS 66547 PHYSICIAN OFFICES CARBONDALE CLINIC 211 EAST MAIN CARBONDALE KS 66614 PHYSICIAN OFFICES OSAGE CITY CLINIC 131 WEST MARKET OSAGE CITY KS 66523 PHYSICIAN OFFICES OSKALOOSA CLINIC 209 W JEFFERSON OSKALOOSA KS 66066 PHYSICIAN OFFICES NORTH TOPEKA CLINIC 1130 N KANSAS AVENUE TOPEKA KS 66608 PHYSICIAN OFFICES LAWRENCE CLINIC 330 ARKANSAS LAWRENCE KS 66044 PHYSICIAN OFFICES ROSSVILLE CLINIC 423 MAIN ROSSVILLE KS 66533 PHYSICIAN OFFICES MERIDEN CLINIC 407 E WYANDOTTE MERIDEN KS 66512 PHYSICIAN OFFICES OCCUPATIONAL MEDICINE 1504 SW 8TH STREET TOPEKA KS 66606 WORKERS COMP PHYSICIAN OFFICE LEBO CLINIC 118 W 4TH LEBO KS 66856 PHYSICIAN OFFICES ALMA CLINIC 701 MISSOURI ALMA KS 66401 PHYSICIAN OFFICES CARDIAC THORACIC SURGEONS 830 MULVANE TOPEKA KS 66606 PHYSICIAN OFFICES MEDICAL ASSOCIATES OF MANHATTAN 1133 COLLEGE AVE STE E-110 MANHATTAN KS 66502 PHYSICIAN OFFICES MRI OF KANSAS 631 SW MULVANE TOPEKA KS 66606 MRI CENTER LYNDON CLINIC 715 WASHINGTON ST STE B LYNDON KS 66451 PHYSICIAN OFFICES EXCELLENT SURGERY CENTER 920 SW LANE TOPEKA KS 66606 SURGICAL FACILITY STORMONT VAIL SINGLE DAY SURGERY 823 MULVANE TOPEKA KS 66606 SURGICAL FACILITY PART III, LINE 2: THE BAD DEBT EXPENSE WAS CALCULATED BY USING THE ACTUAL BAD DEBT WRITE-OFFS FROM THE HOSPITAL AND THE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM FOR OTHER PAYORS MULTIPLIED BY THE BAD DEBT WRITE-OFFS. THE CLINIC BAD DEBTS WERE ESTIMATED AND A COST TO CHARGE RATIO WAS APPLIED TO DETERMINE COST. PART III, LINE 4: THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP. PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. STORMONT-VAIL ONLY CHARGES INTEREST ON PATIENT ACCOUNTS THAT HAVE BEEN TURNED OVER TO COLLECTIONS. PATIENT RECEIVABLES ARE WRITTEN OFF TO PROVISON FOR UNCOLLECTIBLE ACCOUNTS WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF THE PROVISON FOR UNCOLLECTIBLE ACCOUNTS WHEN RECEIVED. PART III, LINE 8: BOTH THE COST ACCOUNTING AND COST TO CHARGE RATIO METHOD ARE USED. PART III, LINE 9B: AN ESSENTIAL ELEMENT OF THE MISSION OF STORMONT VAIL HEALTHCARE IS TO BE GOOD FINANCIAL STEWARDS AS WE STRIVE TO IMPROVE THE HEALTHCARE OF OUR COMMUNITY. AS PART OF THAT STEWARDSHIP, WE MUST DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH PATIENTS CAN AFFORD TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE WORK VERY HARD TO MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. OUR REPRESENTATIVES WORK WITH PATIENTS TO TRY TO REACH THE MOST EQUITABLE SOLUTION IN ORDER TO RESOLVE A PATIENT BILL. