2015-05-13T08:29:59-05:00 2014-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2013-07-01 481172107 Via Christi Health Inc VIAC 3168584900 8200 E Thorn Drive No 300 Wichita KS 67226 Carol Karp Chief Financial Officer 3168584900 2015-05-13 1 Rebecca Lyons P01487105 5137847100 2013 2016-02-25 16:41:14Z Jeff Korsmo 8200 E Thorn Drive No 300 Wichita KS 67226 132366534 0 0928 X www.via-christi.org X 1995 KS We serve as a healing presence with special concern for our neighbors who are vulnerable. 11 9 1027 735 2394000 -191018 2577072 1878727 75366383 113624346 26581623 15198455 1700117 850167 106225195 131551695 1684166 2566377 0 0 43016347 62920563 0 0 814389 54551672 89543252 99252185 155030192 6973010 -23478497 613354056 575749845 527277081 519906126 86076975 55843719 X As part of Via Christi Health, a Catholic Health System, we share this mission: "Inspired by the Gospel and our Catholic tradition, we serve as a healing presence with special concern for our neighbors who are vulnerable." Via Christi Health System's history extends back over 100 years and today, along with our sponsoring organization, Ascension Health, we continue to respond to community needs in Kansas and northeastern Oklahoma. 0 0 127850682 2566377 111821436 Via Christi Health, Inc., as a Catholic Health Care System, has its origins in faith-based responses to health needs of our communities, with a particular concern for those living in poverty and who are vulnerable. In addition to typical inpatient and outpatient services, Via Christi Health, Inc. operates primary care clinics, a low income neighborhood outreach clinic, specialty hospitals and centers, home medical services, therapy centers, and long-term care villages. Specific exempt purpose achievements include:- Management of acute care facilities throughout Kansas that include hospital facilities housing over 1,300 beds; a rehabilitation center that is the hub for 12 outpatient rehabilitation clinics, an occupational and environmental medicine program and a sports medicine program; a research program; a home health program; and 17 family medicine clinics.- Management of senior care facilities that serve more than 1,300 residents in its 12 senior communities and programs in Kansas and Oklahoma.- Management of an outpatient and retail division that includes a portfolio of companies providing ambulatory surgery, diagnostic imaging, durable medical equipment, and real estate holdings. This division also includes outpatient care services that are delivered through joint ventures with local physicians.In total, Via Christi Health, Inc. provided community benefit of the following types and amounts:Community Benefit (VCH corporate office only) - $2,607,399Community Benefit (VCH Consolidated)1. Charity care (at cost) - $40,882,2032. Government sponsored health care (net expense at cost) - $27,112,2673. Community benefit programs (net expense) - $23,427,321Community Health Improvement Servicesa. and Community Benefit Operations - $1,905,747b. Health Professions Education - $17,463,482c. Subsidized Health Services - $479,256d. Research - $639,108e. Financial and in-kind donations - $2,755,400f. Community building activities - $184,328Total quantifiable community benefit expenses - $91,421,791 86465 45443 Via Christi Health Corporate Office Community Benefit - Community Health Improvement Services, Research, Financial and In-Kind Contributions, Community Building Activities, and Community Benefit Operations. 