STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST FRANCIS HEALTH CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST FRANCIS HEALTH CENTER INC (EIN 48-0547719)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-09
IRS object ID
201523139349300442
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-09T16:30:21-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480547719EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTFRBusinessNameControlTxt
Phone7852958000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 SW 7TH STREETAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66606ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonESSENCE MONTGOMERYPersonNm
Person TitleCFOPersonTitleTxt
Phone7852958000PhoneNum
Signature2015-11-06SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID SETCHELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 SW 7TH STREETAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66606ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$275,552,953GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STFRANCISTOPEKA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1935TotalEmployeeCnt
Total Volunteers165TotalVolunteersCnt
Total Gross UBI$645,011TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,820,933PYContributionsGrantsAmt
CY Contributions Grants$2,488,787CYContributionsGrantsAmt
PY Program Service Revenue$242,140,067PYProgramServiceRevenueAmt
CY Program Service Revenue$250,280,730CYProgramServiceRevenueAmt
PY Investment Income$7,501,189PYInvestmentIncomeAmt
CY Investment Income$20,772,166CYInvestmentIncomeAmt
PY Other Revenue$3,323,913PYOtherRevenueAmt
CY Other Revenue$1,810,115CYOtherRevenueAmt
PY Total Revenue$259,786,102PYTotalRevenueAmt
CY Total Revenue$275,351,798CYTotalRevenueAmt
PY Grants And Similar Paid$623,345PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$774,605CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$120,681,494PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$129,358,057CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$139,946,769PYOtherExpensesAmt
CY Other Expenses$151,413,204CYOtherExpensesAmt
PY Total Expenses$261,251,608PYTotalExpensesAmt
CY Total Expenses$281,545,866CYTotalExpensesAmt
PY Revenues Less Expenses-$1,465,506PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,194,068CYRevenuesLessExpensesAmt
Total Assets BOY$394,809,481TotalAssetsBOYAmt
Total Assets EOY$381,476,675TotalAssetsEOYAmt
Total Liabilities BOY$19,093,608TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,807,462TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$375,715,873NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$361,669,213NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$238,869,888ExpenseAmt
Grant$774,605GrantAmt
Revenue$250,931,790RevenueAmt
DescST. FRANCIS HEALTH HAS SERVED THE HEALTHCARE NEEDS OF TOPEKA, KAN., AND SURROUNDING COMMUNITIES SINCE 1909. AS PART OF SCL HEALTH, A FAITH-BASED, NONPROFIT HEALTH SYSTEM, ST. FRANCIS WORKS TO IMPROVE NOT ONLY THE HEALTH OF THOSE WE SERVE, BUT PEOPLE'S LIVES. WE BRING COMPASSIONATE CARE AND THE MOST ADVANCED TECHNOLOGY TO OUR PATIENTS BY WAY OF OUR ACUTE-CARE HOSPITAL AND MORE THAN 20 PHYSICIAN CLINICS THROUGHOUT THE REGION.ST. FRANCIS HEALTH EMBODIES A DIVERSE AND CARING COMMUNITY DEDICATED TO IMPROVING THE HEALTH AND WELFARE OF OTHERS. ST. FRANCIS EMPLOYEES HAVE PROVIDED INNOVATIVE, INSPIRED SERVICE FOR MORE THAN A CENTURY. WE CARE FOR THOUSANDS OF PATIENTS AND THEIR FAMILIES WITH THE SAME SPIRIT AND RESOLVE DEMONSTRATED BY THE RESOURCEFUL SISTERS WHO OPENED THE FACILITY. ST. FRANCIS HEALTH CENTER OPENED ON OCT. 17, 1909, WITH 40 BEDS. ASSEMBLING SCRAPS OF FABRIC AND FASHIONING THEM INTO COLORFUL QUILTS FOR PATIENTS WAS ONE OF THE FIRST ASPECTS OF BUSINESS THE SISTERS OF CHARITY OF LEAVENWORTH PURSUED. EVER MINDFUL OF THE COST OF THINGS, THEY WERE PRUDENT IN THEIR APPROACHES TO ENSURE THAT WHATEVER RESOURCES THEY HAD AVAILABLE COULD BE STRETCHED TO ACCOMMODATE THE NEEDS OF EVERYONE WHO SOUGHT ASSISTANCE FOR THEIR AILMENTS. TODAY, THE HOSPITAL HAS 378 LICENSED BEDS, A MEDICAL STAFF REPRESENTING NEARLY ALL SPECIALTIES, ADULT AND YOUTH VOLUNTEERS AND A THRIVING AUXILIARY. SKILLFULLY INTEGRATING TECHNOLOGY WITH TENDERNESS, ST. FRANCIS AND ITS EMPLOYEES HAVE FOSTERED A PREMIER REGIONAL HOSPITAL FEATURING THE NEWEST MEDICAL INNOVATIONS AND STATE-OF-THE-ART EQUIPMENT. ST. FRANCIS WAS THE FIRST IN THE AREA TO PURCHASE AN X-RAY MACHINE, ESTABLISH AN INTENSIVE CARE UNIT, INSTALL DIAGNOSTIC ULTRASOUND EQUIPMENT, CONDUCT A HEART TRANSPLANT, USE BEDSIDE COMPUTERS TO PROVIDE POINT OF SERVICE DOCUMENTATION AND PURCHASE A POSITRON EMISSION TOMOGRAPHY (PET) SCANNER. THE HOSPITAL IS ALSO ONE OF ONLY TWO NON-VETERANS ADMINISTRATION HOSPITALS IN KANSAS TO BAR CODE PHARMACEUTICALS TO PREVENT MEDICATION ERRORS FOR PATIENT SAFETY AND PEACE OF MIND. THE HEALING TOUCH OF ST. FRANCIS EXTENDS BEYOND THE WALLS OF THE HOSPITAL TO INCLUDE PROGRAMS FOCUSED ON PREVENTIVE MEDICINE, SUCH AS THE BREAST CENTER AND ITS SPIRIT OF WOMEN HEALTH IMPROVEMENT EVENTS AND PROGRAMS. THROUGH THE MARIAN CLINIC AND THE MARIAN DENTAL CLINIC, BOTH OWNED AND OPERATED BY SCL HEALTH, ST. FRANCIS HELPS THE WORKING POOR AND THE UNINSURED SECURE THE TREATMENT THEY NEED, FROM IMMUNIZATIONS AND ROUTINE TEETH CLEANING TO SURGICAL PROCEDURES AND CROWN AND DENTURE WORK.DURING 2014, ST. FRANCIS HAD THE FOLLOWING RESULTS:8,900 ADMISSIONS 524,305 OUTPATIENT VISITS33,614 EMERGENCY DEPARTMENT VISITS987 BIRTHS7,072 SURGERIES797,679 LABORATORY TESTSMISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. VISIONINSPIRED BY OUR FAITH:WE WILL BE DISTINGUISHED AS THE PREMIER PERSON-CENTERED HEALTH SYSTEM AND TRUSTED PARTNER. WE WILL SHARE ACCOUNTABILITY WITH CLINICIANS AND OTHER STAKEHOLDERS TO COORDINATE CARE ACROSS ALL SETTINGS AND IMPROVE ACCESS, QUALITY, HEALTH OUTCOMES, AND AFFORDABILITY. WE WILL GROW AS COMMUNITY-BASED HEALTH NETWORKS TO SERVE MORE PEOPLE IN PARTNERSHIPS WITH OTHERS WHO SHARE OUR VISION AND VALUES.VALUES CARING SPIRIT WE HONOR THE SACRED DIGNITY OF EACH PERSON. EXCELLENCE WE SET AND SURPASS HIGH STANDARDS. GOOD HUMOR WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS. INTEGRITY WE DO THE RIGHT THING WITH OPENNESS AND PRIDE. SAFETY WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.ST. FRANCIS HEALTH CENTER IS A FULL-SERVICE HOSPITAL WITH A VARIETY OF HEALTHCARE SERVICES TO CARE FOR AND KEEP OUR COMMUNITY HEALTHY:ANTICOAGULATION CLINIC, CARDIOLOGY SERVICES, CENTER FOR INFANT AND CHILD HEALTH, COMPREHENSIVE CANCER CENTER, DA VINCI SURGICAL ROBOT SERVICES, DIABETES CENTER, DIAGNOSTIC SERVICES, EMERGENCY SERVICES, FAMILY MEDICINE, HOME CARE, IMAGING CENTER, JOINT REPLACEMENT CENTER, LABORATORY SERVICES, NEUROLOGY SERVICES, NEW LIFE CENTER, OCCUPATIONAL MEDICINE, PEDIATRICS, REHABILITATION SERVICES, SPINE CENTER, VEIN CLINIC, WOMEN'S SERVICES, WOUND CENTER.Desc
Total Program Service Expenses$238,869,888TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document185IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1935EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKYLE ENGMANPersonNm
Phone3038135543PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 ELDORADO BLVD SUITE 4200AddressLine1Txt
CityBROOMFIELDCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80021ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CARLYLE DUNSHEE
BOARD MEMBER1.000.00Yes (X)$0$0$0
CYNTHIA HORNBERGER
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
GREG SCHWERDT
CHAIR2.000.00Yes (X)$0$0$0Yes (X)
JAMES OWEN
BOARD MEMBER1.000.00Yes (X)$0$0$0
JEFF WIETHARN
BOARD MEMBER1.000.00Yes (X)$0$0$0
JIM KLAUSMAN
BOARD MEMBER1.000.00Yes (X)$0$0$0
JOEL HUTCHINS
BOARD MEMBER1.000.00Yes (X)$0$0$0
JULIANN MAZACHEK
VICE CHAIR2.000.00Yes (X)$0$0$0Yes (X)
KATHLEEN TULIPANA
BOARD MEMBER1.0050.00Yes (X)$0$229,930$42,223
MAL ROBINSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
MARK YOUNG
BOARD MEMBER1.000.00Yes (X)$0$0$0
MARVIN SPEES
BOARD MEMBER1.000.00Yes (X)$0$0$0
NEIL DOBLER
BOARD MEMBER1.000.00Yes (X)$0$0$0
ROBERT ERICKSON
CEO50.000.00Yes (X)$0$503,250$125,299Yes (X)
SISTER JENNIFER GORDON
BOARD MEMBER1.000.00Yes (X)$0$0$0
SISTER MARIANNA BAUDER
BOARD MEMBER1.000.00Yes (X)$0$0$0
WAYNE BASSO
BOARD MEMBER1.000.00Yes (X)$0$0$0
DEBRA CARTWRIGHT
VP & CFO 1/14 - 10/1450.000.00$0$315,970$26,828Yes (X)
THOMAS HAMILTON
CHIEF MEDICAL OFFICER50.000.00$0$374,571$79,540Yes (X)
DAVID SETCHEL
COO50.000.00$0$311,647$62,319Yes (X)
SCOTT WELLS
VP PATIENT CARE SERVICES50.000.00$0$276,003$58,529Yes (X)
ERIC BARNABY
VP STRAT & BUS DVPMT 1/14 - 10/1450.000.00$0$288,998$36,126Yes (X)
