STORMONT-VAIL HEALTHCARE INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- STORMONT-VAIL HEALTHCARE INC (EIN 48-0543789)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201212289349301741
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T10:48:39-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERBERICH TRAHAN & CO PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3630 SW BURLINGAME ROAD | AddressLine1 |
| City | TOPEKA | City |
| State | KS | State |
| ZIP Code | 666112050 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480543789 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STORMONT-VAIL HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STOR | NameControl |
| Phone | 7853546000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SW 10TH STREET | AddressLine1 |
| City | TOPEKA | City |
| State | KS | State |
| ZIP Code | 666041353 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN J HAN | Name |
| Title | VICE PRESIDENT | Title |
| Phone | 7853546000 | Phone |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHERYL G HAYWARD | Name |
| Phone | 7852343427 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KEVIN J HAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SW 10TH STREET | AddressLine1 |
| City | TOPEKA | City |
| State | KS | State |
| ZIP Code | 666041353 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 516840918 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STORMONTVAIL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1894 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | STORMONT-VAIL'S MISSION IS "WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY" BY PROVIDING QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4442 | TotalNbrEmployees |
| Total Nbr Volunteers | 540 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 31921 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 619223 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 518666 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 479320375 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 509975162 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4350279 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4865737 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 787469 | OtherRevenuePriorYear |
| Other Revenue Current Year | 845140 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 485077346 | TotalRevenuePriorYear |
| Total Revenue Current Year | 516204705 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 277911626 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 294024917 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 189846855 | OtherExpensePriorYear |
| Other Expenses Current Year | 189861294 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 467758481 | TotalExpensesPriorYear |
| Total Expenses Current Year | 483886211 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 17318865 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 32318494 | RevenuesLessExpensesCY |
| Total Assets BOY | 450834298 | TotalAssetsBOY |
| Total Assets EOY | 486242743 | TotalAssetsEOY |
| Total Liabilities BOY | 267374369 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 314771451 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 183459929 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 171471292 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITY | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 471154415 | Expense |
| Revenue | 511372574 | Revenue |
| Description | STORMONT-VAIL HEALTHCARE, INC. (MEDICAL CENTER) PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. FOR THE YEAR ENDED SEPTEMBER 30, 2011, 20,136 INPATIENTS, 60,942 EMERGENCY ROOM PATIENTS, 2,069 NEWBORNS, AND OVER 493 NEONATAL INTENSIVE CARE BABIES WERE SERVED. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THE MEDICAL CENTER'S MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION REGARDLESS OF ABILITY TO PAY. AS PART OF THIS MISSION, THE MEDICAL CENTER PROVIDES CARE TO PERSONS COVERED BY MEDICARE AND MEDICAID PATIENTS. FOLLOWING ARE SOME OF THE BENEFITS PROVIDED AT REDUCED RATES FOR THE FISCAL YEAR:IN ADDITION TO THE CHARITY CARE PROVIDED, THE MEDICAL CENTER ALSO PROVIDED SERVICE TO PATIENTS THAT RESULTED IN UNCOLLECTIBLE AMOUNTS AS FOLLOWS:BAD DEBT EXPENSE AT COST $ 9,819,269SHORTFALL OF MEDICARE PAYMENTS AT COST $ 49,586,161 THE MEDICAL CENTER ALSO PROVIDES OTHER HEALTH CARE SERVICES AND PROGRAMS FOR THE BENEFIT OF THE COMMUNITY, FREE OR AT REDUCED RATES. EXAMPLES OF THESE INCLUDE: SUBSIDY OF NURSING EDUCATION, MEDICAL EDUCATION, AND ALLIED HEALTH EDUCATION OPERATING THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) SERVING A HIGH PERCENTAGE OF MEDICALLY INDIGENT PATIENTS OPERATING A LEVEL II TRAUMA CENTER SERVING NORTHEAST KANSAS PROVIDE SUPPORT TO LIFESTAR, THE AIR AMBULANCE SERVICE IN NORTHEAST KANSAS OVER 20 SUPPORT GROUPS HAVE BEEN ORGANIZED FOR A VARIETY OF TOPICS APPROXIMATELY 56,400 HOURS OF VOLUNTEER TIME WERE DONATED TO THE MEDICAL CENTER HELPING TO REDUCE THE COST OF PROVIDING HEALTH CARE MAINTAINING THE HEALTH SCIENCES LIBRARY THAT IS MADE AVAILABLE