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STORMONT-VAIL HEALTHCARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
STORMONT-VAIL HEALTHCARE INC (EIN 48-0543789)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-11-28
IRS object ID
201123329349300522
Schema version
2009v1.7
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)
Timestamp2011-11-28T16:02:12-06:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Berberich Trahan & Co PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13630 SW Burlingame RoadAddressLine1
CityTopekaCity
StateKSState
ZIP Code666112050ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN480543789EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Stormont-Vail HealthCare IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTORNameControl
Phone7853546000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 SW 10TH StreetAddressLine1
CityTopekaCity
StateKSState
ZIP Code666041353ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKevin J HanName
TitleVICE PRESIDENTTitle
Phone7853546000Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCheryl G HaywardName
Phone7852343427Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonKEVIN J HANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11500 SW 10TH StreetAddressLine1
CityTopekaCity
StateKSState
ZIP Code666041353ZIPCode
FieldValueIRS element (for citing)
Gross Receipts541598856GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.STORMONTVAIL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1894YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionSTORMONT-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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees4496TotalNbrEmployees
Total Nbr Volunteers500TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income42279NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1263988ContributionsGrantsPriorYear
Contributions Grants Current Year619223ContributionsGrantsCurrentYear
Program Service Revenue Prior Year438218249ProgramServiceRevenuePriorYear
Program Service Revenue CY479320375ProgramServiceRevenueCY
Investment Income Prior Year-9500318InvestmentIncomePriorYear
Investment Income Current Year4350279InvestmentIncomeCurrentYear
Other Revenue Prior Year919668OtherRevenuePriorYear
Other Revenue Current Year787469OtherRevenueCurrentYear
Total Revenue Prior Year430901587TotalRevenuePriorYear
Total Revenue Current Year485077346TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year251639740SalariesEtcPriorYear
Salaries Etc Current Year277911626SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year176358729OtherExpensePriorYear
Other Expenses Current Year189846855OtherExpensesCurrentYear
Total Expenses Prior Year427998469TotalExpensesPriorYear
Total Expenses Current Year467758481TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2903118RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17318865RevenuesLessExpensesCY
Total Assets BOY435156254TotalAssetsBOY
Total Assets EOY450834298TotalAssetsEOY
Total Liabilities BOY249155419TotalLiabilitiesBOY
Total Liabilities EOY267374369TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY186000835NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY183459929NetAssetsOrFundBalancesEOY
Mission DescriptionWORKING TOGETHER TO IMPROVE THE HEALTH OF OUR COMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense456222718Expense
Revenue479226666Revenue
DescriptionStormont-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, 2010 19,070 inpatients, 55,689 emergency room patients, 2,048 newborns, and 480 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 $ 10,935,615Shortfall of Medicare Payments at Cost $ 70,954,044 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 Support groups are provided for a variety of topics Over 52,000 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 Developed 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 27 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 sixth consecutive year for organ retrieval and tissue conversion The Health Connection program, which provides physician referral and after-hour access to a nurse, received 363,022 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 programDescription
Total Program Service Expense456222718TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096253NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4496NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryCANameOfForeignCountry
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN HANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7853546000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11500 SW 10TH STREETAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MAYNARD OLIVERIUS
CHIEF EXECUTIVE OFFICER60.00XX10071850173692
STEVEN WATKINS MD
DIRECTOR60.00X1043501084556
S KENNETH ALEXANDERIII
DIRECTORX000
PAMELA JOHNSON BETTS
DIRECTORX000
C RICHARD BONEBRAKEMD
DIRECTORX000
HARRY W CRAIG JR
DIRECTORX000
GARY B FLEENOR
DIRECTORX000
JOHN B DICUS
DIRECTORX000
ROBERT WHEELER
DIRECTORX000
JAMES HAINES
DIRECTORX000
PATRICIA PRESSMAN PHD
DIRECTORX000
FORD W ROSS
DIRECTORX000
SUEANN V SCHULTZ
CHAIRPERSONXX000
NANCY J PERRY
SECRETARYXX000
JAMES SCHMANK
