ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC (EIN 48-1186704)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-10
- IRS object ID
- 201222239349301717
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-10T17:11:43-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 | 2010-10-01 | 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) |
|---|---|---|
| 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 | SUSAN MORGAN | Name |
| Title | VP OF FINANCE, CFO | Title |
| Phone | 7857763322 | Phone |
| Date Signed | 2012-08-01 | 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 | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN BROBERG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1823 COLLEGE AVE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 66502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 92972973 | 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 concerns for our neighbors, who are vulnerable. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1191 | TotalNbrEmployees |
| Total Nbr Volunteers | 298 | TotalNbrVolunteers |
| Total Gross UBI | 192205 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 98716 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7533 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2974 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 87419842 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 87632302 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1316745 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2192574 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6177566 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2981047 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 94921686 | TotalRevenuePriorYear |
| Total Revenue Current Year | 92808897 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 174233 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 43214226 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 41265985 | 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 | 43052415 | OtherExpensePriorYear |
| Other Expenses Current Year | 47892893 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 86440874 | TotalExpensesPriorYear |
| Total Expenses Current Year | 89158878 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8480812 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3650019 | RevenuesLessExpensesCY |
| Total Assets BOY | 124045113 | TotalAssetsBOY |
| Total Assets EOY | 122667093 | TotalAssetsEOY |
| Total Liabilities BOY | 53966551 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 50708841 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 70078562 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 71958252 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | "INSPIRED BY THE GOSPEL OUR CATHOLIC TRADITION, MERCY REGIONAL HEALTH CENTER, INC. SERVES AS A HEALING PRESENCE WITH SPECIAL CONCERNS FOR OUR NEIGHBORS WHO ARE VULNERABLE. AS PART OF THE VIA CHRISTI HEALTH SYSTEM THE 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3307424 | 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 | 1810874 | 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 | 67067343 | Expense |
| Revenue | 91012487 | 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 | 72185641 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| 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 | false | 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 | false | 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 | false | 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 | 116 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1191 | 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 |
| States Where Copy Of Return Is Filed | KS | StatesWhereCopyOfReturnIsFiled |
| 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 | 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 (27 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 |
|---|---|---|---|---|---|---|---|---|---|
| PAT BOSCO | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| MIKE DANIELS | |||||||||
| VICE CHAIR | 1.0 | X | 0 | 0 | 0 | X | |||
| TRACEY DEBRUYN | |||||||||
| CHAIRPERSON | 1.0 | X | 0 | 0 | 0 | X | |||
| MARK GROS MD | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| DOUG HINKIN MD | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| TOM HOLCOMBE | |||||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | X | |||
| MARK KNACKENDOFFEL | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| SISTER LOIS ANN O'MALLEY | |||||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | X | |||
| JERRY PETTLE DDS | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| LANCE WHITE | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| DAVID HADLEY | |||||||||
| TRUSTEE | 1.0 | X | 0 | 552725 | 98018 | ||||
| RANDALL PETERSON | |||||||||
| TRUSTEE | 1.0 | X | 0 | 537324 | 159950 | ||||
| JOHN BROBERG | |||||||||
| EX-OFFICIO(CEO) | 49.0 | X | 0 | 310763 | 47614 | X | |||
| MICHAEL CATES | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| MATT FOSTER MD | |||||||||
| MEDICAL STAFF PRESIDENT ELECT | 1.0 | X | 0 | 0 | 0 | ||||
| APOSTOLOS EVANGELIDIS MD | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| NANCY O'CONNOR | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| MARK DUFF MD | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| JANET CRIQUI | |||||||||
| CFO(THROUGH JUNE) | 50.0 | 142210 | 0 | 17771 | X | ||||
