MERCY HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL INC (EIN 48-0663711)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-07-25
- IRS object ID
- 202532069349300533
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-07-25T10:57:52+00:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1551 N Waterfront Pkwy Ste 300 | AddressLine1Txt |
| City | Wichita | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 672066601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480663711 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 6203456391 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 180 | AddressLine1Txt |
| City | Moundridge | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 671070180 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AARON J HERBEL | PersonNm |
| Person Title | ADMINISTRATOR AND CFO | PersonTitleTxt |
| Phone | 6203456391 | PhoneNum |
| Signature | 2025-07-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kevin Ensminger | PreparerPersonNm |
| PTIN | P01310558 | PTIN |
| Phone | 3162652811 | PhoneNum |
| Preparation | 2025-07-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AARON J HERBEL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 218 E PACK ST | AddressLine1Txt |
| City | MOUNDRIDGE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,484,717 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 1971 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | TO MEET THE HEALTHCARE NEEDS OF THOSE LIVING IN MOUNDRIDGE, KANSAS AND SURROUNDING RURAL AREAS REGARDLESS OF AGE, RACE, ETHNICITY, OR ECONOMIC STATUS. OUR MISSION STATEMENT IS "BY LOVE SERVE ONE ANOTHER." | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 95 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,740,379 | PYContributionsGrantsAmt |
| CY Contributions Grants | $962,325 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,358,737 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,468,970 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $8 | CYInvestmentIncomeAmt |
| PY Other Revenue | $44,260 | PYOtherRevenueAmt |
| CY Other Revenue | $53,288 | CYOtherRevenueAmt |
| PY Total Revenue | $5,143,376 | PYTotalRevenueAmt |
| CY Total Revenue | $6,484,591 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $16,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,391,612 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,942,232 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $5,307 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,240,522 | PYOtherExpensesAmt |
| CY Other Expenses | $2,751,572 | CYOtherExpensesAmt |
| PY Total Expenses | $5,648,134 | PYTotalExpensesAmt |
| CY Total Expenses | $6,699,804 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$504,758 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$215,213 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,899,711 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,170,641 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,973,120 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,459,263 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,926,591 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,711,378 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HEALTH CARE SERVICES TO PERSONS IN MOUNDRIDGE, KANSAS AND THE SURROUNDING RURAL AREAS. WE, THE STAFF AT MERCY BELIEVE THAT PAUL'S INJUNCTION: BY LOVE SERVE ONE ANOTHER, SHOULD BE THE BASIS OF OUR SERVICE HERE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $5,244,438 | ExpenseAmt |
| Grant | $6,000 | GrantAmt |
| Revenue | $5,505,281 | RevenueAmt |
| Desc | MERCY HOSPITAL, INC., HAS CONTINUED TO SERVE THE MOUNDRIDGE COMMUNITY SINCE 1944. WITH THE CONVERSION TO A RURAL EMERGENCY HOSPITAL (REH) ON 1-1-2024, MERCY HOSPITAL PROVIDES 24-7 EMERGENCY ROOM CARE, OBSERVATION SERVICES, OUTPATIENT LAB, RADIOLOGY, AND SURGERY, OUTPATIENT PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AND OUTPATIENT INFUSION SERVICES. OUR MEDICAL STAFF CONSISTS OF SEVEN FAMILY-PRACTICE PHYSICIANS, FIVE APRNS AND FOUR PHYSICIAN ASSISTANTS. THE FOLLOWING STATISTICS ARE OFFERED FOR THE FISCAL YEAR ENDING 9-30-2024: 27 MEDICARE, MEDICAID, AND MEDICARE ADVANTAGE ADMISSIONS AND 29 DISMISSALS (ALL PRIOR TO 12-31-23); SWING BED DAYS - 823; EKGS PERFORMED - 254; OUTPATIENT THERAPY - 5,780 INSTANCES OF SERVICE; ER VISITS - 840; OBSERVATION ENCOUNTERS - 57; OUTPATIENT SURGICAL PROCEDURES - 108, OUTPATIENT LAB ENCOUNTERS - 4,821. | Desc |
| Total Program Service Expenses | $5,244,438 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 95 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AARON HERBEL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6203456391 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 218 E PACK ST | AddressLine1Txt |
