2011-08-12T11:57:26-04:00 2010-09-30 GRANT THORNTON LLP 8300 THORN DRIVE SUITE 300 WICHITA KS 672262708 990 2009-10-01 481172107 VIA CHRISTI HEALTH INC VIAC 3168584900 8200 E THORN DRIVE SUITE 300 WICHITA KS 672262708 DAVID HADLEY 2011-08-10 true 3162653231 2009 2016-02-24 21:20:13Z RANDALL PETERSON 8200 THORN DRIVE WICHITA KS 672262708 171656649 false 0928 X www.via-christi.org X 1995 KS AS PART OF A CATHOLIC HEALTH SYSTEM, WE SERVE AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS WHO ARE VULNERABLE. 14 11 117 0 372749 0 0 17429094 66349381 655634 94684639 7217510 799141 25302238 161833161 0 0 0 0 16160423 32442975 0 0 0 34422160 53958048 50582583 86401023 -25280345 75432138 527209545 656614959 426440550 470773282 100768995 185841677 AS A PART OF A CATHOLIC HEALTH SYSTEM, WE SHARE THIS MISSION: "INSPIRED BY THE GOSPEL AND OUR CATHOLIC TRADITION, WE SERVE AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS WHO ARE VULNERABLE." VIA CHRISTI HEALTH, INC.'S HISTORY EXTENDS BACK OVER 100 YEARS AND TODAY, ALONG WITH OUR SPONSORING CONGREGATIONS - THE SISTERS OF THE SORROWFUL MOTHER, CONGREGATION OF ST. JOSEPH, SISTERS OF ST. JOSEPH OF CARONDOLET AND THE DAUGHTERS OF CHARITY WE CONTINUE TO RESPOND TO COMMUNITY NEEDS IN KANSAS AND NORTHEASTERN OKLAHOMA. true false 63982713 67051773 VIA CHRISTI HEALTH, INC., AS A CATHOLIC HEALTH CARE SYSTEM, HAS ITS ORIGINS IN FAITH-BASED RESPONSES TO HEALTH NEEDS OF OUR COMMUNITIES, WITH A PARTICULAR CONCERN FOR THOSE LIVING IN POVERTY AND WHO ARE VULNERABLE. IN ADDITION TO TYPICAL INPATIENT AND OUTPATIENT SERVICES, VIA CHRISTI HEALTH, INC. OPERATES PRIMARY CARE CLINICS, A LOW INCOME NEIGHBORHOOD OUTREACH CLINIC, SPECIALTY HOSPITALS AND CENTERS, HOME MEDICAL SERVICES, THERAPY CENTERS AND LONG-TERM CARE VILLAGES. SPECIFIC EXEMPT PURPOSE ACHIEVEMENTS INCLUDE: *MANAGEMENT OF ACUTE CARE FACILITIES THROUGHOUT KANSAS THAT INCLUDE HOSPITAL FACILITIES HOUSING OVER 1,300 BEDS; A REHABILITATION CENTER THAT IS THE HUB FOR 12 OUTPATIENT REHABILITATION CLINICS, AN OCCUPATIONAL AND ENVIRONMENTAL MEDICINE PROGRAM, AND A SPORTS MEDICINE PROGRAM; A RESEARCH PROGRAM; A HOME HEALTH PROGRAM; AND 17 FAMILY MEDICINE CLINICS. *MANAGEMENT OF SENIOR CARE FACILITIES THAT SERVE MORE THAN 1,300 RESIDENTS IN ITS 12 SENIOR COMMUNITIES AND PROGRAMS IN KANSAS AND OKLAHOMA. *MANAGEMENT OF AN OUTPATIENT AND RETAIL DIVISION THAT INCLUDES A PORTFOLIO OF COMPANIES PROVIDING AMBULATORY SURGERY, DIAGNOSTIC IMAGING, DURABLE MEDICAL EQUIPMENT AND REAL ESTATE HOLDINGS. THIS DIVISION ALSO INCLUDES OUTPATIENT CARE SERVICES THAT ARE DELIVERED THROUGH JOINT VENTURES WITH LOCAL PHYSICIANS. 63982713 true false false true false false false false false true false true false false false false false false false false false false false true true false false false false false false false false false true false false false false true true true false false true 59 0 true 117 true true true true CJ false false false false false false false 14 11 false false false false true true true true true false true true true true true true true true true true true false KS X JEFF SEIRER 3168584900 8200 E THORN DRIVE SUITE 300 WICHITA KS 672262708 KEVIN CONLIN 50.0 X X 1012572 0 185739 DAVID L STROHM 1.0 X X 0 0 0 SISTER M THERESE GOTTSCHALK SSM 1.0 X 0 0 0 REV MONSIGNOR ROBERT E HEMBERGER 1.0 X 0 0 0 SISTER LOIS ANN O'MALLEY CSJ 1.0 X 0 0 0 JAMES C PATTON 1.0 X 