ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC (EIN 48-1186704)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-09
- IRS object ID
- 201302219349300840
- Schema version
- 2011v1.5
- 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 I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-09T10:55:58-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8300 THORN DRIVE SUITE 300 | AddressLine1 |
| City | WICHITA | City |
| State | KS | State |
| ZIP Code | 672262708 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481186704 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Regional Health Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % SHELLY TRENT | InCareOfName |
| Name Control | MERC | NameControl |
| Phone | 7857763322 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1823 COLLEGE AVENUE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 66502 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Broberg | Name |
| Title | Senior Administrator | Title |
| Date Signed | 2013-08-01 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kimberly Temple | Name |
| Phone | 3162653231 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John Broberg | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1823 COLLEGE AVENUE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 66502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 90699646 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MERCYREGIONAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | Inspired by the Gospel our Catholic tradition, Mercy Regional Health Center, Inc. serves as a healing presence with special concern for our neighbors who are vulnerable. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1112 | TotalNbrEmployees |
| Total Nbr Volunteers | 342 | TotalNbrVolunteers |
| Total Gross UBI | 219817 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 134846 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2974 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 40311 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 87632302 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 87398276 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2192574 | InvestmentIncomePriorYear |
| Investment Income Current Year | 967081 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2981047 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1448097 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 92808897 | TotalRevenuePriorYear |
| Total Revenue Current Year | 89853765 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 41265985 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40730327 | 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 | 47892893 | OtherExpensePriorYear |
| Other Expenses Current Year | 42131469 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 89158878 | TotalExpensesPriorYear |
| Total Expenses Current Year | 82871796 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3650019 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6981969 | RevenuesLessExpensesCY |
| Total Assets BOY | 122667093 | TotalAssetsBOY |
| Total Assets EOY | 130408113 | TotalAssetsEOY |
| Total Liabilities BOY | 50708841 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 48030845 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 71958252 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 82377268 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | AS A 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 SYSTEMS'S HISTORY EXTENDS BACK OVER 100 YEARS AND TODAY, ALONG WITH OUR SPONSORING CONGREGATION - THE SISTERS OF THE SORROWFUL MOTHER, CONGREGATION OF ST. JOSEPH, SISTERS OF ST. JOSEPH CARONDOLET AND THE DAUGHTERS OF CHARITY - WE CONTINUE TO RESPOND TO COMMUNITY NEEDS IN KANSAS AND NORTHEASTERN OKLAHOMA. THE OBLIGATION TO REACH OUT TO THOSE IN NEED AND IMPROVE COMMUNITY HEALTH FLOWS DIRECTLY FROM OUR IDENTITY AS A FAITH-BASED HEALING MINISTRY. AS A MISSION-DRIVEN ORGANIZATION, WE PROVIDE COMMUNITY BENEFIT BECAUSE WE ARE COMMITTED TO OUR CORE VALUES OF: HUMAN DIGNITY - WE RECOGNIZE AND RESPECT THE SACREDNESS OF EACH PERSON; STEWARDSHIP - WE RESPONSIBLY CARE FOR ALL RESOURCES ENTRUSTED TO US; AND EXCELLENCE - WE EXTEND OURSELVES IN OUTSTANDING SERV | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 2393000 | Expense |
| Description | Charity Care - Free or discounted health services provided to persons who cannot afford to pay and who meet Mercy Regional Health Center, Inc.'s criteria for financial assistance. Charity care is reported in terms of costs, not charges. Charity care does not include bad debt. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1851000 | Expense |
| Description | Government Sponsored Means-Tested Health Care - Includes unpaid costs of public programs for low-income persons. This is the shortfall created when Mercy Regional Health Center, Inc. receives payments that are less than the cost of caring for public program beneficiaries. This payment shortfall is not the same as a contractual allowance, which is the full difference between charges and government payments. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 62330847 | Expense |
| Grants | 10000 | Grants |
| Revenue | 88124448 | Revenue |
| Description | Mercy Regional Health Center, Inc. provides a full range of inpatient and outpatient services to individuals in the community regardless of socioeconomic or demographic background. Mercy Regional Health Center, Inc. is committed to community health with programs including but not limited to Diabetes Education, Nutrition Education, Fitness Education, and Lifesaving Education. Mercy Regional Health Center Inc. sponsors the American Heart Walk, provides fitness centers, exercise classes, ergonomic reviews, and provides scholarships to students attending nursing school. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 66574847 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 109 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1112 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHELLY TRENT | NamePerson |
| Telephone Number | 3167193200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 E THORN DRIVE SUITE 300 | AddressLine1 |
| City | Wichita | City |
| State | KS | State |
| ZIP Code | 67226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Apostolos Evangelidis MD | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| David Hadley | |||||||||
| Trustee | 1.0 | X | 0 | 558974 | 85162 | ||||
| David Gambino | |||||||||
| Trustee | 1.0 | X | 0 | 521595 | 71696 | ||||
| Doug Hinkin MD | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Hal Taylor | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Henry Doering | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| John Broberg | |||||||||
| President | 50.0 | X | 0 | 344539 | 51931 | X | |||
| Lance White | |||||||||
| Treasurer | 1.0 | X | 0 | 0 | 0 | X | |||
| Sister Lois Ann O'Malley | |||||||||
| Secretary | 1.0 | X | 0 | 0 | 0 | X | |||
| Mark Gros MD | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Mark Knackendoffel | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Michael Cates | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Mike Daniels | |||||||||
| Chair | 1.0 | X | 0 | 0 | 0 | X | |||
| Nancy O'Conner | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Pat Bosco | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Randall Peterson | |||||||||
| Trustee; Term. 4/20/12 | 1.0 | X | 0 | 640820 | 135270 | ||||
| Robert Duff | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Tom Holcombe | |||||||||
| Vice Chair | 1.0 | X | 0 | 0 | 0 | X | |||
| Tracey DeBruyn | |||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||||
| Gerald Lueger | |||||||||
| CFO; Term. 2/17/2012 | 50.0 | 121084 | 0 | 12058 | X | ||||
| Susan Morgan | |||||||||
| CFO | 50.0 | 0 | 0 | 0 | X | ||||
| Marcia Bubak | |||||||||
| VP Patient Care; Term. 12/1/11 | 50.0 | 175056 | 0 | 20531 | X | ||||
| Fadi V Bedros MD | |||||||||
| Physician | 50.0 | 384805 | 0 | 15793 | X | ||||
| Vishwanatha Nadig MD | |||||||||
| Physician | 50.0 | 640177 | 0 | 14796 | X | ||||
| Casey Poell MD | |||||||||
| Physician | 50.0 | 272136 | 0 | 7998 | X | ||||
| Priyantha S Ranaweera MD | |||||||||
| Physician | 50.0 | 645553 | 0 | 14531 | X | ||||
| David Wichman MD | |||||||||
| Physician | 50.0 | 225845 | 0 | 13476 | X | ||||
| Richard Allen | |||||||||