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. X X X X 0 1 0 0 0 1 0 0 0 RANDALL L PETERSON CHIEF EXECUTIVE OFFICER 713039 0 181753 0 5544 0 170842 0 22684 0 1093862 0 0 0 CLIF JONES MD OPERATING COMMITTEE 321803 0 10381 0 2276 0 19209 0 19190 0 372859 0 0 0 ERIC VOTH MD OPERATING COMMITTEE 354748 0 56596 0 2327 0 111304 0 19759 0 544734 0 0 0 DOUGLAS ROSE MD OPERATING COMMITTEE 376397 0 75985 0 2649 0 119968 0 9760 0 584759 0 0 0 KEVIN DISHMAN MD OPERATING COMMITTEE 905548 0 61827 0 1260 0 19934 0 19241 0 1007810 0 0 0 LAMBERT WU MD OPERATING COMMITTEE 540729 0 19932 0 840 0 15400 0 17596 0 594497 0 0 0 DAVID CUNNINGHAM VICE-PRESIDENT 230466 0 46415 0 850 0 42245 0 17442 0 337418 0 0 0 CAROL WHEELER VICE-PRESIDENT 326151 0 66037 0 6675 0 15400 0 12492 0 426755 0 0 0 BERNIE BECKER VICE-PRESIDENT 287968 0 59520 0 3105 0 104102 0 12910 0 467605 0 0 0 KENT PALMBERG MD EXECUTIVE VICE-PRESIDENT 571450 0 166481 0 10668 0 15400 0 12747 0 776746 0 0 0 DEBRA YOCUM VICE-PRESIDENT 295689 0 55689 0 1057 0 41118 0 12819 0 406372 0 0 0 JANET STANEK VICE-PRESIDENT 403054 0 110516 0 1557 0 63582 0 21551 0 600260 0 0 0 CAROL PERRY VICE-PRESIDENT 304603 0 63333 0 1151 0 19637 0 12860 0 401584 0 0 0 KEVIN HAN CHIEF FINANCIAL OFFICER 343004 0 62745 0 3641 0 113385 0 5590 0 528365 0 0 0 MICHAEL KONGS KEY EMPLOYEE 169234 0 4826 0 1110 0 10570 0 15101 0 200841 0 0 0 ALAN WYNNE MD PHYSICIAN 856642 0 15240 0 3612 0 15200 0 15739 0 906433 0 0 0 MATTHEW WILLS MD PHYSICIAN 1813490 0 17744 0 1260 0 10200 0 15739 0 1858433 0 0 0 TEWODRO ADDISSE MD PHYSICIAN 943370 0 26069 0 1260 0 14625 0 4785 0 990109 0 0 0 CHU CHI CHEN MD PHYSICIAN 1044715 0 28029 0 10668 0 15400 0 1472 0 1100284 0 0 0 MICHAEL MCCOY MD PHYSICIAN 776193 0 17149 0 10668 0 15400 0 9013 0 828423 0 0 0 MAYNARD OLIVERIUS FORMER CHIEF EXEC. OFFICER 0 0 145031 0 0 0 0 0 0 0 145031 0 0 0 PART I, LINE 4B RANDALL PETERSON $ 155,442. DAVID CUNNINGHAM $ 27,249. BERNARD BECKER $ 88,702. DEBRA YOCUM $ 30,918. JANET STANEK $ 48,182. CAROL PERRY $ 4,237. KEVIN HAN $ 97,985. ERIC VOTH, M.D. $ 95,904. DOUGLAS ROSE, M.D. $ 104,568. KEVIN DISHMAN, M.D. $ 4,700. CLIF JONES, M.D. $ 3,809. PART I, LINE 6 CERTAIN EMPLOYEES OF THE ORGANIZATION ARE ELIGIBLE FOR BONUSES UPON ACHIEVEMENT OF VARIOUS PERFORMANCE MEASURES AS OUTLINED IN THE ANNUAL INCENTIVE PLAN. A KANSAS DEVELOPMENT FINANCE AUTHORITY 48543BJT6 2007-08-27 50064927 HEALTH FACILITIES 0 0 0 B KANSAS DEVELOPMENT FINANCE AUTHORITY 48543BLG1 2008-03-31 27950075 HEALTH FACILITIES 0 0 0 C KANSAS DEVELOPMENT FINANCE AUTHORITY 484538MC9 2011-08-31 61193487 HEALTH FACILITIES 0 0 0 D KANSAS DEVELOPMENT FINANCE AUTHORITY 48453BNS3 2012-08-14 8750000 HEALTH FACILITIES 0 0 0 A 53519801 18107157 689770 1048000 30220000 2009 1 1 1 1 B 27950075 27677500 272575 2008 1 0 1 1 C 61196912 50325531 863086 10008295 2013 1 0 1 1 D 8748898 148649 8600249 2014 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 1 0 0 0 0 1 B 1 0 0 0 0 1 C 1 0 0 0 0 1 D 1 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K SUPPLENTAL INFORMATION THE PROJECT FOR THE 2013 BOND ISSUE WAS NOT