FLORIN NICOLAE
PAIN MGMT PHYSICIAN CLINIC50.000.00$1,259,535$0$44,380Yes (X)
JOHN JOLIFF
PHYSICIAN CCT50.000.00$981,528$0$39,284Yes (X)
SUMER DHIR
PHYSICIAN CCT50.000.00$914,853$0$40,480Yes (X)
BERNITA BERNTSEN
PHYSICIAN CLINIC TALLGRASS50.000.00$919,180$0$44,220Yes (X)
DAVID FRITZ
PHYSICIAN - NEURO50.000.00$821,189$0$46,360Yes (X)
GWEN HELLER
FORMER KEY EMPLOYEE 1/140.0050.00$0$208,598$43,245Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,896,285TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,508,967TotReportableCompRltdOrgAmt
Total Other Compensation$688,833TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K133IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TOPEKA ANESTHESIA & PAIN TREAT
1700 SW 7TH STTOPEKAKS66606MEDICAL SERVICES$2,674,450
JOHN MULLER & COMPANY INC
11610 ASH ST STE 200LEAWOODKS66211ADVERTISING SERVICES$1,187,357
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397CONTRACT LABOR$1,020,715
MISSION WOODS MED & OFF P
2238 SW VILLAGE HALL ROADTOPEKAKS66614MEDICAL SERVICES$670,178
TOTAL RENAL CARE INC
634 SW MULVANE ST STE 300TOPEKAKS66608MEDICAL SERVICES$663,964
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K37CntrctRcvdGreaterThan100KCnt
Related Organizations$625,000RelatedOrganizationsAmt
Government Grants$1,784,366GovernmentGrantsAmt
All Other Contributions$79,421AllOtherContributionsAmt
Total Contributions$2,488,787TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE622110$250,052,855$249,420,215$632,640
PATIENT REV - LIFESTAR622110$227,875$227,875
FieldValueIRS element (for citing)
Total Program Service Revenue$250,280,730TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,215,491TotalRevenueColumnAmt
Exclusion$5,215,491ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$656,803RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$199,731RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$457,072RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$457,072TotalRevenueColumnAmt
Exclusion$457,072ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,556,486SecuritiesAmt
Other$189OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,556,486SecuritiesAmt
Other$189OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,556,675TotalRevenueColumnAmt
Exclusion$15,556,675ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$10,396FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,424FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,972TotalRevenueColumnAmt
Exclusion$8,972ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA SALES722310$1,040,988$1,028,617$12,371
HOSPITAL MGMT SERVICES900099$248,463$248,463
MEDICAL STAFF FEES900099$48,000$48,000

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,620TotalRevenueColumnAmt
Related Or Exempt Func Income$6,620RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,344,071OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,351,798TotalRevenueColumnAmt
Related Or Exempt Func Income$250,931,790RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$645,011UnrelatedBusinessRevenueAmt
Exclusion$21,286,210ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$696,146TotalAmt
Program Services$696,146ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$300TotalAmt
Program Services$300ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$78,159TotalAmt
Program Services$78,159ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,459,080TotalAmt
Management And General$2,459,080ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$102,274,962TotalAmt
Program Services$99,853,396ProgramServicesAmt
Management And General$2,421,566ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,509,364TotalAmt
Program Services$4,247,398ProgramServicesAmt
Management And General$261,966ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,560,227TotalAmt
Program Services$13,503,418ProgramServicesAmt
Management And General$56,809ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,554,424TotalAmt
Program Services$6,291,139ProgramServicesAmt
Management And General$263,285ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$55,463TotalAmt
Program Services$23,209ProgramServicesAmt
Management And General$32,254ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,754TotalAmt
Program Services$11,754ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$12,575TotalAmt
Management And General$12,575ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,907,891TotalAmt
Program Services$7,817,063ProgramServicesAmt
Management And General$2,090,828ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$74,837TotalAmt
Program Services$73,890ProgramServicesAmt
Management And General$947ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,046,687TotalAmt
Program Services$1,021,317ProgramServicesAmt
Management And General$25,370ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,924,752TotalAmt
Program Services$6,829,709ProgramServicesAmt
Management And General$95,043ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$284,548TotalAmt
Program Services$198,798ProgramServicesAmt
Management And General$85,750ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$66,269TotalAmt
Program Services$44,107ProgramServicesAmt
Management And General$22,162ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,443,563TotalAmt
Program Services$10,443,563ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,052,066TotalAmt
Program Services$2,052,066ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$47,549,294$47,487,876$61,418
SYSTEM ALLOCATION$33,604,426$33,604,426
BAD DEBT EXPENSE$18,680,360$18,680,360
MAINTENANCE SERVICES$8,406,503$8,249,946$156,557

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,292,216TotalAmt
Program Services$11,266,274ProgramServicesAmt
Management And General$1,025,942ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$281,545,866TotalAmt
Program Services$238,869,888ProgramServicesAmt
Management And General$42,675,978ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,451,922BOYAmt
EOY$8,481,671EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,864,234BOYAmt
EOY$34,346,552EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,834,608BOYAmt
EOY$4,623,076EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,259,163BOYAmt
EOY$4,643,409EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$278,370,525LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$201,506,063LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$72,432,792BOYAmt
EOY$76,864,462EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,580,145BOYAmt
EOY$2,845,042EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$269,386,617BOYAmt
EOY$249,672,463EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$394,809,481BOYAmt
EOY$381,476,675EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,093,608BOYAmt
EOY$19,807,462EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,093,608BOYAmt
EOY$19,807,462EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$375,715,873BOYAmt
EOY$361,669,213EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$375,715,873BOYAmt
EOY$361,669,213EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$394,809,481BOYAmt
EOY$381,476,675EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$6,194,068ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$7,852,592NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$12,575OtherActivitiesAmt
Total Lobbying Expenditures$12,575TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPART II-B, LINE (1I): LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE KANSAS HOSPITAL ASSOCIATION.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,834,197BeginningYearBalanceAmt
Contributions$109,242ContributionsAmt
Investment Earnings Or Losses$244,925InvestmentEarningsOrLossesAmt
Other Expenditures$1,404,608OtherExpendituresAmt
Administrative Expenses$13,616AdministrativeExpensesAmt
End Year Balance$4,770,140EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,142,433BeginningYearBalanceAmt
Investment Earnings Or Losses$705,491InvestmentEarningsOrLossesAmt
Other Expenditures$2,475OtherExpendituresAmt
Administrative Expenses$11,252AdministrativeExpensesAmt
End Year Balance$5,834,197EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,592,958BeginningYearBalanceAmt
Investment Earnings Or Losses$563,648InvestmentEarningsOrLossesAmt
Other Expenditures$8,013OtherExpendituresAmt
Administrative Expenses$6,160AdministrativeExpensesAmt
End Year Balance$5,142,433EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,540,982BeginningYearBalanceAmt
Investment Earnings Or Losses$89,819InvestmentEarningsOrLossesAmt