| Former CEO | 0.0 | 0 | 242295 | 0 | X | ||||
| Janet Criqui | |||||||||
| Former CFO | 0.0 | 167748 | 0 | 5671 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2632404 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2308223 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 448913 | TotalOtherCompensation |
| Number Individuals GT100 K | 28 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EMERGENCY PHYSICIANS OF MANHATTAN | |||||
| 8717 W 110th Street Suite 500 | OVERLAND PARK | KS | 66210 | PROFESSIONAL Service | 710800 |
| TRIMEDX LLC | |||||
| PO BOX 636129 | CINCINNATI | OH | 45263 | management service | 1270556 |
| Aureus Radiology LLC | |||||
| PO Box 3037 | OMAHA | NE | 68103 | contract labor | 319980 |
| Institute of Extracorporeal Therapi | |||||
| 3521 Gary Avenue | MANHATTAN | KS | 66503 | Dialysis | 129271 |
| Dr Fadi Bedros | |||||
| 4809 Vue Du Lac Place | MANHATTAN | KS | 66503 | physician services | 164800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 40311 | RelatedOrganizations |
| Total Contributions | 40311 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | 83556223 | 83422079 | 134144 |
| EMS | 621990 | 2282679 | 2282679 | |
| MEANINGFUL USE REVENUE | 621110 | 1500000 | 1500000 | |
| PHARMACY | 446110 | 47069 | 47069 | |
| WELLNESS & FITNESS | 624100 | 12305 | 12305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 87398276 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 908438 | TotalRevenueColumn |
| Unrelated Business Revenue | 74 | UnrelatedBusinessRevenue |
| Exclusion | $908,364 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 170148 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 187852 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -17704 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -17704 | TotalRevenueColumn |
| Unrelated Business Revenue | 7383 | UnrelatedBusinessRevenue |
| Exclusion | -$25,087 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 674392 | Securities |
| Other | 42280 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 658029 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 674392 | Securities |
| Other | -615749 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 58643 | TotalRevenueColumn |
| Exclusion | $58,643 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| FOOD SERVICES | 722210 | 483935 | $483,935 | ||
| MANAGEMENT | 541900 | 300553 | 281597 | 18956 | |
| EDUCATION | 611600 | 64982 | 64982 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 616331 | TotalRevenueColumn |
| Related Or Exempt Function Income | 513737 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 59260 | UnrelatedBusinessRevenue |
| Exclusion | $43,334 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1465801 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89853765 | TotalRevenueColumn |
| Related Or Exempt Function Income | 88124448 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 219817 | UnrelatedBusinessRevenue |
| Exclusion | $1,469,189 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Program Services | 10000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 518809 | Total |
| Program Services | 182949 | ProgramServices |
| Management And General | 335860 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32783605 | Total |
| Program Services | 28980201 | ProgramServices |
| Management And General | 3803404 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92286 | Total |
| Program Services | 28381 | ProgramServices |
| Management And General | 63905 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4933838 | Total |
| Program Services | 4425963 | ProgramServices |
| Management And General | 507875 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2401789 | Total |
| Program Services | 2005879 | ProgramServices |
| Management And General | 395910 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2033748 | Total |
| Management And General | 2033748 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27198 | Total |
| Program Services | 15517 | ProgramServices |
| Management And General | 11681 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20937 | Total |
| Management And General | 20937 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13923066 | Total |
| Program Services | 6396176 | ProgramServices |
| Management And General | 7526890 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212740 | Total |
| Program Services | 1421 | ProgramServices |
| Management And General | 211319 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13933392 | Total |
| Program Services | 13695958 | ProgramServices |
| Management And General | 237434 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220441 | Total |
| Program Services | 33836 | ProgramServices |
| Management And General | 186605 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1821743 | Total |
| Program Services | 1653508 | ProgramServices |
| Management And General | 168235 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138419 | Total |
| Program Services | 67157 | ProgramServices |
| Management And General | 71262 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16014 | Total |
| Program Services | 1421 | ProgramServices |
| Management And General | 14593 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2358107 | Total |
| Program Services | 2354638 | ProgramServices |
| Management And General | 3469 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5397491 | Total |
| Program Services | 5202870 | ProgramServices |
| Management And General | 194621 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1115277 | Total |
| Program Services | 1108348 | ProgramServices |
| Management And General | 6929 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| VEHICLE FUEL & MAINTENANCE | 196784 | 196618 | 166 |
| MEMBERSHIP DUES | 185003 | 20984 | 164019 |
| DONATION & GIFTS | 146022 | 139758 | 6264 |
| PHYSICIAN RECRUITMENT COST | 93404 | 3700 | 89704 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 291683 | Total |
| Program Services | 49564 | ProgramServices |
| Management And General | 242119 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82871796 | Total |
| Program Services | 66574847 | ProgramServices |
| Management And General | 16296949 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7342087 | BOY |
| EOY | 8262769 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7723776 | BOY |
| EOY | 10926120 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12300853 | BOY |
| EOY | 12534703 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2577413 | BOY |
| EOY | 2552958 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28042 | BOY |
| EOY | 1321711 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 113786797 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 57312597 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60497383 | BOY |
| EOY | 56474200 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19226297 | BOY |
| EOY | 18087997 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12971242 | BOY |
| EOY | 20247655 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122667093 | BOY |
| EOY | 130408113 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7027590 | BOY |
| EOY | 7059011 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30101599 | BOY |
| EOY | 30380000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 795393 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12784259 | BOY |
| EOY | 10591834 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50708841 | BOY |
| EOY | 48030845 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71958252 | BOY |
| EOY | 82377268 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71958252 | BOY |
| EOY | 82377268 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122667093 | BOY |
| EOY | 130408113 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6981969 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3437047 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $11,089 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11089 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobbying Activities | Identifier |
| Return Reference | Part II-B, Question 1i | ReturnReference |
| Explanation | A Portion of dues paid to the various organizations listed below is used for lobbying. Dues % Lobbying Total AHA 15,283 24.60% 3,760 KHA 48,148 14.90% 7,174 Chamber of Commerce 3,103 5.00% 155 ------ ----- 66,534 11,089 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 733250 | OtherCostOrOtherBasis |