127937147 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 157 0 1 1027 1 1 1 1 CJ VI 0 0 0 1 1 0 0 0 0 X 11 9 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X Judy Davis 3168584931 8200 E Thorn Drive Suite 300 Wichita KS 672262708 Gerald T Aaron Chairman 1.00 0.00 X X 0 0 0 B Anthony Isaac Vice Chairman 1.00 0.00 X X 0 0 0 Jeff Korsmo President & CEO 50.00 0.00 X X 800215 0 167312 Thomas R Kruse Trustee 1.00 0.00 X 0 0 0 Jon D Rahman MD Trustee 1.00 0.00 X 0 0 0 Sr M Jeanine Retzer SSM Trustee 1.00 0.00 X 0 0 0 Sr Mary Joan Walsh CSJ Trustee 1.00 0.00 X 0 0 0 Lyndon Wells start 314 Trustee 1.00 0.00 X 0 0 0 Caroline A Williams Trustee 1.00 0.00 X 0 0 0 Donald Wilson Trustee 1.00 0.00 X 0 0 0 Karl J Ulrich MD Chief Operating Officer (start 2/14) 50.00 0.00 X 0 0 0 Roberta Johnson Assistant Secretary 45.00 5.00 X 228937 0 48336 David A Hadley end 114 Treasurer/CFO 41.00 9.00 X 468299 0 119351 Gary Knight Secretary 49.00 1.00 X 313631 0 102086 Jeff Seirer Assistant Treasurer 43.00 7.00 X 263573 0 68834 David A Gambino Chief Strategy & Reg Adm Officer 46.00 4.00 X 429376 0 96728 Jerry Carley end 1213 Chief Adminstrative Officer Villages 0.00 50.00 X 266485 0 69523 John Shellito MD Chief Clinical Physician Officer 50.00 0.00 X 471477 0 98747 Lynnette RauvolaBouta end 214 Chief Mission Integration Officer 50.00 0.00 X 263295 0 73196 Abdul Bengali Chief Information Officer 50.00 0.00 X 380879 0 35666 Judith Espinoza start 614 Chief Human Resources Officer 50.00 0.00 X 185601 0 27480 Carleton Rider Chief Clinical Admin 50.00 0.00 X 575934 0 28488 Margaret Tichacek Chief Planning & Mkt 50.00 0.00 X 271686 0 61969 Diana Kidd Chief of Staff Officer 50.00 0.00 X 253914 0 56986 Sherry Hausmann Chief Hospital Admin Officer 50.00 0.00 X 384995 0 79685 Edward J Hett Medical Director 50.00 0.00 X 227851 0 48598 Claudio J Ferraro Sr. Administrator 25.00 25.00 X 291652 0 62553 John R Broberg Sr. Administrator 50.00 0.00 X 282896 0 29769 Randall R Cason Sr. Administrator 50.00 0.00 X 282854 0 55324 Martin Ekrem Sr. Adminstrator Outreach 50.00 0.00 X 293745 0 0 Diana Hilburn end 612 Former Key Employee - CIO 0.00 0.00 X 154902 0 0 Lori Grubs end 1112 Former Key Employee - CHRO 0.00 0.00 X 294839 0 0 7387036 0 1330631 74 1 1 0 Cerner Corporation PO Box 412702 Kansas City MO 64141 Purch Svcs/Software Maint/Consulting 19620814 Medical Information Technology Inc Meditech Circle Westwood MA 02090 Software Maintenance Support 1792577 SCC Soft Computer 5400 Tech Data Dive Clearwater FL 33760 Software Maintenance Support 640443 Grant Thornton LLP 33911 Treasury Center Chicago IL 606943900 Professional Tax Preparation 473265 McKesson Technologies Inc PO Box 403421 Atlanta GA 303843421 Software Maintenance Support 440940 25 154708 80500 265834 1377685 1878727 IT Service Center 561000 54772110 54772110 Reimbursements 561000 35397790 35397790 Management Fees 561000 17486449 15092449 2394000 HR Service Center 561000 5967997 5967997 113624346 15052986 15052986 328889 0 183420 328889 -183420 145469 145469 60800 154708 92145 -31345 -31345 929722 539274 390448 390448 Pooled Investment Mgmt 900099 116555 116555 Vend Mach/Other 900099 98836 98836 Research Studies 900099 600 600 275073 275073 491064 131551695 111866879 2394000 15412089 2003761 2003761 562616 562616 5423715 5423715 461004 461004 44402691 33448858 10477749 476084 -974454 -581846 -380295 -12313 9997167 6538365 3380200 78602 3610440 2495079 1084165 31196 117716 109116 8600 1691936 5525 1686411 215628 215628 838330 636747 77989 123594 6835820 6025092 810728 21601230 21029589 571641 2534642 2466056 68586 748043 587051 160992 319562 217240 102322 13820474 13820474 15470921 14883567 587354 -2615070 8944 -2624014 Purchased Services 6557750 5974057 580079 3614 Service Fees 5113362 5113362 Equip Mgt/TriMedx Exp 4428511 4428511 Collection Services 3053796 3053796 8810601 4895559 3801430 113612 155030192 127937147 26278656 814389 28552088 13163660 1211032 366953 304707695 281416626 298817 261869 6725854 8132086 69001377 -33989534 50238669 102990911 196254688 138692291 25365213 30725449 613354056 575749845 57132209 50559021 2867448 0 467277424 469347105 527277081 519906126 X 71933039 41023697 8218595 8894681 5925341 5925341 