STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ASCENSION LIVING VIA CHRISTI VILLAGE HAYS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ASCENSION LIVING VIA CHRISTI VILLAGE HAYS (EIN 20-2828680)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-08
IRS object ID
201342209349301609
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-08T21:53:02-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18300 THORN DRIVE SUITE 300AddressLine1
CityWICHITACity
StateKSState
ZIP Code672262708ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202828680EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St John's IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BILL SLATERInCareOfName
Name ControlSTJONameControl
Phone7856283241Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12225 CanterburyAddressLine1
CityHAYSCity
StateKSState
ZIP Code67601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJerry CarleyName
TitleSecretary/TreasurerTitle
Date Signed2013-08-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKimberly TempleName
Phone3162653231Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonDAVID KARLINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12225 CANTERBURYAddressLine1
CityHAYSCity
StateKSState
ZIP Code67601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8032694GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.via-christi.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionPROVIDE NURSING CARE AND ASSISTED LIVING SERVICES TO ELDERLY AND DISABLED PERSONS REGARDLESS OF AGE, RACE, COLOR, RELIGION, SEX, OR NATIONAL ORIGIN.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees322TotalNbrEmployees
Total Nbr Volunteers28TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year15097ContributionsGrantsPriorYear
Contributions Grants Current Year5995ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8537695ProgramServiceRevenuePriorYear
Program Service Revenue CY7658263ProgramServiceRevenueCY
Investment Income Prior Year2969InvestmentIncomePriorYear
Investment Income Current Year-138698InvestmentIncomeCurrentYear
Other Revenue Prior Year290567OtherRevenuePriorYear
Other Revenue Current Year263660OtherRevenueCurrentYear
Total Revenue Prior Year8846328TotalRevenuePriorYear
Total Revenue Current Year7789220TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5088787SalariesEtcPriorYear
Salaries Etc Current Year5334994SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3000338OtherExpensePriorYear
Other Expenses Current Year2497853OtherExpensesCurrentYear
Total Expenses Prior Year8089125TotalExpensesPriorYear
Total Expenses Current Year7832847TotalExpensesCurrentYear
Revenues Less Expenses Prior Year757203RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-43627RevenuesLessExpensesCY
Total Assets BOY8765484TotalAssetsBOY
Total Assets EOY16005944TotalAssetsEOY
Total Liabilities BOY6945824TotalLiabilitiesBOY
Total Liabilities EOY13985037TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1819660NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2020907NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS 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 SYSTEM'S HISTORY EXTENDS BACK OVER 100 YEARS AND TODAY, ALONG WITH OUR SPONSORING CONGREGATIONS - THE SISTERS OF THE SORROWFUL MOTHER, CONGREGATION OF ST. JOSEPH, SISTERS OF ST. JOSEPH OF 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; EXCELLENCE - WE EXTEND OURSELVES IN OUTSTANDING SERVIMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5667018Expense
Revenue7658263Revenue
DescriptionPROVIDE SKILLED NURSING SERVICES AND ASSISTED LIVING SERVICE TO ELDERLY AND DISABLED INDIVIDUALS. THE NURSING HOME CARE CONSISTS OF A 130 BED LONG-TERM CARE FACILITY FOR THE ELDERLY AND PHYSICALLY HANDICAPPED. THE ASSISTED LIVING COMPLEX HOUSES 44 INDEPENDENT AND ASSISTED LIVING APARTMENT UNITS FOR THE ELDERLY AND PHYSICALLY HANDICAPPED. St. John's, Inc. serves people in the Hays area. The primary counties include Ellis and Russell. A trend of significance in the community is the growing elderly population. To address this trend St. John's, Inc. is collaborating with other community organizations, including but not limited to: Meals on Wheels and nursing education organizations to provide services and education to the elderly. Financial surpluses are used to fulfill our charitable purpose. The board of directors includes members of the local community. Our organization offers discounted care to persons without adequate financial means to pay for such services. This includes the participation in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs.Description
Total Program Service Expense5667018TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees322NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBILL SLATERNamePerson
Telephone Number3169465215TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12622 W CENTRAL SUITE 100AddressLine1
CityWichitaCity
StateKSState
ZIP Code67203ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
David Karlin
President/CEO40.0XX0896696531
Jerry Carley
Secretary/Treasurer1.0XX028232545746
James Brull MD
TRUSTEE1.0X000
Joseph Hess
Chairman1.0XX000
Kraig Gross
Trustee1.0X000
Lynnette RauvolaBouta
Trustee1.0X030733645175
Sister Margaret Nugent
Trustee1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs679330TotalReportableCompFrmRltdOrgs
Total Other Compensation97452TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Simpson Associates