| GERALD LUEGER | |||||||||
| CFO(JUNE TO SEPTEMBER) | 50.0 | 100125 | 0 | 11192 | X | ||||
| MARCIA BUBAK | |||||||||
| VP PATIENT CARE | 50.0 | 149093 | 0 | 19734 | X | ||||
| WILLIAM FREUND MD | |||||||||
| PHYSICIAN | 50.0 | 373667 | 0 | 6107 | X | ||||
| PRIYANTHA S RANAWEERA MD | |||||||||
| PHYSICIAN | 50.0 | 567542 | 0 | 12563 | X | ||||
| CASEY M POELL MD | |||||||||
| PHYSICIAN | 50.0 | 268269 | 0 | 5839 | X | ||||
| DAVID M WICHMAN MD | |||||||||
| PHYSICIAN | 50.0 | 225148 | 0 | 12874 | X | ||||
| FADI V BEDROS MD | |||||||||
| PHYSICIAN | 50.0 | 383348 | 0 | 14665 | X | ||||
| RICHARD ALLEN | |||||||||
| FORMER CEO | 0.0 | 0 | 175331 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2209402 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1576143 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 406327 | 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 | |||||
| 10975 BENSON DRIVE | OVERLAND PARK | KS | 66210 | PROFESSIONAL SERVICE | 841277 |
| AUREUS RADIOLOGY LLC | |||||
| POBOX 3037 | OMAHA | NE | 681030037 | CONTRACT LABOR | 422572 |
| TRIMEDX LLC | |||||
| POBOX 636129 | CINCINNATI | OH | 45263 | MANAGEMENT SERVICES | 1678800 |
| INSTITUTE OF EXTRACORPOREAL THERAPI | |||||
| 3521 GARY AVENUE | MANHATTAN | KS | 66503 | DIALYSIS PROCEDURES | 243281 |
| KANSAS LITHOTRIPSY | |||||
| 9825 SPECTRUM DR BLDG 3 | AUSTIN | TX | 78717 | LITHOTRIPSY PROCEDUR | 111200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Related Organizations | 420 | RelatedOrganizations |
| Government Grants | 2500 | GovernmentGrants |
| All Other Contributions | 54 | AllOtherContributions |
| Total Contributions | 2974 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 87632302 | TotalRevenueColumn |
| Related Or Exempt Function Income | 87523464 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 108838 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 87632302 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 919960 | TotalRevenueColumn |
| Exclusion | $919,960 | 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 | 147785 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 158351 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -10566 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10566 | TotalRevenueColumn |
| Unrelated Business Revenue | 16874 | UnrelatedBusinessRevenue |
| Exclusion | -$27,440 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1269439 | Securities |
| Other | 8900 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5725 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1269439 | Securities |
| Other | 3175 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1272614 | TotalRevenueColumn |
| Exclusion | $1,272,614 | 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 | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EMS | 621910 | 2080017 | 2080017 |
| FOOD SERVICES | 722210 | 509783 | 509783 |
| MANAGEMENT | 551114 | 447673 | 447673 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -45860 | TotalRevenueColumn |
| Related Or Exempt Function Income | 451550 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 66493 | UnrelatedBusinessRevenue |
| Exclusion | -$563,903 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2991613 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 92808897 | TotalRevenueColumn |
| Related Or Exempt Function Income | 91012487 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 192205 | UnrelatedBusinessRevenue |
| Exclusion | $1,601,231 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 985299 | Total |
| Program Services | 215744 | ProgramServices |
| Management And General | 769555 | 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 | 32401315 | Total |
| Program Services | 28648678 | ProgramServices |
| Management And General | 3752637 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1928485 | Total |
| Program Services | 149968 | ProgramServices |
| Management And General | 1778517 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3316335 | Total |
| Program Services | 2597975 | ProgramServices |
| Management And General | 718360 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2634551 | Total |
| Program Services | 2066105 | ProgramServices |
| Management And General | 568446 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46176 | Total |
| Program Services | 7075 | ProgramServices |
| Management And General | 39101 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29330 | Total |
| Management And General | 29330 | 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 | 13851869 | Total |
| Program Services | 6553592 | ProgramServices |
| Management And General | 7298277 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235721 | Total |
| Program Services | 4033 | ProgramServices |
| Management And General | 231688 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16943986 | Total |
| Program Services | 16416645 | ProgramServices |
| Management And General | 527341 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178971 | Total |
| Program Services | 34666 | ProgramServices |
| Management And General | 144305 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2031234 | Total |
| Program Services | 1819242 | ProgramServices |
| Management And General | 211992 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 215745 | Total |
| Program Services | 118162 | ProgramServices |
| Management And General | 97583 | 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 | 22720 | Total |