Other Expenditures$24,684OtherExpendituresAmt
Administrative Expenses$13,159AdministrativeExpensesAmt
End Year Balance$4,592,958EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,081,439BeginningYearBalanceAmt
Investment Earnings Or Losses$544,019InvestmentEarningsOrLossesAmt
Other Expenditures$72,096OtherExpendituresAmt
Administrative Expenses$12,380AdministrativeExpensesAmt
End Year Balance$4,540,982EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,143,758OtherCostOrOtherBasisAmt
Book Value$16,143,758BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$137,818,318OtherCostOrOtherBasisAmt
Depreciation$98,975,273DepreciationAmt
Book Value$38,843,045BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,754,563OtherCostOrOtherBasisAmt
Depreciation$4,891,708DepreciationAmt
Book Value$2,862,855BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$114,795,741OtherCostOrOtherBasisAmt
Depreciation$97,639,082DepreciationAmt
Book Value$17,156,659BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,858,145OtherCostOrOtherBasisAmt
Book Value$1,858,145BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$76,864,462TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$244,619,842
OTHER RECEIVABLES$397,804
3RD PARTY SETTLEMENTS$4,654,817
FieldValueIRS element (for citing)
Total Book Value Other Assets$249,672,463TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ORIGINAL ENDOWMENT FUNDS ARE NEVER USED. THE INVESTMENT EARNINGS ARE USED AS DESIGNATED BY THE DONOR AT THE TIME OF THEIR DONATION FOR VARIOUS USES INCLUDING; SCHOLARSHIPS, HEALTHCARE FOR THE POOR, HEALTH CENTER EYE SURGERY EQUIPMENT, MEDICAL EDUCATION, FACILITY IMPROVEMENT, RADIOLOGY SERVICES, ONCOLOGY AND DIABETES DEPARTMENT EXPENSES. ENDOWMENT FUNDS ARE HELD BY THE ST. FRANCIS HEALTH CENTER FOUNDATION.ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionSUB-SAHARAN AFRICARegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedGRANTS TO HOSPITALS IN REGIONTypeOfActivitiesConductedTxt
Region Total Expenditures$78,159RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$78,159SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$78,159TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSUB-SAHARAN AFRICARegionTxt
Purpose Of GrantPROVIDE SURGICAL SUPPLIES TO MEDICAL PROFESSIONALS IN AFRICAPurposeOfGrantTxt
Non Cash Assistance$78,159NonCashAssistanceAmt
Description Of Non Cash AsstSURGICAL SUPPLIESDescriptionOfNonCashAsstTxt
Valuation Method UsedFMVValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS RECEIVED FROM ST. FRANCIS HEALTH CENTER MISSION FUNDS MUST ADDRESS ONE OF THE IDENTIFIED COMMUNITY HEALTH NEEDS IN THE ASSESSMENT REPORT FOR TOPEKA/SHAWNEE COUNTY SPONSORED BY THE UNITED WAY OF GREATER TOPEKA. ONLY ONE GRANT APPLICATION PER ORGANIZATION WILL BE ACCEPTED EACH YEAR. GRANTS CAN BE RENEWED AND FUNDED FOR A MAXIMUM OF THREE YEARS BASED ON THE PREVIOUS YEAR'S OUTCOMES AS DETERMINED BY THE MISSION FUND COMMITTEE. THE GRANT CANNOT BE THE SOLE FUNDING SOURCE FOR ANY PROJECT REQUEST THAT EXCEEDS $1,000. THE ORGANIZATION RECEIVING THE GRANT IS REQUIRED TO SUBMIT AN INTERIM REPORT SIX MONTHS INTO THE GRANT YEAR. AT THE END OF THE GRANT YEAR A FINAL ACCOUNTING AND EVALUATION MUST BE SUBMITTED. BOTH REPORTS INCLUDE FINANCIAL INFORMATION AND A NARRATIVE REPORT DISCUSSING GOALS, OUTCOMES, FINANCIAL VARIANCES, AND PLANS TO OVERCOME VARIANCES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,201,945TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,201,945NetCommunityBenefitExpnsAmt
Total Expense0.02360TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,945,575TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,625,091DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,320,484NetCommunityBenefitExpnsAmt
Total Expense0.02400TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13DirectOffsettingRevenueAmt
Net Community Benefit Expns$6NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,147,539TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,625,104DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,522,435NetCommunityBenefitExpnsAmt
Total Expense0.04760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,912TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,335DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,577NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$148,648TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$148,648NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,183,823TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,318,439DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,865,384NetCommunityBenefitExpnsAmt
Total Expense0.01850TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,991TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,991NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$209,843TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$209,843NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,739,217TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,319,774DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,419,443NetCommunityBenefitExpnsAmt
Total Expense0.02060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,886,756TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,944,878DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,941,878NetCommunityBenefitExpnsAmt
Total Expense0.06820TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,214TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,214NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,727TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,727NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$733TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$733NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,250TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,250NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,924TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,924NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$18,680,361BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$81,319,612ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$92,395,664CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,076,052MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HEALTH CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 SW 7TH STREETAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66606ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STFRANCISTOPEKA.ORGWebsiteAddressTxt
State LicenseH-087-002StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.STFRANCISTOPEKA.ORG/ABOUT-USOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.STFRANCISTOPEKA.ORG/ABOUT-USStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. FRANCIS HEALTH CENTER, INC.PART V, SECTION B, LINE 5: THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (ACHI) COMMUNITY HEALTH ASSESSMENT TOOLKIT WAS UTILIZED AS THE FRAMEWORK TO COMPLETE THE CHNA. THIS APPROACH TO THE CHNA REQUIRES SIGNIFICANT INPUT FROM THE COMMUNITY AND DELIBERATE EFFORTS AT COMMUNITY BUILDING; THE APPROACH FOCUSES ON THE CHNA AS AN OPPORTUNITY TO DEMONSTRATE TO THE COMMUNITY OUR SHARED, CONSISTENT COMMITMENT TO THE HEALTH OF OUR RESIDENTS. THE LEAD ENTITY IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS THE HEALTHY SHAWNEE COUNTY TASK FORCE. THE TASK FORCE HAD AN ASSESSMENT ADVISORY COMMITTEE TO PROVIDE DIRECTION AND FEEDBACK DURING THIS PROCESS INCLUDING THE SHAWNEE COUNTY HEALTH AGENCY, ST. FRANCIS HEALTH CENTER, AND STORMONT-VAIL HEALTHCARE. HEALTHY SHAWNEE COUNTY ASSESSMENT ADVISORY COMMITTEE INCLUDED COMMUNITY REPRESENTATIVES FROM TOPEKA PUBLIC SCHOOLS FOUNDATION, KANSAS CHILDREN'S SERVICE LEAGUE, COMMUNITY RESOURCES COUNCIL, UNITED WAY OF GREATER TOPEKA, AND A COMMUNITY VOLUNTEER.TO OBTAIN COMMUNITY INPUT, A HEALTHY SHAWNEE COUNTY COMMUNITY PERCEPTION SURVEY WAS MADE AVAILABLE ON-LINE TO RESIDENTS OF SHAWNEE COUNTY. A TOTAL OF 548 COMMUNITY INDIVIDUALS AND 229 ORGANIZATION MEMBERS COMPLETED THE SURVEY. 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. FOCUS GROUPS WERE CONDUCTED AUGUST 15 AND 16, 2012 AT THE TOPEKA-SHAWNEE COUNTY PUBLIC LIBRARY. ADDITIONALLY, THIRTY-FIVE TARGETED COMMUNITY STAKEHOLDERS WITH PUBLIC HEALTH EXPERTISE WERE SENT AN E-MAIL SURVEY. RESPONDING TO THE SURVEY WERE REPRESENTATIVES FROM: BREWSTER PLACE RETIREMENT COMMUNITY, KANSAS CHILDREN'S SERVICE LEAGUE, POSITIVE CONNECTIONS, INC., KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVED, COMMUNITY ACTION, INC., UNITED WAY OF GREATER TOPEKA, SHAWNEE COUNTY HEALTH AGENCY - COMMUNITY HEALTH CENTER, AND A RETIRED NON-PROFIT EXECUTIVE DIRECTOR.