TO THE PUBLIC FREE OF CHARGE AS A MEDICAL RESOURCE STORMONT VAIL EMPLOYEES SUPPORT THE CARE LINE, WHICH IS AN EMERGENCY FUND FOR PATIENTS IN FINANCIAL DISTRESS, PROVIDING SERVICES AND SUPPLIES ON A SHORT-TERM BASIS USE OF POZEZ EDUCATION CENTER FACILITIES FOR A VARIETY OF COMMUNITY GROUPS AND PROGRAMS DONATED CASH OR IN-KIND GIFTS TO VARIOUS COMMUNITY ORGANIZATIONS PARTICIPATED IN NUMEROUS CLINICAL RESEARCH TRIALS THROUGH THE CLINICAL RESEARCH DEPARTMENT STORMONT-VAIL WEST BEHAVIORAL HEALTH SERVICES OPERATES A SUBSTANCE ABUSE PROGRAM OPERATED A PALLIATIVE CARE PROGRAM TO PROVIDE COMFORT CARE TO PATIENTS WITH CHRONIC CONDITIONS PROVIDE SUPPORT AND EDUCATION FOR PATIENTS WITH DIABETES THROUGH THE DIABETES LEARNING CENTER. STORMONT-VAIL IS A REGIONAL NETWORK OF 28 LOCATIONS IN NORTHEAST KANSAS IMPROVING ACCESS TO MEDICAL CARE IN SEVERAL CITIES THAT OTHERWISE WOULD NOT HAVE ACCESS, PARTICULARLY ON WEEKENDS MATERNAL FETAL MEDICINE PROGRAM PROVIDED CARE AND ACCESS TO SCREENINGS AND GENETIC COUNSELING FOR WOMEN WITH AT-RISK PREGNANCIES. OPERATED THE HEALTHWISE 55 PROGRAM WHICH PROVIDED OUTREACH PROGRAMS TO INDEPENDENT LIVING FACILITIES IN TOPEKA OFFERED BLOOD PRESSURE CLINICS AT WEST RIDGE MALL AS WELL AS OUTREACH BLOOD PRESSURE CLINICS AT SIX OTHER LOCATIONS STORMONT-VAIL PROVIDED THE REGIONS ONLY PERINATOLOGIST PROVIDING CARE FOR HIGH-RISK PREGNANCIES STORMONT-VAIL MAINTAINED THE LIFELINE PROGRAM, THE PERSONAL RESPONSE SYSTEM OFFERED ONLINE CHILDBIRTH CLASSES THROUGH STORMONT-VAILS WEB SITE PARTNERED WITH THE MARCH OF DIMES FOR THE NICU FAMILY SUPPORT PROGRAM STORMONT-VAIL WAS A MEDAL OF HONOR WINNER FOR THE SEVENTH CONSECUTIVE YEAR FOR ORGAN RETRIEVAL AND TISSUE CONVERSION THE HEALTH CONNECTION PROGRAM, WHICH PROVIDES PHYSICIAN REFERRAL AND AFTER-HOUR ACCESS TO A NURSE, RECEIVED 352,912 CALLS PROVIDED HEALTH INFORMATION THROUGH THE TOPEKA & SHAWNEE COUNTY PUBLIC LIBRARY'S HEALTH INFORMATION NEIGHBORHOOD PARTNERED WITH BUILDING BLOCKS TO PROVIDE CHILDCARE SERVICES TO STAFF AND THE COMMUNITY STORMONT-VAIL CLINICAL EDUCATORS PARTICIPATED IN THE AMERICAN HEALTH ASSOCIATION'S CPR FOR FAMILY AND FRIENDS CLASS TO TEACH OTHERS CPR THE TRAUMA SERVICES DEPARTMENT PROVIDED COMMUNITY EDUCATION PROGRAMS ON FALL PREVENTION STORMONT-VAIL WEST BEHAVIORAL HEALTH SERVICES PARTICIPATED IN A DEPRESSION SCREENING FOR THE COMMUNITY PARTNERED IN THE KANSAS RED RIBBON CAMPAIGN TO PROMOTE A HEALTHY, DRUG-FREE LIFESTYLE FOR YOUTH A SKIN SCREENING CLINIC FOR THE COMMUNITY WAS HELD AT THE COTTON-O'NEIL CANCER CENTER SPONSORED TOUR DE DIALYSIS, A 100-MILE BIKE RIDE TO RAISE AWARENESS AND FUNDS FOR PATIENT NEEDS AT THE KANSAS DIALYSIS SERVICES FREE PROSTATE CANCER SCREENING CLINIC WAS PROVIDED AT THE COTTON-O'NEIL CANCER CENTER CONNECT WITH THE COMMUNITY THROUGH THE ORGANIZATION WEBSITE, STORMONT.ORG PARTICIPATED IN THE BI-STATE STROKE EDUCATION CONSORTIUM PARTNERED WITH HEALTH INNOVATION NETWORK OF KANSAS, A COALITION THAT GREW TO 17 HOSPITALS SHARING INFORMATION, EDUCATION AND OTHER NEEDED SERVICES THE BOY TO MAN AND GIRL TO WOMAN COMMUNICATION EDUCATION PROGRAMS FACILITATE CONVERSATION BETWEEN ADULTS AND PRE-TEENS ABOUT FUTURE PHYSICAL AND EMOTIONAL CHANGES STORMONT VAIL AND ITS EMPLOYEES DONATED FUNDS AND STAFF TIME TO THE MEALS ON WHEELS PROGRAM | Description |
| Total Program Service Expense | 471154415 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 255 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4442 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN HAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7853546000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SW 10TH STREET | AddressLine1 |
| City | TOPEKA | City |
| State | KS | State |
| ZIP Code | 66604 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| MAYNARD OLIVERIUS | ||||||||
| CHIEF EXECUTIVE OFFICER | 60.00 | X | X | 990200 | 0 | 171069 | ||
| STEVEN WATKINS MD | ||||||||
| DIRECTOR, OP COMM | 60.00 | X | X | 752338 | 0 | 93162 | ||
| S KENNETH ALEXANDERIII | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| PAMELA JOHNSON BETTS | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| C RICHARD BONEBRAKEMD | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| GARY B FLEENOR | ||||||||
| CHAIRPERSON | X | X | 0 | 0 | 0 | |||
| JOHN B DICUS | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| ROBERT WHEELER | ||||||||
| VICE-CHAIRMAN | X | X | 0 | 0 | 0 | |||
| JAMES HAINES | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| PATRICIA PRESSMAN PHD | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| SUEANN V SCHULTZ | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| NANCY J PERRY | ||||||||
| SECRETARY | X | X | 0 | 0 | 0 | |||
| JAMES SCHMANK | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| ANDREW J JETTER | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| JAMES PARRISH | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| RICHARD WIENCKOWSKI | ||||||||
| DIRECTOR | X | 0 | 0 | 0 | ||||
| DAVID CUNNINGHAM | ||||||||
| VICE-PRESIDENT | 50.00 | X | 251905 | 0 | 47131 | |||
| CAROL WHEELER | ||||||||
| VICE-PRESIDENT | 50.00 | X | 384052 | 0 | 130910 | |||