| Book Value | 733250 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 70254017 | OtherCostOrOtherBasis |
| Depreciation | 25650306 | Depreciation |
| Book Value | 44603711 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1840078 | OtherCostOrOtherBasis |
| Depreciation | 1593253 | Depreciation |
| Book Value | 246825 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 36235085 | OtherCostOrOtherBasis |
| Depreciation | 27561084 | Depreciation |
| Book Value | 8674001 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4724367 | OtherCostOrOtherBasis |
| Depreciation | 2507954 | Depreciation |
| Book Value | 2216413 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 56474200 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LONG TERM INVESTMENTS | Description |
| Book Value | 18087997 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 18087997 | TotalOfBookValueSecurities |
Other Assets OtherAssets (10 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CHAMPUS/TRICARE SETTLEMENT | 463641 |
| SETTLEMENT RECEIVABLE | 8502 |
| OTHER CURRENT ASSETS - UNREL | 934475 |
| BOARD DESIGNATED FUNDS | 11418187 |
| SELF INSURANCE ARRANGEMENTS | 2565344 |
| MEDICARE CURRENT SETTLEMENT | 1759608 |
| INVESTMENT IN MRHMS | 289616 |
| INVESTMENT IN MILLC | 503637 |
| INVESTMENT IN WHA | 1372815 |
| ISSUANCE COST | 931830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 20247655 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MEDICAID SETTLEMENT | $29,729 |
| ASSET RETIREMENT OBLIGATION | $4,973,775 |
| VCHS NOTE PAYABLE | $5,450,907 |
| LEASE PAYABLE | $137,423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10591834 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) Footnote | Identifier |
| Return Reference | Part X, Question 2 | ReturnReference |
| Explanation | The organization follows the FIN 48 policy of Via Christi Health, Inc. (VCH) and the policy is provided in the VCH consolidated audited financial statements. With the exception of certain subsidiaries, all of the entities in the Health System are organizations under Section 501(c)(3) of the Internal Revenue Code and are generally exempt from payment of income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. Subsidiaries which are for-profit organizations are subject to federal and state income taxes. Accounting principles generally accepted in the United States of America require the Health System's management to evaluate tax positions taken by the Health System and its subsidiaries and recognize a tax liability (or asset) if an uncertain position has been taken that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions by the Health System and its subsidiaries, and has concluded that as of September 30, 2012 and 2011, there were no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. Tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Income tax expense or benefit is included in other nonoperating gains and losses in the consolidated statements of operations and changes in net assets. Deferred tax assets and liabilities are measured using enacted tax rates expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To Most Hospitals | X | PolicyAppliedToMostHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2319000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2319000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02800 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5255000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3805000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1450000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01750 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7574000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3805000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3769000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04550 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 400701 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29157 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 371544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 189579 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 189579 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 740494 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 740494 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1330774 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29157 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1301617 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01570 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8904774 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3834157 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5070617 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06120 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 229 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 229 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 124 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 124 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4397 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4397 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4750 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,523,663 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 24890226 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 25100294 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -210068 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | 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 | MERCY REGIONAL HEALTH CENTER INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1823 COLLEGE AVENUE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 66502 | 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 | MERCY REGIONAL HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| WOMEN'S IMAGING | ||||
| 1133 COLLEGE AVE BLDG G SUITE 130 | MANHATTAN | KS | 66502 | OUTPATIENT DIAGNOSTIC SERVICES |
| BEHAVIORAL HEALTH SERVICES | ||||
| 1105 SUNSET AVE | MANHATTAN | KS | 66505 | OUTPATIENT BEHAVIORAL HEALTH CLINIC |
| DIABETES CENTER | ||||
| 1105 SUNSET AVE | MANHATTAN | KS | 66505 | DIABETES EDUCATION CLINIC |
| RILEY COUNTY EMS | ||||
| 2011 CLAFLIN ROAD | MANHATTAN | KS | 66505 | EMERGENCY MEDICAL SERVICES |
| POTTAWATOMIE COUNTY EMS - WAMEGO | ||||
| 406 MILLER DR SUITE F | WAMEGO | KS | 66547 | EMERGENCY MEDICAL SERVICES |
| POTTAWATOMIE COUNTY EMS - WESTMORELAND | ||||
| 312 MAIN STREET | WESTMORELAND | KS | 66549 | EMERGENCY MEDICAL SERVICES |
| MERCY EAST | ||||
| 415 E POYNTZ AVE | MANHATTAN | KS | 66502 | OUTPATIENT REHABILITATION SERVICES |
| MERCY WEST | ||||
| 315 S SETH CHILD RD | MANHATTAN | KS | 66502 | OUTPATIENT REHABILITATION SERVICES AND OCCUPATIONAL HEALTH SERVICES |
| SLEEP DISORDERs SERVICES | ||||
| 1105 SUNSET AVE | MANHATTAN | KS | 66505 | SLEEP LAB SERVICES |
| PAIN MANAGEMENT CLINIC | ||||
| 1105 SUNSET AVE | MANHATTAN | KS | 66505 | OUTPATIENT PAIN MANAGEMENT CLINIC |
| MERCY LIGHT | ||||
| 1105 SUNSET AVE | MANHATTAN | KS | 66505 | MEDICALLY SUPERVISED WEIGHT MANAGEMENT |
| SENIOR ADULT PROGRAM | ||||
| 1105 SUNSET AVE | MANHATTAN | KS | 66505 | SENIOR ADULT DAY PROGRAM |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ANNUAL COMMUNITY BENEFIT REPORT | PART I, Question 6a | A community benefit update is printed in the ministry's annual report which is released in various formats to the public and available from the ministry's webpage at www.viachristi.org/about-us or upon request. In addition, Via Christi makes public presentations, when invited, on the findings of the latest health needs assessment. MRHC and Wamego City Hospital's (WCH) annual report is prepared and printed in "Up Close," a magazine printed with 2,400 copies distributed to surrounding communities of Clay Center, Manhattan, and Wamego. "Up Close" is also available on MRHC's website at www.mercyregional.org. |
| COMMUNITY BENEFIT PROGRAMS | PART I, Question 7 | For examples of some of the community benefit programs provided by Mercy Regional Health Center, Inc. and Wamego Hospital Association, Inc. (a combined report) see the Schedule O footnote for Part III, Statement of Program Services. |