86076975 55843719 613354056 575749845 X -23478497 7081208 -13835967 X 0 1 X 1 1 1 X X X X 0 0 0 Ascension Health Alliance 453358926 11a 1 1 1 0 Ascension Health 311662309 11a 1 1 1 0 2 0 Part I, Line 11, Column VII: Via Christi Health, Inc. supports its supported organizations, Ascension Health Alliance and Ascension Health, by providing support to its subsidiary organizations. The total support provided to subsidiary organizations for June 30, 2014 totaled $111,370,999. This can be broken into the following support to each organization listed below: - AMS Laboratory, Inc.: $1,302,488 - Gerard House, Inc.: $24,146 - Mercy Regional Health Center, Inc.: $9,336,352 - Via Christi Clinic, P.A.: $17,962,221 - Via Christi Health Partners, Inc.: $2,475,295 - Via Christi Hospital Pittsburg, Inc.: $9,154,285 - Via Christi Hospital Wichita St. Teresa, Inc.: $6,671,110 - Via Christi Hospitals Wichita, Inc.: $57,039,266 - Via Christi Rehabilitation Hospital, Inc.: $2,998,752 - Via Christi Villages, Inc.: $3,602,025 - Wamego Hospital Association: $805,058 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 215628 0 0 215628 0 Part II-B, Line 1: The Director of Public Policy/Advocacy and the Director of Government Relations set up meetings with government officials or legislators to discuss Via Christi Health, Inc.'s positions on issues. Lobbying issues related to positions on issues related to carrying out healthcare programs. Via Christi Health, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 14143938 1842184 953821 659430 1031195 429295 14820023 13703596 2750395 167725 520396 1604370 353012 14143938 13098590 2849747 1014728 689873 2172326 397270 13703596 12824717 3198552 33188 561157 1960981 435729 13098590 11875641 2934066 617952 504843 1707809 390290 12824717 0.39980 0.60020 0 0 2782084 2782084 -6437566 -16290960 9853394 -3752010 -3036410 -715600 76108042 -14657761 90765803 300827 -4403 305230 102990911 Investment in Salina Regional Health Center 80432991 C Interest in Investments Held by Ascension Health Alliance 58259300 C 138692291 Interest Receivable 520483 Investment in Related Orgs 6862660 Other Noncurrent Assets 3551431 Other Misc Receivables 13894868 Cash Value Life Insurance 2558176 Prepaid Pension 3337831 30725449 Workers Comp Reserve 6205745 Professional Liability Tail Accrual 3794127 Intercompany Debt with AHA 452593554 Deferred Comp - KEYSOP 175872 Valuation Reserve 6577807 469347105 X Part V, Line 4: These funds are used to provide financial support for various medical related projects and causes within Via Christi Health System. They also provide support for non-medical related issues such as employee and patient assistance. Permanently restricted funds are retained and only the earnings are released for purposes approved by the Board of Trustees. Part X, Line 2: From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Via Christi Health, Inc.: The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2014. Central America and the Caribbean 1 Program Service Offshore Captive Management 451002 0 1 0 0 0 1 451002 0 451002 0 0 1 0 0 0 Charity Classic 95290 57090 38200 43238 9851 Gala Dinner 120218 97618 22600 22872 16184 215508 154708 60800 66110 26035 92145 -31345 1 Via Christi Hospitals Wichita Inc 929 N St Francis Wichita KS 67214 481172106 501(c)(3) 174857 Operating Expenses Gerard House Inc 3144 N Hood Wichita KS 67204 481049532 501(c)(3) 192280 Operating Expenses Via Christi Hospitals Wichita Inc 929 N St Francis Wichita KS 67214 481172106 501(c)(3) 52227 Equipment, Education GraceMed Health Clinic Inc 1122 N Topeka Wichita KS 67218 481159633 501(c)(3) 11151 General Assistance for Patients Guadalupe Clinic Inc 940 S St Francis Wichita KS 67211 201285208 501(c)(3) 8695 General Assisstane for Patients Heart To Heart International Inc 401 S Clairborne Suite 302 Olathe KS 660621735 