DIRECTORX000
VERNON LONG
VICE-PRESIDENT50.00X3977010137754
DAVID CUNNINGHAM
VICE-PRESIDENT50.00X237153045252
CAROL WHEELER
VICE-PRESIDENT50.00X3873680111693
BERNIE BECKER
VICE-PRESIDENT50.00X3130360127243
KENT PALMBERG MD
EXECUTIVE VICE-PRESIDENT55.00X7528760336440
DEBRA YOCUM
VICE-PRESIDENT50.00X306765048774
JANET STANEK
VICE-PRESIDENT55.00X433765092100
CAROL PERRY
VICE-PRESIDENT50.00X347125080161
KEVIN HAN
ASST. SECRETARY & TREASURER60.00X163826042787
MATTHEW WILLS MD
PHYSICIAN60.001497721023244X
SHAWN MOORE MD
PHYSICIAN60.001497803021759X
MICHAEL MCCOY MD
PHYSICIAN60.00926702035980X
TEWODROS ADDISSE MD
PHYSICIAN60.001076435013157X
SANJAY MISRA MD
PHYSICIAN60.00138005301240X
FieldValueIRS element (for citing)
Total Reportable Comp From Org11769015TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1375832TotalOtherCompensation
Number Individuals GT100 K291NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
RADIOLOGY & NUCLEAR MEDICINE
823 MULVANE SUITE 1TOPEKAKS66606X-RAY & OTHER SERVICES2074612
ANESTHESIA ASSOCIATES
823 MULVANE SUITE 2ATOPEKAKS66606CONTRACTED ANESTHESIA SERVICES1842075
ETHEL LOUISE BJORGAARD
615 S TOPEKA BLVDTOPEKAKS66603LEGAL SERVICES1442611
PERINATAL CONSULTANTS
900 SW ROBINSONTOPEKAKS66614MATERNAL & PERINATAL/INFANT SERVICES746000
KANSAS LITHOTRIPSY
9825 SPECTRUM BUILDING 3AUSTINTX78717CONTRACTED KIDNEY STONE REMOVAL543300
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations340000RelatedOrganizations
All Other Contributions279223AllOtherContributions
Noncash Contributions155989NoncashContributions
Total Contributions619223TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE621300474958553474958553
NUTRITIONAL SERVICES62130021326732132673
EDUCATION SERVICES/SCH61160016872051687205
MEDICAL RECORDS519100139843139843
MATERNAL FETAL MEDICIN6213008312083120

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column318981TotalRevenueColumn
Related Or Exempt Function Income318981RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue479320375TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2898095TotalRevenueColumn
Exclusion$2,898,095ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real787469Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real787469Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column787469TotalRevenueColumn
Exclusion$787,469ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities57964806Securities
Other8888Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities56418913Securities
Other102597Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1545893Securities
Other-93709Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1452184TotalRevenueColumn
Related Or Exempt Function Income-93709RelatedOrExemptFunctionIncome
Exclusion$1,545,893ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column485077346TotalRevenueColumn
Related Or Exempt Function Income479226666RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,231,457ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6679588Total
Program Services2218786ProgramServices
Management And General4460802ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total220478561Total
Program Services220199004ProgramServices
Management And General279557ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8779004Total
Program Services8724619ProgramServices
Management And General54385ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total27697750Total
Program Services27689842ProgramServices
Management And General7908ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14276723Total
Program Services14133893ProgramServices
Management And General142830ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2478721Total
Program Services2097070ProgramServices
Management And General381651ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total97250Total
Program Services97250ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total127285Total
Program Services127285ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12805676Total
Program Services12032868ProgramServices
Management And General772808ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1016784Total
Program Services1016784ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2439049Total
Program Services2262703ProgramServices
Management And General176346ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5165459Total
Program Services5094159ProgramServices
Management And General71300ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7030806Total
Program Services7021622ProgramServices
Management And General9184ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total176293Total
Program Services137041ProgramServices
Management And General39252ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8046410Total
Program Services8023545ProgramServices
Management And General22865ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20018592Total
Program Services19992489ProgramServices
Management And General26103ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3357344Total
Program Services1405201ProgramServices
Management And General1952143ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
sUPPLIES76834898768334381460
PROVISION FOR UNCOLLECT2930162629301626