| COMMUNITY BUILDING ACTIVITIES | PART II | Community building activities are essential roles for health care organizations in that they address many of the underlying determinants of health. Research has consistently shown that when the socioeconomic factors influencing health are explored, health care actually plays a smaller role proportionately. A report in the Journal of American Medical Association and the Center for Disease Control suggests that the determinants impacting health are as follows: lifestyle and behaviors, 50%; environment, 20%; genetics and human biology, 20%; and health care, 10%. Community building activities help to address the other determinants outside of the role traditionally played by health care organizations. The hospital provides timely and specific resources to help community organizations through donations to fulfill their missions of improving the well-being of the community and contributing to its overall health status in ways that may differ from direct clinical services provided by the hospital. These activities are almost exclusively done in partnership with other community organizations which are better suited to address identified community needs. Listed below are just a few of the Community Building activities reported by our hospital during FY2012. This is not a complete listing but a sampling of how the hospital participates in the health of the community through its Community Building activities. Presentations made to the Chamber of Commerce meetings in Manhattan, Wamego, and other surrounding communities to update them on the results of the community health needs assessments, strategic plans of the hospital and participation in discussions regarding economic development and workforce development all benefit the communities. Actively sharing the findings of the community health needs assessments allows other Chamber members to be aware of the most up-to-date information and gives them an opportunity to partner with the hospital and other area businesses in finding solutions. The National Bioscience Agricultural Facility (NBAF) Participated in a community update forum with area universities, colleges, and nonprofit institutions to hear and learn about the opportunities being provided to the region by the NBAF. Their focus is to recruit more scientists in the area, as well as health care professionals and technicians, to conduct bioscience research, development, testing, and product commercialization activities. By participating in this event, MRHC leaders become more knowledgeable about the type of scientists and researchers being recruited and can assist in the promotion and ultimate recruitment. Through the research efforts of those recruited, health care best practices can be identified resulting in better health outcomes for all. 4-H Discovery Days - This youth conference, hosted by Kansas State University, brought 700+ youth (ages 13 - 18) together over three days to explore various careers and the required educational steps they will have to master to realize their dreams. Topics at the conference ranged from human biology to water quality and the environment. The youth also had an opportunity to tour a grain science flour mill to learn about food product safety development. The event is planned by the Kansas 4-H organization, but health care providers are a major contributor to the success of this event. MRHC's involvement gives students real hands-on access to those who are in fields of interests to stimulate student interests and participation. |
| Estimating Bad Debt Expense | PART III, Section A, Question 3 | The organization has no suitable basis for estimating bad debt expense that would be attributable to patients eligible under the organization's charity care policy. |
| Audit Footnote on Bad Debt Expense | PART III, Section A, Question 4 | The provision for bad debt expense is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payer category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debt expense to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, The Health System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to terms of certain restrictions on collection efforts as determined by the Health System. Accounts receivable are written off after collections efforts have been followed in accordance with the Health System's policies. |
| Medicare Shortfall | PART III, Section B, Question 8 | MRHC follows the CHA guidelines regarding Medicare and does not include it as community benefit. The methodology described in the instructions to Schedule H, Part III, Section B, Line 7 for reporting Medicare shortfall does not take into account all costs incurred by the Hospital and does not represent the total Medicare shortfall. The Medicare shortfall reported on Schedule H, Part III, Section B, Line 7 was determined using information from the organization's Medicare cost report (using the Medicare Cost report step-down methodology of allocating costs). The most common reason for a difference between the Medicare shortfall reported on Schedule H and the actual shortfall reported above include inclusion of Medicare Advantage revenue and expenses, inclusion of Medicare Part B Revenue and Expenses, inclusion of other fee schedule revenue, other timing issues, and costs that are considered unallowable on the Medicare cost report that are, in fact, related to Medicare patient care. |
| Debt Collection Policy | Part III, Section C, Question 9b | It is the policy of MRHC to promote socially just practices for billing and collections for all patients receiving care. The policy is intended to further the MRHC mission by requiring ethical conduct in billing and collecting self-pay balances from patient/guarantor's regardless of ability to pay. The policy ensures that prior to turning an account over to a Third Party Collection Agent (Agent) for collection activity, MRHC will perform a reasonable review of each account to verify that the patient/guarantor is not potentially eligible for any government assistance program (e.g., Medicaid, Medicare, etc.) and would likely not qualify for charity care. MRHC will direct its staff and Agents to periodically assess each patient/guarantor's ability to pay or to determine eligibility for charity care. The review and assessment should include but may not be limited to the following: a. Ensure the patient/guarantor has been notified of VCH's financial assistance policy; b. Ensure the patient/guarantor was offered a financial assistance application; c. Ensure documentation of any known extraordinary financial circumstances of the patient/guarantor or if they are medically indigent. |
| Financial Assistance Policy | Part V, Question 13g | The full policy is not posted in each of these areas; however, reference to the policy is posted and the policy is immediately available to anyone who requests it. |
| Needs Assessment | PART VI, Question 2 | Ministry representatives are involved with numerous coalitions that periodically assess community needs (e.g. Flint Hills Community Clinic, Kansas Health Care Collaborative, United Way of Riley County, Shepherds' Crossing and others) and in 2011 conducted their own health assessment. Secondary data, other community assessments and one-on-one interviews with community leaders, social service providers, health care providers, and government representatives are used to conduct the assessments. |
| Patient Education of Eligibility for Assistance | Part VI, Question 3 | VCH financial assistance staff is trained on how to qualify patients for Medicaid, SCHIP, and other such income-based programs. During the patient's registration, admissions, and discharge processes, VCH attempts to identify patients who may be eligible for charity or discounted care through the charity care policy. In addition, VCH uses a percentage of the Federal Poverty Guidelines (FPG) to determine free and discounted care. |