481108359 501(c)(3) 13320 Assistance for Staff, Medical Supplies and Medications Cibor Inc 929 N St Francis Wichita KS 67214 270564463 501(c)(3) 200000 Research Newman University 3100 McCormick St wichita KS 67213 480556716 1000000 Lab Equipment 6 1 Via Christi Employee Assistance 60 20290 VCH-W Patient Assistance 1884 67370 VCH-W Student Scholarships 40 21000 Part I, Line 2: All grants and assistance are reviewed and approved by a grant committee consisting of members of the Board of Trustees. Grants expenses are reviewed by the accounting department, and detailed grant reports are requested from all grantees. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 Jeff Korsmo President & CEO 758327 0 28913 0 12975 0 150054 0 17258 0 967527 0 0 0 Roberta Johnson Assistant Secretary 213515 0 7055 0 8367 0 41052 0 7284 0 277273 0 2444 0 David A Hadley end 114 Treasurer/CFO 444000 0 14650 0 9649 0 96500 0 22851 0 587650 0 0 0 Gary Knight Secretary 296646 0 9699 0 7286 0 88076 0 14010 0 415717 0 0 0 Jeff Seirer Assistant Treasurer 251983 0 6922 0 4668 0 50220 0 18614 0 332407 0 0 0 David A Gambino Chief Strategy & Reg Adm Officer 395610 0 22500 0 11266 0 81140 0 15588 0 526104 0 0 0 Jerry Carley end 1213 Chief Adminstrative Officer Villages 254530 0 8511 0 3444 0 51432 0 18091 0 336008 0 0 0 John Shellito MD Chief Clinical Physician Officer 436766 0 14588 0 20123 0 79781 0 18966 0 570224 0 0 0 Lynnette RauvolaBouta end 214 Chief Mission Integration Officer 250568 0 8148 0 4579 0 60038 0 13158 0 336491 0 0 0 Abdul Bengali Chief Information Officer 358118 0 11600 0 11161 0 32871 0 2795 0 416545 0 0 0 Judith Espinoza start 614 Chief Human Resources Officer 171912 0 0 0 13689 0 17806 0 9674 0 213081 0 0 0 Carleton Rider Chief Clinical Admin 454635 0 0 0 121299 0 26362 0 2126 0 604422 0 0 0 Margaret Tichacek Chief Planning & Mkt 256639 0 8521 0 6526 0 54437 0 7532 0 333655 0 93 0 Diana Kidd Chief of Staff Officer 239241 0 6542 0 8131 0 47760 0 9226 0 310900 0 0 0 Sherry Hausmann Chief Hospital Admin Officer 365787 0 14567 0 4641 0 63090 0 16595 0 464680 0 0 0 Edward J Hett Medical Director 217543 0 3496 0 6812 0 34068 0 14530 0 276449 0 0 0 Claudio J Ferraro Sr. Administrator 276479 0 11009 0 4164 0 45641 0 16912 0 354205 0 0 0 John R Broberg Sr. Administrator 271118 0 4886 0 6892 0 21228 0 8541 0 312665 0 0 0 Randall R Cason Sr. Administrator 266578 0 11411 0 4865 0 38458 0 16866 0 338178 0 0 0 Martin Ekrem Sr. Adminstrator Outreach 0 0 0 0 293745 0 0 0 0 0 293745 0 0 0 Diana Hilburn end 612 Former Key Employee - CIO 0 0 0 0 154902 0 0 0 0 0 154902 0 154902 0 Lori Grubs end 1112 Former Key Employee - CHRO 0 0 0 0 294839 0 0 0 0 0 294839 0 0 0 Part I, Line 4a The following individuals received severance payments: Lori Grubs - $286,000 Martin Ekrem - $250,841 Part I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are funded annually based on participation and are not vested until the 5 year service requirement is reached. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. The amount funded annually under the program to the executives is reported as compensation on Form 990 Schedule J, Part II, Column B in the year funded. The amount ultimately paid under the program to executives is reported on Form 990 Schedule J, Part II, Column F. The following individual received a distribution from a non-qualified supplemental retirement plan in the amount listed: Diana Hilburn - $154,902 Keysop plan-frozen: Eligible executives participated in a frozen supplemental option benefit program that provides for supplemental retirement benefits that was limited to Via Christi Hospital St. Francis, Preferred Medical Associates Physicians, Mount Carmel Regional Medical Center and Via Christi Health system executives. The payment of benefits under the program, if any, was linked to the exercise date for the