| BERNIE BECKER | ||||||||
| VICE-PRESIDENT | 50.00 | X | 324831 | 0 | 127474 | |||
| KENT PALMBERG MD | ||||||||
| EXECUTIVE VICE-PRESIDENT | 60.00 | X | 715896 | 0 | 345867 | |||
| DEBRA YOCUM | ||||||||
| VICE-PRESIDENT | 50.00 | X | 303958 | 0 | 50322 | |||
| JANET STANEK | ||||||||
| VICE-PRESIDENT | 55.00 | X | 461253 | 0 | 91858 | |||
| CAROL PERRY | ||||||||
| VICE-PRESIDENT | 50.00 | X | 344825 | 0 | 82303 | |||
| KEVIN HAN | ||||||||
| CHIEF FINANCIAL OFFICER | 60.00 | X | 240573 | 0 | 71384 | |||
| ROBERT O'NEIL MD | ||||||||
| OPERATING COMMITTEE | 10.00 | X | 125627 | 0 | 1479 | |||
| ERIC VOTH MD | ||||||||
| OPERATING COMMITTEE | 60.00 | X | 400099 | 0 | 52016 | |||
| DOUGLAS ROSE MD | ||||||||
| OPERATING COMMITTEE | 60.00 | X | 345739 | 0 | 137568 | |||
| KEVIN DISHMAN MD | ||||||||
| OPERATING COMMITTEE | 60.00 | X | 750870 | 0 | 34621 | |||
| MATTHEW WILLS MD | ||||||||
| PHYSICIAN | 60.00 | 1497795 | 0 | 20189 | X | |||
| SHAWN MOORE MD | ||||||||
| PHYSICIAN | 60.00 | 1497711 | 0 | 18450 | X | |||
| MICHAEL MCCOY MD | ||||||||
| PHYSICIAN | 60.00 | 772163 | 0 | 36861 | X | |||
| CHU CHI CHENMD | ||||||||
| PHYSICIAN | 60.00 | 978651 | 0 | 4462 | X | |||
| SANJAY MISRA MD | ||||||||
| PHYSICIAN | 60.00 | 1091667 | 0 | 0 | X | |||
| VERNON LONG | ||||||||
| FORMER VICE-PRESIDENT | 0.00 | 289232 | 0 | 64379 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 12519385 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1581505 | TotalOtherCompensation |
| Number Individuals GT100 K | 318 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RADIOLOGY & NUCLEAR MEDICINE LLC | |||||
| 823 MULVANE SUITE 1 | TOPEKA | KS | 66606 | RADIOLOGY PHYSICIAN SERVICES | 1975247 |
| ANESTHESIA ASSOCIATES | |||||
| 823 MULVANE SUITE 2A | TOPEKA | KS | 66606 | ANESTHESIA PHYSICIAN SERVICES | 1840228 |
| ETHEL LOUISE BJORGAARD | |||||
| 615 S TOPEKA BLVD | TOPEKA | KS | 66603 | LEGAL SERVICES | 1541514 |
| LABORATORY CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LABORATORY TESTING PROVIDER | 1060846 |
| PERINATAL CONSULTANTS | |||||
| 900 SW ROBINSON | TOPEKA | KS | 66614 | PHYSICIAN SERVICES | 746000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| Related Organizations | 80448 | RelatedOrganizations |
| All Other Contributions | 438218 | AllOtherContributions |
| Noncash Contributions | 308613 | NoncashContributions |
| Total Contributions | 518666 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621300 | 505100014 | 505100014 |
| NUTRITIONAL SERVICES | 621300 | 2124607 | 2124607 |
| EDUCATION SERVICES/SCH | 611600 | 1770500 | 1770500 |
| LIFELINE | 621300 | 445689 | 445689 |
| MEDICAL RECORDS | 519100 | 173535 | 173535 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 360817 | TotalRevenueColumn |
| Related Or Exempt Function Income | 360817 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 509975162 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3099802 | TotalRevenueColumn |
| Exclusion | $3,099,802 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 845140 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 845140 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 845140 | TotalRevenueColumn |
| Exclusion | $845,140 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 560527 | Securities |
| Other | 1841621 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 192004 | Securities |
| Other | 444209 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 368523 | Securities |
| Other | 1397412 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1765935 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1397412 | RelatedOrExemptFunctionIncome |
| Exclusion | $368,523 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 516204705 | TotalRevenueColumn |
| Related Or Exempt Function Income | 511372574 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $4,313,465 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7838924 | Total |
| Program Services | 3765347 | ProgramServices |
| Management And General | 4073577 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229823830 | Total |
| Program Services | 229136464 | ProgramServices |
| Management And General | 687366 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12616211 | Total |
| Program Services | 12494545 | ProgramServices |
| Management And General | 121666 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29042386 | Total |
| Program Services | 29030930 | ProgramServices |
| Management And General | 11456 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14703566 | Total |
| Program Services | 14391002 | ProgramServices |
| Management And General | 312564 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2801867 | Total |
| Program Services | 2508578 | ProgramServices |
| Management And General | 293289 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169700 | Total |
| Program Services | 169700 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129067 | Total |
| Program Services | 129067 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15661675 | Total |
| Program Services | 15274430 | ProgramServices |