| Community Information | Part VI, Question 4 | The primary counties for Manhattan ministries include Riley, Geary, and Pottawatomie. Riley County has a land area of 610 square miles with a 2011 estimated population of 72,997. Pottawatomie County has a land area of 841 square miles with a 2011 estimated population of 21,920. Geary County has a land area of 385 square miles with a 2011 estimated population of 35,323. Riley County's population demographic includes: 85.0% white, 6.6% Black, 0.7% American Indian, 4.2% Asian and 7.0% persons of Hispanic or Latino origin. The diversity of the population in Riley County is greater than for Pottawatomie County. Racial breakout for Pottawatomie County includes: 94.6% white, 1.3% Black, 0.9% American Indian, 0.8% Asian persons, and 4.7% persons of Hispanic or Latino origin. The demographic distribution for Geary County includes: 70.2% white, 18.4% Black, 1.2% American Indian, 3.4% Asian and 13.1% Hispanic or Latino origin. Geary County has the highest diversity rates primarily due to Fort Riley, an Army base and Home of the 1st Infantry Division. Almost 8.5% of the Riley County residents, 4.5% of the Pottawatomie County residents and 13.0% of the Geary County residents report that a language other than English is spoken at home. When it comes to education, 95.3% of Riley County residents completed high school and 45.6% had a bachelor's degree or higher. This compares to 93.2% and 29.7% for Pottawatomie County and 91.3% and 19.9% for Geary County. Median household income for Riley County residents between 2007 and 2011 was $41,427 compared to $54,309 for Pottawatomie County and $45,649 for Geary County. During this same time period, the median value of owner-occupied housing units in Riley County was $164,500 compared to $148,200 in Pottawatomie and $122,000 for Geary County residents. Riley County reports 23.6% of its residents are below poverty level compared to 6.8% for Pottawatomie and 12.5% for Geary County. The Statewide poverty level is around 12.6%. Riley County has far fewer residents age 65 years and older compared to the State of Kansas and the other two counties. Kansas reported in 2011 that 13.3% of all residents were persons 65 years of age and older. This compares to 7.3% for Riley, 12.2% for Pottawatomie and 7.5% for Geary Counties. The City of Manhattan is home to Kansas State University which has a student enrollment of 23,810 for the Spring 2013 semester. MRHC is the only hospital in the City of Manhattan and is the largest full-service medical center in the area that is available to all persons regardless of their ability to pay. Wamego CITY HOSPITAL is the only hospital in the City of Wamego, but it is approximately 12 miles from MRHC should emergencies call for a full-service medical center. |
| Promotion of Community Health | Part VI, Question 5 | VCH and its affiliates enrich the communities in which they operate as well as the broader community, improving medicine through research, educating physicians and other healthcare providers, and providing care and support to people in need. MRHC further supports this mission with a community board, open medical staff, and an emergency room available to patients regardless of ability to pay. Community Representation on the Governing Body - The Board of Trustees is the governing body of MRCH. The majority of the Board of Trustees is comprised of persons who reside in or around the hospital's primary market and has overall responsibility for the charitable mission of the organization as set forth in its Articles of Incorporation and ByLaws. These trustees are selected based on their expertise, experience, and other criteria established by the nominating committee of the Board of Trustees. Areas of expertise and experience include such areas as health care, finance, education, business, and local government. The Board actively debates and sets policy and strategic direction for the ministry but does not get involved in issues related to daily operations. The Board takes a balanced approach when addressing community and business/financial concerns. The Board is also the primary group for determining the use of surplus funds generated by the organization, which are reinvested in the ministry in order to allow the ministry to sustain its mission and prepare for the future. Open Medical Staff - The medical staff of MRHC is an open medical staff and is composed of physicians, dentists, and podiatrists licensed to practice medicine in the state of Kansas. MRHC staff also participate in the community on boards of other not-for-profit organizations, government entities, foundations, area college and university committees, state-wide coalitions, etc. Flint Hills Community Clinic - In partnership with area physicians, MRHC oversees uninsured and underinsured individuals by providing staff support, as well as free diagnostic testing (e.g. lab, x-rays, etc) for the clinic. In FY2012, over 1,500 persons were served through this clinic. MRHC also donated time and SurgiStain to reprocess some of the clinics old instruments. SANE/SART is a program in response to all victims of sexual assault who present themselves to MRHC hospital. MRHC hospital staff provided them with immediate medical care and WOULD follow up with them through advocacy and criminal justice services, if appropriate. In FY2012, 62 individuals were assisted by the SANE/SART team through evidence exams, consults, and/or follow-up services. Cardiac Screenings through the Anthony Bates Foundation project provide echocardiograms and electrocardiogram tests for $20 per person. This community partnership between Kansas State Athletics, K-State Alumni Center, MRHC, and Little Apple Pilot Club is looking to reduce sudden cardiac deaths in young athletes and others at an affordable price. In FY2012, 325 people took advantage of this heart screening program. Community Boards/Committees/Coalitions - MRHC staff serve on various not-for-profit boards, committees, or coalitions to keep informed about community needs and to share MRHC resources and expertise with various groups as they work to achieve their missions. In FY2012, MRHC served with these groups: Homecare and Hospice Board; Healthy Little Apple Coalition; Sound Beginnings Advisory Committee; Flint Hills Community Clinic Board; Ministerial Alliance; American Cancer Society Camp Hope; Local Emergency Preparedness Committee; NE KS Regional Homeland Security Council; Sound Beginnings Advisory Committee, and Raising Riley Board. Kansas State University Foundation - A $10,000 donation was made for pre-health scholarships for incoming freshmen and student athletes. This program is intended to "grow your own" health care providers for the Riley County and surrounding areas. Emergency Medical Services - MRHC's EMS provides standby care for various community activities to ensure quick response of medical care should accidents occur during an event. In FY2012, MRHC provided assistance for the Riley County Rodeo; Thunder Over Manhattan; July 4th Celebrations; Juneteenth Celebrations; Alert Road Race; Job Corp Safety Day; 4-H Discover Days; St Patrick's Day Road Race; Aggieville New Years Eve Celebration; KState Football; and Spooktacular. One Community Campaign - MRHC's staff annually volunteer to coordinate the internal campaign which benefits United Way of Riley County. Staff serve as department ambassadors assisting with presentations, pledge card distribution and collection, hosting team meetings, and learning about the various programs funded through the local United Way. Community Disaster Preparations - MRHC staff participate in regional disaster drills above and beyond what is required by licensing boards to ensure other community organizations are trained and ready to go should the area experience a natural disaster. These disaster preparations included regional hospital meetings, local emergency planning committee meetings, and tabletop exercise hosted by the Manhattan Fire Department. Conference Room Availability - MRHC provides meeting space free of charge for health related not-for-profit groups. Some of the groups taking advantage of this hospitality during FY2012 include: Overeaters Anonymous; National Association of Mental Illness; Flint Hills Community Clinic; Manhattan Fire Department; Riley County Police Department and Kansas State University. Free Car Seat Safety Checks - MRHC's Emergency Medical Services Staff offer a MONTHLY safety seat check for children's car seats. During FY2012, over 160 car seats were inspected and parents/grandparents were trained on how to ensure seats are installed correctly and the importance of regularly checking that straps are secure. School Safety Expo Fair - MRHC's Emergency Medical Services Staff participated in the Manhattan Town Center expo fair. While there, they promoted the use of bicycle helmets, showing parents how to correctly measure and adjust to fit childrens' heads. Bicycle helmets were available for purchase and additional safety infoRMATION was distributed to children alerting them