OTHER EXPENSES14789243116520743137169
REPAIR & MAINTENANCE59195925919592
CONTRIBUTION TO S-V FOU180000180000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total61827Total
Program Services61827ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total467758481Total
Program Services456222718ProgramServices
Management And General11535763ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY650980BOY
EOY4872802EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY71716948BOY
EOY55902142EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY64253104BOY
EOY67353289EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4372061BOY
EOY4472770EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2479306BOY
EOY3496464EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis378473605LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec187709339LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY193112509BOY
EOY190764266EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY47602067BOY
EOY64483475EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY47841185BOY
EOY56332801EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3128094BOY
EOY3156289EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY435156254BOY
EOY450834298EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY47126940BOY
EOY50470055EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY140310000BOY
EOY137940000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3727135BOY
EOY4194964EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY57991344BOY
EOY74769350EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY249155419BOY
EOY267374369EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY185220929BOY
EOY182697109EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY647047BOY
EOY629961EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY132859BOY
EOY132859EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY186000835BOY
EOY183459929EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY435156254BOY
EOY450834298EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationTHE 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 2009 IS 24.42% AND 15.2% RESPECTIVELY AND THE AMOUNT IS $ 20,017. OCCASIONALLY, THE CEO WILL SPEAK TO LEGISLATORS REGARDING BILLS THAT WOULD AFFECT THE ORGANIZATION OR HEALTHCARE INDUSTRY.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance239400BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses10InvestmentEarningsOrLosses
End Of Year Balance239410EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance235668BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses3732InvestmentEarningsOrLosses
End Of Year Balance239400EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.55490PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.44510TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10885082OtherCostOrOtherBasis
Book Value10885082BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis233273631OtherCostOrOtherBasis
Depreciation95979467Depreciation
Book Value137294164BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis130392825OtherCostOrOtherBasis
Depreciation91729872Depreciation
Book Value38662953BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3922067OtherCostOrOtherBasis
Book Value3922067BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings190764266TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value3758346BookValue
Method Of ValuationFMethodOfValuation

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value52574455BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities56332801TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR THIRD-PARTY PAYORS$1,596,286
ACCRUED PENSION PAYABLE$72,926,135
CONDITIONAL ASSET RETIREMENT OBLIGATION$246,929
FieldValueIRS element (for citing)
Total Of Amounts74769350TotalOfAmounts
Total Revenue485077346TotalRevenue
Total Expenses467758481TotalExpenses
Excess Or Deficit For Year17318865ExcessOrDeficitForYear
Net Unrealized GL On Investments3833937NetUnrealizedGLOnInvestments
Other-$23,693,708OtherAmount
Total Adjustments-19859771TotalAdjustments
Excess Or Deficit Per FS-2540906ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt488899614TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3833937NetUnrealizedGainsInvestments
Other Revenues115616OtherRevenues
Revenue Not Rptd F9903949553RevenueNotRptdF990
Revenue Subtotal484950061RevenueSubtotal
Investment Expenses Not Included127285InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt127285RevenueNotRptdOnFinStmt
Total Revenue Per Form990485077346TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt491440520TotExpensesEtcAuditedFinclStmt
Other Expenses Included24291853OtherExpensesIncluded
Expenses Not Rptd F99024291853ExpensesNotRptdF990
Expenses Subtotal467148667ExpensesSubtotal
Investment Expenses Not Included2127285InvestmentExpensesNotIncluded2
Other Expenses Not Included482529OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt609814ExpensesNotRptdOnFinStmt
Total Expenses Per Form990467758481TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:ENDOWMENT FUNDS ARE USED IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE GIFT IS ADDED TO THE FUND.