| City | MOUNDRIDGE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67107 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAVID LITWILLER | ||||||||
| BOARD CHAIR | 3.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEVE JOHNSON | ||||||||
| BOARD SECRETARY/TREASURER | 3.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WAYLAN WIGGERS | ||||||||
| ASSISTANT BOARD CHAIR | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID BECKER | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| DONAVON LEE KOEHN | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| DOYLE WIEBE | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| KENDEL KOEHN | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| LONNIE UNRUH | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| MERLE ENSZ | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| MERRILL YOST | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| TERRY ISAAC | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| VINCE KOEHN | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| AARON J HERBEL | ||||||||
| ADMINISTRATOR | 40.0 | 0 | Yes (X) | $90,702 | $0 | $8,866 | ||
| BENJAMIN R KIMBALL | ||||||||
| PA-C, EMERGENCY | 40.0 | 0 | $108,406 | $0 | $8,488 | Yes (X) | ||
| ROBERT H WILGERS | ||||||||
| RADIOLOGY DIRECTOR | 40.0 | 0 | $136,678 | $0 | $13,030 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $335,786 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $30,384 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REVIVE THERAPY AND PERFORMANCE | |||||
| 506 WEDGEWOOD CT | HESSTON | KS | 67062 | OUTPATIENT THERAPY SERVICES | $582,600 |
| GREAT PLAINS HEALTH ALLIANCE | |||||
| 250 NORTH ROCK ROAD | WICHITA | KS | 67206 | MEDICAL RECORDS | $292,198 |
| WADEL NP LLC | |||||
| 17400 SW 110 AVE | ZENDA | KS | 67159 | CONTRACT APRN ER COVERAGE | $136,663 |
| CASCADE HEALTH SERVICES | |||||
| 1001 NW BARRY RD | KANSAS CITY | MO | 64155 | CONTRACT NURSING SERVICES | $129,028 |
| WESTERMAN NP LLC | |||||
| 13514 SW 175TH ST | NASHVILLE | KS | 67112 | CONTRACT APRN ER COVERAGE | $123,906 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $331,000 | RelatedOrganizationsAmt |
| Government Grants | $427,877 | GovernmentGrantsAmt |
| All Other Contributions | $203,448 | AllOtherContributionsAmt |
| Total Contributions | $962,325 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621493 | BusinessCd |
| Total Revenue Column | $5,468,970 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,468,970 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,468,970 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8 | TotalRevenueColumnAmt |
| Exclusion | $8 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $933 | TotalRevenueColumnAmt |
| Exclusion | $933 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,850 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $126 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,724 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,724 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,724 | RelatedOrExemptFuncIncomeAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| EMPLOYEE/GUEST MEALS | 722514 | $15,154 | $15,154 | |
| VENDING MACHINE INCOME | 900099 | $890 | $890 | |
| MEDICAL RECORD FEES | 621300 | $587 | $587 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,631 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,484,591 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,505,281 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,985 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Program Services | $6,000 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,141 | TotalAmt |
| Program Services | $5,307 | ProgramServicesAmt |
| Management And General | $95,527 | ManagementAndGeneralAmt |
| Fundraising | $5,307 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,784 | TotalAmt |
| Management And General | $15,784 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,360,840 | TotalAmt |
| Program Services | $2,872,783 | ProgramServicesAmt |
| Management And General | $488,057 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,667 | TotalAmt |
| Program Services | $35,331 | ProgramServicesAmt |
| Management And General | $13,336 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,711 | TotalAmt |
| Program Services | $147,333 | ProgramServicesAmt |
| Management And General | $22,378 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,089 | TotalAmt |
| Program Services | $205,900 | ProgramServicesAmt |
| Management And General | $35,189 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,680 | TotalAmt |