ST. FRANCIS HEALTH CENTER, INC.PART V, SECTION B, LINE 6A: STORMONT-VAIL HEALTHCARE, TOPEKA, KS
ST. FRANCIS HEALTH CENTER, INC.PART V, SECTION B, LINE 11: THE HEALTHY SHAWNEE COUNTY TASK FORCE COMPILED THE COLLECTIVE DATA AND 14 COMMUNITY ISSUES EMERGED: 1) ADULTS WHO ARE OVERWEIGHT OR OBESE; 2)ADULTS CONSUMING FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY; 3)ADULTS PARTICIPATING IN RECOMMENDED LEVEL OF PHYSICAL ACTIVITY; 4) ADULT CIGARETTE SMOKING; 5) ADULTS WHO REPORTED THEIR MENTAL HEALTH WAS NOT GOOD ON 14 OR MORE DAYS, PAST 30 DAYS; 6) BIRTHS OCCURRING TO TEENS (15-19); 7) ADULTS WITH DIAGNOSED DIABETES; 8) ADULTS WITH AND AT RISK FOR HEART DISEASE AND STROKE; 9) INFANT MORTALITY; 10) INFANTS FULLY IMMUNIZED AT 24 MONTHS; 11) CHILDREN WITHOUT ADEQUATE ORAL HEALTH; 12) ACCESS TO HEALTH SERVICES; 13) KNOWLEDGE OF AVAILABLE HEALTH/SOCIAL SERVICES AND 14) TRANSPORTATION CONNECTING PERSONS TO SERVICES AND RECREATION. BASED ON THIS LIST, ST. FRANCIS IDENTIFIED THREE FOCUS AREAS FOR IMPACTING THE HEALTH OF ITS COMMUNITY: HEALTHY EATING AND ACTIVE LIVING IMPROVING ACCESS TO HEALTHCARE SERVICES HEALTHY BABIESEACH OF THE HEALTH NEEDS IDENTIFIED IN THE SHAWNEE COUNTY CHNA IS IMPORTANT AND NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH INNOVATIVE PROGRAMS AND INITIATIVES. THE ST. FRANCIS HEALTH CHIP WILL ADDRESS ONLY THE PRIORITY AREAS LISTED ABOVE IN ORDER TO ALLOCATE APPROPRIATE TIME AND RESOURCES TO SUCCESSFUL TACTICS AND ACTIONS. AREAS IDENTIFIED, BUT NOT SPECIFICALLY ADDRESSED INCLUDE: 1. ADULT CIGARETTE SMOKING (OTHER THAN PREGNANT WOMEN) 2. ADULT WHO REPORTED THEIR MENTAL HEALTH WAS NOT GOOD ON 14 OR MORE DAYS IN THE PAST 30 DAYS 3. CHILDREN WITHOUT ADEQUATE ORAL HEALTH.
FieldValueIRS element (for citing)
Facility24FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ST FRANCIS FAMILY MEDICAL MISSION WOODS
2835 SW MISSION WOODS DRTOPEKAKS66614FAMILY MEDICINE
GYNECOLOGY
601 CORPORATE VIEW DRIVE STE 100TOPEKAKS66615GYNECOLOGY SERVICES
ST FRANCIS ADVANCED WOUND CARE CENTER
634 SW MULVANE STE 100TOPEKAKS66606WOUND SERVICES
ST FRANCIS CARDIO & THORACIC SURGERY
600 SW COLLEGE AVETOPEKAKS66606CARDIOLOGY SERVICES
ST FRANCIS COMPREHENSIVE CANCER CENTER
1700 SW 7TH STTOPEKAKS66606CANCER SERVICES
ST FRANCIS FAMILY MED & READYCARE
1101 SW 29TH STTOPEKAKS66611FAMILY MEDICINE
ST FRANCIS FAMILY MED AT VALLEY FALLS
2835 SW MISSION WOODS DRTOPEKAKS66614FAMILY MEDICINE
ST FRANCIS FAMILY MED HUNTER'S RIDGE
4646 NW FIELDING RDTOPEKAKS66618FAMILY MEDICINE
ST FRANCIS FAMILY MED JEWELL CLINIC
600 SW JEWELL AVETOPEKAKS66606FAMILY MEDICINE
ST FRANCIS FAMILY MEDICINE MISSION WOODS
2835 SW MISSION WOODS DRTOPEKAKS66614FAMILY MEDICINE
SFT FAM MED MISS WOODSLAKE SHAWEE
2835 SW MISSION WOODS DRTOPEKAKS66614FAMILY MEDICINE
ST FRANCIS HEALTH CTR HOSPITALIST SVC
1700 SW 7TH STREETTOPEKAKS66606HOSPITALIST SERVICE
ST FRANCIS HEART AND VASCULAR CENTER
600 SW COLLEGE AVETOPEKAKS66606CARDIOLOGY SERVICES
ST FRANCIS MEDICAL CLINIC AT RIVER HILL
6001 SW 6TH AVE STE 320TOPEKAKS66615CLINIC SERVICES
ST FRANCIS OCCUPATIONAL MEDICINE
1700 SW 7TH STREETTOPEKAKS66606OCCUPATIONAL MEDICINE
ST FRANCIS PAIN MANAGEMENT CENTER
634 MULVANE STE 104TOPEKAKS66606PAIN MANAGEMENT
ST FRANCIS HEART & VASCULAR CENTER
600 SW COLLEGETOPEKAKS66606CARDIOLOGY SERVICES
ST FRANCIS SPECIALTY CLINIC
1700 SW 7TH STTOPEKAKS66606SPECIALTY CLINIC
SFT ENDOCRIN & DIABETES MGMT CTR
6730 SW 29TH STTOPEKAKS66614ENDOCRINOLOGY SERVICES
TOPEKA NEUROLOGY
631 SW HORNE ST STE 420TOPEKAKS66606NEUROLOGY SERVICES
TOPEKA NEUROSURGERY
634 SW MULVANE STE 202TOPEKAKS66606NEUROLOGY SERVICES
TOPEKA OBGYN ASSOCIATES
634 SW MULVANE STE 202TOPEKAKS66606OB/GYN SERVICES
TOPEKA UROLOGY
1516 SW 6TH AVE STE 1TOPEKAKS66606UROLOGY SERVICES
ST FRANCIS HOME HEALTH HOME
1501 SW 6TH STTOPEKAKS66606HOME HEALTH SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREAPRES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.