1831 S AnnaWICHITAKS67277Construction5801528
Sundance Rehabilitation
6549 Paysphere CircleCHICAGOIL60674Therapy401980
SYSCO
PO BOX 40OLATHEKS66051Dietary365244
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions5995AllOtherContributions
Total Contributions5995TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column7658263TotalRevenueColumn
Related Or Exempt Function Income7658263RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7658263TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19215TotalRevenueColumn
Exclusion$19,215ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15524Securities
Other70037Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other243474Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities15524Securities
Other-173437Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-157913TotalRevenueColumn
Exclusion-$157,913ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
EMPLOYEE MEALS72221012293$12,293
GUEST UNIT RENTALS5313908326$8,326
GUEST MEALS7222106961$6,961

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column236080TotalRevenueColumn
Exclusion$236,080ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue263660TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7789220TotalRevenueColumn
Related Or Exempt Function Income7658263RelatedOrExemptFunctionIncome
Exclusion$124,962ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4566579Total
Program Services4100473ProgramServices
Management And General466106ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total478917Total
Program Services6493ProgramServices
Management And General472424ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total289498Total
Program Services10631ProgramServices
Management And General278867ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total648434Total
Program Services30716ProgramServices
Management And General617718ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13281Total
Program Services3668ProgramServices
Management And General9613ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total48809Total
Program Services37632ProgramServices
Management And General11177ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total29940Total
Program Services2136ProgramServices
Management And General27804ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total737411Total
Program Services692385ProgramServices
Management And General45026ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total95625Total
Program Services10800ProgramServices
Management And General84825ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total325984Total
Program Services320538ProgramServices
Management And General5446ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11744Total
Program Services5061ProgramServices
Management And General6683ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7338Total
Program Services6957ProgramServices
Management And General381ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total149978Total
Program Services149978ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total268659Total
Program Services268659ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total27049Total
Management And General27049ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BUSINESS START-UP COSTS7149671496
RELIGIOUS2138621386
VEHICLE FUEL & MAINTENANCE1598515985
MEMBERSHIP DUES81717796375

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16563Total
Program Services4531ProgramServices
Management And General12032ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7832847Total
Program Services5667018ProgramServices
Management And General2165829ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1150BOY
EOY1075EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1621867BOY
EOY1549630EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY378586BOY
EOY502019EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3346BOY
EOY20376EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY36152BOY
EOY26033EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13934243LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec435432LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6724383BOY
EOY13498811EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY408000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8765484BOY
EOY16005944EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY680259BOY
EOY590625EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY13000000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6265565BOY
EOY394412EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6945824BOY
EOY13985037EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1819660BOY
EOY2020907EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1819660BOY
EOY2020907EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8765484BOY
EOY16005944EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-43627ReconcilationRevenueExpenses
Reconcilation Other Changes244874ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42872CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56919CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15097CurrentTaxYearMinus1Year
Current Tax Year5995CurrentTaxYear
Total178838Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7095664CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7759988CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7573280CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8537695CurrentTaxYearMinus1Year
