MANHATTAN COMMUNITY HEALTH FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MANHATTAN COMMUNITY HEALTH FOUNDATION (EIN 48-1152279)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-01-10
IRS object ID
202200109349300805
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-01-10T08:24:15-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN300038643PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VARNEY & ASSOCIATES CPAS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11501 POYNTZ AVENUEAddressLine1Txt
CityMANHATTANCityNm
State AbbreviationKSStateAbbreviationCd
ZIP665026092ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481152279EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY COMMUNITY HEALTH FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone7855875462PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 13AddressLine1Txt
CityMANHATTANCityNm
State AbbreviationKSStateAbbreviationCd
ZIP665050013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVE ROGERSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7855875462PhoneNum
Signature2021-11-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVEPersonFirstNm
Person LastROGERSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTAMMY M BRYANTPreparerPersonNm
PTINP00733332PTIN
Phone7855372202PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVE ROGERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 13AddressLine1Txt
CityMANHATTANCityNm
State AbbreviationKSStateAbbreviationCd
ZIP665050013ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$462,982GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYFDN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS IN SUPPORT OF VIA CHRISTI HOSPITAL IN MANHATTAN, KANSAS AND ITS PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$133,302PYContributionsGrantsAmt
CY Contributions Grants$147,662CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$134,802PYInvestmentIncomeAmt
CY Investment Income$315,320CYInvestmentIncomeAmt
PY Other Revenue$58,520PYOtherRevenueAmt
CY Other Revenue-$18,121CYOtherRevenueAmt
PY Total Revenue$326,624PYTotalRevenueAmt
CY Total Revenue$444,861CYTotalRevenueAmt
PY Grants And Similar Paid$62,289PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$774,834CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$81,950PYOtherExpensesAmt
CY Other Expenses$35,443CYOtherExpensesAmt
PY Total Expenses$144,239PYTotalExpensesAmt
CY Total Expenses$810,277CYTotalExpensesAmt
PY Revenues Less Expenses$182,385PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$365,416CYRevenuesLessExpensesAmt
Total Assets BOY$4,926,846TotalAssetsBOYAmt
Total Assets EOY$5,168,200TotalAssetsEOYAmt
Total Liabilities BOY$207TotalLiabilitiesBOYAmt
Total Liabilities EOY$93TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,926,639NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,168,107NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROMOTE HEALTH IN THE MANHATTAN, KANSAS COMMUNITY AND THE SURROUNDING AREAS IN A MANNER NOT INCONSISTENT WITH THE MISSION OF VIA CHRISTI HOSPITAL OF MANHATTAN, KANSAS BYDEVELOPING AND MAINTAINING INITIATIVES IN PRIVATE FUNDRAISING, FINANCIAL MANAGEMENT, ANDVOLUNTEERISM.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$786,160ExpenseAmt
Grant$774,834GrantAmt
DescSINCE 1994 MERCY COMMUNITY HEALTH FOUNDATION, A NON-PROFIT SUPPORTING ORGANIZATION FOR ASCENSION VIA CHRISTI MANHATTAN, HAS BEEN RAISING SUPPORT TO FOSTER GROWTH, EXPANSION, AND IMPROVEMENTS OF LOCAL HEALTHCARE. IN RECENT YEARS, OUR PRIMARY EMPHASIS HAS BEEN UPGRADES AND INSTALLATION OF STATE-OF-THE-ART EQUIPMENT TO ENSURE OUR PHYSICIANS AND CLINICIANS HAVE THE FINEST AND LATEST TECHNOLOGY TO CARE FOR OUR PATIENTS' HEALTHCARE NEEDS. OTHER PROGRAMS AND EQUIPMENT SUPPORTED IN FY 2021 INCLUDE: VENTILATORS PRIMARILY FOR COVID 19 PATIENTS, PRESCRIPTION ASSISTANCE FOR UNINSURED OR UNDERINSURED PATIENTS, EMERGENCY HARDSHIP ASSISTANCE FOR EMPLOYEES, SLEEP SACKS FOR NEWBORNS, A CAR SIMULATOR FOR PHYSICAL THERAPY PATIENTS, AND CONTINUING EDUCATION ASSISTANCE FOR EMPLOYEES.Desc