PART I, LINE 7:THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 18,680,361.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIES, THOSE THAT ENHANCE EXISTING EFFORTS OR FILL GAPS OF COMMUNITY NEED, INCLUDE PROGRAMS THAT SUPPORT THOSE IN THE COMMUNITY WHO ARE LIVING AT OR BELOW POVERTY. ADMINISTRATIVE LEADERSHIP AND ITS EMPLOYEES PERFORMED CIVIC ACTIVITIES IN WHICH THE SOCIAL AND PHYSICAL HEALTH OF THE COMMUNITY WAS ADVOCATED AS A PRIORITY BY THE HOSPITAL. IN 2014, SFT ADMINISTRATION AND EMPLOYEES PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS: BOYS AND GIRLS CLUB OF TOPEKA BOARD, TOPEKA CHAMBER OF COMMERCE, YMCA BOARD, WASHBURN UNIVERSITY, STEERING COMMITTEE OF SHAWNEE COUNTY HEALTH NET, AND HEALTHY SHAWNEE COUNTY.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE TO HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT.
PART III, LINE 2:THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
PART III, LINE 4:THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATIONS FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE.
PART III, LINE 8:THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
PART III, LINE 9B:AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS.THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVES INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. 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.
PART VI, LINE 2:THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (ACHI) COMMUNITY HEALTH ASSESSMENT TOOLKIT WAS UTILIZED AS THE FRAMEWORK TO COMPLETE THE CHNA. THIS APPROACH TO THE CHNA REQUIRES SIGNIFICANT INPUT FROM THE COMMUNITY AND DELIBERATE EFFORTS AT COMMUNITY BUILDING; THE APPROACH FOCUSES ON THECHNA AS AN OPPORTUNITY TO DEMONSTRATE TO THE COMMUNITY OUR SHARED, CONSISTENT COMMITMENT TO THE HEALTH OF OUR RESIDENTS. THE LEAD ENTITY IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS THE HEALTHY SHAWNEE COUNTY TASK FORCE. THE TASK FORCE HAD AN ASSESSMENT ADVISORY COMMITTEE TO PROVIDE DIRECTION AND FEEDBACK DURING THIS PROCESS INCLUDING SHAWNEE COUNTY HEALTH AGENCY, ST. FRANCIS HEALTH CENTER, AND STORMONT-VAIL HEALTHCARE. HEALTHY SHAWNEE COUNTY ASSESSMENT ADVISORY COMMITTEE INCLUDED COMMUNITY REPRESENTATIVES FROM TOPEKA PUBLIC SCHOOLS FOUNDATION, KANSAS CHILDREN'S SERVICE LEAGUE, COMMUNITY RESOURCES COUNCIL, UNITED WAY OF GREATER TOPEKA AS WELL AS A COMMUNITY VOLUNTEER.TO OBTAIN COMMUNITY INPUT, A HEALTHY SHAWNEE COUNTY COMMUNITY PERCEPTION SURVEY WAS MADE AVAILABLE ON-LINE TO RESIDENTS OF SHAWNEE COUNTY. A TOTAL OF 548 COMMUNITY INDIVIDUALS AND 229 ORGANIZATION MEMBERS COMPLETED THE SURVEY. 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. FOCUS GROUPS WERE CONDUCTED AUGUST 15 AND 16, 2012 AT THE TOPEKA-SHAWNEE COUNTY PUBLIC LIBRARY. ADDITIONALLY, THIRTY-FIVE TARGETED COMMUNITY STAKEHOLDERS WITH PUBLIC HEALTH EXPERTISE WERE SENT AN E-MAIL SURVEY. RESPONDING TO THE SURVEY WERE REPRESENTATIVES FROM: BREWSTER PLACE RETIREMENT COMMUNITY, KANSAS CHILDREN'S SERVICE LEAGUE, POSITIVE CONNECTIONS, INC., KANSAS ASSOCIATION FOR THE MEDICALLYUNDERSERVED, COMMUNITY ACTION, INC., UNITED WAY OF GREATER TOPEKA, SHAWNEE COUNTY HEALTH AGENCY - COMMUNITY HEALTH CENTER, AND A RETIRED NON-PROFIT EXECUTIVE DIRECTOR.THE HEALTHY SHAWNEE COUNTY TASK FORCE COMPILED THE COLLECTIVE DATA AND 14 COMMUNITY ISSUES EMERGED: 1) ADULTS WHO ARE OVERWEIGHT OR OBESE; 2)ADULTS CONSUMING FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY; 3)ADULTS PARTICIPATING IN RECOMMENDED LEVEL OF PHYSICAL ACTIVITY; 4) ADULT CIGARETTE SMOKING; 5) ADULTS WHO REPORTED THEIR MENTAL HEALTH WAS NOTGOOD ON 14 OR MORE DAYS, PAST 30 DAYS; 6) BIRTHS OCCURRING TO TEENS (15-19); 7) ADULTS WITH DIAGNOSED DIABETES; 8) ADULTS WITH AND AT RISK FOR HEART DISEASE AND STROKE; 9) INFANT MORTALITY; 10) INFANTS FULLY IMMUNIZED AT 24 MONTHS; 11) CHILDREN WITHOUT ADEQUATE ORAL HEALTH; 12) ACCESS TO HEALTH SERVICES; 13) KNOWLEDGE OF AVAILABLE HEALTH/SOCIAL SERVICES AND 14) TRANSPORTATION CONNECTING PERSONS TO SERVICES AND RECREATION. BASED ON THIS LIST, ST. FRANCIS IDENTIFIED THREE FOCUS AREAS FOR IMPACTING THE HEALTH OF ITS COMMUNITY: HEALTHY EATING AND ACTIVE LIVING IMPROVING ACCESS TO HEALTHCARE SERVICES HEALTHY BABIESA HOSPITAL IMPLEMENTATION PLAN HAS BEEN APPROVED BY ST. FRANCIS, SETTING IN MOTION HYOSPITAL-LED COMMUNITY ACTIVITIES THAT ARE ADDRESSING THE TOP THREE AREAS OF NEED.