| Program Services | 414 | ProgramServices |
| Management And General | 22306 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2400708 | Total |
| Program Services | 2397371 | ProgramServices |
| Management And General | 3337 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5524821 | Total |
| Program Services | 5340279 | ProgramServices |
| Management And General | 184542 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1183174 | Total |
| Program Services | 1132147 | ProgramServices |
| Management And General | 51027 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SALES & OTHER TAXES | 41922 | 37861 | 4061 |
| BAD DEBTS | 4566604 | 4566604 | |
| DUES | 187131 | 24643 | 162488 |
| PERSONNEL RECRUITING | 164068 | 2140 | 161928 |
| UNRELATED BUS. INCOME TAXES | 34920 | 34920 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 233793 | Total |
| Program Services | 17377 | ProgramServices |
| Management And General | 216416 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89158878 | Total |
| Program Services | 72185641 | ProgramServices |
| Management And General | 16973237 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 7342087 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18493957 | BOY |
| EOY | 7723776 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10397594 | BOY |
| EOY | 12300853 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3008630 | BOY |
| EOY | 2577413 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 347021 | BOY |
| EOY | 28042 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 113017148 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 52519765 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62369472 | BOY |
| EOY | 60497383 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28101087 | BOY |
| EOY | 19226297 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1327352 | BOY |
| EOY | 12971242 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124045113 | BOY |
| EOY | 122667093 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9672819 | BOY |
| EOY | 7027590 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31936061 | BOY |
| EOY | 30101599 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1827943 | BOY |
| EOY | 795393 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10529728 | BOY |
| EOY | 12784259 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53966551 | BOY |
| EOY | 50708841 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69918050 | BOY |
| EOY | 71958252 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160512 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70078562 | BOY |
| EOY | 71958252 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124045113 | BOY |
| EOY | 122667093 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3650019 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1770329 | 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 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 | $11,462 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11462 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE I | ReturnReference |
| Explanation | A Portion of dues paid to the various organizations listed below is used for lobbying. Dues % Lobbying Total AHA 16,444 24.60% 4,045 KHA 48,413 15.00% 7,262 Chamber of Commerce 3,097 5.00% 155 ------ ----- 67,954 11,462 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 733250 | OtherCostOrOtherBasis |
| Book Value | 733250 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70692003 | OtherCostOrOtherBasis |
| Depreciation | 22933430 | Depreciation |
| Book Value | 47758573 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1764210 | OtherCostOrOtherBasis |
| Depreciation | 1547716 | Depreciation |
| Book Value | 216494 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35123253 | OtherCostOrOtherBasis |
| Depreciation | 25770539 | Depreciation |
| Book Value | 9352714 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4704432 | OtherCostOrOtherBasis |
| Depreciation | 2268080 | Depreciation |
| Book Value | 2436352 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 60497383 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (13 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| UNAMORT LOAN COSTS-BOND | 1017457 | F |
| NOTES REC-LT-PHYSICIAN | 0 | F |
| PENSION CONTROL NET OF ADJ | 0 | F |
| INVESTMENT IN AFFILIATES | 2329826 | F |
| FUNDED DEPR-SWEEP ACCT | 0 | F |
| FUNDED DEPR-UMB | 0 | F |
| UMB-2001-DEBT SERVICE RESERVE | 0 | F |
| UMB-2001-INTEREST ACCOUNT | 0 | F |
| UMB-2001-PRINCIPAL ACCOUNT | 0 | F |
| OPERATING-INVESTMENT-UMB BANK | 0 | F |
| AMBULANCE RESERVE FUND | 0 | F |
| FUNDED DEPR-UMB | 0 | F |
| LONG TERM INVESTMENTS | 15879014 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 19226297 | TotalOfBookValueSecurities |
Other Assets OtherAssets (10 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEPOSITS | 0 |
| OTHER RECEIVABLES | 0 |
| CHAMPUS/TRICARE SETTLEMENT | 550500 |
| SETTLEMENT RECEIVABLE | 8502 |
| DUE TO/FROM RELATED PARTIES | -201263 |
| OTHER ASSETS-UNRELATED PART | 888953 |
| BOARD DESIG FUNDS-CAP IMPROVEM | 8155066 |
| SELF INSURANCE ARRANGEMENTS | 2565493 |
| EDUCATION LOAN RECEIVABLE | 16511 |
| PREPAID PENSION | 987480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 12971242 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ASSET RETIREMENT OBLIGATION | $4,697,240 |