| Management And General | $104,680 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,946 | TotalAmt |
| Management And General | $10,946 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,921 | TotalAmt |
| Program Services | $883,545 | ProgramServicesAmt |
| Management And General | $12,376 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,132 | TotalAmt |
| Management And General | $45,132 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $526,885 | TotalAmt |
| Program Services | $26,574 | ProgramServicesAmt |
| Management And General | $500,311 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,883 | TotalAmt |
| Program Services | $84,162 | ProgramServicesAmt |
| Management And General | $60,721 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,126 | TotalAmt |
| Program Services | $741 | ProgramServicesAmt |
| Management And General | $385 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,374 | TotalAmt |
| Program Services | $8,374 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,300 | TotalAmt |
| Program Services | $388,300 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,956 | TotalAmt |
| Program Services | $39,329 | ProgramServicesAmt |
| Management And General | $14,627 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $408,818 | $408,818 | |
| FOOD/DIETARY SUPPLIES | $67,361 | $67,361 | |
| EQUIPMENT RENTAL/MAINTENANCE | $64,387 | $64,219 | $168 |
| MISCELLANEOUS | $30,803 | $361 | $30,442 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,699,804 | TotalAmt |
| Program Services | $5,244,438 | ProgramServicesAmt |
| Management And General | $1,450,059 | ManagementAndGeneralAmt |
| Fundraising | $5,307 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,746 | BOYAmt |
| EOY | $37,969 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,946 | BOYAmt |
| EOY | $1,255,950 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,783 | BOYAmt |
| EOY | $208,752 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,218 | BOYAmt |
| EOY | $24,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,075,843 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,433,824 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,976,191 | BOYAmt |
| EOY | $2,642,019 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,827 | BOYAmt |
| EOY | $1,827 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,899,711 | BOYAmt |
| EOY | $4,170,641 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,755 | BOYAmt |
| EOY | $357,215 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,330,365 | BOYAmt |
| EOY | $2,102,048 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,973,120 | BOYAmt |
| EOY | $2,459,263 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,907,480 | BOYAmt |
| EOY | $1,707,870 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,111 | BOYAmt |
| EOY | $3,508 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,926,591 | BOYAmt |
| EOY | $1,711,378 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,899,711 | BOYAmt |
| EOY | $4,170,641 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$215,213 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | Yes (true) | MediaAdvertisementsInd |
| Media Advertisements | $5,733 | MediaAdvertisementsAmt |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $2,778 | MailingsMembersAmt |
| Publications Or Broadcast | Yes (true) | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $1,189 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,246 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,946 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | Lobbying activities reported on Part II-B include the following: Lines 1c, 1d, 1e: Mercy Hospital worked together with the other three hospitals in the county to renew a sales tax that benefited all three organizations. The hard costs in lines 1c through 1e were related to media and materials to educate the public about the sales tax and its benefits to the hospitals. Line 1g: Direct contact with legislators is due to presence at KHA-sponsored events. No funds were expended expressly for the purpose of interacting with legislators. Line 1i: A portion of the KHA/AHA dues paid annually is used for lobbying purposes. AHA determined that the percentage of dues used for lobbying in 2023 was 39% and KHA indicated the percentage was 13.9% for their dues. This came to a total of $1,246 for the year. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,011 | OtherCostOrOtherBasisAmt |
| Book Value | $69,011 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,319,885 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,461,964 | DepreciationAmt |