Total Program Service Expenses$786,160TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTINA ROCKHOLDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7855875462PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11823 COLLEGE AVEAddressLine1Txt
CityMANHATTANCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66502ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DAVID PAULS MD
CHAIR2.00Yes (X)Yes (X)$0$0$0
DAN MESSELT
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
DAVID ROGERS
TREASURER4.00Yes (X)Yes (X)$0$0$0
MARK KNACKENDOFFEL
TRUSTEE0.25Yes (X)$0$0$0
KAREN BROKENICKY
TRUSTEE1.00Yes (X)$0$0$0
RICHARD BAKER MD
TRUSTEE0.50Yes (X)$0$0$0
RUTH DYER PHD
TRUSTEE0.50Yes (X)$0$0$0
EILEEN HINKIN
TRUSTEE2.00Yes (X)$0$0$0
SOLVIEG BRANT
TRUSTEE0.50Yes (X)$0$0$0
SUSIE GRIER
TRUSTEE0.50Yes (X)$0$0$0
JOHN ARMBRUST
TRUSTEE1.00Yes (X)$0$0$0
MARK GROS MD
TRUSTEE0.50Yes (X)$0$0$0
ANDREW ELLIS
TRUSTEE1.00Yes (X)$0$0$0
CHRISTINA ROCKHOLD
EXECUTIVE DIRECTOR40.00Yes (X)$0$77,624$6,322
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$77,624TotReportableCompRltdOrgAmt
Total Other Compensation$6,322TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$96,324FundraisingAmt
Related Organizations$1,175RelatedOrganizationsAmt
All Other Contributions$50,163AllOtherContributionsAmt
Noncash Contributions$1,175NoncashContributionsAmt
Total Contributions$147,662TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,710TotalRevenueColumnAmt
Exclusion$84,710ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$230,610SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$230,610SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$230,610TotalRevenueColumnAmt
Related Or Exempt Func Income$230,610RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$96,324ContriRptFundraisingEventAmt
Fundraising Direct Expenses$18,121FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$18,121TotalRevenueColumnAmt
Exclusion-$18,121ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$444,861TotalRevenueColumnAmt
Related Or Exempt Func Income$230,610RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$66,589ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$728,042TotalAmt
Program Services$728,042ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$46,792TotalAmt
Program Services$46,792ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,200TotalAmt
Management And General$13,200ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,625TotalAmt
Management And General$10,625ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,887TotalAmt
Program Services$1,595ProgramServicesAmt
Management And General$292ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DONOR APPRECIATION$7,887$7,887
PROGRAM - UNRESTRICTED$976$976
PROGRAM - PAINTER FUND$450$450
MEMBERSHIPS DUES$365$365

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$53TotalAmt
Program Services$53ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$810,277TotalAmt
Program Services$786,160ProgramServicesAmt
Management And General$24,117ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$47,771BOYAmt
EOY$41,044EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,879,075BOYAmt
EOY$5,127,156EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,926,846BOYAmt
EOY$5,168,200EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$207BOYAmt
EOY$93EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$207BOYAmt
EOY$93EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$558,608BOYAmt
EOY$800,076EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,368,031BOYAmt
EOY$4,368,031EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,926,639BOYAmt