| ESTIMATED AMOUNTS DUE TO THIRD PARTY PAYORS | $888,785 |
| LONG TERM DEBT LESS CURRENT MATURITIES RELATED PARTY | $5,715,158 |
| CURRENT MATURITIES OF LONG TERM DEBT UNRELATED PARTY | $1,283,177 |
| CURRENT MATURITIES OF LONG TERM DEBT RELATED PARTY | $199,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12784259 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 | Identifier |
| Return Reference | SCHEDULE D, PART X | 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 ENTITIES, ALL OF THE ENTITIES IN THE HEALTH SYSTEM ARE ORGANIZATIONS DESCRIBED IN 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. 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 CARRYFORWARD. INCOME TAX EXPENSE OR BENEFIT IS INCLUDED IN OTHER NON-OPERATING GAINS AND LOSSES IN THE CONSOLIDATED STATEMENTS OF OPERATION 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 | 3127398 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3127398 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03510 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6698385 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4669020 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2029365 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02280 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9825783 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4669020 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5156763 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05790 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 396916 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23618 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 373298 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 255323 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 255323 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 128985 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 128985 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 781224 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23618 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 757606 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00850 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10607007 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4692638 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5914369 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06640 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 892 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 892 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1136 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1136 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2028 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 2028 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,580,045 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 25617959 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 27922128 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2304169 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| 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 AVE | 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 |
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 STATION | ||||
| 406 MILLER DR SUITE F | WAMEGO | KS | 66547 | EMERGENCY MEDICAL SERVICES |
| POTTAWATOMIE COUNTY EMS - WESTMORELAND S | ||||
| 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 (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ANNUAL COMMUNITY BENEFIT REPORT | PART I, LINE 6a | MRHC and WCH's 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, LINE 7 | For examples of some of the community benefit programs provided by Mercy Regional Health Center and Wamego Hospital Association (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 the smaller role proportionately. A report in the Journal of American Medical Association and the Center for Disease Control suggests that the factors impacting health are as follows: lifestyle and behaviors, 50 percent; environment, 20 percent; genetics and human biology, 20 percent and health care, 10 percent. Community building activities help to address the other indicators outside of the role traditionally played by health care organizations. These activities are almost exclusively done in some form of partnership in which the community or other organizations are better suited to address identified community needs. VCH 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. Donations such as staff time and expertise for trainings or presentations to Chamber, Rotary or other service groups, special population outreach efforts for at-risk children in need of mentoring, assistance in building homes for the homeless or domestic violence victims, donating outdated equipment to free clinics, or other durable goods provided to area shelters and other organizations are all ways to maximize those agencies' resources so they can provide more program services. Manhattan - Wamego, KS 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. By actively sharing the findings of the community health needs assessments, it 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. |
| BAD DEBT EXPENSE | PART III, LINE 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 - BAD DEBT EXPENSE | PART III, LINE 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. MRHC reports bad debts in accordance with generally accepted accounting principles (GAAP). Healthcare Financial Management Statement 15 is followed to the extent that it aligns with the guidelines set forth by GAAP. Bad debt expense at cost is determined using the same cost-to-charge ratio that is used for charity care and Medicaid shortfall. VCH follows the guidance from CHA and does not consider bad debt as a community benefit. |