PART VI, LINE 3:THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSITANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILBLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:ST. FRANCIS HEALTH CENTER ("ST. FRANCIS") IS LOCATED IN TOPEKA, KANSAS. ST. FRANCIS PROVIDES CARE TO MANY COMMUNITIES IN EASTERN AND NORTHERN KANSAS. ST. FRANCIS' MAIN CONCENTRATION OF CARE IS PROVIDED TO PATIENTS LIVING WITHIN THE CITY OF TOPEKA, REPRESENTING ABOUT 65% OF ITS TOTAL INPATIENT CARE. THE CARE SITE ALSO TREATS MANY PATIENTS ORIGINATING FROM COMMUNITIES SUCH AS HOLTON, MANHATTAN, TECUMSEH, MERIDEN, AUBURN, MAYETTA AND JUNCTION CITY.ST. FRANCIS' PRIMARY SERVICE AREA CONSISTS OF 34 ZIP CODES EXTENDING ACROSS SIX COUNTIES, INCLUDING SHAWNEE COUNTY (22 ZIP CODES), OSAGE COUNTY (4 ZIP CODES), JACKSON COUNTY (3 ZIP CODES), JEFFERSON COUNTY (2 ZIP CODES), WABAUNSEE COUNTY (2 ZIP CODES) AND POTTAWATOMIE COUNTY (1 ZIP CODE). THE SECONDARY SERVICE AREA CONTAINS ANOTHER 57 ZIP CODES AND INCLUDES ZIP CODES WITHIN THE COUNTIES OF POTTAWATOMIE, DOUGLAS, JEFFERSON, JACKSON, LYON, OSAGE, WABAUNSEE, RILEY, COFFEY, ATCHISON,FRANKLIN AND GEARY. THE PRIMARY SERVICE AREA IS DEFINED AS THEGEOGRAPHIC AREA OF CONTIGUOUS ZIP CODES FROM WHICH THE HOSPITAL DRAWS APPROXIMATELY 75% OF ITS INPATIENT DISCHARGES AND THE COMBINED PRIMARY AND SECONDARY SERVICE AREA IS BASED ON APPROXIMATELY 90% OF DISCHARGES.ST. FRANCIS PROVIDES CARE TO A LITTLE LESS THAN ONE THIRD OF THEINPATIENTS WITHIN ITS PRIMARY SERVICE AREA AND STORMONT VAIL HEALTHCARE, THE OTHER ACUTE CARE FACILITY IN TOPEKA, PROVIDES THE VAST MAJORITY OF THE BALANCE. ADDITIONALLY, GIVEN TOPEKA'S CLOSE PROXIMITY TO THE MAJOR METROPOLITAN AREA OF KANSAS CITY, ABOUT 75 MILES AWAY, SOME PATIENTS WILL TRAVEL TO HOSPITALS IN KANSAS CITY FOR CARE.THERE ARE ONLY TWO HOSPITALS LOCATED IN ST. FRANCIS' PRIMARY SERVICE AREA, ST. FRANCIS AND STORMONT VAIL HEALTHCARE. STORMONT VAIL IS BASED IN TOPEKA AND IS AN INDEPENDENT, NOT-FOR-PROFIT HOSPITAL. WITHIN THE CARE SITE'S SECONDARY SERVICE AREA, THERE ARE 11 HOSPITALS. THIS INCLUDES SEVEN ACUTE CARE FACILITIES IN THE CITIES OF OTTAWA, EMPORIA, TWO IN MANHATTAN, LAWRENCE, JUNCTION CITY AND BURLINGTON REPRESENTING FIVE GOVERNMENT OWNED HOSPITALS, ONE PHYSICIAN OWNED HOSPITAL AND ONE NOT-FOR-PROFIT. ALSO LOCATED IN THE SECONDARY SERVICE AREA ARE FOUR CRITICAL ACCESS HOSPITALS IN THE COMMUNITIES OF WAMEGO, WINCHESTER,HOLTON AND ONAGA, ALL OF WHICH ARE NOT-FOR-PROFITS. THE CRITICAL ACCESS HOSPITAL IN HOLTON IS MANAGED BY SCL HEALTH SYSTEM.FROM THE CHNA:TOPEKA DEMOGRAPHIC PROFILE (SOURCE: U.S. CENSUS BUREAU, 2012): POPULATION 127,939; 24.4% AGE LESS THAN 18; 14.3% AGE 65 AND OVER; 76.2% WHITE, NOT HISPANIC; 13.4% HISPANIC; 11.3% AFRICAN-AMERICAN; 1.8% ALL OTHERS.FROM COUNTY HEALTH RANKINGS 2014 FOR SHAWNEE COUNTY:THE PERCENT OF UNINSURED BELOW THE AGE OF 65 IS 14%, EQUAL TO THE STATE AVERAGE.77% OF 9TH GRADERS GRADUATE FROM HIGH SCHOOL, WORSE THAN THE STATE AVERAGE OF 83%.OF RESIDENTS AGE 16+ WHO ARE UNEMPLOYED BUT SEEKING WORK, 6.2% REMAIN UNEMPLOYED VERSUS 5.7% STATEWIDE.24% OF CHILDREN LIVE IN POVERTY, MUCH WORSE THAN THE STATE AVERAGE OF 19%.39% OF CHILDREN LIVE IN SINGLE-PARENT HOUSEHOLDS, WELL ABOVE THE STATE AVERAGE OF 29%.TEEN BIRTH RATE FOR WOMEN AGE 13-19 YEARS WAS 50 PER 1,000 BIRTHS, RANKING THEM IN THE 80TH PERCENTILE NATIONWIDE.FROM THE 2012 USDA ECONOMIC RESEARCH SERVICE, SHAWNEE COUNTY: 16.4% OF ALL PERSONS AND 24.3% OF CHILDREN AGE 0 TO 17 WERE LIVING AT OR BELOW THE FEDERAL POVERTY LEVEL. THESE RATES ARE HIGHER THAN THE STATE AVERAGES OF 14.0% AND 19.0% RESPECTIVELY.
PART VI, LINE 5:ST. FRANCIS PROVIDES FOCUSED SUPPORT FOR MARIAN CLINIC, THE LOCAL HEALTH CLINIC FOR THE UNINSURED WHICH PROVIDES QUALITY PRIMARY HEALTH CARE SERVICES FOR UNINSURED, LOW-INCOME PATIENTS, REGARDLESS OF A PATIENT'S ABILITY TO PAY. OUR CLOSE WORKING RELATIONSHIP WITH MARIAN CLINIC PROVIDERS AND STAFF SUPPORTS INTEGRATED CARE FOR THIS VULNERABLE POPULATION. SERVICES THE CLINIC PROVIDES INCLUDE PRIMARY CARE, ONGOING MANAGEMENT OF CHRONIC DISEASES, MEDICATION ASSISTANCE, AND DENTAL CARE. IN ADDITION TO OUTRIGHT FINANCIAL SUPPORT, ST. FRANCIS HEALTH CENTER PROVIDES EXTENSIVE INPATIENT AND OUTPATIENT SERVICES TO MARIAN CLINIC PATIENTS AND SUPPORTS THE CLINIC IN OTHER WAYS SUCH AS STRATEGY AND OPERATIONS GUIDANCE, DONATING SUPPLIES, AND PROVIDING INFORMATION TECHNOLOGY AND FINANCIAL SYSTEMS MANAGEMENT.ADDITIONALLY, WE HAVE A SOLID PARTNERSHIP WITH OUR LOCAL WASHBURN UNIVERSITY SCHOOL OF NURSING. COLLABORATIVE EFFORTS INCLUDE THE INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH CARE PROJECT WHICH PARTNERS SFHC, THE SCHOOL OF NURSING, AND VALEO BEHAVIORAL HEALTH. THIS PROJECT IMBEDS AN APRN IN THE EXISTING LOCAL BEHAVIORAL HEALTH SERVICES OUTPATIENT CLINIC TO PROVIDE PRIMARY CARE SERVICES AND POPULATION HEALTH MANAGEMENT FOR A HISTORICALLY UNDERSERVED PEOPLE. WE HAVE ALSO JOINEDFORCES TO DEVELOP A MOBILE CLINIC PROGRAM TO PROVIDE HEALTH CARE TO PEOPLE LIVING IN AREAS OF THE COMMUNITY WHERE IDENTIFIED BARRIERS TO HEALTH CARE SERVICES EXIST. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) SUPPORT ITS HOSPITALS BY PROVIDING GUIDANCE, OVERSIGHT, AND RESOURCES TO HELP THEM ACCOMPLISH INITIATIVES THAT IMPROVE HEALTH IN ALL OUR COMMUNITIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND URCHASING; BENEFITS ADMINISTRATION (INCLUDING A WELLNESS PROGRAM FREE TO EMPLOYEES), RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE. BEING PART OF SCLHS AFFORDS SFHC INSTITUTIONALKNOWLEDGE FROM THE SYSTEM LEVEL AND THE ABILITY TO SHARE AND LEVERAGE RESOURCES ACROSS T HE SYSTEM TO PROMOTE BEST PRACTICE.