COMPLETED AS OF SEPTEMBER 30, 2015. A KANSAS DEVELOPMENT FINANCE AUTHORITY 48543BPD4 2013-11-15 39321250 HEALTH FACILITIES 0 0 0 A 39325828 670848 30726310 7928670 0 0 0 1 A 0 0 0 0 0 0 1 A 1 0 0 0 0 1 A 1 X MEDICAL EQUIPMENT 2 246472 FMV X OTHER EQUIPMENT 4 66918 FMV X COMPUTER EQUIPMENT 3 29407 FMV 0 0 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: IN ADDITION TO THESE COMMUNITY CONTRIBUTIONS, STORMONT-VAIL PROVIDED SUPERVISED CLINICAL EXPERIENCE FOR 742 STUDENTS AND 135,063 HOURS TO THE FOLLOWING ENTITIES: NAME/LOCATION TYPE OF STUDENT DEPT/DIVISION BAKER UNIVERSITY NURSING MULTIPLE CLARKSON UNIVERSITY PHYS ASSISTANT PEDIATRICCARE CREIGHTON UNIVERSITY PHARMACY PHARMACY EMPORIA STATE UNIVERSITY NURSING MEDICAL ARTS CLINIC-EMPORIA EMPORIA STATE UNIVERSITY ART THERAPY BEHAVIORAL HEALTH FORT HAYS NURSING NURSING MULTIPLE FRONTIER SCHOOL OF MIDWIFERY NURSING THE BIRTHPLACE GEARY COMMUNITY NURSING MULTIPLE GEORGETOWN UNIVERSITY MIDWIFERY THE BIRTHPLACE GRACELAND UNIVERSITY NURSING PATIENT CARE HIGHLAND COMMUNITY COLLEGE NURSING MULTIPLE HUTCHINSON COMMUNITY COLLEGE HEALTH INFO MGMT HEALTH INFO MGMT HUTCHINSON COMMUNITY COLLEGE PHLEBOTOMY LABORATORY/CLINIC INDIANA STATE UNIVERSITY NURSING PATIENT CARE KANSAS CITY KS COMMUNITY COLLEGE PT/OT REHAB SERVICES KANSAS STATE UNIVERSITY DIETICIANS NUTRITIONAL SERVICES KANSAS STATE UNIVERSITY SPEECH THERAPY REHAB SERVICES UNIVERSITY OF KANSAS NURSING PATIENT CARE UNIVERSITY OF KANSAS OT PATIENT CARE UNIVERSITY OF KANSAS PHARMACY PHARMACY UNIVERSITY OF KANSAS PT ASSISTANTS REHAB SERVICES UNIVERSITY OF KANSAS SOCIAL WORK BEHAVIORAL HEALTH UNIVERSITY OF KANSAS SPEECH THERAPY REHAB SERVICES KANSAS UNIVERSITY MEDICAL CENTER MEDICAL STUDENTS CLINIC LEMOYNE COLLEGE PA STUDENT CLINIC MARYVILLE UNIVERSITY NURSING PATIENT CARE UNIVERSITY OF MASSACHUSETTS NURSING PATIENT CARE NEBRASKA MEDICAL CENTER/WU MEDICAL TECH LABORATORY NEBRASKA MEDICAL CENTER MEDICAL STUDENTS CLINIC NEMAHA VALLEY COMM HOSPITAL NURSING PATIENT CARE SABETHA HOSPITAL NURSING STAFF PATIENT CARE SAINT LOUIS COLLEGE OF PHARMACY PHARMACY STUDENTS PHARMACY UNIVERSITY OF SAINT MARY PT STUDENTS REHAB UNIVERSITY OF SOUTHERN INDIANA NURSING PATIENT CARE TEXAS WESLEYAN UNIVERSITY CRNA SURGERY USD #501 HIGH SCHOOL MULTIPLE WALDEN UNIVERSITY NURSING PATIENT CARE WASHBURN UNIVERSITY KINESIOLOGY HEART CENTER WASHBURN UNIVERSITY HEALTH INFO HEALTH INFO MGMT. WASHBURN UNIVERSITY NURSING MULTIPLE WASHBURN UNIVERSITY OT REHAB SERVICES WASHBURN UNIVERSITY PT ASSISTANTS REHAB SERVICES WASHBURN UNIVERSITY IMAGING SCIENCES MEDICAL IMAGING WASHBURN UNIVERSITY 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 RADIOLOGY/ULTRASOUND WASHBURN INSTITUTE OF TECH LPNS MULTIPLE WASHBURN INSTITUTE OF TECH SURG TECHS SURGICAL SERVICES/TSDS WESTERN U OF HEALTH SERVICES MEDICAL