22000 0 0 SISTER M JEANINE RETZER SSM 1.0 X 0 0 0 GERALD AARON 1.0 X 0 0 0 SISTER MARTY MCENTEE CSJ 1.0 X 0 0 0 JON D RAHMAN MD 1.0 X 0 0 0 ANTHONY R TERSIGNI 1.0 X 0 0 0 DONALD WILSON 1.0 X 0 0 0 SISTER SHERRI MARIE KUHN SSM 50.0 X 0 203934 10720 ANTHONY ISAAC 1.0 X 0 0 0 ROBERT HEATH 50.0 X 425214 0 31630 JEFF SEIRER 50.0 X 197870 0 28772 GARY KNIGHT 50.0 X 330369 0 51126 DAVID R HADLEY 50.0 X 532884 0 93289 LYNNETTE RAUVOLABOUTA 50.0 X 244607 0 46850 RANDALL PETERSON 50.0 X 408833 0 134873 SCOTT NYGAARD MD 50.0 X 503126 0 105851 DAVID GAMBINO 50.0 X 422126 0 88403 MICHALENE MARINGER 50.0 X 494741 0 103383 JERRY CARLEY 50.0 X 252433 0 47594 RICHARD ALLEN 50.0 X 329182 0 3106 MARTIN EKREM 50.0 X 368491 0 50360 DIANA HILBURN 50.0 X 338702 0 42485 JANELL MOERER 50.0 X 319334 0 54974 SHERRIE STRING 50.0 X 337617 0 48607 ARLAN YODER 0.0 X 517655 0 0 ROBERT HARVEY 0.0 X 272208 0 0 7329964 203934 1127762 39 true true false CATHOLIC HEALTHCARE AUDIT NETWORK 231 SOUTH BEMISTON AVE SUITE 300 CLAYTON MO 63105 INTERNAL AUDIT 1013658 PRICEWATERHOUSECOOPERS LLP PO BOX 75647 CHICAGO IL 606755647 INDEPENDENT AUDIT 511921 MCDERMOTT WILL EMERY 227 WEST MONROE STREET CHICAGO IL 606065096 LEGAL SERVICES 901511 SHATTUCK HAMMOND 630 FIFTH AVE SUITE 2950 NEW YORK NY 10111 INVESTMENT BANKING 920548 CENTRAL AIR CONDITIONING 3435 W HARRY WICHITA KS 67201 REPAIR SERVICES 578814 19 0 MGMT FEES 561000 22004908 21728908 276000 SERVICE CENTER 561000 5214568 5214568 REIMBURSEMENTS 561000 35456897 35456897 HR SERVICE REVENUE 561000 1200000 1200000 IT SERVICE REVENUE 561000 2473008 2473008 66349381 23121837 23121837 0 0 146292 49543 96749 96749 96749 1566624 79770123 0 9773945 1566624 69996178 71562802 71562802 0 0 0 MISCELLANEOUS 900099 23000 23000 GROUP PURCHASE REBATES 900099 302942 302942 POOLED INVESTMENT MGMT FEES 900099 376450 376450 702392 161833161 66775773 372749 94684639 0 0 0 0 4846775 653440 4193335 0 22191755 15898658 6293097 1380322 83617 1296705 2322775 1668554 654221 1701348 1229003 472345 1000976 862976 138000 171611 171611 755591 755591 0 0 0 4553987 2406990 2146997 158748 67068 91680 1619846 638279 981567 10892627 10603178 289449 0 51733 42810 8923 284764 181694 103070 0 195800 114715 81085 17210014 17210014 0 8245581 7377224 868357 41840 36275 5565 RENTALS 1158945 112846 1046099 PURCHASED SERVICES 1965221 1371737 593484 TELEPHONE 1023318 965437 57881 DONATIONS & GIFTS 1236755 1236755 CONTRACT LABOR 796302 795339 963 2594389 1662859 931530 86401023 63982713 22418310 0 1236919 1823212 149185046 214833327 172423096 267763890 0 10929 20422989 2652329 11818005 6712382 3085905 5105623 11270000 11000000 169585590 153425649 527209545 656614959 12030804 19138988 20000 30597 406376534 406733551 8013212 44870146 426440550 470773282 X 100768995 185841677 100768995 185841677 527209545 656614959 X false true true X true true X X X X false false false SISTERS OF THE SORROWFUL MOTHER 731215174 01 true true true 149026 DAUGHTERS OF CHARITY & 430887104 01 true true true 149025 CONGREGATION OF THE SISTERS OF ST JOSEPH 830481134 01 true true 0 SISTERS OF ST JOSEPH OF CARONDELET 431227406 01 true true 0 4 298051 false true false false false false true 253926 false false 253926 false LOBBYING SCHEDULE C, PART I THE DIRECTOR OF PUBLIC POLICY/ADVOCACY AND THE DIRECTOR OF GOVERNMENT RELATIONS SET UP MEETINGS WITH GOVERNMENT OFFICIALS OR LEGISLATORS TO DISCUSS VIA CHRISTI HEALTH, INC.'S POSITIONS ON ISSUES. LOBBYING ISSUES RELATE TO CARRYING OUT HEALTHCARE PROGRAMS. VIA CHRISTI HEALTH, INC. DOES NOT PARTICIPATE IN ACTIVITIES SUPPORTING A POLITICAL CANDIDATE. 