| Book Value | $1,857,921 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,590,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,927,958 | DepreciationAmt |
| Book Value | $662,770 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,902 | DepreciationAmt |
| Book Value | $52,317 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,642,019 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 19 | PersonsServedCnt |
| Total Community Benefit Expns | $45,022 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,022 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0067 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 367 | PersonsServedCnt |
| Total Community Benefit Expns | $321,353 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $79,942 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $241,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0360 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 386 | PersonsServedCnt |
| Total Community Benefit Expns | $366,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $79,942 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $286,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0428 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 3038 | PersonsServedCnt |
| Total Community Benefit Expns | $10,143 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0015 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 698 | PersonsServedCnt |
| Total Community Benefit Expns | $2,049,231 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $579,719 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,469,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.2193 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 3736 | PersonsServedCnt |
| Total Community Benefit Expns | $2,059,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $579,719 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,479,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.2209 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 4122 | PersonsServedCnt |
| Total Community Benefit Expns | $2,425,749 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $659,661 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,766,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.2636 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $152 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 10 | PersonsServedCnt |
| Total Community Benefit Expns | $3,115 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,115 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $654 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $654 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 10 | PersonsServedCnt |
| Total Community Benefit Expns | $4,421 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,421 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $75,906 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $35,415 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $258,567 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,321,910 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,063,343 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 218 E PACK STREET | AddressLine1Txt |
| City | MOUNDRIDGE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCYH.ORG | WebsiteAddressTxt |
| State License | REH059003 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.MERCYH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.MERCYH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE PATIENTS SERVED BY THE COMMUNITY WERE ACTIVELY INVOLVED IN SELECTING WHICH IDENTIFIED HEALTH NEEDS WOULD BE PRIORITIZED BY THE HOSPITAL IN 2022-2025. MERCY HOSPITAL IDENTIFIED WHICH NEEDS WERE ALREADY BEING MET BY OTHER HEALTHCARE ENTITIES AND PRIORITIZED THOSE NEEDS WHICH WE WERE UNIQUELY SITUATED TO BEST MEET. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - MERCY HOSPITAL INC.. IN 2022, A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS PERFORMED WITH TWO OTHER AREA HOSPITALS, IN CONJUNCTION WITH THE COUNTY HEALTH DEPARTMENT. RESIDENTS WERE ASKED TO COMPLETE ONLINE OR PAPER SURVEYS REGARDING HEALTH CONCERNS AND OPPORTUNITIES. AFTER INITIAL HEALTH ISSUES WERE IDENTIFIED, A WORKGROUP WAS FORMED REPRESENTING A CROSS SECTION OF SURVEY RESPONDENTS ALONG WITH COMMUNITY HEALTH EXPERTS AND RESOURCES. THIS WORKGROUP PRIORITIZED THE ISSUES AFFECTING THE COMMUNITY USING PUBLIC HEALTH DATA TO CONFIRM ADDITIONAL FACTORS. MERCY HOSPITAL HOSTED A TOWN-HALL MEETING WITH COMMUNITY RESIDENTS AND TOWN LEADERS TO FURTHER DRILL DOWN INTO NEEDS AND SURVEY THE POPULATION. PHYSICIANS FROM THE CONTRIBUTING HOSPITALS, AS WELL AS THE COUNTY HEALTH DIRECTOR WERE IN ATTENDANCE, AND PROVIDED THEIR INSIGHT AND EXPERTISE. MEMBERS OF THE COMMUNITY, INCLUDING