Current Tax Year7658263CurrentTaxYear
Total38624890Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7153619CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7802860CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7630199CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8552792CurrentTaxYearMinus1Year
Current Tax Year7664258CurrentTaxYear
Total38803728Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10985CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16485CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years43997CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49093CurrentTaxYearMinus1Year
Current Tax Year48734CurrentTaxYear
Total169294Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10985CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16485CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years43997CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49093CurrentTaxYearMinus1Year
Current Tax Year48734CurrentTaxYear
Total169294Total
FieldValueIRS element (for citing)
Public Support Total50938634434PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16083CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11845CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14544CurrentTaxYearMinus1Year
Current Tax Year19215CurrentTaxYear
Total70968Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16083CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11845CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14544CurrentTaxYearMinus1Year
Current Tax Year19215CurrentTaxYear
Total70968Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205737CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years208859CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years248826CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year290567CurrentTaxYearMinus1Year
Current Tax Year263660CurrentTaxYear
Total1217649Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7375439CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8023564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7888306CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8857903CurrentTaxYearMinus1Year
Current Tax Year7947133CurrentTaxYear
Total40092345Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96364PublicSupportPercentage509
Prior Year Support Percentage0.96589PriorYearSupportPercentage
Investment Income Percentage0.00177InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00229PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$517OtherActivitiesAmount
Total Lobbying Expenditures IIB517TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ExpendituresIdentifier
Return ReferencePart II-B, Question 1iReturnReference
ExplanationSt. John's, Inc. pays dues to KAHSA. 10% of the dues paid were used for lobbying activities.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis44914OtherCostOrOtherBasis
Book Value44914BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12327387OtherCostOrOtherBasis
Depreciation275762Depreciation
Book Value12051625BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1535828OtherCostOrOtherBasis
Depreciation151925Depreciation
Book Value1383903BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26114OtherCostOrOtherBasis
Depreciation7745Depreciation
Book Value18369BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13498811TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RELATED PARTY NOTE PAYABLE$383,407
SECURITY DEPOSITS$11,005
FieldValueIRS element (for citing)
Total Of Amounts394412TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740)Identifier
Return ReferencePART X, Question 2ReturnReference
ExplanationThe 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Jerry Carley
022524005112805957034742011004032807100
Lynnette RauvolaBouta
02473860547150523503643608739035251100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Non-qualified Retirement Plan Paid by a Related OrganizationIdentifier
Return ReferencePart I, Question 4bReturnReference
ExplanationJerry Carley 19,597.32 Lynnette Rauvolabouta 17,558.72Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of Hays KansasBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN486011465IssuerEIN
CUSIP Number000421052CUSIPNumber
Date Issued2012-09-20DateIssued
Issue Price13000000IssuePrice
Description Of PurposeHealthcare facility in Hays, KSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds13026000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds286000IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures12740000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2032YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MembersPart VI, Section A, Questions 6, 7a & 7bTHE TERM MEMBERS SHALL BE INTERPRETED TO MEAN THOSE PERSONS WHO HAVE BEEN APPOINTED AS MEMBERS OF THE BOARD OF TRUSTEES OF VIA CHRISTI VILLAGES, INC. SECTION 2, PARAGRAPH 6 OF THE BYLAWS PROVIDE THE MEMBER WITH THE FOLLOWING POWERS: *CHANGES IN THE CORPORATION'S PURPOSES OR PHILOSOPHY, AMENDMENTS OF ITS ARTICLES OF INCORPORATION OR BYLAWS; *ISSUANCE OF NOTES, BONDS, OR OTHER EVIDENCE OF INDEBTEDNESS IN EXCESS OF $20,000; *PURCHASE, SALE, ALIENATION, ENCUMBRANCE, OR LEASE OF REAL PROPERTY HAVING A VALUE IN EXCESS OF $50,000; *APPOINTMENT AND REMOVAL OF TRUSTEES; AND *REVIEW AND APPROVAL OF THE CORPORATION'S OPERATING AND CAPITAL BUDGETS, AND UNBUDGETED EXPENDITURES IN EXCESS OF $20,000.