3103116 1143940 1959176 348421 282709 65712 8365657 5285732 3079925 810 810 5105623 MISC ACCOUNTS RECEIVABLE 4630234 INTEREST RECEIVABLE 246478 ASSETS LIMITED AS TO USE 60608288 INVESTMENTS IN AFFILIATES 73896564 TRUSTEE HELD SELF-INS. FUNDS 0 CAPITAL ISSUANCE COSTS 3026252 OTHER NON-CURRENT ASSETS 10601000 ASSETS HELD FOR SALE 0 DEFERRED COMP INVEST 416833 153425649 0 PENSION DEPOSITS PAYABLE 407682 WORKERS COMP RESERVE 6854684 DEFERRED COMP FOR KEYSOP 416833 MARKET VALUATION INTEREST 0 DUE/TO FROM VCHS CAPITAL FUND 37190947 44870146 FIN 48 SCHEDULE D, PART X 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. X X false true X X X X true true false false false false false false false KEVIN CONLIN 784278 0 218313 0 9981 0 173446 0 12293 0 1198311 0 0 0 ROBERT HEATH 339360 0 60647 0 25207 0 20825 0 10805 0 456844 0 0 0 LYNNETTE RAUVOLABOUTA 202180 0 38304 0 4123 0 37525 0 9325 0 291457 0 0 0 RANDALL PETERSON 365043 0 27097 0 16693 0 125023 0 9850 0 543706 0 0 0 SCOTT NYGAARD MD 407864 0 80730 0 14532 0 93649 0 12202 0 608977 0 0 0 DAVID GAMBINO 345608 0 66897 0 9621 0 77574 0 10829 0 510529 0 0 0 JEFF SEIRER 155321 0 26636 0 15913 0 16904 0 11868 0 226642 0 0 0 ARLAN YODER 517655 0 0 0 0 0 0 0 0 0 517655 0 0 0 SISTER SHERRI MARIE KUHN SSM 0 184454 0 17527 0 1953 0 6837 0 3883 0 214654 0 0 GARY KNIGHT 282916 0 41972 0 5481 0 39070 0 12056 0 381495 0 0 0 DAVID R HADLEY 393097 0 0 0 139787 0 80068 0 13221 0 626173 0 0 0 RICHARD ALLEN 18735 0 19930 0 290517 0 2101 0 1005 0 332288 0 0 0 MARTIN EKREM 312460 0 45465 0 10566 0 40667 0 9693 0 418851 0 0 0 DIANA HILBURN 289669 0 42455 0 6578 0 41549 0 936 0 381187 0 0 0 JANELL MOERER 273806 0 40033 0 5495 0 42946 0 12028 0 374308 0 0 0 SHERRIE STRING 283497 0 31590 0 22530 0 37665 0 10942 0 386224 0 0 0 MICHALENE MARINGER 474750 0 0 0 19991 0 101897 0 1486 0 598124 0 0 0 JERRY CARLEY 215162 0 31955 0 5316 0 35753 0 11841 0 300027 0 0 0 ROBERT HARVEY 262965 0 0 0 9243 0 0 0 0 0 272208 0 0 0 SUPPLEMENTAL NON-QUALIFED RETIREMENT PLAN PART I, QUESTION 4B Kevin Conlin 155,071.37 Martin Ekrem 25,362.72 David Gambino 61,649.21 David Hadley 66,308.22 Dianna Hilburn 23,173.52 Gary Knight 22,816.40 Janell Moerer 22,121.20 Scott Nygaard 78,655.64 Randall Peterson 106,012.92 Lynnette RauvolaBouta 21,425.39 Sherrie String 22,994.96 Richard Allen 2,100.62 John Broberg 20,800.00 Jerry Carley 20,923.92 Robert Harvey 9,243.08 GROSS UP PAYMENTS PART I, QUESTION 1 Kevin ConliN 873.12 Martin Ekrem 873.12 David Gambino 873.12 David Hadley 54,188.76 Robert Heath 873.12 Diana Hilburn 873.12 Gary Knight 873.12 Janell Moerer 862.59 Scott Nygaard 873.12 Randall Peterson 873.12 Lynnette RauvolaBouta 599.34 Sherrie String 6,200.33 Richard Allen 183.39 TAX GROSS-UPS ARE INCLUDED FOR ALL TAXABLE RELOCATION BENEFITS IN ACCORDANCE WITH RELOCATION GUIDELINES APPROVED BY THE VIA CHRISTI HEALTH, INC. EXECUTIVE COMPENSATION COMMITTEE. BOTH DAVID HADLEY AND SHERRIE STRING RECEIVED RELOCATION BENEFITS. SOCIAL CLUB DUES PART I, QUESTION 1 David Gambino 1,291.53 Scott Nygaard 5,131.06 Randall Peterson 4,651.12 WRITTEN POLICY REGARDING PAYMENT AND REIMB./GROSSUP PAYMENTS & SOCIAL DUES PART I, QUESTION 1B VIA CHRISTI HEALTH, INC. DOES NOT HAVE