REPRESENTATIVES FROM COUNTY EMERGENCY SERVICES, DISABILITY SUPPORT AND SOCIAL PROGRAMS (INCLUDING THE COUNTY FOOD BANK) AS WELL AS OTHER INDIVIDUALS WERE ALSO IN ATTENDANCE AND CONTRIBUTED THEIR INPUT. FOLLOWING THE COUNTY-WIDE MEETING, MERCY HOSPITAL HOSTED A MOUNDRIDGE-SPECIFIC TOWN-HALL MEETING WITH MEMBERS OF OUR COMMUNITY TO DRILL INTO COMMUNITY-SPECIFIC DATA AND NEEDS. THE RESULTS OF BOTH OF THESE EFFORTS WERE USED TO COMPILE THE CHNA REPORT. THOSE IN ATTENDANCE AT THE TOWN-HALL INCLUDED CITY LEADERSHIP, SCHOOL DISTRICT LEADERSHIP, CITY EMS, LOCAL LTC LEADERS, COMMUNITY MEMBERS AT LARGE, HOSPITAL BOARD MEMBERS, HOSPITAL EXECUTIVES, COMMUNITY FOUNDATION BOARD MEMBERS, MOUNDRIDGE POLICE CHIEF, REPRESENTATIVES FROM THE FAITH-BASED COMMUNITY AND LOCAL COMMUNITY MENTAL HEALTH CENTER REPRESENTATIVES. ALL THIS INFORMATION WAS COMPILED INTO A REPORT WHICH HAS BEEN PUBLISHED ON OUR WEBSITE. MERCY HOSPITAL IDENTIFIED SOLUTIONS TO THESE IDENTIFIED HEALTH CONCERNS AND RELEASED A FACILITY-SPECIFIC IMPLEMENTATION PLAN, WHICH IS BEING CARRIED OUT STARTING IN 2023 THROUGH THE END OF 2025. ALL THESE DOCUMENTS ARE REVIEWED AND DISCUSSED WITH THE HOSPITAL'S PATIENT AND FAMILY ENGAGEMENT COMMITTEE PERIODICALLY. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - MCPHERSON COUNTY PUBLIC HEALTH DEPARTMENT. COUNTY HEALTH DEPARTMENT |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Mercy Hospital Inc.. Access to Visiting Specialists (OB, Surgery, CV, Pulmonology, Urology)- Continue to request Moundridge current visiting specialists to increase days of service per month. Focus on Cardiology, Surgery and Urology.; Continue to develop / promote visiting specialist office space at both MH and PIFC locations.; Continue capital investment in facilities & Specialist Equipment necessary to recruit visiting specialists. Mental Health / Crisis Intervention (Diagnosis, Placement, Aftercare, Access to Providers)- Conduct a physician manpower needs assessment to identify the number of Mental Health providers. Recruit Mental Health providers to meet specific mental inventory needs as identified; Continue to update & maintain MH Community Inventory documenting specific Mental Health service offerings,availability of services by hours and qualified insurance; Launch a MH Community Partners Lunch & Learn session to improve communication and share best practices. Develop & deploy a communication plan; Support new 988 24-hour crisis hotline. Promote toll free number on hospital website; Consider MH recruitment of locum visiting provider. Explore adding potential space for visiting MH providers within the hospital. Health Insurance Options (Education)- Continue to educate public on payment options at the hospital. Continue to support enrolling in Medicaid, Acts of Mercy program and enhance CMS Transparency website reporting.; Complete hospital filing for Exception status for participating in the Medicaid PE program; Develop white paper & collateral materials about what affordable health insurance means to Moundridge.; Provide education to public and community in regards to how to properly navigate the using your health insurance coverage properly. Obesity (Nutrition / Exercise)- Support wellness program at clinic and explore MH launching of wellness program.; (This health need is not part of hospital mission of critical operations. Will partner with others as appropriate) Cancer Care- Recruit & support specialists coming from Hutchison, Newton, McPherson to hospital/clinic locations; Develop campaign to education community of ways to protect themselves from different forms of cancer such as proper sun screen usage to prevent skin cancer, smoking cessation to prevent lung cancer, etc. Workforce Staffing- Continue to educate high school students on health care career options. Offer hospital School Scholarship / Internship / Shadowing Program opportunities; Partner with Health Department, Schools and Economic Development groups to host job fairs and seminars on: employee readiness, dress for success, skill building, interview guides, resume workshops, etc. After Hours Urgent Care / Walk-in Clinic- Explore the feasibility of expanding the hospital's after-hours care program to allow for more walk-ins. Further the discussion of Saturday hours at one or more clinics once the need is establish plausible; This need was met in early 2024 when Mercy Hospital opened the walk-in clinic Parenting- Continue to support STEPS program (County); Promote within community church and/or school-based parenting programs with a focus of mind, body, and spirit.; (This health need is not part of hospital mission of critical operations. Will partner with others as appropriate.) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL WALK-IN CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 218 E PACK ST | AddressLine1Txt |