990 ReviewPart VI, Section B, Question 11bA COPY OF FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES VIA A SECURE EMAIL PRIOR TO FILING WITH THE IRS.
Conflict of Interest PolicyPart VI, Section B, Question 12cTHE 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 ORGANIZATION IS OPERATING CONSISTENT WITH THE POLICY AND ENFORCING THE POLICY'S TERMS.
Compensation ReviewPart VI, Section B, Questions 15a & 15bST. JOHN'S, 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 DocumentsPart VI, Section C, Question 19ST. JOHN'S, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Reconciliation of Net AssetsPart XI, Question 5Unrealized Gain 57,761 Sponsorship Fee (13,672) Donations transferred from Via Christi Foundation, Inc. 200,785 -------- TOTAL 244,874
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Jerry Carley TITLE:Secretary/Treasurer HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Lynnette RauvolaBouta TITLE:Trustee HOURS:49

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO Box 45998St LouisMO63145311662309Hlth Sys GovMO501(c)(3)11-INAfalse
Catholic Care Center Inc
6700 E 45th St NWichitaKS67226481067110Rtrmnt HomeKS501(c)(3)09NAfalse
Cornerstone Assisted Living Inc
3636 N Ridge RoadWichitaKS67205481241079Rtrmnt HomeKS501(c)(3)09NAfalse
Gerard House Inc
3144 N HoodWichitaKS67204481049532ShelterKS501(c)(3)07NAfalse
Marian Health System Inc
1923 South Utica AvenueTulsaOK74104363659989Hospital SuppDE501(c)(3)11-INAfalse
Mercy Community Health Foundation Inc
1823 College AvenueManhattanKS66502481152279FoundationKS501(c)(3)09NAfalse
Mercy Regional Health Center Inc
1823 College AvenueManhattanKS66502481186704HospitalKS501(c)(3)03NAfalse
Mercy Regional Home Medical Services LLC
2439 Claflin RoadManhattanKS66502432024491Home MedicalKS501(c)(3)11-III ONAfalse
Mount Carmel Foundation Inc
1102 E Centennial DrivePittsburgKS66762480961283FoundationKS501(c)(3)11-INAfalse
Salina Regional Home Medical Services
520 S Santa Fe Ave Ste 140SalinaKS67401431948057Home MedicalKS501(c)(3)11-III ONAfalse
Via Christi Clinic Services
8200 E Thorn Drive Suite 300WichitaKS67226273984287Med ClinicKS501(c)(3)11-INAfalse
Via Christi Foundation Inc
723 N McLean BlvdWichitaKS67203481173588FoundationKS501(c)(3)11-III FINAfalse
Via Christi Health Partners Inc
8200 E Thorn Drive Suite 300WichitaKS67226480958974Mgmt CoKS501(c)(3)09NAfalse
Via Christi Health Inc
8200 E Thorn Drive Suite 300WichitaKS67226481172107Hospital SuppKS501(c)(3)09NAfalse
Via Christi Healthcare Outreach Program
2622 W Central Suite 100WichitaKS67203481236589Pace CommunitKS501(c)(3)09NAfalse
Via Christi Home Health Wichita Inc
555 S WashingtonWichitaKS67211481046371Home HealthKS501(c)(3)09NAfalse
Via Christi Hospital Pittsburg Inc
1102 E Centennial DrivePittsburgKS66762480543778HospitalKS501(c)(3)03NAfalse
Via Christi Hospital Wichita St Teresa
14800 W St TeresaWichitaKS67235271965272HospitalKS501(c)(3)03NAfalse
Via Christi Hospitals Wichita Inc
929 N St FrancisWichitaKS67214481172106HospitalKS501(c)(3)03NAfalse
VC Immediate Care Mother Mary Anne Inc