A WRITTEN POLICY REGARDING THE ITEMS LISTED IN SCHEDULE J, PART 1, QUESTION 1B. THE VIA CHRISTI HEALTH, INC. EXECUTIVE COMPENSATION COMMITTEE HAS OVERSIGHT FOR ANY COMPENSATION PAID TO VIA CHRISTI HEALTH, INC. EXECUTIVES. PAYMENT OF HEALTH AND/OR SOCIAL CLUB DUES WERE DISCONTINUED IN CALENDAR YEAR 2009. GROSS-UP PAYMENTS ARE MADE IN SPECIFIC CIRCUMSTANCES AND ON A LIMITED BASIS. CITY OF WICHITA 486000653 967250TP6 2009-09-24 158093162 SEE SCHEDULE O false false CITY OF WICHITA 486000653 967250TP6 2009-12-16 90670941 SEE SCHEDULE O false false 158143330 38351541 1615345 68580575 true false false true 90670953 812150 2001 true false true true false false false false true 0.00000 0.00000 0.00000 true false true false false false true false false false false false true DAVID STROHM TRUSTEE 169597 INSURANCE POLICY COMMISSIONS false FORM 990 REVIEW FORM 990, PART VI, QUESTION 11A THE AUDIT COMMITTEE REVIEWS THE FORM 990, MAKING A RECOMMENDATION TO THE BOARD OF TRUSTEES TO ACCEPT THE FORM 990. A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES VIA A SECURE EMAIL PRIOR TO FILING WITH THE IRS. CONFLICT OF INTEREST POLICY PART VI, SECTION B, QUESTION 12C THE ORGANIZATION 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 Via Christi Health, Inc. (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 VIA CHRISTI HEALTH, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. COMMUNITY BENEFIT REPORT The community benefit contribution of Via Christi Health, Inc. includes programs and activities that improve access to health care and improve health in the communities we serve. In order to portray the full breadth of our contribution, our community benefit information is described below: QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT I. Ministry Commitment to Providing Community Benefit A. Mission and Primary Exempt Purpose Via Christi Health, Inc., a Catholic health system, adopted this Mission: "Inspired by the Gospel and our Catholic tradition, we serve as a healing presence with special concern for our neighbors who are vulnerable." Via Christi Health, Inc.'s history extends back over 100 years and today, along with our sponsoring congregations - The Sisters of the Sorrowful Mother, Congregation of St. Joseph, Sisters of St. Joseph of Carondolet and the Daughters of Charity we continue to respond to community needs in Kansas and northeastern Oklahoma. The obligation to reach out to those in need and improve community health flows directly from our identity as a faith-based healing ministry. As a mission-driven organization, we provide community benefit because we are committed to our core values of: Human Dignity - we recognize and respect the sacredness of each person. Stewardship - we responsibly care for all resources entrusted to us. Excellence - we extend ourselves in outstanding service. B. Approach to Providing Community Benefit Via Christi Health, Inc. serves people throughout Kansas and northeastern Oklahoma. Issues and trends of significance in our community include increasing unemployment and poverty, a growing elderly population, and growing population of uninsured families. Ministries within Via Christi Health, Inc. collaborate with other community organizations to address some of these issues and trends, including, but not limited to, Childrens Miracle Network, the United Way, and Catholic Social Services. C. Financial