2019-05-15T13:02:01-05:00 2018-06-30 990 2017-07-01 481186704 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC (FKA VIA CHRISTI HOSPITAL MANH ATTAN INC) ASCE 3147338000 1823 College Avenue Manhattan KS 66502 Tonya Mershon Tax Officer 2019-05-15 2017 2019-02-21 02:37:17Z ROBERT COPPLE 1823 College Avenue Manhattan KS 66502 99034444 false X https://www.viachristi.org/location/via-christi-hospital-manhattan X 1996 KS TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE. 11 9 742 175 319529 135823 1600 500000 97034475 94787155 4744675 3251056 1577444 490847 103358194 99029058 108993 48339 0 0 36684539 32111295 0 0 76299 54987958 53319076 91781490 85478710 11576704 13550348 181241442 196218065 43396300 43769247 137845142 152448818 OUR MISSION AS PART OF A CATHOLIC HEALTH CARE SYSTEM IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR, IN THE COMMUNITIES WE SERVE. false false 59675482 48339 94868440 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) IS A 94-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2018, ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) TREATED 4,922 ADULTS AND CHILDREN FOR A TOTAL OF 16,202 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 102,941 OUTPATIENT VISITS, WHICH INCLUDED 1,743 OUTPATIENT SURGERIES AND 22,990 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 59675482 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 138 0 true 742 true true true false false false false false true false false false X 11 9 false false false false true true true true true false false false true true true true true false false true true X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 ROBERT M DUFF CHAIR 1.0 2.0 X X 0 0 0 JOHN ARMBRUST VICE CHAIR 1.0 0 X X 0 0 0 MATTHEW W FLOERSCH SECRETARY/TREASURER 1.0 0 X X 0 0 0 ROBERT C COPPLE HOSPITAL PRESIDENT-MANHATTAN 50.0 1.0 X X 328254 0 34525 DIRK E DAVELINE TRUSTEE 1.0 0 X 0 0 0 HENRY DOERING TRUSTEE - MEDICAL STAFF PRESIDENT 5.0 0 X 0 0 0 DWIGHT D FAULKNER TRUSTEE 1.0 0 X 0 0 0 SISTER ANNE DELORES LAPLANTE TRUSTEE (END 6/2018) 1.0 2.0 X 0 0 0 SUE T UNRUH TRUSTEE 1.0 0 X 0 0 0 GREGORY WELLE TRUSTEE 1.0 0 X 0 0 0 LANCE WHITE TRUSTEE 1.0 1.0 X 0 0 0 DAVID M WICHMAN TRUSTEE/MEDICAL STAFF VP 50.0 0 X 271957 0 30296 JAMES G FRASER ADMINISTRATOR FINANCE 50.0 1.0 X 184551 0 24419 EDWARD J HETT CCO-MINISTRY MKT KANSAS 1.0 56.0 X 0 373152 35217 GARY KNIGHT ASST SECRETARY-GENERAL COUNSEL MINISTRY MKT 1.0 56.0 X 0 531784 32957 MICHAEL MCCULLOUGH CFO-MINISTRY MKT KANSAS 5.0 45.0 X 0 272112 15877 JOY M SCOTT CSO-MINISTRY MKT KANSAS 1.0 49.0 X 0 264583 41387 MARGARET A TICHACEK VP MSN-CMIO MINISTRY MKT KANSAS 1.0 56.0 X 0 432695 27218 CARLA J YOST CHIEF NURSING OFFICER 1.0 56.0 X 0 361232 37124 DARRELL J YOUNGMAN CQO-MINISTRY MKT KANSAS 1.0 55.0 X 0 383167 25921 NICHOLAS EVANGELIDIS PHYSICIAN 50.0 0 X 212417 0 36087 IAN C MALBURG MD PHYSICIAN 50.0 0 X 402280 0 27173 ASAD MOHMAND PHYSICIAN 50.0 0 X 199650 0 0 CASEY M POELL MD HOSPITALIST 50.0 1.0 X 358632 0 35893 LAKSHIKA M RANAWEERA PHYSICIAN 50.0 0 X 218040 0 37757 CLAUDIO J