| City | MOUNDRIDGE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | MEDICAL CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care | Mercy Hospital only provides 100% free care to those who qualify for financial assistance. We do not use a graduated qualification process or discounted care. If someone qualifies for Financial Assistance, they end up owing $0.00 |
| Schedule H, Part I, Line 7g Subsidized Health Services | NONE OF THE COSTS INCLUDED IN LINE 7G ARE FROM A PHYSICIAN CLINIC. ONLY PROFESSIONAL COSTS ASSOCIATED WITH OPERATION OF THE HOSPITAL'S EMERGENCY ROOM ARE INCLUDED. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE METHOD USED WAS THE COST-TO-CHARGE RATIO FROM THE MEDICARE COST REPORT. |
| Schedule H, Part II Community Building Activities | THE COSTS REPORTED IN PART II OF SCHEDULE H ARE LARGELY FOR THE ADMINISTRATOR TO ATTEND COMMUNITY HEALTH COALITION MEETINGS AND OTHER COMMUNITY BUILDING EVENTS WHILE BEING PAID BY THE HOSPITAL, AS WELL AS FOR MEETINGS HELD AT THE HOSPITAL WHERE PAID HOSPITAL STAFF WERE INVOLVED. THESE MEETINGS BRING TOGETHER COMMUNITY STAKEHOLDERS TO ENGAGE THEM IN DECISIONS IMPACTING THE HEALTH OF THE COMMUNITY AND HOW THE HOSPITAL ALLOCATES FUNDING TO ADDRESS IDENTIFIED NEEDS, INCLUDING COUNTY HEALTHCARE COALITION MEETINGS, COMMUNITY HEALTH NEEDS ASSESSMENT MEETINGS, PATIENT AND FAMILY ENGAGEMENT MEETINGS, AND COMMUNITY FOUNDATION MEETINGS. MERCY HOSPITAL IS COMMITTED TO BEING A GOOD PARTNER IN THE COMMUNITY AND FURTHERING ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF OUR COMMUNITY MEMBERS. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THERE IS A CERTAIN PERCENTAGE OF INDIVIDUALS EVERY YEAR WHO, DUE TO BEING IN THE HOSPITAL A SHORT TIME, ONLY INTERACTING WITH HOSPITAL STAFF IN THE ER SETTING (I.E. ONLY FOR SHORT PERIODS OF TIME WITH NO OPPORTUNITY TO COLLECT THE NECESSARY INFORMATION), OR DUE TO INSTABILITY IN THEIR LIVING ARRANGEMENTS, ARE UNABLE TO PROVIDE THE REQUIRED INFORMATION FOR A CHARITY CARE APPLICATION TO BE PROCESSED. WE SAW A DECREASE IN PATIENT PAYMENTS ON ACCOUNTS WHICH IS BELIEVED TO BE DUE TO LOWER PATIENTS' CASH-ON-HAND AND MEDICAL DEBTS NOT BEING FIRST PRIORITY. MEDICAID RE-DETERMINATIONS MOVED SOME INDIVIDUALS OFF STATE MEDICAID ROLLS AND INTO HIGH DEDUCTIBLE HEALTH PLANS, LEAVING PATIENT BALANCES WHICH THEY WERE UNPREPARED TO PAY. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | DISCUSSION OF PATIENT SERVICE REVENUE AND BAD DEBTS CAN BE FOUND IN NOTE 2 OF THE ATTACHED FINANCIAL STATEMENTS. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | WE PROVIDE EMERGENCY SERVICES AS A BENEFIT TO OUR COMMUNITY, ALLOWING OUR LOCAL CITIZENS TO RECEIVE CARE CLOSE TO HOME AND WITHIN TIMEFRAMES THAT MEET THEIR NEEDS. STATISTICS SHOW THAT WHEN THERE IS NOT AN EMERGENCY ROOM NEARBY, THE MORTALITY RATE INCREASES BY 6 PERCENT DUE TO REDUCTION IN ACCESS TO CARE. EVEN WITH THE CONVERSION TO THE REH MODEL DURING THE FISCAL YEAR, MERCY HOSPITAL CONTINUES TO SEE REIMBURSEMENTS OFTEN BELOW COST. THE COST TO CHARGE RATIO FROM THE MOST-RECENTLY FILED MEDICARE COST REPORT WAS USED TO CALCULATE ALLOWABLE COST. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | SELF-PAY ACCOUNTS WITH BALANCES UNPAID OVER 90 DAYS ARE CONSIDERED TO BE DELINQUENT. THE INTERNAL COLLECTIONS DEPARTMENT MAKES MULTIPLE ATTEMPTS TO REACH THESE INDIVIDUALS BY MAIL AND PHONE TO ESTABLISH A PAYMENT PLAN OR OFFER FINANCIAL ASSISTANCE. BANKRUPTCIES WILL HAVE ALL COLLECTIONS EFFORTS STOPPED UPON RECEIPT OF BANKRUPTCY NOTICE. ALL ACCOUNTS BEING WORKED BY OUR INTERNAL COLLECTIONS DEPARTMENT ARE OFFERED THE HOSPITAL'S ESTABLISHED FINANCIAL ASSISTANCE POLICY AND APPLICATION. ANY PATIENT ACCOUNTS WHICH QUALIFY ARE HANDLED ACCORDING TO THAT POLICY. FUTURE ACCOUNTS FOR A GUARANTOR WHO IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MAY BE AWARDED CHARITY CARE BASED ON ADMINISTRATIVE DECISION. ALL FINANCIAL ASSISTANCE APPLICATIONS ARE SUBJECT TO PERIODIC AND ANNUAL REVIEW TO ENSURE THE GUARANTOR'S CURRENT FINANCIAL SITUATION IS CONSIDERED. |