Assistance Policies and Programs Via Christi Health, Inc. has policies and programs in place to ensure that billing and collection processes for uninsured/underinsured persons reflect our commitment to human dignity and meet the financial and local needs in the communities in which we operate. All ministries operated by Via Christi Health, Inc. utilize these policies and review the financial condition of uninsured and underinsured patients and clients to determine their qualification of charity care by utilizing the TransUnion software. II. Ministry Description for Tax Exemption As a Catholic not-for-profit healthcare corporation grounded in gospel values, we provide leadership and governance in the design and implementation of integrated healthcare and related services. Empowered by the gospel imperative, "whatsoever you do to the least of my brothers and sisters, you do to me," (matthew 25:40) We seek to provide quality healthcare to all people, particularly the poor and underserved members of our society." Financial surpluses are used to fulfill our charitable purpose. The board of directors for Via Christi Health, Inc. includes members of the local community. Ministries within our organization offer free and/or discounted care to persons without adequate financial means to pay for such services. This includes the participation in Medicaid, Medicare, CHAMPUS, Tricare and/or other government-sponsored health care programs. QUANTIFIABLE DESCRIPTION OF COMMUNITY BENEFIT THE FINANCIAL INFORMATION IN THIS REPORT WAS PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION'S (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES. THESE GUIDELINES RECOMMEND THE FOLLOWING: * REPORT CHARITY CARE AT COST, NOT CHARGES * DO NOT INCLUDE BAD DEBT, CONTRACTUAL ALLOWANCES, AND QUICK PAY DISCOUNTS AS PART OF CHARITY CARE EXPENSE. * DO NOT COUNT MEDICARE SHORTFALL AS A COMMUNITY BENEFIT * REPORT THE NET EXPENSE FOR COMMUNITY BENEFIT SERVICES (E.G. THE TOTAL COMMUNITY BENEFIT EXPENSE MINUS ANY ASSOCIATED REVENUE FROM PATIENTS, PAYERS, AND OTHER EXTERNAL SOURCES.) THE CHA GUIDELINES REFLECT A CONSERVATIVE APPROACH TO REPORTING QUANTIFIABLE COMMUNITY BENEFIT. THE GOAL OF THE REPORTING 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 FISCAL YEAR ENDED SEPTEMBER 30, 2010 COMMUNITY BENEFIT (CORPORATE OFFICE ONLY): $458,993 COMMUNITY BENEFIT (VIA CHRISTI HEALTH, INC. EXCLUDING HEALTH PLAN): 1) CHARITY CARE - AT COST $48.5 MILLION 2) GOVERNMENT SPONSORED HEALTH CARE - NET EXPENSE $17.1 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 $17.2 MILLION SUBSIDIZED HEALTH SERVICES, INCLUDING BEHAVIORAL HEALTH $ 1.5 MILLION FINANCIAL AND IN-KIND DONATIONS $2.2 MILLION HEALTH PROFESSIONS EDUCATION (PHYSICIANS, NURSES, OTHER) $11.7 MILLION COMMUNITY HEALTH IMPROVEMENT SERVICES $1.2 MILLION COMMUNITY BENEFIT OPERATIONS $0.3 MILLION OTHER COMMUNITY BENEFIT(RESEARCH, COMMUNITY BLDG ACTIVITIES) $0.3 MILLION 4) TOTAL QUANTIFIABLE COMMUNITY BENEFIT $82.8 MILLION RELATED TAX-EXEMPT ORGANIZATIONS SCHEDULE R, PART II 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. CONSOLIDATED C-CORP INFORMATION SCHEDULE R, PART IV PREFERRED HEALTH SYSTEMS, INC. IS THE PARENT COMPANY OF THE FOLLOWING WHOLLY-OWNED SUBSIDIARIES: --PREFERRED PLUS OF KANSAS, INC. --PREFERRED HEALTH CARE, INC. --KANSAS HEALTH PLAN, INC. --PREFERRED HEALTH SYSTEMS, INC. INSURANCE