FERRARO FORMER OFFICER (END 4/2016) 0.0 53.0 X 0 382321 40782 SHERRY HAUSMANN FORMER OFFICER (END 4/2016) 0.0 54.0 X 0 556898 39653 ROBERTA JOHNSON FORMER OFFICER (END 6/2016) 0.0 50.0 X 0 272523 25768 2175781 3830467 548054 27 true true false REHABCARE GROUP SRS DIV 680 S FOURTH STREET LOUISVILLE KY 40202 MANAGEMENT FEES 492876 FUSION MEDICAL STAFFING LLC 11850 NICHOLAS STREET 100 OMAHA NE 68154 MEDICAL STAFFING SERVICES 224680 LINEN KING LLC 1521 W 36TH PL TULSA OK 74107 REPAIR & MAINTENANCE 222706 PETERSON LABORATORY SERVICES PA 1133 COLLEGE AVE B SUITE 131 MANHATTAN KS 665022770 PATHOLOGY SERVICES 180701 INSTITUTE OF EXTRACORPOREAL THERAPIES 1133 COLLEGE AVE STE SUITE B100 MANHATTAN KS 66502 MEDICAL SERVICES 169331 8 X 0 0 0 0 0 500000 500000 NET PATIENT SERVICE REVENUE 621990 93794976 93513017 281959 BILLING SERVICE REVENUE 561000 638536 638536 SERVICES TO AFFILIATES 900099 163057 163057 EMS 621990 59139 59139 MANAGEMENT FEES 561000 48947 48947 82500 82500 0 0 94787155 3252142 3252142 0 0 0 0 51459 0 0 51459 0 51459 51459 0 4300 5386 0 -1086 -1086 -1086 0 0 0 0 0 0 0 0 CAFETERIA/VENDING REVENUE 722514 347673 37570 310103 EDUCATION REVENUE 611430 56040 56040 ESCHEATMENT REVENUE 611430 10430 10430 25245 25245 0 0 439388 99029058 94586481 319529 3623048 X 48339 48339 874002 795341 78661 24872644 22662614 2149359 60671 986304 898671 85217 2416 3519317 3206549 304318 8450 1859028 1693781 160851 4396 489689 477808 11881 116699 116699 3005 3005 8923 8923 14212960 5478753 8734207 0 13112 2295 10817 187632 101029 86603 114510 39691 74819 1911845 521879 1389966 216696 178126 38570 97465 37279 60186 1001736 11255 990481 5133027 2431334 2701693 457454 -227174 684628 MEDICAL SUPPLIES 14603211 14648805 -45594 PURCHASED SERVICES 6515255 2442835 4072420 CONTRACT LABOR 2237478 2230244 7234 PROVIDER TAX 786768 786768 5211611 1209260 4001985 366 85478710 59675482 25726929 76299 4851582 3101 1874927 3911529 0 0 13038079 11279223 0 0 0 0 0 0 2492492 2214306 1132903 7771 68519534 22470739 48276530 46048795 0 0 0 0 93761 123216 109481168 132630124 181241442 196218065 7330856 6936956 0 0 0 0 22332516 20893816 0 0 0 0 0 0 0 0 13732928 15938475 43396300 43769247 X 133477568 147760634 4367574 4688184 0 0 137845142 152448818 181241442 196218065 X 13550348 718679 334649 X false true X true false X false false false false false false false false true 8923 8923 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 2127222 2127222 39341332 8026628 31314704 3783785 450586 3333199 21223546 13756934 7466612 2043649 236591 1807058 46048795 INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE 124909958 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 946437 INCOME GUARANTEE NOTE RECEIVABLE TOTAL INTERCOMPANY RECEIVABLES OTHER RECEIVABLES 1188571 SECURITY DEPOSITS 253593 DUE FROM AFFILIATES 643381 BENEFICIAL INTEREST IN MERCY COMMUNITY HEALTH FOUNDATION 4688184 132630124 0 ASSET RETIREMENT OBLIGATION 4193062 INTERCOMPANY PAYABLES PHYSICIAN GUARANTEE ESTIMATED 3RD PARTY PAYOR SETTLEMENT 757350 RECOVERY TAIL LIABILITY 211152 AH SAVINGS PLAN