options or to earned dividends on the options. Executives were vested in full when the options were granted. The amount ultimately paid under the program to executives receiving net option value is reported on Form 990 Schedul J, Part II, Column F. The following individual received a distribution from the Keysop plan in the amount listed below: Roberta Johnson - $2,444 Margaret Tichacek - $93 INTRUST Bank Board Member (Lyndon Wells) is a Board Member of INTRUST Bank. 714681 Bank fees paid to INTRUST Bank by Via Christi Health, Inc. 0 Form 990, Part VI, Section A, line 2 Many of the persons listed on Part VII have a business relationship with each other by virtue of employment by Via Christi Health, Inc. related entities. Form 990, Part VI, Section A, line 6 Via Christi Health, Inc. has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Via Christi Health, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the Via Christi Health, Inc. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, work diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Member's questions. Form 990, Part VI, Section B, line 12c The organization monitors and enforces the Conflict of Interest Policy as follows: 1 - At time of appointment and annually thereafter, all interested persons, including board and committee members, complete a disclosure statement which addresses actual or potential conflicts of interest; 2 - The disclosure statement is done electronically and the return of the completed statement is a condition of continued appointment, employment, or participation with the organization; 3 - All actual or potential conflicts are reviewed, investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization; and 4 - Periodic reviews are conducted by governance, compliance, and internal audit to ensure the organization is operating consistent with the policy and enforcing the policy's terms. Form 990, Part VI, Section B, line 15 Via Christi Health, Inc. (VCH). VCH has established a common philosophy, strategy, and processes for executive compensation to be used throughout the Health System. Through the oversight of the VCH Executive Compensation Committee, executive compensation is competitively positioned at its stated market position when compared to the compensation paid by relevant organizations (comparably-sized health systems, hospitals, and long-term care providers). VCH recognizes its responsibility to ensure that its executive compensation program is appropriate in view of its mission and tax-exempt status and that its compensation levels and expenditures are reasonable and not excessive. To ensure these ends, the VCH Executive Compensation Committee has established and approved the executive compensation philosophy for VCH and all related entities. It will also approve all changes in the compensation package for VCH executives in advance. On an annual basis, the committee conducts a comprehensive review of total compensation for all executives. It also reviews and approves "off-cycle" compensation transactions as needed. In their review, the Committee considers the following factors: - Market data from independent compensation surveys and sources that reflect comparable positions in organizations of similar size and scope; - Difficulties in recruiting and retaining executives; - Skills, experience and performance history of individual executives; - Critical business or strategic issues that the organization may face; and - Market position for total compensation. The adequacy, competitiveness, and cost of the VCH total executive compensation program are reviewed on an ongoing basis and changes are made as the Committee determines appropriate. The executive compensation program will be maintained such that it will fall within the safe harbor guidelines established by the intermediate sanctions