PART VI, LINE 6:ST. FRANCIS HEALTH CENTER IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, FOUR SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEMWIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.ST. FRANCIS HEALTH CENTER PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION AND REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, AND MISSION INTEGRATION.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmt
MARIAN CLINIC
1001 SW GARFIELD AVETOPEKAKS66604480543749501(C)(3)$6,839FMVSUPPLIESSUPPORT MISSION
ST FRANCIS HEALTH CENTER FOUNDATION INC
1700 SW 7TH STREETTOPEKAKS66606481092520501(C)(3)SUPPORT MISSION$660,787
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS RECEIVED FROM ST. FRANCIS HEALTH CENTER MUST ADDRESS ONE OF THE IDENTIFIED COMMUNITY HEALTH NEEDS IN THE ASSESSMENT REPORT FOR TOPEKA/SHAWNEE COUNTY SPONSORED BY THE UNITED WAY OF GREATER TOPEKA. ONLY ONE GRANT APPLICATION PER ORGANIZATION WILL BE ACCEPTED EACH YEAR. GRANTS CAN BE RENEWED AND FUNDED FOR A MAXIMUM OF THREE YEARS BASED ON THE PREVIOUS YEAR'S OUTCOMES AS DETERMINED BY COMMITTEE. THE GRANT CANNOT BE THE SOLE FUNDING SOURCE FOR ANY PROJECT REQUEST THAT EXCEEDS $1,000. THE ORGANIZATION RECEIVING THE GRANT IS REQUIRED TO SUBMIT AN INTERIM REPORT SIX MONTHS INTO THE GRANT YEAR. AT THE END OF THE GRANT YEAR A FINAL ACCOUNTING AND EVALUATION MUST BE SUBMITTED. BOTH REPORTS INCLUDE FINANCIAL INFORMATION AND A NARRATIVE REPORT DISCUSSING GOALS, OUTCOMES, FINANCIAL VARIANCES, AND PLANS TO OVERCOME VARIANCES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHLEEN TULIPANA
BOARD MEMBER$0$191,966$0$34,874$0$3,090$0$32,953$0$9,270$0$272,153$0$0
ROBERT ERICKSON
CEO$0$367,472$0$122,772$0$13,006$0$104,873$0$20,426$0$628,549$0$0
DEBRA CARTWRIGHT
VP & CFO 1/14 - 10/14$0$195,792$0$47,278$0$72,900$0$10,299$0$16,529$0$342,798$0$0
THOMAS HAMILTON
CHIEF MEDICAL OFFICER$0$323,781$0$41,999$0$8,791$0$55,319$0$24,221$0$454,111$0$0
DAVID SETCHEL
COO$0$247,643$0$62,276$0$1,728$0$39,722$0$22,597$0$373,966$0$0
SCOTT WELLS
VP PATIENT CARE SERVICES$0$215,364$0$55,842$0$4,797$0$37,810$0$20,719$0$334,532$0$0
ERIC BARNABY
VP STRAT & BUS DVPMT 1/14 - 10/14$0$175,874$0$46,920$0$66,204$0$12,675$0$23,451$0$325,124$0$0
FLORIN NICOLAE
PAIN MGMT PHYSICIAN CLINIC$1,008,073$0$247,156$0$4,306$0$18,720$0$25,660$0$1,303,915$0$0$0
JOHN JOLIFF
PHYSICIAN CCT$658,034$0$316,555$0$6,939$0$18,720$0$20,564$0$1,020,812$0$0$0
SUMER DHIR
PHYSICIAN CCT$572,568$0$338,171$0$4,114$0$16,120$0$24,360$0$955,333$0$0$0
BERNITA BERNTSEN
PHYSICIAN CLINIC TALLGRASS$686,256$0$225,964$0$6,960$0$16,120$0$28,100$0$963,400$0$0$0
DAVID FRITZ
PHYSICIAN - NEURO$816,029$0$0$0$5,160$0$18,720$0$27,640$0$867,549$0$0$0
GWEN HELLER
FORMER KEY EMPLOYEE 1/14$0$195,185$0$7,882$0$5,531$0$26,329$0$16,916$0$251,843$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2014 WERE: GWEN HELLER.
PART I, LINE 1BTHE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES.
PART I, LINES 4A-BSCHEDULE J, PART I, LINE 4A THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE AMOUNTS PAID TO LISTED INDIVIDUALS FOR SEVERANCE IN 2014 WERE: DEBRA CARTWRIGHT - $47,970, ERIC BARNABY - $43,033. SCHEDULE J, PART I, LINE 4B PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) FOR EXECUTIVES TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2014, THE RELATED ORGANIZATION'S NQDC PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2014 WERE: NONE. FOR CONTRIBUTIONS MADE IN 2014, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2014. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. IN ADDITION, FOR AMOUNTS CONTRIBUTED PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE PLAN IN 2014 WERE: DEBRA CARTWRIGHT - $22,187, ERIC BARNABY - $19,491.
PART I, LINE 7THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF OPERATING INCOME AND OTHER PLAN PERFORMANCE STANDARDS. AWARDS ARE BASED ON HOW WELL THE HEALTH CARE SYSTEM OR THE CARE SITE PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED BY THE CARE SITE CEO OR THE HEALTH CARE SYSTEM SERVICES SENIOR EXECUTIVE LEADERSHIP TEAM FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE PATIENT EXPERIENCE, PATIENT SAFETY, EMPLOYEE SAFETY, COMMUNITY BENEFIT AND OPERATING INCOME. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON.
ADDITIONAL OFFICER AND BOARD DISCLOSURESTHE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, TEN FOUNDATIONS AND FOUR CLINICS IN FOUR STATES. SCLHS AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF DIRECTORS (BOARD) IS COMPENSATED FOR THAT SERVICE. SCLHS' BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED BY SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH SYSTEM. HOWEVER, PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SCHWERDT DESIGN GROUP INC
BOARD MEMBER, GREG SCHWERDT IS THE OWNER OF SCHWERDT DESIGN GROUP, INC.$146,206ARCHITECTURAL SERVICES0
SCHWERDT CONTRACT INTERIORS INC
BD MMBR GREG SCHWERDT'S SPOUSE - OWNER OF SCHWERDT DESIGN INTERIORS, INC.$261,288INTERIOR DESIGN0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. FRANCIS HEALTH CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7APOWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. FRANCIS HEALTH CENTER, INC., APPOINTS MEMBERS OF ST. FRANCIS HEALTH CENTER, INC. BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE BYLAWS REGARDING APPOINTMENT OF BOARD MEMBERS. SCLHS ALSO HAS EXTENSIVE RESERVE POWERS OVER ANY CHANGE IN MISSION, CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS, ACQUISITION OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, AND APPOINTMENT OF AUDITORS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ORGANIZATION'S EXECUTIVES, DIRECTORS, MANAGERS, BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL EXECUTIVE COMMITTEE (MEC) MEMBERS AND OTHER PHYSICIANS IN DECISION MAKING ROLES OR SERVING ON COMMITTEES, COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM EACH YEAR. A COPY OF THE POLICY IS DISTRIBUTED ALONG WITH THE COI FORMS. IN THE EVENT OF A CHANGE OF CIRCUMSTANCE, EACH INDIVIDUAL WHO HAS ALREADY SIGNED A COI IS EXPECTED TO NOTIFY THE ORGANIZATION OF THE CHANGE AND UPDATE THE CONFLICT OF INTEREST INFORMATION. THE STATEMENTS ARE REVIEWED AND COI ISSUES ARE ADDRESSED BY THE ORGANIZATION'S RESPONSIBILITY OFFICE (ORO) AND LEADERSHIP AT THE APPROPRIATE LEVEL: BOARD MEMBERS - BY BOARD CHAIR PHYSICIANS - BY THE MEC PRESIDENT EXECUTIVES - BY THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. DIRECTORS AND MANAGERS - BY ADMINISTRATION THE SIGNED COI FORMS ARE MAINTAINED IN ADMINISTRATION AND IN COMPLIANCE. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS FOR THE EXECUTIVES ARE MAINTAINED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AT THE BEGINNING OF BOARD AND BOARD COMMITTEE MEETINGS, THE QUESTION OF COI IS ASKED OF THOSE IN ATTENDANCE. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL IS EXCUSED FROM PARTICIPATING IN THE DISCUSSIONS AND DECISION-MAKING.