LIABILITY ACCRUED TAXES 82324 DUE TO AFFILIATES 6894587 GENERAL RESERVE LIABILITIES 3800000 15938475 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018. true true X true X 250 true X true true true false true true 1834285 0 1834285 0.0215 7270948 2655337 4615611 0.0540 0 0.0 0 0 9105233 2655337 6449896 0.0755 218510 29110 189400 0.0022 3895 0 3895 0.0000 0 0 0 0.0 0 0 0 0.0 11734 0 11734 0.0001 0 0 234139 29110 205029 0.0024 0 0 9339372 2684447 6654925 0.0779 0 0 0 0.0 534 0 534 0.0000 0 0 0 0.0 378 0 378 0.0000 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 11166 0 11166 0.0001 0 0 0 0.0 0 0 12078 0 12078 0.0001 false 1478669 0 35495634 41789004 -6293370 X true true VIA CHRISTI IMAGING LLC (FKA MERCY IMAGING LLC) DIAGNOSTIC IMAGING 0.75 0.0 0.25 1 1 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC (FKA VIA CHRISTI HOSPITAL MANH ATTAN INC) 1823 COLLEGE AVENUE MANHATTAN KS 66502 https://www.viachristi.org/location/via-christi-hospital-manhattan KANSAS H-081-003 X X X ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC (FKA VIA CHRISTI HOSPITAL MANH ATTAN INC) 1 false false true X X X X X X X X 17 true true false true X https://www.viachristi.org/about-via-christi/mission/community-benefit X true 18 true https://www.viachristi.org/about-via-christi/mission/community-benefit false true X 250.0 400.0 X X true true X X X X true X https://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistance X https://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistance X https://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.). THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS THE FOURTH SUCH SURVEY OF MANHATTAN/RILEY COUNTY RESIDENTS CONDUCTED BY ASCENSION VIA CHRISTI HOSPITAL MANHATTAN (AVCH-M) EITHER AS AN INDIVIDUAL MINISTRY OR IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS. THIS 2018 EFFORT WAS CONDUCTED IN PARTNERSHIP WITH THE WAMEGO HEALTH CENTER LOOKING AT BOTH RILEY AND POTTAWATOMIE COUNTIES WHERE BOTH HOSPITALS ARE LOCATED AND WHERE THE MAJORITY OF THEIR PATIENTS LIVE AND/OR WORK. THE 2018 CHNA GATHERED DATA FROM THREE MAJOR SOURCES: 1) PRIMARY DATA COLLECTED FROM RESIDENTS SUBMITTING THEIR RESPONSES TO PRINTED SURVEYS OR AVAILABLE ONLINE THROUGH THE AVCH-M AND WHC WEBSITES. 2) THERE WERE A TOTAL OF 781 RESPONDENTS WITH 328 IDENTIFYING RILEY COUNTY AS THEIR HOME BASE AND 303 IDENTIFYING POTTAWATOMIE. OF THE 781 TOTAL RESPONDENTS, 68 (8.7%) OF THE RESPONDENTS RETURNED A PAPER COPY OF THE SURVEY WITH THE MAJORITY OF OTHER RESPONDENTS USING THE ELECTRONIC VERSION. 3) TWO FOCUS GROUPS WERE HELD IN RILEY COUNTY TO MEASURE THE STATUS OF HEALTH CARE IN THE MANHATTAN AREA BY LOOKING AT THE STRENGTHS, WEAKNESSES, NEW TRENDS, MISSING SERVICES, ETC. AND ONE IN POTTAWATOMIE COUNTY. REPRESENTATIVES TAKING PART IN THE FOCUS GROUPS HELD IN MANHATTAN INCLUDED: SUSAN INSKEEP, EXECUTIVE DIRECTOR OF THE FLINT HILLS COMMUNITY CLINIC; LEE WOLF, CEO OF KONZA PRAIRIE COMMUNITY HEALTH; CASEY SMITHSON, PARK SUPERINTENDENT OF MANHATTAN PARKS AND RECREATION; MICHELLE JONES, COMMUNICATIONS