| Management And General | 387245 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1213310 | Total |
| Program Services | 1213310 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2422156 | Total |
| Program Services | 2096677 | ProgramServices |
| Management And General | 325479 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6908050 | Total |
| Program Services | 6841750 | ProgramServices |
| Management And General | 66300 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7232290 | Total |
| Program Services | 7225290 | ProgramServices |
| Management And General | 7000 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121008 | Total |
| Program Services | 121008 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8089400 | Total |
| Program Services | 8078108 | ProgramServices |
| Management And General | 11292 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19492969 | Total |
| Program Services | 19476788 | ProgramServices |
| Management And General | 16181 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3782435 | Total |
| Program Services | 1066208 | ProgramServices |
| Management And General | 2716227 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 82872503 | 82870185 | 2318 |
| PROVISION FOR UNCOLLECT | 19588588 | 19588588 | |
| OTHER EXPENSES | 12331546 | 8633768 | 3697778 |
| REPAIR & MAINTENANCE | 6817169 | 6815111 | 2058 |
| CONTRIBUTION TO S-V FOU | 180000 | 180000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47561 | Total |
| Program Services | 47561 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 483886211 | Total |
| Program Services | 471154415 | ProgramServices |
| Management And General | 12731796 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4872802 | BOY |
| EOY | 6097475 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55902142 | BOY |
| EOY | 72328936 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67353289 | BOY |
| EOY | 74917091 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4472770 | BOY |
| EOY | 5088446 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3496464 | BOY |
| EOY | 3686374 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 386392910 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 201253993 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190764266 | BOY |
| EOY | 185138917 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64483475 | BOY |
| EOY | 82918308 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56332801 | BOY |
| EOY | 53651647 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3156289 | BOY |
| EOY | 2415549 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450834298 | BOY |
| EOY | 486242743 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50470055 | BOY |
| EOY | 58576399 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137940000 | BOY |
| EOY | 135870000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4194964 | BOY |
| EOY | 5944140 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74769350 | BOY |
| EOY | 114380912 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267374369 | BOY |
| EOY | 314771451 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182697109 | BOY |
| EOY | 170670374 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 629961 | BOY |
| EOY | 668059 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132859 | BOY |
| EOY | 132859 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183459929 | BOY |
| EOY | 171471292 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450834298 | BOY |
| EOY | 486242743 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 32318494 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -44307131 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE KANSAS HOSPITAL ASSOCIATION. THESE ORGANIZATIONS HAVE INFORMED THE TAXPAYER THAT A PORTION OF THEIR DUES ARE ATTRIBUTED TO LOBBYING AND ADVOCACY ACTIVITIES. THAT PERCENTAGE FOR 2010 IS 24.42% AND 15.2% RESPECTIVELY AND THE AMOUNT IS $ 20,229. OCCASIONALLY, THE CEO WILL SPEAK TO LEGISLATORS REGARDING BILLS THAT WOULD AFFECT THE ORGANIZATION OR HEALTHCARE INDUSTRY. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 239410 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 5014 | InvestmentEarningsOrLosses |
| End Of Year Balance | 244424 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 239400 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 10 | InvestmentEarningsOrLosses |
| End Of Year Balance | 239410 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 235668 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 3732 | InvestmentEarningsOrLosses |
| End Of Year Balance | 239400 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.54360 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.45640 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10895182 | OtherCostOrOtherBasis |
| Book Value | 10895182 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 232890950 | OtherCostOrOtherBasis |
| Depreciation | 99936206 | Depreciation |
| Book Value | 132954744 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 140740785 | OtherCostOrOtherBasis |
| Depreciation | 101317787 | Depreciation |