| MEDICARE SHORTFALL | PART III, LINE 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). However, utilizing an internal cost accounting system actually results in a Medicare shortfall of $3,207,050. 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, LINE 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 |
| NEEDS ASSESSMENT | PART VI, LINE 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 2010 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 were used to conduct the MRHC and WCH assessments. |
| PATIENT ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 | VCH financial assistance staff is trained on how to qualify patients for Medicaid, SCHIP and other 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, LINE 4 | For Manhattan based ministries - The primary counties for Manhattan ministries includes Riley, Geary and Pottawatomie. Riley County has a land area of 609 square miles with a 2010 population of 71,115. Pottawatomie County has a land area of 844 square miles with a 2010 population of 21,604. Geary County has a land area of 385 square miles with a 2010 population of 34,362. Riley County's population demographics includes: 83.2% white, 6.4% Black, 0.6% American Indian; 4.25% Asian and 6.5% 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: 93.6% white; 1.1% Black; 0.8% American Indian; 0.7% Asian persons; and 4.4% persons of Hispanic or Latino origin. The demographic distribution for Geary County includes: 66.2% white; 18.4% Black; 1.0% American Indian; 3.2% Asian; and 12.4% 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 8.0% of the Riley County residents, 4.1% of the Pottawatomie County residents and 10.1% of the Geary County residents report that a language other than English is spoken at home. When it comes to education, 94.2% of Riley County residents completed high school and 41.2% had a bachelor's degree or higher. This compares to 92.8% and 27.1% for Pottawatomie County and 90.5% and 19.6% for Geary County. Median household income for Riley County residents in 2010 was $40,612 compared to $54,949 for Pottawatomie County and $44,033 for Geary County. The median value of owner-occupied housing units in Riley County was $148,600 in 2010 compared to $124,600 in Pottawatomie and $110,700 for Geary County residents. Riley County reports 26.3% of its residents are below poverty level compared to 9.1% for Pottawatomie and 11.4% for Geary County. The Statewide poverty level is around 13.2%. 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. |
| PROMOTION OF COMMUNITY HEALTH | PART VI, LINE 5 | MRHC 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. MRCH 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 its members are external members comprised of persons who reside in or around Sedgwick County and has overall responsibility for the charitable mission of the organization as set forth in its Articles of Incorporation and By Laws. 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 healthcare, finance, education, 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 MRCH 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 participates in the community on boards of other not-for-profit organizations, government entities, foundations, area colleges and university committees, state-wide coalitions, etc. |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, LINE 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, LINE 7 | Kansas does not require hospitals to file community benefit reports but Via Christi Health distributes our community benefit totals and activities annually in press releases as well as in our annual report. |
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 (11 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 | 419685 | 0 | 123438 | 0 | 9602 | 0 | 87169 | 0 | 10849 | 0 | 650743 | 0 | 0 |
| RANDALL PETERSON | |||||||||||||
| 0 | 443357 | 0 | 81238 | 0 | 12729 | 0 | 151362 | 0 | 8588 | 0 | 697274 | 0 | 0 |
| JOHN BROBERG | |||||||||||||
| 0 | 260198 | 0 | 43850 | 0 | 6715 | 0 | 37141 | 0 | 10473 | 0 | 358377 | 0 | 0 |
| JANET CRIQUI | |||||||||||||
| 136653 | 0 | 40 | 0 | 5517 | 0 | 9882 | 0 | 7889 | 0 | 159981 | 0 | 0 | 0 |
| WILLIAM FREUND MD | |||||||||||||
| 369627 | 0 | 0 | 0 | 4040 | 0 | 0 | 0 | 6107 | 0 | 379774 | 0 | 0 | 0 |
| PRIYANTHA S RANAWEERA MD | |||||||||||||
| 564690 | 0 | 40 | 0 | 2812 | 0 | 2450 | 0 | 10113 | 0 | 580105 | 0 | 0 | 0 |
| CASEY M POELL MD | |||||||||||||
| 249060 | 0 | 18040 | 0 | 1169 | 0 | 0 | 0 | 5839 | 0 | 274108 | 0 | 0 | 0 |
| RICHARD ALLEN | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 175331 | 0 | 0 | 0 | 0 | 0 | 175331 | 0 | 0 |
| MARCIA BUBAK | |||||||||||||
| 144487 | 0 | 40 | 0 | 4566 | 0 | 9636 | 0 | 10098 | 0 | 168827 | 0 | 0 | 0 |
| DAVID M WICHMAN MD | |||||||||||||
| 223953 | 0 | 40 | 0 | 1155 | 0 | 2314 | 0 | 10560 | 0 | 238022 | 0 | 0 | 0 |
| FADI V BEDROS MD | |||||||||||||
| 381240 | 0 | 40 | 0 | 2068 | 0 | 2450 | 0 | 12215 | 0 | 398013 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION | PART I, QUESTION 4A | Richard Allen 168,807.74 |