CO. --PREFERRED BENEFITS ADMINISTRATOR, INC. THE SCHEDULE R, PART IV DISCLOSURE OF PREFERRED HEALTH SYSTEMS, INC. CONSISTS OF CONSOLIDATED INFORMATION FOR THE YEAR ENDED DECEMBER 31, 2009. PREFERRED HEALTH SYSTEMS, INC. WAS SOLD DURING THE FISCAL YEAR. THE SALE WAS ANNOUNCED OCTOBER 2009 AND FINALIZED FEBRUARY 2010. PREFERRED HEALTH SYSTEMS, INC. WAS NOT A RELATED ORGANIZATION AT THE END OF THE FISCAL YEAR ENDING 09/30/2010. TAX-EXEMPT BONDS SCHEDULE K GENERAL INFORMATION AND SCHEDULE k, PART I, COLUMN F Via Christi Hospitals Wichita, Inc. (VCHW) along with Via Christi Health, Inc. (VCH) and other Health System hospitals (the 'Obligated Group"), entered into a master trust indenture and an obligated group agreement whereby they were jointly and severally liable for all amounts due under any and all notes and guarantees issued pursuant to the master trust indenture. The Obligated Group consists of the Via Christi Health Inc, Via Christi Hospitals Wichita, Inc., Via Christi Rehabilitation Hospital, Inc., Via Christi Hospital Pittsburg, Inc. and Via Christi Hospital Wichita St. Teresa. All bond debt is reported on the books of Via Christi Health with intercompany debt reported on the respective hospital ministries. SCHEDULE K, PART I, COLUMN F ----------------- ROW A - ACQUIRING, CONSTRUCTING, AND EQUIPPING NEW HEALTH CARE FACILITY; REFUNDING OF SERIES 1992 BONDS ISSUED 2/1/1992 ROW B - REFUNDING OF SERIES 1999 BONDS ISSUED 10/1/1999 SCHEDULE K, PART II, LINE 7 ---------------- COLUMN A - $68,580,575 OF BOND PROCEEDS USED FOR CAPITAL EXPENDITURES, $49,595,869 OF BOND PROCEEDS USED TO REFUND SERIES 1992 BONDS ISSUED 2/1/1992. COLUMN B - $89,864,746 OF BOND PROCEEDS USED TO REFUND SERIES 1999 BONDS ISSUED 10/1/1999. SCHEDULE K, PART III, COLUMN B ------------------------- COLUMN B ISSUE USED TO REFUND 1992 AND 1999 BONDS. VIA CHRISTI HEALTH, INC. IS FOLLOWING THE SPECIAL RULE FOR REFUNDING OF PRE-2003 ISSUES DESCRIBED IN THE SCHEDULE K INSTRUCTIONS. THE SPECIAL RULE EXEMPTS ISSUES REFUNDING PRE-2003 BONDS FROM COMPLETING PART III. SCHEDULE K, PART IV,LINE 2 -------------------------- COLUMN A ISSUE INCLUDES SERIES A, SERIES B-1 AND B-2. SERIES B-1 AND B-2 ARE BOTH VARIABLE RATE AND SERIES A IS A FIXED RATE. ADDITIONAL PROGRAM SERVICES PART III, QUESTION 2 THE FOLLOWING SERVICES WERE CONSOLIDATED AT THE HEALTH SYSTEM LEVEL DURING FISCAL YEAR ENDING 09/30/2010: * IT SERVICES * REVENUE CYCLE SERVICES * FINANCE/ACCOUNTING SERVICES FOR THE WICHITA, KS MINISTRIES MEMBERS AND DECISIONS OF GOVERNING BODY PART VI, QUESTIONs 6 and 7A THE SPONSORS HAVE DELEGATED THE GOVERNANCE RESPONSIBILITIES OF VIA CHRISTI HEALTH, INC. (VCH) TO THE MARIAN HEALTH SYSTEM INC., A DELAWARE NOT-FOR- PROFIT CORPORATION AND ASCENSION HEALTH, A MISSOURI NOT-FOR-PROFIT CORPORATION (COLLECTIVELY REFERRED TO AS "MEMBERS"). THE MEMBERS HAVE THE RIGHT TO APPROVE OR TAKE ACTION UPON THE RECOMMENDATION OF THE VIA CHRISTI HEALTH, INC., BOARD ON CERTAIN ACTIONS BEFORE THEY BECOME FINAL OR BINDING ON THE CORPORATION. THE FOLLOWING POWERS ARE RESERVED TO THE MEMBERS OR THEIR DELEGATED REPRESENTATIVE: * DEFINE, APPROVE, CHANGE OR INTERPRET THE MISSION, VALUES, PURPOSE AND PHILOSOPHY OF THE CORPORATION. * APPROVE THE ARTICLES OF INCORPORATION, THE BYLAWS AND ANY AMENDMENTS THERETO OF THE CORPORATION. * APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF VCH. * APPOINT AND REMOVE THE