| Book Value | 39422998 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1865993 | OtherCostOrOtherBasis |
| Book Value | 1865993 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 185138917 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 53571 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 53598076 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 53651647 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESERVE FOR THIRD-PARTY PAYORS | $4,088,606 |
| ACCRUED PENSION PAYABLE | $110,163,807 |
| CONDITIONAL ASSET RETIREMENT OBLIGATION | $74,459 |
| DUE TO RELATED PARTIES | $54,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 114380912 | TotalOfAmounts |
| Total Revenue | 516204705 | TotalRevenue |
| Total Expenses | 483886211 | TotalExpenses |
| Excess Or Deficit For Year | 32318494 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -5962075 | NetUnrealizedGLOnInvestments |
| Other | -$38,345,056 | OtherAmount |
| Total Adjustments | -44307131 | TotalAdjustments |
| Excess Or Deficit Per FS | -11988637 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 512357507 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -5962075 | NetUnrealizedGainsInvestments |
| Other Revenues | 2243944 | OtherRevenues |
| Revenue Not Rptd F990 | -3718131 | RevenueNotRptdF990 |
| Revenue Subtotal | 516075638 | RevenueSubtotal |
| Investment Expenses Not Included | 129067 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 129067 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 516204705 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 524346144 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 40926511 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 40926511 | ExpensesNotRptdF990 |
| Expenses Subtotal | 483419633 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 129067 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 337511 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 466578 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 483886211 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE GIFT IS ADDED TO THE FUND. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | AS OF SEPTEMBER 30, 2011 AND 2010 THERE WERE NO UNCERTAIN TAX BENEFITS INDENTIFIED AND RECORDED AS A LIABILITY. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | EQUITY IN NET INCOME OF CONSOLIDATED AFFILIATES 1,725,640. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -40,015,373. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES -188,114. TAX AMORTIZATION GREATER THAN BOOK 337,511. INTEREST RATE SWAP 706,418. LOSS ON EXTINGUISHMENT OF DEBT -911,138. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CONSOLIDATED AFFILIATE NET INCOME 1,725,640. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES -188,114. INTEREST RATE SWAP 706,418. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS 40,015,373. LOSS ON EXTINGUISHMENT OF DEBT 911,138. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | TAX AMORTIZATION GREATER THAN BOOK 337,511. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8088302 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8088302 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01740 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 59007922 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37669378 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21338544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 67096224 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37669378 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29426846 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06340 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 839619 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9265 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 830354 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3839107 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1680425 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2158682 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 914632 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 604425 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 310207 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 182036 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 182036 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5775394 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2294115 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3481279 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 72871618 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 39963493 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32908125 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07090 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $9,819,269 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 153658779 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 203244940 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -49586161 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STORMONT-VAIL HEALTHCARE | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SW 10TH STREET | AddressLine1 |