regulations. The Committee also employs the services of an independent compensation consultant to prepare market analysis to aid and support the Committee's actions, provide documentation of market trends for budget setting purposes, review annual compensation changes to ensure "reasonableness" and provide attestation, and provide consultation on all executive compensation issues. The Committee also relies on third-party validation of performance measures used in the determination of compensation. Form 990, Part VI, Section C, line 19 Via Christi Health, Inc.'s governing documents and Conflict of Interest Policy are available to the public upon request. Form 990, Part XI, line 9: Transfer to VC Entities -39,923,348. Transfer Restricted Contributions for Property 4,043. Transfer to/from Ascension Entities 9,562,253. Mkt Value/Fund Balance -5,744,115. Nonctrl Int Other Activity/Change in Uncons Subs 20,644,041. Change in Pension and Other Changes 1,814,634. Foundation Capital Transfers to VC entities -193,475. Ascension Health Alliance PO Box 45998 St Louis MO 63145 453358926 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A 0 Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Via Christi Villages Inc 2622 W Central Suite 100 Wichita KS 67203 480559086 Management Company KS Section 501(c)(3) Schedule A, Line 11c Via Christi Health Inc 1 Cornerstone Assisted Living Inc 2622 W Central Suite 100 Wichita KS 67203 481241079 Retirement Home KS Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Village Hays Inc 2225 Canterbury Drive Hays KS 67601 202828680 Retirement Home KS Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Care at Home Inc 2622 W Central Suite 100 Wichita KS 67203 271889960 Health Agency KS Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Healthcare Outreach Program for Elders Inc 2622 W Central Suite 101 Wichita KS 67203 481236589 PACE Community Program KS Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Village Georgetown Inc 1655 S Georgetown Wichita KS 67218 481129325 Retirement Home KS Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Village Manhattan Inc 2800 Willow Grove Road Manhattan KS 66502 481078862 Retirement Home KS Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Village McLean Inc 777 N McLean Blvd Wichita KS 67203 481247723 Retirement Home KS Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Village Pittsburg Inc 1502 E Centennial Drive Pittsburg KS 66762 743070971 Retirement Home KS Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Village Ponca City Inc 1601 Academy Road Ponca City OK 74604 731153337 Retirement Home OK Section 501(c)(3) Schedule A, Line 9 Via Christi Villages Inc 1 Via Christi Hospital Pittsburg Inc 1 Mt Carmel Way Pittsburg KS 66762 480543778 Hospital KS Section 501(c)(3) Schedule A, Line 3 Via Christi Health Inc 0 Mount Carmel Foundation Inc 1 Mt Carmel Way Pittsburg KS 66762 480961283 Foundation KS Section 501(c)(3) Schedule A, Line 11a Via Christi Hospital Pittsburg Inc 0 Via Christi Health Alliance in Accountable Care Inc 8200 E Thorn Drive Suite 300 Wichita KS 67226 462872857 ACO KS Via Christi Health Inc 0 Via Christi Hospital Wichita St Teresa Inc 14800 W St Teresa Wichita KS 67235 271965272 Hospital KS Section 501(c)(3) Schedule A, Line 3 Via Christi Health Inc 0 Via Christi Hospitals Wichita Inc 929 N Saint Francis Wichita KS 67214 481172106 Hospital KS Section 501(c)(3) Schedule A, Line 3 Via Christi Health Inc 0 Gerard House Inc 3144 N Hood Wichita KS 67204 481049532 Hospital Support KS Section 501(c)(3) Schedule A, Line 9 Via Christi Hospitals Wichita Inc 0 Via Christi Rehabilitation Hospital Inc 1151 N Rock Road Wichita KS 67206 481158274 Rehabilitation Hospital KS Section 501(c)(3) Schedule A, Line 3 Via Christi Hospitals Wichita Inc 0 Via Christi Property Services Inc 8200 E Thorn Drive Suite 300 Wichita KS 