to maintaining their safety to and from school. Safety/Wellness Fair for Seniors - MRHC's staff participated in the Meadowlark Wellness Fair aimed at providing senior residents with information on community resources and, in partnership with the National Alzheimer's Foundation and Riley County Senior Services Center, staff conducted memory screenings for people concerned about dementia. Staff also provided speakers on memory issues and hosted an educational booth on senior related issues. Heart Education Health News - The Pump, a bi-annual newsletter, is distributed to heart patients in the community and surrounding area. The newsletter is prepared by the cardiac rehab staff and is distributed to over 1,000 individuals. Each newsletter has educational infoRMATION to provide helpful tips on living with heart disease, heart healthy nutrition suggestions, exercise to promote heart healthy outcomes, etc. Speakers Bureau Presentations - MRHC staff provide presentations on a number of topics dealing with health care, specific diseases, or on community needs. In FY2012, presentations were given at Kansas State University's Kinesiology, Civil Engineering, social work and healthcare management classes and Speech/Hearing/Language Association; Parkinson's Support Group; United Methodist Preschool Class as part of their "Healthy Body Week"; Women in the Know Organization; First Responder Class in Waterville, KS; First Responder Class in St. George; Olsberg Senior Citizen's Club, and Flu Clinic at Pottawatomie County Health Department. Support Groups - MRHC staff host several support groups geared to meet the needs of specific target populations. The cardiac support group meets monthly to discuss cardiac related health challenges and how best to overcome them through guided discussions and shared learning. Community Education - MRHC staff prepared and provided various educational opportunities for the community on a variety of topics. During FY2012, presentations were made on advance directives; living with Parkinson's; breastfeeding basics; childbirth education; daddy basics; newborn basics; super siblings; infant massage; pediatric first aid; heart saver CPR; CPR initial and renewal classes; depression and anxiety class; active shooter/school lock down training with schools and local police departments; bicycle safety/helmet use promotion presentations; emergency medical services with ambulance demonstrations; yoga class for preschoolers; First Aid training for police department; and presentations for the I CAN COPE Program, American Cancer Society's program developed for cancer survivors. Health Profession Education - area physicians, nurses, physician assistants, nursing students and other health care professi |
| Affiliated Health Care System | Part VI, Question 6 | MRHC is an affiliate of Via Christi Health, Inc (VCH). VCH's affiliates are large multi-faceted, integrated, not-for-profit ministries including Hospital and Non-Hospital ministries (Physician Group Practices, Hospital organizations, Research, Home Health, Durable Medical Equipment, and Senior Facilities). These ministries work together to care for patients, joined by common systems and a philosophy of serving as a healing presence with special concern for our neighbors especially those who are vulnerable. This community benefit happens through its focus on patient care, education, and research. The organizations work together to serve their communities at the local, regional and state level. |
| State Filing of Community Benefit Report | Part VI, Question 7 | Kansas does not require hospitals to file community benefit reports but Via Christi Health, Inc. distributes our community benefit totals and activities annually in press releases as well as in our annual report. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kansas State University Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2323 Anderson Avenue Suite 500 | AddressLine1 |
| City | Manhattan | City |
| State | KS | State |
| ZIP Code | 66502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 480667209 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 10000 | AmountOfCashGrant |
| Purpose Of Grant | Scholarships | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grant Monitoring | Identifier |
| Return Reference | PART I, LINE 2 | ReturnReference |
| Explanation | All grants and assistance are reviewed and approved by a grant committee consisting of members of the Board of Trustees. Grant expenses are reviewed by the accounting department and detailed grant reports are requested from all grantees. | Explanation |
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 | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Hadley | |||||||||||||
| 0 | 441316 | 0 | 107317 | 0 | 10341 | 0 | 73443 | 0 | 11719 | 0 | 644136 | 0 | 0 |
| David Gambino | |||||||||||||
| 0 | 414410 | 0 | 95511 | 0 | 11674 | 0 | 62769 | 0 | 8927 | 0 | 593291 | 0 | 0 |
| John Broberg | |||||||||||||
| 0 | 265055 | 0 | 72373 | 0 | 7111 | 0 | 40794 | 0 | 11137 | 0 | 396470 | 0 | 0 |
| Randall Peterson | |||||||||||||
| 0 | 502186 | 0 | 124597 | 0 | 14037 | 0 | 125809 | 0 | 9461 | 0 | 776090 | 0 | 0 |
| Marcia Bubak | |||||||||||||
| 139601 | 0 | 24448 | 0 | 11007 | 0 | 9780 | 0 | 10751 | 0 | 195587 | 0 | 0 | 0 |
| Fadi V Bedros MD | |||||||||||||
| 382520 | 0 | 0 | 0 | 2285 | 0 | 0 | 0 | 15793 | 0 | 400598 | 0 | 0 | 0 |
| Vishwanatha Nadig MD | |||||||||||||
| 562844 | 0 | 75000 | 0 | 2333 | 0 | 0 | 0 | 14796 | 0 | 654973 | 0 | 0 | 0 |
| Casey Poell MD | |||||||||||||
| 252377 | 0 | 18500 | 0 | 1259 | 0 | 0 | 0 | 7998 | 0 | 280134 | 0 | 0 | 0 |
| Priyantha S Ranaweera MD | |||||||||||||
| 583225 | 0 | 59501 | 0 | 2827 | 0 | 0 | 0 | 14531 | 0 | 660084 | 0 | 0 | 0 |
| David Wichman MD | |||||||||||||
| 224674 | 0 | 0 | 0 | 1171 | 0 | 0 | 0 | 13476 | 0 | 239321 | 0 | 0 | 0 |
| Richard Allen | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 242295 | 0 | 0 | 0 | 0 | 0 | 242295 | 0 | 0 |
| Janet Criqui | |||||||||||||
| 74981 | 0 | 23165 | 0 | 69602 | 0 | 774 | 0 | 4897 | 0 | 173419 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE PAYMENTS | PART I, QUESTION 4A | Marcia Bubak $ 6,434.05 Janet Criqui $66,363.12 |
| SUPPLEMENTAL NON-QUALIFED RETIREMENT PLAN | PART I, QUESTION 4B | Paid by the Filing Organization: Marcia Bubak $ 9,124.65 Paid by a Related Organization: David Gambino $ 44,393.63 David Hadley $ 57,517.71 John Broberg $ 21,695.48 Randall Peterson $105,226.91 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Suzanne Broberg | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Employee | Relationship |
| Amount Of Transaction | 14481 | AmountOfTransaction |
| Description Of Transaction | Wages | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990 REVIEW | PART VI, SECTION B, QUESTION 11B | A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES VIA A SECURE EMAIL PRIOR TO FILING WITH THE IRS. |
| CONFLICT OF INTEREST POLICY | PART VI, SECTION B, QUESTION 12C | THE ORGANIZATION'S POLICY IS MONITORED AS PART OF THE SYSTEM-WIDE PROCEDURES AND NOT AT THE ORGANIZATIONAL LEVEL. THE SYSTEM-WIDE PROCEDURES ARE 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 ORGANZIATION IS OPERATING CONSISTENT WITH THE POLICY AND ENFORCING THE POLICY'S TERMS. |
| COMPENSATION REVIEW | PART VI, SECTION B, QUESTIONs 15A & 15B | Mercy Regional Health Center, Inc. uses the policies established by Via Christi Health, Inc. (VCH). VCH has established a common philosophy, strategy, and processes for executive compensation. 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. |