STUDENT CLINIC WICHITA STATE UNIVERSITY NURSING MULTIPLE WICHITA STATE UNIVERSITY PA MULTIPLE WICHITA STATE UNIVERSITY PT ASSISTANTS REHAB SERVICES FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE RETURN IS PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. ANY CHANGES ARE COMMUNICATED TO THE PAID PREPARER. A COPY OF THE RETURN IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. WITH THE BOARD'S APPROVAL, THE PAID PREPARER THEN FILES THE RETURN ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C THE OFFICERS, DIRECTORS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS TO THE CHAIRMAN OF THE AUDIT COMMITTEE OF STORMONT-VAIL HEALTHCARE EACH YEAR. THE CHAIRMAN REVIEWS THE RESPONSES AND REPORTS TO THE AUDIT COMMITTEE FOR THEIR REVIEW, ANY APPROPRIATE ACTION IF REQUIRED AND APPROVAL. THE CHAIRMAN ALSO THEN REPORTS THE RESULTS TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE PERFORMANCE COMMITTEE OF THE STORMONT-VAIL HEALTHCARE BOARD OF DIRECTORS ENGAGED INTEGRATED HEALTHCARE STRATEGIES, AN EXECUTIVE COMPENSATION CONSULTING FIRM, TO PROVIDE RECOMMENDATIONS REGARDING ALL ASPECTS OF COMPENSATION OF THE ORGANIZATION'S SENIOR LEADERSHIP GROUP, INCLUDING THE PRESIDENT & CEO. THAT ENGAGEMENT INCLUDED THE FOLLOWING COMPONENTS: -REVIEW OF BACKGROUND DATA, INCLUDING INFORMATION ON CURRENT PROGRAM; -COMPILATION OF DATA ON COMPENSATION AND BENEFIT PRACTICES OF COMPARABLE ORGANIZATIONS; -COMPARISON OF BASE SALARIES AT SVHC TO BASE SALARY LEVELS IN THE MARKET; -COMPARISON OF ANNUAL AND LONG-TERM INCENTIVES AT SVHC TO INCENTIVE LEVELS IN THE MARKET; -ANALYSIS OF BENEFITS ON BOTH A QUANTITATIVE AND QUALITATIVE BASIS; -COMPARISON OF SVHC TOTAL COMPENSATION (BASE, INCENTIVE, BENEFITS) TO PEER GROUP TOTAL COMPENSATION; -PREPARATION OF REPORT TO FACILITATE SVHC BOARD DISCUSSION OF THE TOTAL COMPENSATION; AND -RECOMMENDATIONS REGARDING ESTABLISHMENT OF SALARY RANGES FOR SENIOR LEADERSHIP POSITIONS. THE DELIBERATIONS AND DECISIONS OF THE PERFORMANCE COMMITTEE AND THE BOARD OF DIRECTORS ARE DOCUMENTED IN MEETING MINUTES MAINTAINED BY SVHC. FORM 990, PART VI, SECTION C, LINE 19 STORMONT-VAIL HEALTHCARE, INC. MAKES THEIR FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS PART OF THE 990 INFORMATION RETURN. ANY CHANGES TO THE GOVERNING DOCUMENTS ARE INCLUDED WITH THE 990 RETURN. AT THIS TIME, THE HEALTH CENTER DOES NOT MAKE THEIR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: EQUITY IN NET INCOME OF CONSOLIDATED AFFILIATES, WITHOUT SINGLE MEMBER LLC 870,497. CHANGE IN UNRECOGNIZED FUNDED STATUS OF PENSION PLAN -32,688,019. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES 381,297. BOOK AMORTIZATION GREATER THAN TAX -91,420. PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. 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