PRESIDENT AND CEO OF VIA CHRISTI HEALTH. * SUBJECT TO CANONICAL REQUIREMENTS, ESTABLISHED THE OVERALL DEBT LIMIT FOR VCH AND APPROVE THE INCURRENCE OF DEBT IN EXCESS OF THAT LIMIT. * APPROVE THE DISSOLUTION, MERGER, CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF VCH * APPROVE AND REMOVE, WITH OR WITHOUT CAUSE, THE INDEPENDENT AUDITING FIRM FOR VCH. * RECEIVE AND APPROVE OPERATING AND CAPITAL BUDGETS AND FINANCIAL REPORTS OF VCH. * APPROVE FINANCING THROUGH PARTICIPATION IN OBLIGATED GROUPS OF ASCENSION HEALTH OR MARIAN HEALTH SYSTEM. * REVIEW AND APPROVE REAL AND PERSONAL PROPERTY TRANSACTIONS CONSISTENT WITH PROVISION OF CANON LAW. CREDIT ENHANCEMENT FEES SCHEDULE k SCHEDULE K, PART II, LINE 5 CREDIT ENHANCEMENT FEES ADDED TO THE COST OF ISSUANCE FOR BONDS REPORTED ON SCHEDULE K, PART II ARE AS FOLLOWS: COLUMN A, LINE 5 CREDIT ENHANCEMENT FEE 81,026 BOND ISSUANCE COSTS 1,580,570 ------------ 1,661,596 COLUMN B, LINE 5 CREDIT ENHANCEMENT FEE 0 BOND ISSUANCE COSTS 812,150 ------------ 812,150 HOURS WORKED BY OFFICERS/TRUSTEES FOR A RELATED ORGANIZATION PART VII, COLUMN A THE FOLLOWING INDIVIDUALS WORKED 40 HOURS PER WEEK FOR A RELATED ORGANIZATION: VIA CHRISTI CLINICAL SERVICES LLC 8200 E THORN SUITE 300 WICHITA KS 67226 204399092 HEALTHCARE KS 5214000 1040119 NA Catholic Care Center Inc 6700 E 45th St N Wichita KS 67226 481067110 Rtrmnt h0me KS 501(C)(3) 9 VCV CIBOR INC 9229 E 37TH ST N SUITE 200 Wichita KS 67226 270564463 Research KS 501(C)(3) 7 VCHW Cornerstone Assisted Living Inc 3636 N Ridge Road Wichita KS 67205 481241079 Rtrmnt Home KS 501(C)(3) 9 VCV VIA CHRISTI VILLAGE PITTSBURG INC 1502 E Centennial Dr Pittsburg KS 66762 743070971 Rtrmnt home KS 501(C)(3) 9 VCV VIA CHRISTI VILLAGE GEORGETOWN INC 1655 S Georgetown Wichita KS 67218 481129325 Rtrmnt home KS 501(C)(3) 9 VCV Gerard House Inc 3144 N Hood Wichita KS 67204 481049532 Shelter KS 501(C)(3) 7 VCHW Marian Health System Inc 1923 South Utica Avenue Tulsa OK 74104 363659989 Hospital Supp DE 501(C)(3) 11 N/A Mercy Community Health Foundation Inc 1823 College Ave Manhattan KS 66502 481152279 Foundation KS 501(C)(3) 11 MERCY REG Mercy Regional Health Center Inc 1823 College Ave Manhattan KS 66502 481186704 Hospital KS 501(C)(3) 3 N/A Mercy Regional Home Medical Services LLC 2439 Claflin Road Manhattan KS 66502 432024491 Home Medical KS 501(C)(3) 11 Mercy Reg VC IMMEDIATE CARE MOTHER MARY ANNE INC 929 N St Francis Wichita KS 67214 208374099 Med. Clinic KS 501(C)(3) 9 VCHW Mount Carmel Foundation 1 MT CARMEL WAY Pittsburg KS 66762 480961283 Foundation KS 501(C)(3) 11 VCH-PITT VIA CHRISTI HOSPITAL PITTSBURG INC 1 MT CARMEL WAY Pittsburg KS 66762 480543778 Hospital KS 501(C)(3) 3 NA VIA CHRISTI VILLAGE MCLEAN INC 777 N McLean Blvd Wichita KS 67203 481247723 Rtrmnt home KS 501(C)(3) 9 VCV Salina Regional Home Medical Services 520 S Santa Fe Ave Ste 140 Salina KS 67401 431948057 Home Medical KS 501(C)(3) 11 VCHP St John's Inc 2225 Cantebury Dr Hays KS 67601 202828680 Rtrmnt home KS 501(C)(3) 9 VCV VIA CHRISTI VILLAGE MANHATTAN INC 2800 Willowgrove Rd Manhattan KS 66502 481078862 Rtrmnt home KS 501(C)(3) 9 VCV Via Christi Foundation Inc 723 N McLean Blvd Wichita KS 67203 481173588 Foundation KS 501(C)(3) 11 VCHW Via Christi Health Partners Inc 8200 THORN DR SUITE 300 Wichita KS 67226 480958974 Mgmt Company KS 501(C)(3) 9 VCHW Via Christi Healthcare Outreach Program 2622 W