EOY$5,168,107EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,926,846BOYAmt
EOY$5,168,200EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$365,416ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$606,884NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$148,501CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$355,058CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$201,170CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$133,302CurrentTaxYearMinus1YearAmt
Current Tax Year$147,662CurrentTaxYearAmt
Total$985,693TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$148,501CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$355,058CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$201,170CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$133,302CurrentTaxYearMinus1YearAmt
Current Tax Year$147,662CurrentTaxYearAmt
Total$985,693TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$19,040SubstantialContributorsTotAmt
Public Support Total170$966,653PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$110,672CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$93,732CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,900CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110,789CurrentTaxYearMinus1YearAmt
Current Tax Year$84,710CurrentTaxYearAmt
Total$503,803TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$58,520CurrentTaxYearMinus1YearAmt
Total$58,520TotalAmt
FieldValueIRS element (for citing)
Total Support$1,548,016TotalSupportAmt
Public Support CY1700.62440PublicSupportCY170Pct
Public Support PY1700.64140PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,091,726BeginningYearBalanceAmt
Investment Earnings Or Losses$255,857InvestmentEarningsOrLossesAmt
Grants Or Scholarships$11,025GrantsOrScholarshipsAmt
Administrative Expenses$2,518AdministrativeExpensesAmt
End Year Balance$1,334,040EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,072,957BeginningYearBalanceAmt
Investment Earnings Or Losses$36,247InvestmentEarningsOrLossesAmt
Grants Or Scholarships$14,247GrantsOrScholarshipsAmt
Administrative Expenses$3,231AdministrativeExpensesAmt
End Year Balance$1,091,726EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,063,788BeginningYearBalanceAmt
Investment Earnings Or Losses$32,300InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,000GrantsOrScholarshipsAmt
Administrative Expenses$3,131AdministrativeExpensesAmt
End Year Balance$1,072,957EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$996,012BeginningYearBalanceAmt
Investment Earnings Or Losses$70,921InvestmentEarningsOrLossesAmt
Administrative Expenses$3,145AdministrativeExpensesAmt
End Year Balance$1,063,788EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$909,575BeginningYearBalanceAmt
Investment Earnings Or Losses$89,275InvestmentEarningsOrLossesAmt
Administrative Expenses$2,838AdministrativeExpensesAmt
End Year Balance$996,012EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (10 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
UNRESTRICTED FUNDS$531,722C
CAPITAL CAMPAIGN AND OTHERS$2,242,151C
WITHEE GIFT ANNUNITY$9,746C
RICKEL LIBRARY FUND$78,662C
SCHOLARSHIP ENDOWMENT FUND$984,056C
AUXILIARY EXPENDABLE FUND$68,666C
PAINTER TRUST - PERM RESTRD$779,516C
PAINTER TRUST - TEMP RESTRD$39,181C
ENDOWMENT FUND$349,984C
MANHATTAN COMMUNITY FOUNDATION$43,472C
FieldValueIRS element (for citing)
Total Book Value Securities$5,127,156TotalBookValueSecuritiesAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE FUNDS ARE USED FOR SCHOLARSHIP DISTRIBUTIONS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CRYSTAL GALAEvent1Nm
Gross Receipts Event1$96,324GrossReceiptsEvent1Amt
Charitable Contri Event1$96,324CharitableContriEvent1Amt
Other Direct Expenses Event1$18,121OtherDirectExpensesEvent1Amt
Gross Receipts Total$96,324GrossReceiptsTotalAmt