Part X:Description of Uncertain Tax Positions Under FIN 48:AS OF SEPTEMBER 30, 2010 AND 2009 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: 318195. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS: -24291853. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES: -675752. TAX AMORTIZATION GREATER THAN BOOK: 482529. INTEREST RATE SWAP: 473173.
Part XII, Line 2d - Other Adjustments:CONSOLIDATED AFFILIATE NET INCOME: 318195. NET GAINS/(LOSS) OF UNCONSOLIDATED AFFILIATES: -675752. INTEREST RATE SWAP: 473173.
Part XIII, Line 2d - Other Adjustments:CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS: 24291853.
Part XIII, Line 4b - Other Adjustments:TAX AMORTIZATION GREATER THAN BOOK: 482529.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6899649TotalCommunityBenefitExpense
Net Community Benefit Expense6899649NetCommunityBenefitExpense
Percent Of Total Expense0.01570PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense61706140TotalCommunityBenefitExpense
Direct Offsetting Revenue40400548DirectOffsettingRevenue
Net Community Benefit Expense21305592NetCommunityBenefitExpense
Percent Of Total Expense0.04860PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense68605789TotalCommunityBenefitExpense
Direct Offsetting Revenue40400548DirectOffsettingRevenue
Net Community Benefit Expense28205241NetCommunityBenefitExpense
Percent Of Total Expense0.06430PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense893237TotalCommunityBenefitExpense
Direct Offsetting Revenue124260DirectOffsettingRevenue
Net Community Benefit Expense768977NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3922501TotalCommunityBenefitExpense
Direct Offsetting Revenue1975845DirectOffsettingRevenue
Net Community Benefit Expense1946656NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense11518998TotalCommunityBenefitExpense
Direct Offsetting Revenue7882192DirectOffsettingRevenue
Net Community Benefit Expense3636806NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1627619TotalCommunityBenefitExpense
Direct Offsetting Revenue1131240DirectOffsettingRevenue
Net Community Benefit Expense496379NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense193565TotalCommunityBenefitExpense
Net Community Benefit Expense193565NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18155920TotalCommunityBenefitExpense
Direct Offsetting Revenue11113537DirectOffsettingRevenue
Net Community Benefit Expense7042383NetCommunityBenefitExpense
Percent Of Total Expense0.01600PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense86761709TotalCommunityBenefitExpense
Direct Offsetting Revenue51514085DirectOffsettingRevenue
Net Community Benefit Expense35247624NetCommunityBenefitExpense
Percent Of Total Expense0.08030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$10,935,615BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare142371605AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare213325649CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-70954044MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1STORMONT-VAIL HEALTHCAREBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11500 SW 10TH STREETAddressLine1
CityTOPEKACity
StateKSState
ZIP Code66604ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart 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.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: BOTH THE COST ACCOUNTING AND COST TO CHARGE RATIO METHOD ARE USED.ShortfallAsCommunityBenefit
Other InformationPart VI, Line 6:OtherInformation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MAYNARD OLIVERIUS
6266300363871016684016240501128701180877000
STEVEN WATKINS MD
93943501003830368307361301094301128057000
VERNON LONG
28780201053700452901269920107620535455000
DAVID CUNNINGHAM
180865054438018500294550157970282405000
CAROL WHEELER
27595401071530426101009810107120499061000
BERNIE BECKER
2331870768250302401139670132760440279000
KENT PALMBERG MD
516185023122105470032549701094301089316000
DEBRA YOCUM
23166507314201958042551062230355539000
JANET STANEK
3221230105051065910759480161520525865000
CAROL PERRY
262231082817020770694610107000427286000
KEVIN HAN
14928101365308920323880103990206613000
MATTHEW WILLS MD
14968810008400665101659301520965000
SHAWN MOORE MD
14971310006720516601659301519562000
MICHAEL MCCOY MD
866241056778036830250370109430962682000
TEWODROS ADDISSE MD
10078290680480558065800657701089592000
SANJAY MISRA MD
1379074000979000124001381293000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
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.