| City | TOPEKA | City |
| State | KS | State |
| ZIP Code | 66604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STORMONT-VAIL HEALTHCARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 28 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (28 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CANCER CENTER | ||||
| 1414 SW 8TH AVENUE | TOPEKA | KS | 66606 | CANCER CENTER |
| HEART CENTER | ||||
| 929 MULVANE | TOPEKA | KS | 66606 | CARDIOLOGY OFFICE |
| FAMILY PRACTICE | ||||
| 901 GARFIELD | TOPEKA | KS | 66606 | FAMILY PRACTICE PHYSICIAN OFFICES |
| COTTON O'NEIL PHYSICIAN CLINICS | ||||
| 823 MULVANE | TOPEKA | KS | 66606 | VARIOUS PHYSICIAN OFFICES |
| STORMONT VAIL WEST | ||||
| 3707 SW 6TH STREET | TOPEKA | KS | 66606 | PSYCHIATRIC |
| COTTON O'NEIL GI CENTER | ||||
| 720 LANE | TOPEKA | KS | 66606 | GI CLINIC |
| ORTHOPEDICS KOSM | ||||
| 909 SW MULVANE | TOPEKA | KS | 66604 | ORTHOPEDIC PHYSICIAN OFFICE |
| EMPORIA CLINIC | ||||
| 1301 SW 12TH STREET | EMPORIA | KS | 66801 | PHYSICIAN OFFICES |
| 6TH & FRAZIER | ||||
| 3520 SW 6TH STREET | TOPEKA | KS | 66606 | PHYSICIAN OFFICES |
| REHABILTATION SERVICES | ||||
| 4019 SW 10TH AVE | TOPEKA | KS | 66606 | REHABILITATION THERAPY |
| CROCO CLINIC | ||||
| 2909 SE WALNUT DR | TOPEKA | KS | 66605 | PHYSICIAN OFFICES |
| PEDIATRICARE | ||||
| 4100 SW 15TH STREET | TOPEKA | KS | 66604 | PEDIATRICS PHYSICIAN OFFICE |
| STORMONT VAIL SLEEP CENTER | ||||
| 920 SW WASHBURN | TOPEKA | KS | 66606 | SLEEP CENTER |
| URISH CLINIC | ||||
| 6725 SW 29TH STREET | TOPEKA | KS | 66614 | PHYSICIAN OFFICES |
| MISSION WOODS CLINIC | ||||
| 6650 MISSION VALLEY DRIVE | TOPEKA | KS | 66614 | PHYSICIAN OFFICES |
| WAMEGO CLINIC | ||||
| 1704 COMMERCIAL CIRCLE | WAMEGO | KS | 66547 | PHYSICIAN OFFICES |
| CARBONDALE CLINIC | ||||
| 211 EAST MAIN | CARBONDALE | KS | 66614 | PHYSICIAN OFFICES |
| OSAGE CITY CLINIC | ||||
| 131 WEST MARKET | OSAGE CITY | KS | 66523 | PHYSICIAN OFFICES |
| OSKALOOSA CLINIC | ||||
| 209 W JEFFERSON | OSKALOOSA | KS | 66066 | PHYSICIAN OFFICES |
| NORTH TOPEKA CLINIC | ||||
| 1130 N KANSAS AVENUE | TOPEKA | KS | 66608 | PHYSICIAN OFFICES |
| LAWRENCE CLINIC | ||||
| 330 ARKANSAS | LAWRENCE | KS | 66044 | PHYSICIAN OFFICES |
| ROSSVILLE CLINIC | ||||
| 423 MAIN | ROSSVILLE | KS | 66533 | PHYSICIAN OFFICES |
| MERIDEN CLINIC | ||||
| 407 E WYANDOTTE | MERIDEN | KS | 66512 | PHYSICIAN OFFICES |
| OCCUPATIONAL MEDICINE | ||||
| 1504 SW 8TH STREET | TOPEKA | KS | 66606 | WORKERS COMP PHYSICIAN OFFICE |
| LEBO CLINIC | ||||
| 118 W 4TH | LEBO | KS | 66856 | PHYSICIAN OFFICES |
| ALMA CLINIC | ||||
| 701 MISSOURI | ALMA | KS | 66401 | PHYSICIAN OFFICES |
| RETAIL CLINIC GENERAL | ||||
| 2600 NW ROCHESTER ROAD | TOPEKA | KS | 66617 | PHYSICIAN OFFICES |
| CARDIAC THORACIC SURGEONS | ||||
| 830 MULVANE | TOPEKA | KS | 66606 | PHYSICIAN OFFICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)
| ExplanationExplanation |
|---|
| 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 $ 19588586. |
| PART III, LINE 4: THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP. PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLE ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED ON AN AGING OF ACCOUNTS AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. STORMONT-VAIL ONLY CHARGES INTEREST ON MEDICAL SERVICE DIVISON PATIENT RECEIVABLES. PATIENT RECEIVABLES ARE WRITTEN OFF TO BAD DEBT WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. COSTING METHODOLOGY:THE BAD DEBT EXPENSE WAS CALCULATED BY USING THE ACTUAL BAD DEBT WRITE-OFFS FROM THE HOSPITAL AND THE COST TO CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM FOR OTHER PAYORS MULTIPLIED BY THE BAD DEBT WRITE-OFFS. THE CLINIC BAD DEBTS WERE ESTIMATED AND A COST TO CHARGE RATIO WAS APPLIED TO DETERMINE COST. |
| PART III, LINE 8: BOTH THE COST ACCOUNTING AND COST TO CHARGE RATIO METHOD ARE USED. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAYNARD OLIVERIUS | |||||||||||||
| 670120 | 0 | 303090 | 0 | 16990 | 0 | 162405 | 0 | 8664 | 0 | 1161269 | 0 | 0 | 0 |
| STEVEN WATKINS MD | |||||||||||||
| 663757 | 0 | 84898 | 0 | 3683 | 0 | 84831 | 0 | 8331 | 0 | 845500 | 0 | 0 | 0 |
| DAVID CUNNINGHAM | |||||||||||||
| 199087 | 0 | 50920 | 0 | 1898 | 0 | 35516 | 0 | 11615 | 0 | 299036 | 0 | 0 | 0 |
| CAROL WHEELER | |||||||||||||
| 286483 | 0 | 93160 | 0 | 4409 | 0 | 122816 | 0 | 8094 | 0 | 514962 | 0 | 0 | 0 |
| BERNIE BECKER | |||||||||||||
| 257225 | 0 | 64403 | 0 | 3203 | 0 | 119703 | 0 | 7771 | 0 | 452305 | 0 | 0 | 0 |
| KENT PALMBERG MD | |||||||||||||
| 537611 | 0 | 169799 | 0 | 8486 | 0 | 337501 | 0 | 8366 | 0 | 1061763 | 0 | 0 | 0 |
| DEBRA YOCUM | |||||||||||||
| 240723 | 0 | 61247 | 0 | 1988 | 0 | 45816 | 0 | 4506 | 0 | 354280 | 0 | 0 | 0 |
| JANET STANEK | |||||||||||||
| 355224 | 0 | 99290 | 0 | 6739 | 0 | 80030 | 0 | 11828 | 0 | 553111 | 0 | 0 | 0 |
| CAROL PERRY | |||||||||||||
| 274099 | 0 | 68284 | 0 | 2442 | 0 | 76208 | 0 | 6095 | 0 | 427128 | 0 | 0 | 0 |
| KEVIN HAN | |||||||||||||
| 228305 | 0 | 9927 | 0 | 2341 | 0 | 63482 | 0 | 7902 | 0 | 311957 | 0 | 0 | 0 |