Charitable Contributions Tot$96,324CharitableContributionsTotAmt
Oth Direct Expnss Total Events$18,121OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,121DirectExpenseSummaryEventsAmt
Net Income Summary-$18,121NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11823 COLLEGE AVEAddressLine1Txt
CityMANHATTANCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66502ZIPCd
FieldValueIRS element (for citing)
Recipient EIN481186704RecipientEIN
IRC Section501C(3)IRCSectionDesc
Cash Grant$728,042CashGrantAmt
Purpose Of GrantPAYMENT FOR CATH LAB EQUIP, VENTILATORS, CANNULUS, THERAPY EQUIP AND MISC OTHER EQUIPMENTPurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
PATIENT EMERGENCY ASSISTANCE25$5,584CASH PAID
SCHOLARSHIPS26$18,210CASH PAID
WOMEN'S AND CHILDREN'S SERVICES700$6,897CASH PAID
EMPLOYEE EMERGENCY ASSISTANCE16$13,338CASH PAID
EMERGENCY PREPAREDNESS BENEFITS7300$2,763CASH PAID

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMERCY COMMUNITY HEALTH FOUNDATION, INC. DOES NOT SOLICIT GRANT APPLICATIONS FROM ORGANIZATIONS TO WHICH IT PROVIDES ASSISTANCE. THE FOUNDATION PROVIDES ASSISTANCE TO CERTAIN ORGANIZATIONS LISTED IN SCHEDULE I BASED ON EMPLOYEE PAYROLL CONTRIBUTIONS; THE INDIVIDUAL CONTRIBUTIONS ARE FORWARDED TO THE ORGANIZATION AS SOON AS THE FUNDS ARE RECEIVED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATION DOES NOT COMPENSATE THE TOP MANAGEMENT OFFICIAL FOR THEIR ROLE AS SENIOR ADMINISTRATOR OF THE ORGANIZATION. HOWEVER, IF THEY DID, THIS PERSON'S SALARY WOULD BE SET USING THE FOLLOWING POLICIES ESTABLISHED BY ASCENSION VIA CHRISTI HEALTH, INC., A RELATED ORGANIZATION: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE FUNDED ANNUALLY BASED ON PARTICIPATION AND ARE NOT VESTED UNTIL THE 5 YEAR SERVICE REQUIREMENT IS REACHED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. THE AMOUNT FUNDED ANNUALLY UNDER THE PROGRAM TO THE EXECUTIVES IS REPORTED AS COMPENSATION ON FORM 990 SCHEDULE J, PART II, COLUMN B IN THE YEAR FUNDED, THE AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO EXECUTIVES IS REPORTED ON FORM 990 SCHEDULE J, PART II, COLUMN F. THERE WERE NO DISTRIBUTIONS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED VIA CHRISTI HEALTH, INC. ENTITY BOARDS. - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6MERCY COMMUNITY HEALTH FOUNDATION, INC. HAS A SINGLE CORPORATE MEMBER, VIA CHRISTI HOSPITAL MANHATTAN, INC.
FORM 990, PART VI, SECTION A, LINE 7AMERCY COMMUNITY HEALTH FOUNDATION, INC. HAS A SINGLE CORPORATE MEMBER, VIA CHRISTI HOSPITAL MANHATTAN, INC, WHO HAS THE RESERVE POWER TO APPROVE TWO OF THE NOMINEES AND REMOVE THESE TWO MEMBERS OF THE BOARD OF TRUSTEES OF MERCY COMMUNITY HEALTH FOUNDATION, INC.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT, INCLUDING CERTAIN OFFICERS, WORK DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN THROUGH MANNER, PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AS PART OF THE SYSTEM-WIDE PROCEDURES OF VIA CHRISTI HEALTH, INC. AND NOT AT THE ORGANIZATIONAL LEVEL. THE SYSTEM-WIDE PROCEDURES ARE AS FOLLOWS: 1 - AT TIME OF APPOINTMENT AND ANNUALLY THEREAFTER, ALL INTERESTED PERSONS, INCLUDING BOARD AND COMMITTEE MEMBERS, COMPLETE A DISCLOSURE STATEMENT WHICH ADDRESSES ACTUAL OR POTENTIAL CONFLICTS OF INTEREST; 2 - THE DISCLOSURE STATEMENT IS DONE ELECTRONICALLY AND THE RETURN OF THE COMPLETED STATEMENT IS A CONDITION OF CONTINUED APPOINTMENT, EMPLOYMENT, OR PARTICIPATION WITH THE ORGANIZATION; 3 - ALL ACTUAL OR POTENTIAL CONFLICTS ARE REVIEWED, INVESTIGATED, AND RESOLVED BY THE CHIEF GOVERNANCE OFFICER AND THE CORPORATE RESPONSIBILITY OFFICER, WITH THE RESULTS SHARED WITH THE CHIEF EXECUTIVE OF THE ORGANIZATION; AND 4 - PERIODIC REVIEWS ARE CONDUCTED BY GOVERNANCE, COMPLIANCE, AND INTERNAL AUDIT TO ENSURE THE ORGANIZATION IS OPERATING CONSISTENT WITH THE POLICY AND ENFORCING THE POLICY'S TERMS.