| SUPPLEMENTAL NON-QUALIFED RETIREMENT PLAN PAID BY A RELATED ORGANIZATION | PART I, QUESTION 4B | Randall Peterson $132,987.12 David Hadley $71,243.56 John Broberg $21,216.00 Janet Criqui $ 8,474.66 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990 REVIEW | PART VI, SECTION A, QUESTION 11A | THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990 PRIOR TO THE DATE OF FILING. THE AUDIT COMMITTEE REPORTS ON THE REVIEW TO THE BOARD OF TRUSTEES AND ASSURES THAT THE BOARD HAS THE OPPORTUNITY TO REVIEW THE FINAL FORM 990 AS FILED. 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 | MERCY REGIONAL HEALTH CENTER, INC. FOLLOWS VIA CHRISTI HEALTH, INC.'S CONFLICT OF INTEREST POLICY. IT IS MONITORED AND ENFORCED AS PART OF THE SYSTEM-WIDE PROCEDURES AND IS NOT HANDLED AT THE ORGANIZATION LEVEL. THE SYSTEM MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY AS FOLLOWS: 1) AT TIME OF APPOINTMENT AND ANNUALLY THEREAFTER, ALL INTERESTED PERSONS, INCLUDING BOARD AND COMMITTEE MEMBERS COMPLETE A DISCLOSURE STATEMENT WHICH ADDRESSES ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. 2) THE DISCLOSURE STATEMENT IS DONE ELECTRONICALLY AND THE RETURN OF THE COMPLETED STATEMENT IS A CONDITION OF CONTINUED APPOINTMENT, EMPLOYMENT OR PARTICIPATION WITH THE ORGANIZATION. 3) ALL ACTUAL OR POTENTIAL CONFLICTS ARE REVIEWED, INVESTIGATED AND RESOLVED BY THE CHIEF GOVERNANCE OFFICER AND THE CORPORATE RESPONSIBILITY OFFICER, WITH THE RESULTS SHARED WITH THE CHIEF EXECUTIVE OF THE ORGANIZATION. 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, QUESTION 15 | 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 to be used throughout the Via Christi Health System. VCH's philosophy, strategy and process for executive compensation are described next. 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 * 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. |
| RELATED TAX-EXEMPT ORGANIZATIONS | SCHEDULE R, PART II | 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. |
| MEMBERS | PART VI, SECTION A, Q6, 7A, AND 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. *Receive reports on all alliances and affiliations entered into by the corporation. |
| OTHER CHANGES IN NET ASSETS | PART XI LINE 5 | UNREALIZED LOSS (2,386,191) NET PENSION ADJUSTMENT (115,715) RELEASED FROM RESTRICTION (50,000) K-1 ADJUSTMENTS: PFI LLC (1,711) MERCY IMAGING LLC 783,288 781,577 ----------- PART XI LINE 5 (1,770,329) |
| COMMUNITY BENEFIT REPORT | PART III | Part I - Summary 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. Part III - Statement of Program Service Accomplishments Mercy Regional Health Center (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 - 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's definitions for quantifiable community benefits. 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, 2011 Community Benefit (MRHC, Inc and Subsidiaries): 1. Charity care - at cost $3.1 million 2. Government sponsored health care - net expense $2.0 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 $0.8 million 4. Total Quantifiable Community Benefit $5.9 million Listed below are just a few of the community benefit programs offered by Mercy Regional Health Center (MRHC) and Wamego City Hospital (WCH) during FY2011. This is not a complete listing but a sampling of how the hospital gives back to the community while meeting current needs. |
| COMMUNITY BENEFIT REPORT | PART III CONTINUED | Car Seat Clinics - MRHC conducts various car seat inspection clinics that the general public is invited to participate in to assess and educate parents on how to properly use the car seat and to ensure its base is securely installed in the parent's vehicle. Nearly 150 car seats were checked for a cost of $1,095 in community benefit. Heart Education Health News - Numerous newsletters were printed and distributed on cardiac related issues and shared with patients who have had a history of heart disease but who are now under physician care to improve their cardiac efficiency. Approximately $1,800 was spent to print and distribute their heart education newsletter. Targeted Population Health Fairs are conducted annually for children, seniors and the broader community. During this tax year, 290 people were served for a cost of $1,505 by having their blood pressure checked, eye exams, hearing tests and recommendations for establishing a medical home with either a physician and/or the free clinic. Several Support Groups are hosted (e.g. cardiac, bereavement) and numerous educational presentations (e.g. Bereaved Parents, Cardiac, etc) are given in the Manhattan/Wamego area. In FY2011, over 125 attendees participated in these educational events at a cost of nearly $500. Community Education is a program shared with the community to improve their understanding of specific diseases or improve their skills in taking care of others. MRHC offered educational forums on advance directives, babysitter's basics, breastfeeding and child birth basics, CPR, depression/anxiety, EMS, fitness/wellness and a host of other topics for the general public during FY2011. Nearly 3,000 attendees took advantage of these educational opportunities at a cost of just below $5,000. SANE/SART is a program in response to all victims of sexual assault who present themselves to MRHC hospital by providing immediate and follow-up medical, advocacy and criminal justice services in an ethical and compassionate manner. Over 106 individuals were assisted by the SANE/SART team of nurses at a cost of $17,626. Flint Hills Community Clinic, in