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION, THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) SCLHS' PROCESS FOR DETERMINING COMPENSATION FOR THE TOP MANAGEMENT AND SENIOR LEADERSHIP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. THIS COMMITTEE IS COMPOSED OF THREE OR MORE MEMBERS WHO ARE NOT CURRENT EMPLOYEES OF SCLHS, OR FORMER EMPLOYEES WITH NO ACTIVE INTEREST IN THE SCLHS' COMPENSATION PROGRAM, INCLUDING AT LEAST TWO MEMBERS OF THE SCLHS BOARD. SCLHS BELIEVES THAT THE INDEPENDENCE OF THESE MEMBERS IS VITAL TO THE INTEGRITY OF THE PROCESS. THE WORK OF THIS COMMITTEE INCLUDES BEING CONSTANTLY AWARE OF THE CURRENT COMPETITIVE MARKET FOR MANAGEMENT AND SENIOR LEADERS, AS WELL AS COMPILING AND MAINTAINING RECORDS OF COMPARABLE COMPENSATION AND BENEFITS DATA, INCLUDING SURVEYS AND OTHER ANALYSES, TO SUPPORT SCLHS' TOTAL COMPENSATION TO EACH INDIVIDUAL. AS PART OF THE REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF TOP MANAGEMENT AND SENIOR LEADERSHIP. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH THE MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. MINUTES ARE KEPT CONTEMPORANEOUSLY FOR EACH MEETING OF THE COMMITTEE. LIKEWISE, THE COMMITTEE IS RESPONSIBLE FOR ENSURING THAT NO "EXCESS BENEFIT" IS CONFERRED ON AN INDIVIDUAL, OR THAT SUCH COMPENSATION DOES NOT CONSTITUTE PROHIBITED INUREMENT. THIS PROCESS IS COMPLETED FOR ALL SENIOR LEADERSHIP, AT THE AFFILIATE AND SYSTEM LEVEL, AND THE COMMITTEE'S RECOMMENDATION IS THEN SUBMITTED TO THE SCLHS BOARD FOR APPROVAL. THE CHARGE OF THIS COMMITTEE ADHERES TO SCLHS' CORE VALUE OF STEWARDSHIP, ENSURING THAT THE MINISTRY'S RESOURCES HELD IN TRUST ARE NOT WASTED OR MISUSED, AND ARE DEPLOYED TO EFFECTIVELY AND EFFICIENTLY ADVANCE THE MISSION.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
2420 W 26TH AVE SUITE 100DDENVERCO80211237379161MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICESKS501(C)(3)LINE 11B, IIN/A0
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SERVICESKS501(C)(3)LINE 30SCLHS
MARIAN CLINIC INC
1001 SW GARFIELDTOPEKAKS66604481046905CLINIC SERVICESKS501(C)(3)LINE 30SCLHS
MARILLAC CLINIC INC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822CLINIC SERVICESCO501(C)(3)LINE 30SCLHS
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAYKANSAS CITYKS66112480925688SUPPORT RELATED TAX EXEMPT ORGANIZATIONSKS501(C)(3)LINE 70PROVIDENCE MEDICAL CENTER INC
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREETTOPEKAKS66606481092520SUPPORTING ORGANIZATIONKS501(C)(3)LINE 11A, IYes (1)ST FRANCIS HEALTH CENTER INC
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREETGRAND JUNCTIONCO81502840425720HOSPITAL SERVICESCO501(C)(3)LINE 30SCLHS
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREETGRAND JUNCTIONCO81502237001007SUPPORTING ORGANIZATIONCO501(C)(3)LINE 11A, I0ST MARYS HOSPITAL & MEDICAL CENTER INC
HOLY ROSARY HEALTHCARE
2600 WILSON STREETMILES CITYMT59301810231792HOSPITAL SERVICESMT501(C)(3)LINE 30SCLHS
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREETMILES CITYMT59301202270238SUPPORTING ORGANIZATIONMT501(C)(3)LINE 11A, I0HOLY ROSARY HEALTHCARE
ST VINCENT HEALTHCARE
1233 NORTH 30TH STREETBILLINGSMT59101810232124HOSPITAL SERVICESMT501(C)(3)LINE 30SCLHS
ST VINCENT HEALTHCARE FOUNDATION
1106 NORTH 30TH STREETBILLINGSMT59101810468034SUPPORT RELATED TAX EXEMPT ORGANIZATIONSMT501(C)(3)LINE 70ST VINCENT HEALTHCARE
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT59701810231785HOSPITAL SERVICESMT501(C)(3)LINE 30SCLHS
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORTING ORGANIZATIONMT501(C)(3)LINE 11A, I0ST JAMES HEALTHCARE
SAINT JOHN'S HEALTH CENTER
2121 SANTA MONICA BLVDSANTA MONICACA90404951684082HOSPITAL SERVICESCA501(C)(3)LINE 30SCLHS
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVDSANTA MONICACA90404954291515CANCER R&DCA501(C)(3)LINE 40SAINT JOHN'S HEALTH CENTER
SAINT JOHN'S HOSPITAL & HEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCA501(C)(3)LINE 70SAINT JOHN'S HEALTH CENTER
SCL HEALTH-FRONT RANGE INC
2420 W 26TH AVE SUITE 100DDENVERCO80211841103606HOSPITAL SERVICESCO501(C)(3)LINE 30SCLHS
LUTHERAN MEDICAL CENTER FOUNDATION
2480 W 26TH AVESUITE 360BDENVERCO80211208846152SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 70SCL HEALTH-FRONT RANGE INC
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 70SCL HEALTH-FRONT RANGE INC
LUTHERAN MED CTR PROF & GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360BDENVERCO80211742571584INSURANCECO501(C)(3)LINE 11A, I0SCL HEALTH-FRONT RANGE INC
SAINT JOSEPH HOSPITAL INC
1375 E 19TH AVENUEDENVERCO80218840417134HOSPITAL SERVICESCO501(C)(3)LINE 30SCLHS
SAINT JOSEPH HOSPITAL FOUNDATION
1375 E 19TH AVENUEDENVERCO80218840735096SUPPORTING ORGANIZATIONCO501(C)(3)LINE 11A, I0SCLHS
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARDDENVERCO80211840405260RESIDENT CARECO501(C)(3)LINE 11A, I0SCLHS
NJH-SJH INC
2420 W 26TH AVE SUITE 100DDENVERCO80211471194849MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICESCO501(C)(3)LINE 11A, I0SCLHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCON/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCON/A
HEALTHCARE MANAGEMENT LLC
PO BOX 2907GRAND JUNCTIONCO81502841238904MANAGEMENT SERVICESCON/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCON/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150WHEATRIDGECO80033020749532OP SURGERYCON/A
DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUELOUISVILLECO80027460788218OP ENDOSCOPYCON/A
CODY MEDICAL ARTS COMPLEX LLC
720 LINDSAY LANECODYWY82414331031839RENTAL REAL ESTATEWYN/A
MED-MAP LLC
PO BOX 1295BILLINGSMT59103810491356RENTAL REAL ESTATEMTN/A
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREETBILLINGSMT59101721519467OP SURGERYMTN/A
ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREETBILLINGSMT59101272270640PHYSICAL THERAPYMTN/A
TWENTIETH STREET GENERAL PARTNERSHIP
201 SOUTH LAKE AVENUE STE 507PASADENACA91101953974903RENTAL REAL ESTATECAN/A
SAINT JOHN'S MEDICAL PLAZA
201 SOUTH LAKE AVENUE STE 507PASADENACA91101953983096RENTAL REAL ESTATECAN/A
SCL HOME HEALTH SOLUTIONS LLC
10170 E MISSISSIPPI AVENUEDENVERCO80247462418729HOME CAREDEN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtOwnershipOwnershipPct
CARITAS INC AND SUBSIDIARIES
2420 W 26TH AVE SUITE 100DDENVERCO80211480941069HEALTHCAREKSN/AC0
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCEN/AC023 LIME TREE BAY AVENUE WEST BAY RGRAND CAYMANCJKY1-1102CJ
ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC
2420 W 26TH AVE SUITE 100DDENVERCO80211462874128HEALTHCAREKSCYes (1)ST FRANCIS HEALTH CENTER INC1.00000
PROVIDENCE MEDICAL CENTER INC
8929 PARALLEL PARKWAYKANSAS CITYKS66112480784446HOSPITAL SERVICESKSN/AC0
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREETLEAVENWORTHKS66048480543768HOSPITAL SERVICESKSN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST FRANCIS HEALTH CENTER FOUNDATION
B$660,787CASH
ST FRANCIS HEALTH CENTER FOUNDATION
C$625,000CASH