67226 480948571 Property Management KS Section 501(c)(4) N/A Via Christi Hospitals Wichita Inc 0 Via Christi Health Partners Inc 8200 E Thorn Drive Suite 300 Wichita KS 67226 480958974 Management Company KS Section 501(c)(3) Schedule A, Line 9 Via Christi Health Inc 0 Mercy Regional Health Center Inc 1823 College Avenue Manhattan KS 66502 481186704 Hospital KS Section 501(c)(3) Schedule A, Line 3 Via Christi Health Inc 0 Mercy Community Health Foundation Inc PO Box 13 Manhattan KS 66502 481152279 Foundation KS Section 501(c)(3) Schedule A, Line 9 Mercy Regional Health Center Inc 0 Wamego Hospital Association Inc 711 Genn Drive Wamego KS 66547 721526400 Hospital KS Section 501(c)(3) Schedule A, Line 3 Mercy Regional Health Center Inc 0 Mercy Regional Home Medical Services LLC 2439 Claflin Road Manhattan KS 66502 432024491 Medical Equipment KS Section 501(c)(3) Schedule A, Line 9 Mercy Regional Health Center Inc 0 Salina Regional Home Medical Services LLC 520 South Santa Fe Ave Salina KS 67401 431948057 Medical Equipment KS Section 501(c)(3) Schedule A, Line 9 Salina Regional Health Center Inc 0 Ambulatory Surgery Center LP 8200 E Thorn Drive Suite 300 Wichita KS 67226 481114690 Surgery Center KS N/A AMS Diagnostics LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 481223653 Radiology Services KS N/A Kansas Surgery and Recovery Center LLC 2770 North Webb Road Wichita KS 67226 481148580 Surgery Center KS N/A MR Imaging Center LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 481000538 Imaging Center KS N/A St Joseph MRI LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 481007220 Imaging Center KS N/A Mercy Imaging LLC 1823 College Avenue Manhattan KS 66502 481251984 Radiology Services KS N/A Affiliated Medical Services Laboratory Inc 2916 E Central Wichita KS 67214 481239522 Medical Laboratory KS Via Christi Health Inc C 17444114 9448578 1.00000 1 Integrated Healthcare Systems Inc 3311 East Murdock Wichita KS 67208 480941549 Clinic Services KS Via Christi Health Inc C 96020964 51792417 1.00000 1 VCH Iowa PC Trust 8200 E Thorn Drive Suite 300 Wichita KS 67226 276937322 Beneficiary Trust IA Via Christi Health Inc T 1.00000 1 VCH Iowa PC 8200 E Thorn Drive Suite 300 Wichita KS 67226 273983977 Professional Association IA N/A C 0 Via Christi Clinic PA 3311 East Murdock Wichita KS 67208 480993446 Professional Association KS N/A C 0 Sunflower Assurance Ltd PO Box 1085 Grand Cayman CJ KY1-1102 980223159 Insurance Company CJ Via Christi Health Inc C 3279291 5196946 1.00000 1 Via Christi Clinic Services Inc 8200 E Thorn Drive Suite 300 Wichita KS 67226 273984287 Clinic Services KS Via Christi Health Inc C 1.00000 0 0 1 0 1 0 0 0 1 0 0 0 1 1 0 1 1 1 1 1 Via Christi Clinic PA L 143032 Actual Amount Transferred Via Christi Clinic PA O 1509008 Actual Amount Transferred Via Christi Clinic PA P 21222354 Actual Amount Transferred Via Christi Clinic PA Q 1413445 Actual Amount Transferred Via Christi Clinic PA R 684420 Actual Amount Transferred Via Christi Clinic PA S 3165910 Actual Amount Transferred Integrated Healthcare Systems Inc L 1969664 Actual Amount Transferred Integrated Healthcare Systems Inc P 19483787 Actual Amount Transferred Integrated Healthcare Systems Inc Q 9208634 Actual Amount Transferred Integrated Healthcare Systems Inc R 17019471 Actual Amount Transferred Affiliated Medical Services Laboratory Inc P 6642530 Actual Amount Transferred Affiliated Medical Services Laboratory Inc Q 438159 Actual Amount Transferred Affiliated Medical Services Laboratory Inc R 1469898 Actual Amount Transferred Via Christi Hospitals Wichita Inc B 364967 Actual Amount Transferred Via Christi Hospitals Wichita Inc D 739995 Actual Amount Transferred Via Christi Hospitals Wichita Inc H 12380388 Actual Amount Transferred Via Christi Hospitals Wichita Inc L 6552657 Actual Amount Transferred Via Christi