partnership with MRHC, oversees uninsured and underinsured individuals. MRHC provides staff support, as well as free diagnostic testing (e.g. lab, x-rays, etc) for the clinic. During this fiscal year, nearly 2,100 instances of service were provided by MRHC at a cost of $231,282. Similarly, Wamego City Hospital provided 245 free labs for individuals helped by the Community Health Ministries Clinic in Wamego for a cost of $23,939. Health Profession Education of area physicians, nurses, physician assistants, nursing students and other health care professionals who are either looking for continuing education credits, wanting more hands-on training, or are in need of field practicum placements, etc are welcomed at MRHC and WCH for additional training opportunities. Nearly 660 health care professionals and/or students hoping to enter the health care field were offered training opportunities through the various programs offered by MRHC and WCH at a cost of $255,781. Security Transport is a support service provided by MRHC when patients are brought to the hospital emergency department but are in need of psychiatric placement but are unable to pay for transportation to get access to the facilities, which are located outside of the Manhattan area. Most of these patients are transferred to Larned, Osawatomie, Kansas University Medical Center in Kansas City or other locations. In FY2011, MRHC supplied security transport 140 times at a cost of $27,189. In-Kind Donations through service on community boards that are health related (e.g. American Red Cross, United Way, Flint Hills Community Clinic), and sharing of hospital space to conduct health related not-for-profit business is another area in which MRHC and WCH gives back to the community. In fiscal year 2011, MRHC and WCH contributed just over $129,052 through financial and in-kind contributions. Nearly $31,000 was expended in tracking community benefit activities offered by MRHC and WCH for fiscal year 2011. This includes the gearing up for a community-wide health needs assessment that was scheduled for FY2011. Community benefit staff uses and trains others to use the Community Benefit Inventory Social Accountability (CBISA) software, developed by Lyon Software and used by over 1,700 hospitals throughout the country. CBISA software follows the reporting guidelines adopted by Catholic Health Association and does not include bad debt or unpaid Medicare reimbursements as community benefit. Community Benefit Operations - Community benefit staff uses and trains others to use the Community Benefit Inventory Social Accountability (CBISA) software, developed by Lyon Software and used by over 1,700 hospitals throughout the country. CBISA software follows the reporting guidelines adopted by Catholic Health Association and does not include bad debt or unpaid Medicare reimbursements as community benefit. Overall, MRCH and WCH combined community benefit programs (not counting traditional charity care, unpaid reimbursement of Medicaid, and/or Community-Building activities) accounted for $758,452 to the geographical area of Manhattan and Wamego, Kansas during FY2011. |
| 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:RANDALL PETERSON TITLE:TRUSTEE HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN BROBERG TITLE:EX-OFFICIO(CEO) HOURS:1 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (31 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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| Catholic Care Center Inc | ||||||||||
| 6700 E 45th St N | Wichita | KS | 67226 | 481067110 | Rtrmnt Home | KS | 501(c)(3) | 9 | na | |
| CIBOR INC | ||||||||||
| 9229 E 27TH ST N SUITE 200 | Wichita | KS | 67226 | 270564463 | Research | KS | 501(c)(3) | 7 | na | |
| Cornerstone Assisted Living Inc | ||||||||||
| 3636 N Ridge Road | Wichita | KS | 67205 | 481241079 | Rtrmnt Home | KS | 501(c)(3) | 9 | na | |
| Gerard House Inc | ||||||||||
| 3144 N Hood | Wichita | KS | 67204 | 481049532 | Shelter | KS | 501(c)(3) | 7 | na | |
| Marian Health System Inc | ||||||||||
| 1923 South Utica Avenue | Tulsa | OK | 74104 | 363659989 | Hospital Supp | DE | 501(c)(3) | 11 | na | |
| Mercy Community Health Foundation Inc | ||||||||||
| 1823 College Ave | Manhattan | KS | 66502 | 481152279 | Foundation | KS | 501(c)(3) | 11 | na | |
| Mercy Regional Home Medical Services LLC | ||||||||||
| 2439 Claflin Road | Manhattan | KS | 66502 | 432024491 | Home Medical | KS | 501(c)(3) | 11 | na | |
| MOUNT CARMEL FOUNDATION INC | ||||||||||
| 1102 E Centennial Dr | Pittsburg | KS | 66762 | 480961283 | Foundation | KS | 501(c)(3) | 11 | na | |
| Salina Regional Home Medical Services | ||||||||||
| 520 S Santa Fe Ave Ste 140 | Salina | KS | 67401 | 431948057 | Home Medical | KS | 501(c)(3) | 11 | na | |
| St John's Inc | ||||||||||
| 2225 Cantebury Dr | Hays | KS | 67601 | 202828680 | Rtrmnt Home | KS | 501(c)(3) | 9 | na | |
| Via Christi Foundation Inc | ||||||||||
| 723 N McLean Blvd | Wichita | KS | 67203 | 481173588 | Foundation | KS | 501(c)(3) | 11 | na | |
| Via Christi Health Partners Inc | ||||||||||
| 8200 E Thorn DR SUITE 300 | Wichita | KS | 67226 | 480958974 | Mgmnt Co. | KS | 501(c)(3) | 9 | na | |
| Via Christi Health Inc | ||||||||||
| 8200 E Thorn DR SUITE 300 | Wichita | KS | 67226 | 481172107 | Hospital Supp | KS | 501(c)(3) | 9 | na | |
| Via Christi Healthcare Outreach Program | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 481236589 | PACE Communit | KS | 501(c)(3) | 9 | na | |