| GOVERNING DOCUMENTS | PART VI, SECTION C, QUESTION 19 | MERCY REGIONAL HEALTH CENTER, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| MEMBERS | PART VI, SECTION A, Questions 6, 7A, & 7B | VIA CHRISTI HEALTH, INC. AND MEMORIAL HOSPITAL ASSOCIATION, INC. ARE THE MEMBERS. THE MEMBERS MAY APPROVE AND REMOVE INDIVIDUALS ON THE BOARD OF TRUSTEES. ARTICLE 2 OF THE BYLAWS PROVIDE THE MEMBERS WITH THE FOLLOWING POWERS: *Approve, before they may become effective, all mission, philosophy, and value statements of the corporation and all amendments thereto; *Monitor compliance with the mission and philosophy of the corporation through receipt of annual reports, financial statements and other pertinent information; *Approve Articles of Incorporation and Bylaws of the corporation or amendments thereto; *Approve appointment and removal of all Directors of the corporation; *Approve, before it may become effective, any merger or consolidation involving the corporation; *Approve any partial or total dissolution of the corporation; *Approve the issuance of any debt by the corporation in excess of $1 million or the amount specified in writing from time to time by the Corporate Members; *Approve all transfers, leases, encumbrances or other conveyances of the property of all assets of the corporation in excess of $1 million or the amount specified in writing from time to time by the Corporate Members; *Approve, before it may become effective, the creation of any subsidiary organization to the corporation; *Receive reports on all operating and capital budgets of the corporation; *Receive reports on all unbudgeted expenses in excess of $50,000 or the amount specified in writing from time to time by the Members; *Receive information and reports on all long-range strategic and financial plans of the corporation; and *Receive reports on all alliances and affiliations entered into by the corporation. |
| OTHER CHANGES IN NET ASSETS | PART XI, Question 5 | UNREALIZED GAIN 3,066,116 NET PENSION ADJUSTMENT 125,409 K-1 ADJUSTMENTS: PFI LLC (66,008) MERCY IMAGING LLC 311,530 245,522 ----------- TOTAL 3,437,047 |
| Statement of Program Services | PART III | Mercy Regional Health Center, Inc. (MRHC) is a member of Via Christi Health, Inc. (VCH). As a Catholic health system, VCH 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, VCH operates primary care clinics, a low income neighborhood outreach clinic, specialty hospitals and centers, home medical services, therapy centers, and long-term care villages. The obligation to reach out to those in need and to improve community health flows directly from VCH's identity as a faith-based healing ministry. VCH continues its tradition in providing community benefit because we are committed to: * Promoting and defending human dignity; * Caring for persons living in poverty and other vulnerable populations; * Promoting the common good; and * Stewarding resources responsibly. According to the VCH mission statement, "As a part of Via Christi Health, 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." The financial information in this report was prepared in accordance with the Catholic Health Association's (CHA) A Guide for Planning and Reporting Community Benefit Guidelines. Per these Guidelines, we report the net expense for community benefit services, i.e., the total community benefit expense minus any associated revenue from patients, residents, payers, and other external sources. The CHA Guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the Guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health for all. The following are MRHC definitions for quantifiable community benefits reports. Charity Care: Free or discounted health services provided to persons who cannot afford to pay and who meet VCH's criteria for financial assistance. Charity care is reported in terms of costs, not charges. Charity care does not include bad debt. Government Sponsored Means-Tested Health Care: Includes unpaid costs of public programs for low-income persons - the shortfall created when VCH receives payments that are less than the cost of caring for public program beneficiaries. This payment shortfall is not the same as a contractual allowance, which is the full difference between charges and government payments. Health Professions Education: Helping to prepare future health care professionals is a distinguishing characteristic of not-for-profit health care and constitutes a significant community benefit. This category includes programs and financial assistance for physicians and medical students, nurses and nursing students, interns, and other health professionals. For fiscal year ended September 30, 2012 Community Benefit (MRHC and Subsidiaries): 1. Charity care - at cost $2.4 million 2. Government sponsored health care, net expense $1.8 million Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, other safety net programs; does not include Medicare shortfall) 3. Community Benefit Programs - net expense $1.4 million 4. Total Quantifiable Community Benefit $5.6 million Listed below are just a few of the community benefit programs offered by MRHC and Wamego City Hospital (WCH) during FY2012. This is not a complete listing but a sampling of how the hospital gives back to the community while meeting current needs; additional information is provided on Schedule H. Flint Hills Community Clinic - In partnership with area physicians, MRHC oversees uninsured and underinsured individuals by providing staff support, as well as free diagnostic testing (e.g. lab, x-rays, etc) for the clinic. In FY2012, over 1,500 persons were served through this clinic. MRHC also donated time and SurgiStain to reprocess some of the clinics old instruments. SANE/SART is a program in response to all victims of sexual assault who present themselves to MRHC hospital. MRHC hospital staff provided them with immediate medical care and WOULD follow up with them through advocacy and criminal justice services, if appropriate. In FY2012, 62 individuals were assisted by the SANE/SART team through evidence exams, consults, and/or follow-up services. Community Boards/Committees/Coalitions - MRHC staff serve on various not-for-profit boards, committees, or coalitions to keep informed about community needs and to share MRHC resources and expertise with various groups as they work to achieve their missions. In FY2012, MRHC served with these groups: Homecare and Hospice Board; Healthy Little Apple Coalition; Sound Beginnings Advisory Committee; Flint Hills Community Clinic Board; Ministerial Alliance; American Cancer Society Camp Hope; Local Emergency Preparedness Committee; NE KS Regional Homeland Security Council; Sound Beginnings Advisory Committee, and Raising Riley Board. Emergency Medical Services - MRHC's EMS provides standby care for various community activities to ensure quick response of medical care should accidents occur during an event. In FY2012, MRHC provided assistance for the Riley County Rodeo; Thunder Over Manhattan; July 4th Celebrations; Juneteenth Celebrations; Alert Road Race; Job Corp Safety Day; 4-H Discover Days; St Patrick's Day Road Race; Aggieville New Years Eve Celebration; KState Football; and Spooktacular. One Community Campaign - MRHC's staff annually volunteer to coordinate the internal campaign which benefits United Way of Riley County. Staff serve as department ambassadors assisting with presentations, pledge card distribution and collection, hosting team meetings, and learning about the various programs funded through the local United Way. Free Car Seat Safety Checks - MRHC's Emergency Medical Services Staff offer a MONTHLY safety seat check for children's car seats. During FY2012, over 160 car seats were inspected and parents/grandparents were trained on how to ensure seats are installed correctly and the importance of regularly checking that straps are secure. School Safety Expo Fair - MRHC's Emergency Medical Services Staff participated in the Manhattan Town Center expo fair. While there, they promoted the use of bicycle helmets, showing parents how to correctly measure and adjust to fit childrens' heads. Bicycle helmets were available for purchase and additional safety infoRMATION was distributed to children alerting them to maintaining their safety to and from school. Safety/Wellness Fair for Seniors - MRHC's staff participated in the Meadowlark Wellness Fair aimed at providing senior residents with information on community resources and, in partnership with the National Alzheimer's Foundation and Riley County Senior Services Center, staff conducted memory screenings for people concerned about dementia. Staff also provided speakers on memory issues and hosted an educational booth on senior related issues. Overall, MRHC and Wamego City Hospital combined community benefit programs (not counting unpaid reimbursement of Medicare or bad debt) accounted for $5.9 million to the geographical area of Manhattan and Wamego, Kansas for FY2012. |