Central Suite 100 Wichita KS 67203 481236589 PACE Commun. KS 501(C)(3) 9 VCV VIA CHRISTI HOME HEALTH WICHITA INC 555 S Washington Wichita KS 67211 481046371 Home Health KS 501(C)(3) 9 VCHW Via Christi Hospital Wichita St Teresa 14800 W St Teresa Wichita KS 67235 271965272 Hospital KS 501(C)(3) 3 VCHW Via Christi Property Services Inc 1100 N St Francis Suite 240 Wichita KS 67214 480948571 Property Mgmt KS 501(C)(4) N/A VCHP VIA CHRISTI HOSPITALS WICHITA INC 929 N St Francis Wichita KS 67214 481172106 Hospital KS 501(C)(3) 3 N/A Via Christi Rehabilitation Center Inc 1151 N Rock Road Wichita KS 67206 481158274 Rehab. KS 501(C)(3) 3 VCHW VIA CHRISTI VILLAGES INC 2622 W Central Suite 100 Wichita KS 67203 480559086 Mgmt Company KS 501(C)(3) 11 N/A Wamego Hospital Association 711 Genn Dr Wamego KS 66547 721526400 Hospital KS 501(C)(3) 3 Mercy Reg VIA CHRISTI VILLAGE PONCA CITY INC 1601 Academy Rd Ponca City KS 74604 731153337 Rtrmnt Home OK 501(C)(3) 9 VCV ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 HLTH SYS GOV MO 501(C)(3) 11 NA Via Christi InMyHome Inc 2622 W Central Suite 100 Wichita KS 67203 271889960 Health Agency KS 501(C)(3) 9 na ST JOSEPH MRI LLC 8200 THORN DR SUITE 300 WICHITA KS 67226 481007220 MEDICAL SVCS KS NA n/a 0 0 0 AMBULATORY SURGERY CENTER LP 8200 THORN DR SUITE 300 WICHITA KS 67226 481114690 SURGERY CTR KS NA N/A 0 0 0 KANSAS SURGERY AND RECOVERY CTR LLC 2770 N WEBB ROAD WICHITA KS 67226 481148580 SURGERY CTR KS NA N/A 0 0 0 MR IMAGING CENTER LLC 8200 THORN DR SUITE 300 WICHITA KS 67226 481000538 RADIOLOGY SVC KS NA N/A 0 0 0 VIA CHRISTI CYBERKNIFE LLC 8200 THORN DR SUITE 300 WICHITA KS 67226 354588711 RADIOLOGY SVC KS NA N/A 0 0 0 AMS DIAGNOSTICS LLC 8200 THORN DR SUITE 300 WICHITA KS 67226 481223653 RADIOLOGY SVC KS NA N/A 0 0 0 PREFERRED PET IMAGING OF KS LLC 8200 THORN DR SUITE 300 WICHITA KS 67226 481250123 DIAGNOSTIC IM KS NA N/A 0 0 0 PFI LLC 8200 THORN DR SUITE 300 WICHITA KS 67226 721557076 MED CHEM MFG KS NA N/A 0 0 0 MERCY IMAGING LLC 1823 COLLEGE AVENUE MANHATTAN KS 66502 481251984 DIAGNOSTIC IM KS NA N/A 0 0 0 AFFILIATED MEDICAL SERVICES LAB INC 2916 E CENTRAL WICHITA KS 67214 481239522 MEDICAL LAB KS NA C-CORP 12537000 7230000 1.00000 SUNFLOWER ASSURANCE LTD PO BOX 1085 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 980223159 INSURANCE CO. CJ NA FOREIGN CORP 4300000 29641000 1.00000 PREFERRED HEALTH SYSTEMS INC 8535 21ST NORTH WICHITA KS 67206 481134570 INSURANCE HOLDING KS NA C-CORP 439254485 182890046 1.00000 true false false true false false false false false false false false false true true true true true VIA CHRISTI HOSPITALS WICHITA INC K 15534480 MERCY REGIONAL HEALTH CENTER INC K 947004 VIA CHRISTI HOSPITAL PITTSBURG INC K 1989996 VIA CHRISTI VILLAGES INC K 1712004 VIA CHRISTI HOSPITALS WICHITA INC A 7628258 MERCY REGIONAL HEALTH CENTER INC A 421596 VIA CHRISTI VILLAGES INC A 345112 VIA CHRISTI HOSPITALS WICHITA INC P 26476087 MERCY REGIONAL HEALTH CENTER INC P 1789365 VIA CHRISTI HOSPITAL PITTSBURG INC P 2800832 VIA CHRISTI VILLAGES INC P 599870 VIA CHRISTI HOSPITALS WICHITA INC D 222232452 MERCY REGIONAL HEALTH CENTER INC D 6103086 VIA CHRISTI VILLAGES INC D 5050486 VIA CHRISTI HOSPITALS WICHITA INC Q 1271900 MERCY REGIONAL HEALTH CENTER INC Q 198975 VIA CHRISTI HOSPITAL PITTSBURG INC Q 146846 VIA CHRISTI HOSPITALS WICHITA INC N 798686 VIA CHRISTI HOSPITAL PITTSBURG INC N 180966