| Via Christi Home Health Wichita Inc | ||||||||||
| 555 S Washington | Wichita | KS | 67211 | 481046371 | Home Health | KS | 501(c)(3) | 9 | na | |
| Via Christi Hospital Pittsburg Inc | ||||||||||
| 1102 E Centennial Dr | Pittsburg | KS | 66762 | 480543778 | Hospital | KS | 501(c)(3) | 3 | na | |
| Via Christi Hospital Wichita St Teresa | ||||||||||
| 14800 W St Teresa | Wichita | KS | 67235 | 271965272 | Hospital | KS | 501(c)(3) | 3 | na | |
| Via Christi Hospitals Wichita Inc | ||||||||||
| 929 N St Francis | Wichita | KS | 67214 | 481172106 | Hospital | KS | 501(c)(3) | 3 | na | |
| VC IMMEDIATE CARE MOTHER MARY ANNE INC | ||||||||||
| 929 N St Francis | Wichita | KS | 67214 | 208374099 | Med. Clinic | KS | 501(c)(3) | 9 | na | |
| Via Christi Property Services Inc | ||||||||||
| 1100 N St Francis Suite 240 | Wichita | KS | 67214 | 480948571 | Property Mgmt | KS | 501(c)(4) | N/A | na | |
| Via Christi Rehabilitation Hospital Inc | ||||||||||
| 1151 N Rock Road | Wichita | KS | 67206 | 481158274 | Rehab. | KS | 501(c)(3) | 3 | na | |
| Via Christi Village Georgetown Inc | ||||||||||
| 1655 S Georgetown | Wichita | KS | 67218 | 481129325 | Rtrmnt Home | KS | 501(c)(3) | 9 | na | |
| Via Christi Village Manhattan Inc | ||||||||||
| 2800 Willowgrove Rd | Manhattan | KS | 66502 | 481078862 | Rtrmnt Home | KS | 501(c)(3) | 9 | na | |
| Via Christi Village McLean Inc | ||||||||||
| 777 N McLean Blvd | Wichita | KS | 67203 | 481247723 | Rtrmnt Home | KS | 501(c)(3) | 9 | na | |
| Via Christi Village Ponca City Inc | ||||||||||
| 1601 Academy Rd | Ponca City | OK | 74604 | 731153337 | Rtrmnt Home | OK | 501(C)(3) | 9 | na | |
| Via Christi Village Pittsburg Inc | ||||||||||
| 1502 E Centennial Dr | Pittsburg | KS | 66762 | 743070971 | Rtrmnt Home | KS | 501(c)(3) | 9 | na | |
| Via Christi Villages Inc | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 480559086 | Mgmnt Co. | KS | 501(c)(3) | 11 | na | |
| Wamego Hospital Association | ||||||||||
| 711 Genn Dr | Wamego | KS | 66547 | 721526400 | Hospital | KS | 501(c)(3) | 3 | na | |
| Ascension Health | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | HLTH SYS GOV | MO | 501(c)(3) | 11 | N/A | |
| Via Christi InMyHome Inc | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 271889960 | HLTH AGENCY | KS | 501(c)(3) | 9 | NA | |
| VIA CHRISTI CLINIC SERVICES INC | ||||||||||
| 8200 THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 273984287 | MED. CLINIC | KS | 501(C)(3) | 11 | NA | |
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 | Share Of EOY AssetsShareOfEOYAssets | Code VCodeVAmount | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ambulatory Surgery Center LP | ||||||||||||
| 8200 E THORN Dr SUITE 300 | Wichita | KS | 67226 | 481114690 | SURGERY CTR | KS | NA | N/A | 0 | 0 | $0 | 0.00000 |
| AMS Diagnostics LLC | ||||||||||||
| 8200 E THORN Dr SUITE 300 | Wichita | KS | 67214 | 481223653 | RADIOLOGY SVC | KS | NA | N/A | 0 | 0 | $0 | 0.00000 |
| KS Surgery and Recovery Ctr LLC | ||||||||||||
| 2770 North Webb Road | Wichita | KS | 67226 | 481148580 | SURGERY CTR | KS | NA | N/A | 0 | 0 | $0 | 0.00000 |
| Mercy Imaging LLC | ||||||||||||
| 1823 College Avenue | Manhattan | KS | 66502 | 481251984 | RADIOLOGY SVC | KS | NA | N/A | -783288 | $0 | 0.75000 | |
| MR Imaging Center LLC | ||||||||||||
| 8200 E THORN Dr SUITE 300 | Wichita | KS | 67214 | 481000538 | Diagnostic Im | KS | NA | N/A | 0 | 0 | $0 | 0.00000 |
| PFI LLC | ||||||||||||
| 8200 E THORN Dr SUITE 300 | Wichita | KS | 67226 | 721557076 | MED CHEM MFG | KS | NA | N/A | 16306 | $0 | 0.03165 | |
| Preferred PET Imaging of KS LLC | ||||||||||||
| 8200 E THORN Dr SUITE 300 | Wichita | KS | 67214 | 481250123 | Diagnostic Im | KS | NA | N/A | 0 | 0 | $0 | 0.00000 |
| Via Christi Cyberknife LLC | ||||||||||||
| 8200 E THORN Dr SUITE 300 | Wichita | KS | 67214 | 354588711 | RADIOLOGY SVC | KS | NA | N/A | 0 | 0 | $0 | 0.00000 |
| St Joseph MRI LLC | ||||||||||||
| 8200 E THORN Dr SUITE 300 | Wichita | KS | 67214 | 481007220 | MEDICAL SVCS | KS | NA | N/A | 0 | 0 | $0 | 0.00000 |
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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFILIATED MEDICAL SERVICES LAB INC | ||||||||||||
| 2916 E CENTRAL | WICHITA | KS | 67214 | 481239522 | MEDICAL LAB | KS | VC HEALTH | C-CORP | 12321597 | 7892802 | 1.00000 | |
| SUNFLOWER ASSURANCE LTD | ||||||||||||
| 980223159 | INSURANCE | NA | FOREIGN CORP | 3651768 | 38500707 | 1.00000 | CJ | |||||
| INTEGRATED HEALTHCARE SYSTEMS INC | ||||||||||||
| 3311 EAST MURDOCK | WICHITA | KS | 67208 | 480941549 | CLINIC SERVICES | KS | NA | C CORP | 58758618 | 41790046 | 1.00000 | |
| VCH IOWA PC TRUST | ||||||||||||
| 8200 THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 276937322 | BENEFICIARY TRUST | IA | NA | TRUST | 0 | 0 | 1.00000 | |
| VCH IOWA PC | ||||||||||||
| 8200 THORN DR | WICHITA | KS | 67226 | 273983977 | PROF. CORP | IA | NA | CORP | 0 | 0 | 1.00000 | |
| VIA CHRISTI CLINIC PA | ||||||||||||
| 3311 EAST MURDOCK | WICHITA | KS | 67208 | 480993446 | PROF. CORP | KS | NA | CORP | 116439508 | 24067602 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | 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 | false | 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 (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MERCY IMAGING LLC | |
| P | 319306 |
| WAMEGO HOSPITAL ASSOCIATION | |
| P | 3743712 |