| Leadership Committee | Part VI, Section A, Question 1a | The bylaws of Mercy Regional Health Center, Inc. provide for a Leadership Committee, consisting of the chairperson, the vice chairperson, the immediate past chairperson, the president, the secretary, and the treasurer of the Board of Directors and two members appointed at-large. The Leadership Committee shall have power to transact all regular business of the Board of Directors during the period between meetings, subject to any prior limitation imposed by the Board. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David Hadley TITLE:Trustee HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David Gambino TITLE:Trustee HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Randall Peterson TITLE:Trustee; Term. 4/20/12 HOURS:49 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (30 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | Hlth Sys Gov | MO | 501(c)(3) | 11-I | NA | false |
| Catholic Care Center Inc | ||||||||||
| 6700 E 45th St N | Wichita | KS | 67226 | 481067110 | Rtrmnt Home | KS | 501(c)(3) | 09 | NA | false |
| Cornerstone Assisted Living Inc | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 481241079 | Rtrmnt Home | KS | 501(c)(3) | 09 | NA | false |
| Gerard House Inc | ||||||||||
| 3144 N Hood | Wichita | KS | 67204 | 481049532 | Shelter | KS | 501(c)(3) | 07 | NA | false |
| Marian Health System Inc | ||||||||||
| 1923 South Utica Avenue | Tulsa | OK | 74104 | 363659989 | Hospital Supp | DE | 501(c)(3) | 11-I | NA | false |
| Mercy Community Health Foundation Inc | ||||||||||
| 1823 College Avenue | Manhattan | KS | 66502 | 481152279 | Foundation | KS | 501(c)(3) | 09 | MRHC | true |
| Mercy Regional Home Medical Services LLC | ||||||||||
| 2439 Claflin Road | Manhattan | KS | 66502 | 432024491 | Home Medical | KS | 501(c)(3) | 11-III FI | NA | false |
| Mount Carmel Foundation Inc | ||||||||||
| 1102 E Centennial Drive | Pittsburg | KS | 66762 | 480961283 | Foundation | KS | 501(c)(3) | 11-I | VCH-P | false |
| Salina Regional Home Medical Services | ||||||||||
| 520 S Santa Fe Ave Ste 140 | Salina | KS | 67401 | 431948057 | Home Medical | KS | 501(c)(3) | 11-III O | NA | false |
| St Johns Inc | ||||||||||
| 2225 Canterbury Drive | Hays | KS | 67601 | 202828680 | Rtrmnt Home | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Clinic Services | ||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 273984287 | Med Clinic | KS | 501(c)(3) | 11-I | NA | false |
| Via Christi Foundation Inc | ||||||||||
| 723 N McLean Blvd | Wichita | KS | 67203 | 481173588 | Foundation | KS | 501(c)(3) | 11-III FI | NA | false |
| Via Christi Health Partners Inc | ||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 480958974 | Mgmt Co | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Health Inc | ||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481172107 | Hospital Supp | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Healthcare Outreach Program | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 481236589 | Pace Communit | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Home Health Wichita Inc | ||||||||||
| 555 S Washington | Wichita | KS | 67211 | 481046371 | Home Health | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Hospital Pittsburg Inc | ||||||||||
| 1102 E Centennial Drive | Pittsburg | KS | 66762 | 480543778 | Hospital | KS | 501(c)(3) | 03 | NA | false |
| Via Christi Hospital Wichita St Teresa | ||||||||||
| 14800 W St Teresa | Wichita | KS | 67235 | 271965272 | Hospital | KS | 501(c)(3) | 03 | NA | false |
| Via Christi Hospitals Wichita Inc | ||||||||||
| 929 N St Francis | Wichita | KS | 67214 | 481172106 | Hospital | KS | 501(c)(3) | 03 | NA | false |
| VC Immediate Care Mother Mary Anne Inc | ||||||||||
| 929 N St Francis | Wichita | KS | 67214 | 208374099 | Med Clinic | KS | 501(c)(3) | 09 | NA | false |
| Via Christi InMyHome Inc | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 271889960 | Hlth Agency | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Property Services Inc | ||||||||||
| 1100 N St Francis Suite 240 | Wichita | KS | 67214 | 480948571 | Property Mgmt | KS | 501(c)(4) | n/a | NA | false |
| Via Christi Rehabilitation Hospital Inc | ||||||||||
| 1151 N Rock Road | Wichita | KS | 67206 | 481158274 | Rehab | KS | 501(c)(3) | 03 | NA | false |
| Via Christi Village Georgetown Inc | ||||||||||
| 1655 S Georgetown | Wichita | KS | 67218 | 481129325 | Rtrmnt Home | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Village Manhattan Inc | ||||||||||
| 2800 Willowgrove Rd | Manhattan | KS | 66502 | 481078862 | Rtrmnt Home | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Village McLean Inc | ||||||||||
| 777 N McLean Blvd | Wichita | KS | 67203 | 481247723 | Rtrmnt Home | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Village Ponca City Inc | ||||||||||
| 1601 Academy Road | Ponca City | OK | 74604 | 731153337 | Rtrmnt Home | OK | 501(c)(3) | 09 | NA | false |
| Via Christi Village Pittsburg Inc | ||||||||||
| 1502 E Centennial Dr | Pittsburg | KS | 66762 | 743070971 | Rtrmnt Home | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Villages Inc | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67206 | 480559086 | Mgmt Co | KS | 501(c)(3) | 11-III FI | NA | false |
| Wamego Hospital Association Inc | ||||||||||
| 711 Genn Drive | Wamego | KS | 66547 | 721526400 | Hospital | KS | 501(c)(3) | 03 | MRHC | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ambulatory Surgery Center LP | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481007220 | Surgery Ctr | KS | NA | n/a | |||||
| AMS Diagnostics LLC | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481223653 | Radiology Svc | KS | NA | n/a | |||||
| Kansas Surgery and Recovery Ctr | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481148580 | Surgery Ctr | KS | NA | n/a | |||||
| Mercy Imaging LLC | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481251984 | Diagnostic Im | KS | MRHC | RELATED | -311530 | false | $0 | false | 0.75000 |
| MR Imaging Center LLC | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481000538 | Radiology Svc | KS | NA | n/a | |||||
| PFI LLC | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 721557076 | Med Chem Mfg | KS | NA | RELATED | 66008 | false | $0 | false | 0.03165 |
| Preferred PET Imaging of KS LLC | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481250123 | Diagnostic Im | KS | NA | N/A | |||||
| St Joseph MRI LLC | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481007220 | Medical Svcs | KS | NA | N/A | |||||
| Via Christi Cyberknife LLC | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 354588711 | Radiology Svc | KS | NA | N/A | |||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Affiliated Medical Services Lab Inc | |||||||||||||
| 2916 E Central | Wichita | KS | 67214 | 481239522 | Medical Lab | KS | NA | C Corp | |||||
| Integrated Healthcare Systems Inc | |||||||||||||
| 3311 East Murdock | Wichita | KS | 67208 | 480941549 | Clinic Svcs | KS | NA | C Corp | |||||
| Sunflower Assurance LTD | |||||||||||||
| 980223159 | Insurance Co | NA | Foreign Corp | PO Box 1085 | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| Via Christi Clinic PA | |||||||||||||
| 3311 East Murdock | Wichita | KS | 67208 | 480993446 | Prof Assoc | KS | NA | C Corp | |||||
| VCH Iowa PC | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 273983977 | Holding Co | IA | NA | Trust | |||||
| VCH Iowa PC Trust | |||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 276937322 | Ben Trust | IA | NA | Trust | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Wamego Hospital Association Inc | ||
| p | 301083 | FMV |
| Wamego Hospital Association Inc | ||
| k | 68250 | FMV |
| Mercy Imaging Center LLC | ||
| k | 75655 | FMV |
| Mercy Imaging Center LLC | ||
| n | 175334 | FMV |
| Mercy Imaging Center LLC | ||
| a | 74 | FMV |
| Mercy Community Health Foundation Inc | ||
| c | FMV | |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Related Tax Exempt Organizations | Identifier |
| Return Reference | Part II | ReturnReference |
| Explanation | MERCY REGIONAL HEALTH CENTER, INC. IS CONTROLLED BY VIA CHRISTI HEALTH, INC. VIA CHRISTI HEALTH, INC. IS JOINTLY SPONSORED AND CONTROLLED BY ASCENSION HEALTH AND MARIAN HEALTH SYSTEM, WHICH IN TURN ARE SPONSORED BY THE SISTERS OF THE SORROWFUL MOTHER, FOUR PROVINCES OF THE DAUGHTERS OF CHARITY, THE CONGREGATION OF ST. JOSEPH, AND THE SISTERS OF ST. JOSEPH OF CARONDELET. DUE TO SUCH SPONSORSHIP AND CONTROL, AND IN THE INTEREST OF INCREASED CLARITY AND TRANSPARENCY, BOTH ASCENSION HEALTH AND MARIAN HEALTH SYSTEM ARE BEING LISTED AS RELATED ORGANIZATIONS ON SCHEDULE R. | Explanation |