| Schedule H, Part V, Section B, Line 16a FAP website | - MERCY HOSPITAL INC.: Line 16a URL: WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - MERCY HOSPITAL INC.: Line 16b URL: WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - MERCY HOSPITAL INC.: Line 16c URL: WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part VI, Line 2 Needs assessment | IN 2022, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS PERFORMED, IN CONJUNCTION WITH THE COUNTY HEALTH DEPARTMENT. RESIDENTS WERE ASKED TO COMPLETE ONLINE OR PAPER SURVEYS REGARDING HEALTH CONCERNS AND OPPORTUNITIES. AFTER INITIAL HEALTH ISSUES WERE IDENTIFIED, A WORKGROUP WAS FORMED REPRESENTING A CROSS SECTION OF SURVEY RESPONDENTS ALONG WITH COMMUNITY HEALTH EXPERTS AND RESOURCES. THIS WORKGROUP PRIORITIZED THE ISSUES AFFECTING THE COMMUNITY USING PUBLIC HEALTH DATA TO CONFIRM ADDITIONAL FACTORS. MERCY HOSPITAL HOSTED A TOWN- HALL MEETING WITH COMMUNITY RESIDENTS AND TOWN LEADERS TO FURTHER DRILL DOWN INTO NEEDS AND SURVEY THE POPULATION. ALL THIS INFORMATION WAS COMPILED INTO A REPORT WHICH HAS BEEN PUBLISHED ON OUR WEBSITE. MERCY HOSPITAL IDENTIFIED SOLUTIONS TO THESE IDENTIFIED HEALTH CONCERNS AND RELEASED A FACILITY-SPECIFIC IMPLEMENTATION PLAN, WHICH IS BEING CARRIED OUT STARTING IN 2023 THROUGH THE END OF 2025. ALL THESE DOCUMENTS ARE REVIEWED AND DISCUSSED WITH THE HOSPITAL'S PATIENT AND FAMILY ENGAGEMENT COMMITTEE CHOSEN FROM THE PATIENT POPULATION IN THE COMMUNITY. THESE INDIVIDUALS HELP TO DETERMINE THE WORTHINESS AND EFFICACY OF THE HOSPITAL'S EFFORTS. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | COMMUNICATION OF THE FINANCIAL ASSISTANCE AVAILABLE FROM MERCY HOSPITAL, INC. SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN EMERGENCY ROOMS, REGISTRATION, PATIENT FINANCIAL SERVICES AND AT OTHER PUBLIC PLACES AS MERCY HOSPITAL, INC. MAY ELECT. INFORMATION SHALL ALSO BE INCLUDED ON THE FACILITY WEBSITE AND IN THE CONDITIONS OF ADMISSION FORM. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE MERCY HOSPITAL, INC. STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL SERVICES STAFF, SOCIAL WORKER AND CASE MANAGER. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. |
| Schedule H, Part VI, Line 4 Community information | MERCY HOSPITAL IS LOCATED IN MOUNDRIDGE, KS AND SERVES A DENSELY-SETTLED RURAL AREA THAT ALSO INCLUDES INDIVIDUALS FROM FOUR SURROUNDING COMMUNITIES. MOUNDRIDGE AND THE SURROUNDING RURAL SPACE HAS A POPULATION OF APPROXIMATELY 6,500 PEOPLE. BENEFICIARIES ARE FROM FARMING AND SOME MANUFACTURING ORGANIZATIONS IN THE APPROXIMATE 30-MILE RADIUS OF THE HOSPITAL. THERE ARE TWO OTHER HOSPITALS WITHIN A 20-MILE RADIUS ALSO SERVING THE AREA. |
| Schedule H, Part VI, Line 5 Promotion of community health | THE HOSPITAL HAS AN ACTIVE PATIENT AND FAMILY ENGAGEMENT COMMITTEE THAT MEETS AT LEAST QUARTERLY. THIS GROUP IS COMPRISED OF VOLUNTEER COMMUNITY MEMBERS WHO HAVE BEEN PATIENTS IN THE HOSPITAL. THESE INDIVIDUALS SERVE AS ADVISORS FOR THE BOARD AND MEDICAL STAFF TO PROVIDE INSIGHT FROM THE COMMUNITY TO INFLUENCE HOSPITAL POLICY AND DECISIONS. MEDICAL STAFF IS COMPOSED OF COURTESY AND CONSULTING PHYSICIANS WHO MEET QUARTERLY. TOPICS RELATING TO COMMUNITY HEALTH MAY BE DISCUSSED IN MEDICAL STAFF MEETINGS. THE HOSPITAL'S BOARD IS COMPRISED OF 12 VOLUNTEER MEMBERS FROM VARIOUS REGIONS OF THE SERVICE AREA. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | KU School of Medicine Bridging Program- Dr. Olivia Gehring | GrantTypeTxt |
| Recipient | 1 | RecipientCnt |
| Cash Grant | $6,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | MERCY HOSPITAL IS NOT A FOUNDATION, AND THE GRANTS WE WOULD AWARD ARE ONLY TO INDIVIDUALS WHO MEET VERY SPECIFIC CRITERIA, SUCH AS A NEW PHYSICIAN PROVIDER WHO IS COMING TO TOWN. ALL GRANT TERMS MUST BE MET IN ADVANCE BEFORE THE FUNDS ARE DISBURSED. AGREEMENTS ARE REVIEWED BY THE ORGANIZATION'S LEGAL COUNSEL PRIOR TO BEING SIGNED BY THE GRANTEE. ALL DOCUMENTS PERTAINING TO GRANTS AWARDED TO INDIVIDUALS ARE MAINTAINED IN THE ORGANIZATION'S PERMANENT RECORDS. MERCY HOSPITAL HISTORICALLY HAS LIMITED TO AWARDING OF GRANTS TO INDIVIDUALS WHO ARE BEING EDUCATED IN A FIELD PERTAINING TO HEALTHCARE AND WHO ARE COMMITTED TO SERVING IN THE MOUNDRIDGE COMMUNITY FOR A DEFINED PERIOD OF TIME. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRENDA KOEHN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE OF A DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $15,784 | TransactionAmt |
| Transaction | SALARIES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 3 Significant changes in program services | MERCY HOSPITAL CONVERTED TO THE NEW MEDICARE RURAL EMERGENCY HOSPITAL (REH) MODEL ON JANUARY 1, 2024. AS A RESULT OF THE REH CONVERSION, MERCY HOSPITAL CEASED PROVIDING ACUTE INPATIENT HOSPITAL CARE ON 12-31-2023. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | ALL MEMBERS OF THE BOARD OF DIRECTORS HAVE THE SAME VOTING PRIVILEGES. THE EXECUTIVE COMMITTEE DOES HAVE AUTHORITY TO ACT ON ANY MATTERS WHICH MAY ARISE BETWEEN REGULAR MEETINGS, SUBJECT TO APPROVAL BY THE FULL BOARD AT THEIR NEXT REGULAR MEETING. THE BOARD EXECUTIVE COMMITTEE INCLUDES THE CHAIRPERSON, THE ASSISTANT CHAIR, AND THE SECRETARY/TREASURER. THESE THREE ARE ELECTED TO THESE POSITIONS ANNUALLY BY THE FULL BOARD AND HAVE AUTHORITY TO ACT ON ALL MATTERS ARISING BETWEEN MEETINGS OF THE BOARD, SUBJECT TO APPROVAL BY THE FULL BOARD AT THEIR NEXT MEETING. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | DONAVON LEE KOEHN, KENDEL KOEHN, AND VINCE KOEHN - Family relationship |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | THE ORGANIZATION'S BYLAWS WERE AMENDED DURING THE FISCAL YEAR TO REFLECT THE FOLLOWING: A. INCREASE IN THE NUMBER OF MEMBERS OF THE BOARD, B. BROADENING THE ACTIONS UNDER THE BOARD'S RESPONSIBILITY, AND C. REVISIONS TO LANGUAGE ADDRESSING THE END OF THE HOSPITAL'S INPATIENT CARE PROGRAM. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | MEMBERSHIP IN MERCY HOSPITAL, INC. IS LIMITED TO THE CONGREGATIONS OF THE VARIOUS CHURCHES OF THE CHURCH OF GOD IN CHRIST MENNONITE WITHIN THE AREA SERVED BY THE HOSPITAL. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE VARIOUS CONGREGATIONS, BEING THE MEMBERS OF MERCY HOSPITAL, INC., HAVE THE RIGHT TO ELECT, ADD, OR REMOVE BOARD MEMBERS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE VARIOUS CONGREGATIONS, BEING THE MEMBERS OF MERCY HOSPITAL, INC., HAVE THE RIGHT TO APPROVE THE BYLAWS, ARTICLES OF INCORPORATION, AND APPROVE OR REMOVE BOARD MEMBERS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990. THE FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN REVIEWED BY THE ORGANIZATION'S ADMINISTRATOR AND CFO. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD FOR THEIR REVIEW PRIOR TO FILING THE 990. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BOARD MEMBERS AND THE ADMINISTRATOR REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. EACH INDIVIDUAL IS RESPONSIBLE FOR DISCLOSING ANY POTENTIAL CONFLICTS. THESE ARE DOCUMENTED WITH SIGNED CONFLICT OF INTEREST STATEMENTS. THE HOSPITAL'S CORPORATE COMPLIANCE COMMITTEE DETERMINES WHETHER A CONFLICT IS PRESENT. IF A CONFLICT OF INTEREST IS PRESENT THE INTERESTED BOARD MEMBER IS EXCUSED FROM THE BOARDROOM DURING THE SUBSEQUENT VOTE. THE COMPLIANCE COMMITTEE IS COMPOSED OF INDIVIDUALS FROM MULTIPLE DEPARTMENTS, AND INCLUDES AARON HERBEL, ADMINISTRATOR AND CFO; FERNETTA PHILLIPS, HR MANAGER, AND HOLLIE BARR, CORPORATE COMPLIANCE OFFICER. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | AT THE TIME OF HIRE AND ANNUALLY THEREAFTER, THE KHA'S PUBLISHED WAGE SCALE AND AN INFORMAL SURVEY OF AREA COMPENSATION COMPARABLES ARE USED TO ESTABLISH REASONABLE COMPENSATION LEVELS. IN ADDITION, AN ANNUAL PERFORMANCE EVALUATION IS PERFORMED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. THE EVALUATIONS COMPLETED BY THE EXECUTIVE COMMITTEE ARE THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. DOCUMENTATION OF THE APPROVED EVALUATIONS FOR COMPENSATION IS INCLUDED IN THE BOARD MINUTES. SUCH A PROCESS IS COMPLETED FOR THE ADMINISTRATOR (CEO) BY THE BOARD OF DIRECTORS AND WAS LAST CONDUCTED IN 2024. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | AT THE TIME OF HIRE AND ANNUALLY THEREAFTER, THE KHA'S PUBLISHED WAGE SCALE AND AN INFORMAL SURVEY OF AREA COMPENSATION COMPARABLES ARE USED TO ESTABLISH REASONABLE COMPENSATION LEVELS. IN ADDITION, AN ANNUAL PERFORMANCE EVALUATION IS PERFORMED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. THE EVALUATIONS COMPLETED BY THE EXECUTIVE COMMITTEE ARE THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. DOCUMENTATION OF THE APPROVED EVALUATIONS FOR COMPENSATION IS INCLUDED IN THE BOARD MINUTES. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE HOSPITAL ADMINISTRATOR. |
| Form 990, Part IX, Line 11g Other Fees | PURCHASED MEDICAL SERVICES - Total Expense: 855960, Program Service Expense: 855960, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE AND ADMINISTRATIVE PURCHASED SERVICES - Total Expense: 39961, Program Service Expense: 27585, Management and General Expenses: 12376, Fundraising Expenses: ; |
| Form 990, Part XII, Line 2c OVERSIGHT PROCESS | THE ORGANIZATION'S EXISTING INTERNAL ACCOUNTANT HAS ASSUMED ADDITIONAL RESPONSIBILITIES DURING THE FISCAL YEAR. THE BOARD AS A WHOLE REVIEWS THE FINANCIAL DOCUMENTS PREPARED BY THE CFO, BUT A BOARD MEMBER IS NO LONGER PERSONALLY REQUIRED TO DO DETAILED REVIEW DUE TO ADEQUATE SEGREGATION OF DUTIES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHURCH OF GOD IN CHRIST MENNONITE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AVE C | AddressLine1Txt |
| City | MOUNDRIDGE | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237022612 | EIN |
| Primary Activities | CHURCH | PrimaryActivitiesTxt |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 1 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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