Hospitals Wichita Inc M 116952 Actual Amount Transferred Via Christi Hospitals Wichita Inc O 414375 Actual Amount Transferred Via Christi Hospitals Wichita Inc P 185075273 Actual Amount Transferred Via Christi Hospitals Wichita Inc Q 19414907 Actual Amount Transferred Via Christi Hospitals Wichita Inc R 33998678 Actual Amount Transferred Via Christi Hospital Wichita St Teresa Inc H 431661 Actual Amount Transferred Via Christi Hospital Wichita St Teresa Inc P 3184212 Actual Amount Transferred Via Christi Hospital Wichita St Teresa Inc Q 2736958 Actual Amount Transferred Via Christi Hospital Wichita St Teresa Inc R 6723426 Actual Amount Transferred Via Christi Rehabilitation Hospital Inc M 83955 Actual Amount Transferred Via Christi Rehabilitation Hospital Inc P 5780866 Actual Amount Transferred Via Christi Rehabilitation Hospital Inc Q 1035420 Actual Amount Transferred Via Christi Rehabilitation Hospital Inc R 3534350 Actual Amount Transferred Via Christi Health Partners Inc Q 2276063 Actual Amount Transferred Via Christi Health Partners Inc R 2368519 Actual Amount Transferred AMS Diagnostics LLC P 128466 Actual Amount Transferred AMS Diagnostics LLC Q 65397 Actual Amount Transferred Ambulatory Surgery Center LP R 66090 Actual Amount Transferred Via Christi Property Services Inc P 3957669 Actual Amount Transferred Gerard House Inc B 186777 Actual Amount Transferred Gerard House Inc S 159994 Actual Amount Transferred Via Christi Villages Inc O 166256 Actual Amount Transferred Via Christi Villages Inc Q 3362291 Actual Amount Transferred Via Christi Villages Inc R 3402588 Actual Amount Transferred Catholic Care Center Inc Q 154355 Actual Amount Transferred Catholic Care Center Inc R 184103 Actual Amount Transferred Via Christi Villages Pittsburg Inc Q 57956 Actual Amount Transferred Via Christi Villages Pittsburg Inc R 75578 Actual Amount Transferred Via Christi Villages Manhattan Inc D 400000 Actual Amount Transferred Via Christi Villages Manhattan Inc Q 66169 Actual Amount Transferred Via Christi Villages Manhattan Inc R 482204 Actual Amount Transferred Via Christi Villages Hays Inc Q 106213 Actual Amount Transferred Via Christi Villages Hays Inc R 73052 Actual Amount Transferred Via Christi Healthcare Outreach Program for Elders Inc Q 99123 Actual Amount Transferred Via Christi Healthcare Outreach Program for Elders Inc R 86100 Actual Amount Transferred Via Christi Care At Home Inc O 180768 Actual Amount Transferred Via Christi Care At Home Inc P 229829 Actual Amount Transferred Via Christi Village Ponca City Inc Q 57817 Actual Amount Transferred Via Christi Village Ponca City Inc R 79545 Actual Amount Transferred Via Christi Hospital Pittsburg Inc D 6851510 Actual Amount Transferred Via Christi Hospital Pittsburg Inc H 305902 Actual Amount Transferred Via Christi Hospital Pittsburg Inc M 60782 Actual Amount Transferred Via Christi Hospital Pittsburg Inc O 80130 Actual Amount Transferred Via Christi Hospital Pittsburg Inc P 27980053 Actual Amount Transferred Via Christi Hospital Pittsburg Inc Q 3671685 Actual Amount Transferred Via Christi Hospital Pittsburg Inc R 10397681 Actual Amount Transferred Mercy Regional Health Center Inc H 801272 Actual Amount Transferred Mercy Regional Health Center Inc M 107343 Actual Amount Transferred Mercy Regional Health Center Inc O 131914 Actual Amount Transferred Mercy Regional Health Center Inc P 24011567 Actual Amount Transferred Mercy Regional Health Center Inc Q 3702684 Actual Amount Transferred Mercy Regional Health Center Inc R 9357655 Actual Amount Transferred Wamego Hospital Association H 54790 Actual Amount Transferred Wamego Hospital Association Q 924347 Actual Amount Transferred Wamego Hospital Association R 911834 Actual Amount Transferred Ascension Health Q 1929685 Actual Amount Transferred Ascension Health D 7591505 Actual Amount Transferred