| ERIC VOTH MD | |||||||||||||
| 339932 | 0 | 58141 | 0 | 2026 | 0 | 39937 | 0 | 12079 | 0 | 452115 | 0 | 0 | 0 |
| DOUGLAS ROSE MD | |||||||||||||
| 319712 | 0 | 23878 | 0 | 2149 | 0 | 132658 | 0 | 4910 | 0 | 483307 | 0 | 0 | 0 |
| KEVIN DISHMAN MD | |||||||||||||
| 700709 | 0 | 49603 | 0 | 558 | 0 | 22365 | 0 | 12256 | 0 | 785491 | 0 | 0 | 0 |
| MATTHEW WILLS MD | |||||||||||||
| 1496955 | 0 | 0 | 0 | 840 | 0 | 7600 | 0 | 12589 | 0 | 1517984 | 0 | 0 | 0 |
| SHAWN MOORE MD | |||||||||||||
| 1496955 | 0 | 0 | 0 | 756 | 0 | 5861 | 0 | 12589 | 0 | 1516161 | 0 | 0 | 0 |
| MICHAEL MCCOY MD | |||||||||||||
| 723553 | 0 | 44927 | 0 | 3683 | 0 | 28530 | 0 | 8331 | 0 | 809024 | 0 | 0 | 0 |
| CHU CHI CHENMD | |||||||||||||
| 974341 | 0 | 0 | 0 | 4310 | 0 | 0 | 0 | 4462 | 0 | 983113 | 0 | 0 | 0 |
| SANJAY MISRA MD | |||||||||||||
| 1091667 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1091667 | 0 | 0 | 0 |
| VERNON LONG | |||||||||||||
| 211915 | 0 | 75655 | 0 | 1662 | 0 | 61946 | 0 | 2433 | 0 | 353611 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | MAYNARD OLIVERIUS $ 161,405. DAVID CUNNINGHAM $ 19,382. BERNARD BECKER $ 81,212. KENT PALMBERG, M.D. $ 278,901. DEBRA YOCUM $ 16,368. JANET STANEK $ 52,104. CAROL PERRY $ 23,143. STEVEN WATKINS, M.D. $ 30,000. ERIC VOTH, M.D. $ 9,000. DOUGLAS ROSE, M.D. $ 116,025. KEVIN DISHMAN, M.D. $ 1,650. |
| PART I, LINE 6 | CERTAIN EMPLOYEES OF THE ORGANIZATION ARE ELIGIBLE FOR BONUSES UPON ACHIEVEMENT OF VARIOUS PERFORMANCE MEASURES AS OUTLINED IN THE ANNUAL INCENTIVE PLAN. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| KANSAS DEVELOPMENT FINANCE AUTHORITY | ||||||
| 48543BJT6 | 2007-08-27 | 50064927 | HEALTH FACILITIES | 0 | 0 | 0 |
| KANSAS DEVELOPMENT FINANCE AUTHORITY | ||||||
| 48543BLG1 | 2008-03-31 | 27950075 | HEALTH FACILITIES | 0 | 0 | 0 |
| KANSAS DEVELOPMENT FINANCE AUTHORITY | ||||||
| 484538MC9 | 2011-08-31 | 61193487 | HEALTH FACILITIES | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|
| 53519801 | 18107157 | 689770 | 1048000 | 30220000 | 2009 | 1 | 1 | 1 | 1 | |
| 27950075 | 27677500 | 272575 | 2008 | 1 | 0 | 1 | 1 | |||
| 61193490 | 50325531 | 863086 | 1 | 0 | 0 | 1 | 10004873 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | MEDICAL EQUIPMENT | 5 | 191128 | FMV |
| X | COMPUTER EQUIPMENT | 2 | 57291 | FMV |
| X | OTHER EQUIPMENT | 2 | 60194 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT OF THE RETURN IS PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. ANY CHANGES ARE COMMUNICATED TO THE PAID PREPARER. A COPY OF THE RETURN IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. WITH THE BOARD'S APPROVAL, THE PAID PREPARER THEN FILES THE RETURN ELECTRONICALLY. | |
| THE OFFICERS, DIRECTORS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS TO THE CHAIRMAN OF THE AUDIT COMMITTEE OF STORMONT-VAIL HEALTHCARE EACH YEAR. THE CHAIRMAN REVIEWS THE RESPONSES AND REPORTS TO THE AUDIT COMMITTEE FOR THEIR REVIEW, ANY APPROPRIATE ACTION IF REQUIRED AND APPROVAL. THE CHAIRMAN ALSO THEN REPORTS THE RESULTS TO THE FULL BOARD OF DIRECTORS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE PERFORMANCE COMMITTEE OF THE STORMONT-VAIL HEALTHCARE BOARD OF DIRECTORS ENGAGED INTEGRATED HEALTHCARE STRATEGIES, AN EXECUTIVE COMPENSATION CONSULTING FIRM, TO PROVIDE RECOMMENDATIONS REGARDING ALL ASPECTS OF COMPENSATION OF THE ORGANIZATION'S SENIOR LEADERSHIP GROUP, INCLUDING THE PRESIDENT & CEO. THAT ENGAGEMENT INCLUDED THE FOLLOWING COMPONENTS: -REVIEW OF BACKGROUND DATA, INCLUDING INFORMATION ON CURRENT PROGRAM; -COMPILATION OF DATA ON COMPENSATION AND BENEFIT PRACTICES OF COMPARABLE ORGANIZATIONS; -COMPARISON OF BASE SALARIES AT SVHC TO BASE SALARY LEVELS IN THE MARKET; -COMPARISON OF ANNUAL AND LONG-TERM INCENTIVES AT SVHC TO INCENTIVE LEVELS IN THE MARKET; -ANALYSIS OF BENEFITS ON BOTH A QUANTITATIVE AND QUALITATIVE BASIS; -COMPARISON OF SVHC TOTAL COMPENSATION (BASE, INCENTIVE, BENEFITS) TO PEER GROUP TOTAL COMPENSATION; -PREPARATION OF REPORT TO FACILITATE SVHC BOARD DISCUSSION OF THE TOTAL COMPENSATION; AND -RECOMMENDATIONS REGARDING ESTABLISHMENT OF SALARY RANGES FOR SENIOR LEADERSHIP POSITIONS. THE DELIBERATIONS AND DECISIONS OF THE PERFORMANCE COMMITTEE AND THE BOARD OF DIRECTORS ARE DOCUMENTED IN MEETING MINUTES MAINTAINED BY SVHC. | FORM 990, PART VI, SECTION B, LINE 15 | |
| STORMONT-VAIL HEALTHCARE, INC. MAKES THEIR FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS PART OF THE 990 INFORMATION RETURN. ANY CHANGES TO THE GOVERNING DOCUMENTS ARE INCLUDED WITH THE 990 RETURN. AT THIS TIME, THE HEALTH CENTER DOES NOT MAKE THEIR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -5,962,075. EQUITY IN NET INCOME OF CONSOLIDATED AFFILIATES 1,725,640. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -40,015,373. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES -188,114. TAX AMORTIZATION GREATER THAN BOOK 337,511. INTEREST RATE SWAP 706,418. LOSS ON EXTINGUISHMENT OF DEBT -911,138. TOTAL TO FORM 990, PART XI, LINE 5: -44,307,131. | FORM 990, PART XI, LINE 5: |
| NO CHANGE FROM PRIOR YEAR | PART XII, LINE 2C | |