FORM 990, PART VI, SECTION B, LINE 15MERCY COMMUNITY HEALTH FOUNDATION USES THE POLICIES ESTABLISHED BY VIA CHRISTI HEALTH, INC. (VCH). VCH HAS ESTABLISHED A COMMON PHILOSOPHY, STRATEGY, AND PROCESSES FOR EXECUTIVE COMPENSATION. THROUGH THE OVERSIGHT OF THE VCH EXECUTIVE COMPENSATION COMMITTEE, EXECUTIVE COMPENSATION IS COMPETITIVELY POSITIONED AT ITS STATED MARKET POSITION WHEN COMPARED TO THE COMPENSATION PAID BY RELEVANT ORGANIZATIONS (COMPARABLY-SIZED HEALTH SYSTEMS, HOSPITALS, AND LONG-TERM CARE PROVIDERS). VCH RECOGNIZES ITS RESPONSIBILITY TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS APPROPRIATE IN VIEW OF ITS MISSION AND TAX EXEMPT STATUS AND THAT ITS COMPENSATION LEVELS AND EXPENDITURES ARE REASONABLE AND NOT EXCESSIVE. TO ENSURE THESE ENDS, THE VCH EXECUTIVE COMPENSATION COMMITTEE HAS ESTABLISHED AND APPROVED THE EXECUTIVE COMPENSATION PHILOSOPHY FOR VCH AND ALL RELATED ENTITIES. IT WILL ALSO APPROVE ALL CHANGES IN THE COMPENSATION PACKAGE FOR VCH EXECUTIVES IN ADVANCE. ON AN ANNUAL BASIS, THE COMMITTEE CONDUCTS A COMPREHENSIVE REVIEW OF TOTAL COMPENSATION FOR ALL EXECUTIVES. IT ALSO REVIEWS AND APPROVES "OFF-CYCLE" COMPENSATION TRANSACTIONS AS NEEDED. IN THEIR REVIEW, THE COMMITTEE CONSIDERS THE FOLLOWING FACTORS: - MARKET DATA FROM INDEPENDENT COMPENSATION SURVEYS AND SOURCES THAT REFLECT COMPARABLE POSITIONS IN ORGANIZATIONS OF SIMILAR SIZE AND SCOPE; - DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES; - SKILLS, EXPERIENCE AND PERFORMANCE HISTORY OF INDIVIDUAL EXECUTIVES; - CRITICAL BUSINESS OR STRATEGIC ISSUES THAT THE ORGANIZATION MAY FACE; AND - MARKET POSITION FOR TOTAL COMPENSATION. THE ADEQUACY, COMPETITIVENESS, AND COST OF THE VCH TOTAL EXECUTIVE COMPENSATION PROGRAM ARE REVIEWED ON AN ONGOING BASIS AND CHANGES ARE MADE AS THE COMMITTEE DETERMINES APPROPRIATE. THE EXECUTIVE COMPENSATION PROGRAM WILL BE MAINTAINED SUCH THAT IT WILL FALL WITHIN THE SAFE HARBOR GUIDELINES ESTABLISHED BY THE INTERMEDIATE SANCTIONS REGULATIONS. THE COMMITTEE ALSO EMPLOYS THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE MARKET ANALYSIS TO AID AND SUPPORT THE COMMITTEE'S ACTIONS, PROVIDE DOCUMENTATION OF MARKET TRENDS FOR BUDGET SETTING PURPOSES, REVIEW ANNUAL COMPENSATION CHANGES TO ENSURE "REASONABLENESS AND PROVIDE ATTESTATION, AND PROVIDE CONSULTATION ON ALL EXECUTIVE COMPENSATION ISSUES. THE COMMITTEE ALSO RELIES ON THIRD-PARTY VALIDATION OF PERFORMANCE MEASURES USED IN THE DETERMINATION OF COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
VIA CHRISTI HEALTH INC
8200 E THORN DRIVE SUITE 300WICHITAKS67226481172107HEALTH SYSTEM PARENTKS501(C)(3)LINE 12D, III-OASCENSION HEALTH ALLIANCE0
VIA CHRISTI HOSPITAL MANHATTAN INC
1823 COLLEGE AVENUEMANHATTANKS66502481186704HOSPITALKS501(C)(3)LINE 3VIA CHRISTI HEALTH INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC
B$728,042CASH PAID
ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC
O$65,370WAGES PAID

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