Part I, Line 6CERTAIN 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 (4 entries)

CUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
KANSAS DEVELOPMENT FINANCE AUTHORITY
48543BGH52001-05-0120560000HEALTH FACILITIES00
KANSAS DEVELOPMENT FINANCE AUTHORITY
48543BJT62007-08-2725000000HEALTH FACILITIES00
KANSAS DEVELOPMENT FINANCE AUTHORITY
48543BKK32008-03-3118115000HEALTH FACILITIES00
KANSAS DEVELOPMENT FINANCE AUTHORITY
48543BLG12008-03-312295000HEALTH FACILITIES00

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
5241715322342005018295320070111
5178634317377705004857320091111
207963641963642060000020081011
279500752725752767750020081011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000001
000001
000001
000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100000
100000
100000
100000

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMEDICAL EQUIPMENT4124978FMV
XCOMPUTER EQUIPMENT627088FMV
XOTHER EQUIPMENT43923FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11A DRAFT OF THE RETURN IS PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. ANY CHANGES ARE COMMUNICATED TO THE PAID PREPARER. A COPY OF THE RETURN IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. WITH THE BOARD'S APPROVAL, THE PAID PREPARER THEN FILES THE RETURN ELECTRONICALLY.
Form 990, Part VI, Section B, line 12cTHE 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 15THE PERFORMANCE COMMITTEE OF THE STORMONT-VAIL HEALTHCARE BOARD OF DIRECTORS ENGAGED INTEGRATED HEALTHCARE STRATEGIES, AN EXECUTIVE COMPENSATION CONSULTING FIRM, TO PROVIDE RECOMMENDATIONS REGARDING ALL ASPECTS OF COMPENSATION OF THE ORGANIZATION'S SENIOR LEADERSHIP GROUP, INCLUDING THE PRESIDENT & CEO. THAT ENGAGEMENT INCLUDED THE FOLLOWING COMPONENTS: -REVIEW OF BACKGROUND DATA, INCLUDING INFORMATION ON CURRENT PROGRAM; -COMPILATION OF DATA ON COMPENSATION AND BENEFIT PRACTICES OF COMPARABLE ORGANIZATIONS; -COMPARISON OF BASE SALARIES AT SVHC TO BASE SALARY LEVELS IN THE MARKET; -COMPARISON OF ANNUAL AND LONG-TERM INCENTIVES AT SVHC TO INCENTIVE LEVELS IN THE MARKET; -ANALYSIS OF BENEFITS ON BOTH A QUANTITATIVE AND QUALITATIVE BASIS; -COMPARISON OF SVHC TOTAL COMPENSATION (BASE, INCENTIVE, BENEFITS) TO PEER GROUP TOTAL COMPENSATION; -PREPARATION OF REPORT TO FACILITATE SVHC BOARD DISCUSSION OF THE TOTAL COMPENSATION; AND -RECOMMENDATIONS REGARDING ESTABLISHMENT OF SALARY RANGES FOR SENIOR LEADERSHIP POSITIONS. THE DELIBERATIONS AND DECISIONS OF THE PERFORMANCE COMMITTEE AND THE BOARD OF DIRECTORS ARE DOCUMENTED IN MEETING MINUTES MAINTAINED BY SVHC.
Form 990, Part VI, Section C, line 19STORMONT-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.
PART XI, LINE 2CNO CHANGE FROM PRIOR YEAR.
FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS:Name/Location Type of Students Dept/Division University of Arkansas Genetics Cotton O'Neil Cancer Center Atchison Hospital Nursing Patient Care Services Baker University Nursing Multiple Coffey County Hospital Nursing Multiple Colby Community College PT Rehab Services Community Health Systems-St. Marys Nursing Multiple Creighton University Pharmacy Pharmacy Emporia State UniversityNursing Medical Arts Clinic-Emporia Fort Hays Nursing Nursing Multiple Kansas State University Kinesiology Heart Center University of Kansas Nursing Patient Care Services University of Kansas Pharmacy Pharmacy University of Kansas Social Work Behavioral Health University of Kansas Speech Therapy Rehabilitation Services University of Missouri-KC Nursing Cotton-O'Neil Clinics Nebraska Medical Center Medical Technology Laboratory University of Pittsburgh CRNA Surgical Services Pratt Community College Nursing All areas Rockhurst University PT/OT Rehabilitation Services Sabetha Hospital Nursing Staff Patient Care Services St. Louis University PA Cotton-O'Neil Clinics St. Louis University Nursing Patient Care Services Texas Wesleyan University CRNA Surgery USD #501 High School Multiple University of Utah PA Cotton-O'Neil Clinic Washburn University Kinesiology Heart Center Washburn University Health Information Health Information Mgmt. Washburn University Nursing Multiple Washburn University PT Assistants Rehabilitation Services Washburn University Imaging Sciences Medical Imaging Washburn University Radiology (CT) CT 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 990THE TAXPAYER IS AMENDING THE 2009 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FORM 990 TO CORRECT INFORMATION REPORTED ON SCHEDULE K SUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDS. THE RETURN WAS ORIGINALLY FILED WITH AN INCOMPLETE SCHEDULE K. THE AMENDED RETURN REFLECTS INFORMATION REQUIRED OF SAID SCHEDULE.
FORM 990, SCHEDULE K, LINE 5THE TOTAL ISSUANCE COST FROM PROCEEDS INCLUDES CREDIT ENHANCEMENT FEES. THE 2001 AND 2007 ISSUANCE COSTS INCLUDE $ 1,264,000 AND $ 1,048,000 OF CREDIT ENHANCEMENT FEES RESPECTIVELY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
STORMONT-VAIL FOUNDATION
1500 SW 10TH AVETOPEKAKS66604480980926GENERATE VOLUNTARY GIFTS TO SUPPORT STORMONT-VAIL HEALTHCAREKS501(C)(3)170(B)(1)(A)(VI)STORMONT-VAIL HEALTHCARE
STORMONT-VAIL HEALTHCARE AUXILARY
1500 SW 10TH AVETOPEKAKS66604486140517PROVIDE GIFT SHOP, RESTAURANT AND PROJECTS FOR THE CONVENIENCE OF PATIENTSKS501(C)(3)509(A)(3) TYPE IN/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of EOY AssetsShareOfEOYAssets
EXCELLENT SURGERY CENTER LLC
1500 SW 10THTOPEKAKS66604260849999OUTPATIENT SPECIALTY EAR, NOSE, AND THROAT SURGERY CENTERKSN/ARELATED50145700
URISH MEDICAL PLAZA LLC
1500 SW 10THTOPEKAKS66604480782848REAL ESTATEKSRELATED1518800STORMONT-VAIL INC967877

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
STORMONT-VAIL INC
901 GARFIELDTOPEKAKS66606480782848RETAIL PHARMACYKSN/AC1952753146075791.00000
DECHAIRO HOSPITAL INC
1500 SW 10TH STTOPEKAKS66604480788844REAL ESTATEKSC3892621.00000STORMONT-VAIL INC
CENTURY HEALTH SOLUTIONS INC
2951 SW WOODSIDE DRTOPEKAKS66614481206397INSURANCE MANAGEMENT OPERATIONSKSC-2178942637131.00000STORMONT-VAIL INC
UAT INC
1500 SW 10TH STTOPEKAKS66604480907989MEDICAL BILLINGS PRACTICEKSN/AC429211190461.00000
KOSM INC
1500 SW 10TH STTOPEKAKS66604480807000MEDICAL BILLINGS PRACTICEKSN/AC100753410595341.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
STORMONT-VAIL FOUNDATION
B180000
STORMONT-VAIL FOUNDATION
R428700
STORMONT-VAIL FOUNDATION
P50987
STORMONT-VAIL HEALTHCARE AUXILIARY
C146814
STORMONT-VAIL HEALTHCARE AUXILIARY
P239129
STORMONT-VAIL INC
N1125417
STORMONT-VAIL FOUNDATION
N324469