| IN ADDITION TO THESE COMMUNITY CONTRIBUTIONS, STORMONT-VAIL PROVIDED SUPERVISED CLINICAL EXPERIENCE FOR OVER 998 STUDENTS AND 144,910 HOURS TO THE FOLLOWING ENTITIES: NAME/LOCATION TYPE OF STUDENTS DEPT/DIVISION UNIVERSITY OF ARKANSAS GENETICS COTTON O'NEIL CANCER CENTER BAKER UNIVERSITY NURSING MULTIPLE BARTON CO COMMUNITY COLLEGE PARAMEDIC MULTIPLE CLARKSON COLLEGE PA PEDIATRICCARE COFFEY COUNTY HOSPITAL NURSING MULTIPLE COLBY COMMUNITY COLLEGE PT REHAB SERVICES COMMUNITY HEALTH SYSTEM-ONAGA NURSING MULTIPLE COMMUNITY HEALTH SYSTEMS-ST. MARYS NURSING MULTIPLE CREIGHTON UNIVERSITY PHARMACY PHARMACY EMPORIA STATE UNIVERSITYNURSING MEDICAL ARTS CLINIC-EMPORIA FORT HAYS NURSING NURSING MULTIPLE HOLTON COMMUNITY HOSPITAL NURSING PATIENT CARE SERVICES INSTITUTE OF MIDWIFERY MIDWIFERY STUDENTS BIRTHPLACE KANSAS CITY KS COMM COLLEGE PT/OT REHAB SERVICES KANSAS STATE UNIVERSITY KINESIOLOGY HEART CENTER KANSAS STATE UNIVERSITY SPEECH THERAPY REHAB SERVICES UNIVERSITY OF KANSAS EXERCISE SCIENCE HEART CENTER UNIVERSITY OF KANSAS NURSING PATIENT CARE SERVICES UNIVERSITY OF KANSAS OT PATIENT CARE SERVICES UNIVERSITY OF KANSAS PHARMACY PHARMACY UNIVERSITY OF KANSAS PT ASSISTANTS REHAB SERVICES UNIVERSITY OF KANSAS SOCIAL WORK BEHAVIORAL HEALTH MIDLAND LUTHERAN COLLEGE NURSING PATIENT CARE SERVICES UNIVERSITY OF MISSOURI-KC NURSING COTTON-O'NEIL CLINICS MORRIS COUNTY EMS EMTS EMERGENCY DEPT MORRIS COUNTY EMS NURSING PATIENT CARE SERVICES MORRIS COUNTY EMS PHARMACY PHARMACY NEBRASKA MEDICAL CENTER MEDICAL TECHNOLOGY LABORATORY NEWMAN UNIVERSITY OTA REHAB SERVICES PRONERVE SURGERY ROCKHURST UNIVERSITY PT/OT REHABILITATION SERVICES ST. LOUIS UNIVERSITY PA COTTON-O'NEIL CLINICS ST. LOUIS UNIVERSITY NURSING PATIENT CARE SERVICES UNIVERSITY OF SOUTHERN INDIANA NURSING PATIENT CARE SERVICES TEXAS WESLEYAN UNIVERSITY CRNA SURGERY USD #501 HIGH SCHOOL MULTIPLE WASHBURN UNIVERSITY COMMUNICATIONS MARKETING/FOUNDATION WASHBURN UNIVERSITY KINESIOLOGY HEART CENTER WASHBURN UNIVERSITY HEALTH INFORMATION HEALTH INFORMATION MGMT. WASHBURN UNIVERSITY NURSING MULTIPLE WASHBURN UNIVERSITY OT REHABILITATION SERVICES WASHBURN UNIVERSITY PT ASSISTANTS REHABILITATION SERVICES WASHBURN UNIVERSITY IMAGING SCIENCES MEDICAL IMAGING WASHBURN UNIVERSITY RADIATION THERAPY CANCER CENTER WASHBURN UNIVERSITY RESP THERAPY PULMONARY CARE WASHBURN UNIVERSITY SOCIAL WORK SV BEHAVIORAL HEALTH WASHBURN UNIVERSITY ULTRASOUND-CARDIO RADIOLOGY/ULTRASOUND WASHBURN UNIVERSITY ULTRASOUND-GEN RADIOLOGY ULTRASOUND WASHBURN INSTITUTE OF TECHNOLOGY LPNS MULTIPLE WASHBURN INSTITUTE OF TECHNOLOGY SURG TECHS SURGICAL SERVICES/TSDS WASHBURN INSTITUTE OF TECHNOLOGY EMT PATIENT CARE SERVICES WICHITA STATE UNIVERSITY NURSING MULTIPLE WICHITA STATE UNIVERSITY PA MULTIPLE WICHITA STATE UNIVERSITY PT ASSISTANTS REHABILITATION SERVICE | FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| STORMONT-VAIL FOUNDATION | |||||||||||
| 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 480980926 | GENERATE VOLUNTARY GIFTS TO SUPPORT STORMONT-VAIL HEALTHCARE | KS | 501(C)(3) | LINE 7 | STORMONT-VAIL HEALTHCARE | 0 | |
| STORMONT-VAIL HEALTHCARE AUXILARY | |||||||||||
| 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 486140517 | PROVIDE GIFT SHOP, RESTAURANT AND PROJECTS FOR THE CONVENIENCE OF PATIENTS | KS | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| STORMONT-VAIL SERVICES INC | |||||||||||
| 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 481021165 | MEDICAL SERVICES | KS | 501(C)(3) | LINE 7 | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EXCELLENT SURGERY CENTER LLC | ||||||||||||||
| 1500 SW 10TH | TOPEKA | KS | 66604 | 260849999 | OUTPATIENT SPECIALTY EAR, NOSE, AND THROAT SURGERY CENTER | KS | N/A | RELATED | 376338 | 1531022 | 0 | 0 | 0.51000 | |
| URISH MEDICAL PLAZA LLC | ||||||||||||||
| 1500 SW 10TH | TOPEKA | KS | 66604 | 480782848 | REAL ESTATE | KS | RELATED | 44172 | 922272 | 0 | 0 | STORMONT-VAIL INC | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| STORMONT-VAIL INC | |||||||||||
| 901 GARFIELD | TOPEKA | KS | 66606 | 480782848 | RETAIL PHARMACY | KS | STORMONT-VAIL HEALTHCARE INC | C | 1523554 | 14119332 | 1.00000 |
| DECHAIRO HOSPITAL INC | |||||||||||
| 1500 SW 10TH ST | TOPEKA | KS | 66604 | 480788844 | REAL ESTATE | KS | STORMONT-VAIL INC | C | 326312 | 1.00000 | |
| CENTURY HEALTH SOLUTIONS INC | |||||||||||
| 2951 SW WOODSIDE DR | TOPEKA | KS | 66614 | 481206397 | INSURANCE MANAGEMENT OPERATIONS | KS | STORMONT-VAIL INC | C | -400762 | 225672 | 1.00000 |
| UAT INC | |||||||||||
| 1500 SW 10TH ST | TOPEKA | KS | 66604 | 480907989 | MEDICAL BILLINGS PRACTICE | KS | STORMONT-VAIL HEALTHCARE INC | C | -44591 | 59440 | 1.00000 |
| KOSM INC | |||||||||||
| 1500 SW 10TH ST | TOPEKA | KS | 66604 | 480807000 | MEDICAL BILLINGS PRACTICE | KS | STORMONT-VAIL HEALTHCARE INC | C | 67410 | 107262 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| STORMONT-VAIL FOUNDATION | |
| B | 180000 |
| STORMONT-VAIL FOUNDATION | |
| R | 278800 |
| STORMONT-VAIL HEALTHCARE AUXILIARY | |
| C | 155297 |
| STORMONT-VAIL HEALTHCARE AUXILIARY | |
| P | 233115 |
| STORMONT-VAIL INC | |
| N | 1095661 |
| STORMONT-VAIL FOUNDATION | |
| N | 334222 |