929 N St FrancisWichitaKS67214208374099Med ClinicKS501(c)(3)09NAfalse
Via Christi InMyHome Inc
2622 W Central Suite 100WichitaKS67203271889960Hlth AgencyKS501(c)(3)09NAfalse
Via Christi Property Services Inc
1100 N St Francis Suite 240WichitaKS67214480948571Property MgmtKS501(c)(4)NAfalse
Via Christi Rehabilitation Hospital Inc
1151 N Rock RoadWichitaKS67206481158274RehabKS501(c)(3)03NAfalse
Via Christi Village Georgetown Inc
1655 S GeorgetownWichitaKS67218481129325Rtrmnt HomeKS501(c)(3)09NAfalse
Via Christi Village Manhattan Inc
2800 Willowgrove RdManhattanKS66502481078862Rtrmnt HomeKS501(c)(3)09NAfalse
Via Christi Village McLean Inc
777 N McLean BlvdWichitaKS67203481247723Rtrmnt HomeKS501(c)(3)09NAfalse
Via Christi Village Ponca City Inc
1601 Academy RoadPonca CityOK74604731153337Rtrmnt HomeOK501(c)(3)09NAfalse
Via Christi Village Pittsburg Inc
1502 E Centennial DrPittsburgKS66762743070971Rtrmnt HomeKS501(c)(3)09NAfalse
Via Christi Villages Inc
2622 W Central Suite 100WichitaKS67206480559086Mgmt CoKS501(c)(3)11-III FINAfalse
Wamego Hospital Association
711 Genn DriveWamegoKS66547721526400HospitalKS501(c)(3)03NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Ambulatory Surgery Center LP
8200 E Thorn Drive Suite 300WichitaKS67226481007220Surgery CtrKSNAN/A00false$0false0.00000
AMS Diagnostics LLC
8200 E Thorn Drive Suite 300WichitaKS67226481223653Radiology SvcKSNAN/A00false$0false0.00000
Kansas Surgery and Recovery Ctr
8200 E Thorn Drive Suite 300WichitaKS67226481148580Surgery CtrKSNAN/A00false$0false0.00000
Mercy Imaging LLC
8200 E Thorn Drive Suite 300WichitaKS67226481251984Diagnostic ImKSNAN/A00false$0false0.00000
MR Imaging Center LLC
8200 E Thorn Drive Suite 300WichitaKS67226481000538Radiology SvcKSNAN/A00false$0false0.00000
PFI LLC
8200 E Thorn Drive Suite 300WichitaKS67226721557076Med Chem MfgKSNAN/A00false$0false0.00000
Preferred PET Imaging of KS LLC
8200 E Thorn Drive Suite 300WichitaKS67226481250123Diagnostic ImKSNAN/A00false$0false0.00000
St Joseph MRI LLC
8200 E Thorn Drive Suite 300WichitaKS67226481007220Medical SvcsKSNAN/A00false$0false0.00000
Via Christi Cyberknife LLC
8200 E Thorn Drive Suite 300WichitaKS67226354588711Radiology SvcKSNAN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Affiliated Medical Services Lab Inc
2916 E CentralWichitaKS67214481239522Medical LabKSVC HealthC Corp1.00000
Integrated Healthcare Systems Inc
3311 East MurdockWichitaKS67208480941549Clinic SvcsKSNAC Corp1.00000
Sunflower Assurance LTD
980223159Insurance CoNAC Corp1.00000PO Box 1085Grand CaymanCJKY1-1102CJ
Via Christi Clinic PA
3311 East MurdockWichitaKS67208480993446Prof AssocKSNAC Corp1.00000
VCH Iowa PC
8200 E Thorn Drive Suite 300WichitaKS67226273983977Holding CoIANATrust1.00000
VCH Iowa PC Trust
8200 E Thorn Drive Suite 300WichitaKS67226276937322Ben TrustIANATrust1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRelated Tax Exempt OrganizationsIdentifier
Return ReferencePart IIReturnReference
ExplanationST. JOHN'S, INC. IS INDIRECTLY 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