DIRECTOR FOR USD #383; ROBIN MULL, R.N., MANHATTAN HIGH SCHOOL REPRESENTING USD #383; MACKENZIE DOBIE, EMERGENCY DEPARTMENT R.N. AT AVCH-M; JODI WOOMER, EMERGENCY ROOM CHARGE NURSE AT WHA; ELLYN MULCAHY, DIRECTOR MASTER IN PUBLIC HEALTH AT KANSAS STATE UNIVERSITY; KAREN ARMBRUST, ADMINISTRATOR FOR MOSIER AND MOSIER FAMILY PHYSICIANS; ROBBIN COLE, EXECUTIVE DIRECTOR FOR PAWNEE MENTAL HEALTH; JENNIFER GREEN, DIRECTOR FOR RILEY COUNTY HEALTH DEPARTMENT; JULIE HETTINGER, HEALTH EDUCATION FOR RILEY COUNTY HEALTH DEPARTMENT; BEVERLY OLSON, EXECUTIVE DIRECTOR FOR SHEPHERD'S CROSSING AND ANDY HUTCHINSON, PROGRAM DIRECTOR FOR USD #383 HEAD START AND EARLY HEADSTART. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.). ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) CONDUCTED THE CHNA WITH WAMEGO HEALTH CENTER (WHC). WHC IS A 25 BED CRITICAL ACCESS HOSPITAL, LOCATED IN THE HEART OF THE WAMEGO COMMUNITY. WHC PRIMARILY PROVIDES CARE FOR THE RESIDENTS OF POTTAWATOMIE COUNTY AND THE SURROUNDING RURAL AREAS. IT OFFERS AN 24/7 EMERGENCY DEPARTMENT AND HOUSES ITS OWN LABORATORY, IMAGING, AND REHABILITATION DEPARTMENTS. THEY ALSO OFFER THE SERVICES OF THE WAMEGO FAMILY CLINIC WHICH INCLUDES PRIMARY CARE PHYSICIANS, AN INTERNAL MEDICINE PROVIDER AND A NURSE PRACTITIONER. SERVICES AVAILABLE AT WHC INCLUDE CARDIAC REHABILITATION, CARDIAC STRESS TESTING, EMERGENCY SERVICES, HEARTLAND REHABILITATION, HERITAGE SENIOR BEHAVIORAL HEALTH, HOME SLEEP STUDIES, IMAGING SERVICES LABORATORY SERVICES, NUTRITION SERVICES, SPECIALTY CLINIC, SURGICAL SERVICES, SWING BED PROGRAM, WALK-IN CLINIC AND WAMEGO FAMILY CLINIC. WHC WAS RECOGNIZED BY PROFESSIONAL RESEARCH CONSULTANTS, A THIRD-PARTY ORGANIZATION THAT GATHERS PATIENT SATISFACTION DATA, FOR EARNING A FIVE-STAR RATING IN NINE CATEGORIES. THE CATEGORIES INCLUDE: INPATIENT SERVICES, COMMUNICATION WITH DOCTORS INPATIENT SERVICES, DISCHARGE INFORMATION INPATIENT SERVICES, OVERALL RATING INPATIENT SERVICES, COMMUNICATION ABOUT MEDICATION INPATIENT SERVICES, COMMUNICATION WITH NURSES, HOSPITAL ENVIRONMENT, RESPONSIVENESS OF STAFF AND OVERALL QUALITY OF CARE WITHIN THE EMERGENCY DEPARTMENT. PARTICIPANTS FOR THE 2018 CHNA FOCUS GROUP IN WAMEGO INCLUDED; LISA KENWORTHY, HEALTH DEPARTMENT DIRECTOR OF POTTAWATOMIE COUNTY HEALTH; SHANE JAGER, UNDERSHERIFF FROM POTTAWATOMIE SHERIFF OFFICE; AUDREY SCHREMMER, DIRECTOR AT THREE RIVERS INC.; TIM WINTER, SUPERINTENDENT OF SCHOOLS FOR USD #320; JENNIFER JONES, DIRECTOR OF CASE MANAGEMENT FOR AVCH-M; BOB COPPLE, PRESIDENT FOR AVCH-M; CHEYENNE STRUNK, EXECUTIVE DIRECTOR FOR ASCENSION SENIOR LIVING (F/N/A VIA CHRISTI VILLAGE); DARYN SOLDAN, DIRECTOR OF WAMEGO CHAMBER OF COMMERCE; DARIN MILLER, BOARD MEMBER OF WAMEGO COMMUNITY FOUNDATION; MIKE MCCALL, DIRECTOR OF WAMEGO COMMUNITY FOUNDATION; RICK HERNANDEZ, CEO OF WAMEGO COMMUNITY HEALTH MINISTRY; THERESA HAMILTON, R.N., C.M. AT WAMEGO HEALTH CENTER AND SHELLEY RICKSTREW, COUNSELOR AT WAMEGO HIGH SCHOOL. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.). Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.). ACCORDING TO THE ROBERT WOOD JOHNSON COUNTY HEALTH 2018 RANKINGS, RILEY COUNTY IS RANKED AS THE THIRD HEALTHIEST COUNTY IN KANSAS (OUT OF 98) BASED ON 29 INDICATORS INCLUDING ADULT SMOKING, EDUCATION ATTAINMENT, EMPLOYMENT STATUS, PHYSICAL INACTIVITY AND ACCESS TO HEALTHY FOODS. OTHER SECONDARY DATA PROVIDED BY KANSAS HEALTH MATTERS SUPPORT THIS RANKING AND SHOW THAT RATES OF NUMEROUS SERIOUS DISEASES AND CONDITIONS (E.G. HYPERTENSION, HIGH CHOLESTEROL, DIABETES, OBESITY ETC.) ARE LOWER IN RILEY COUNTY WHEN COMPARED TO THE REST OF KANSAS AND 91.6% OF THE RESPONDENTS INDICATED THAT THEIR HEALTH WAS GOOD TO EXCELLENT. NEARLY 91% OF THE SURVEY RESPONDENTS IDENTIFIED THEY ARE COVERED BY HEALTH INSURANCE. PRIORITY GOALS OF ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) (AVCH-M) : 1) AFFORDABLE NEWBORN TO AGE FIVE CHILDREN CARE, FINANCIAL ASSISTANCE TO FAMILIES FOR NUTRITION, CHILDCARE, HOUSING, ETC., AND PARENTING EDUCATION/SKILLS DEVELOPMENT. - AVCH-M IS ADDRESSING THESE NEEDS BY OFFERING CLASSES FOR BABY, TODDLER AND CHILD CAREGIVERS THAT STRENGTHEN THEIR SKILLS IN CARING FOR THIS MOST VULNERABLE POPULATION AND TO INCREASE THE NUMBER OF CAREGIVERS AVAILABLE IN THE COMMUNITY. THE HOSPITAL ALSO ASSISTS WITH PARENTING EDUCATION NEEDS AS THE EDUCATION DEPARTMENT OFFERS CLASSES LIKE DADDY BASICS, BREASTFEEDING BASICS, SAFE SITTERS AND FIRST AID FOR CHILDREN. 2) THE 2018 CHNA IDENTIFIED APPROPRIATE INTERNET/TECHNOLOGY USE BY TEENS AS AN ISSUE AS SEXTING AND CYBERBULLYING WERE IDENTIFIED AS GROWING CONCERNS. AVCH-M IS WORKING WITH THE SCHOOL SYSTEM IN OFFERING OPPORTUNITIES FOR YOUTH TO VOLUNTEER AT THE HOSPITAL AS WELL AS SHADOW HEALTH PROFESSIONALS AS THEY SEEK TO LEARN MORE ABOUT VARIOUS HEALTH CAREERS. THE SCHOOLS PAIRS YOUTH WITH PROFESSIONALS WHO NOT ONLY LET THEM SEE WHAT THEIR DAILY WORK SCHEDULE LOOKS LIKE BUT THE MENTORS ALSO GIVE THE YOUTH ENCOURAGEMENT ABOUT STAYING IN SCHOOL, WORKING HARD TO GET GOOD GRADES AND START THINKING ABOUT COLLEGES, AS WELL AS MAKING GOOD CHOICES IN THEIR PERSONAL LIFE. 3) 2018 SURVEY RESPONDENTS WHO ARE SENIORS OR CAREGIVERS FOR THEM, IDENTIFIED AFFORDABLE HOUSING, PRESCRIPTIONS AND ACCESS TO DAILY MEALS AS THE TOP THREE HEALTH NEEDS ASSOCIATED WITH THIS TARGET POPULATION. HOUSING COSTS HAVE INCREASED DRAMATICALLY IN THE AREA DUE TO NEW EMPLOYERS MOVING INTO THE AREA AS WELL AS THE EXPANSION OF FORT RILEY ARMY BASE. TO ADDRESS THESE NEEDS, AVCH-M IS CONTINUING TO WORK WITH LOCAL PARTNERS TO INCREASE ACCESS TO HEALTHY FOOD OPTIONS. AVCH-M IS FOCUSING ITS RESOURCES TO INCREASE ACCESS TO HEALTHY FOODS AND TO RAISE NUTRITIONAL AWARENESS STARTING IN ITS OWN FACILITY AND IN WORKING WITH OTHERS THROUGHOUT THE COMMUNITY. AVCH-M HAS MET WITH REPRESENTATIVES FROM THE SCHOOL DISTRICTS AND PARK AND RECREATION TO DISCUSS PARTNERSHIP OPPORTUNITIES IN TEACHING NUTRITIONAL VALUES TO STUDENTS THROUGH CREATIVE WAYS TO MAKE THEM MORE CONSCIOUS OF ASSOCIATION BETWEEN FOOD INTAKE AND PHYSICAL EXERCISE TO REACH THEIR MAXIMUM HEALTHY GOALS. MENU CHOICES, INCLUDING SNACKS OFFERED AT THE HOSPITAL ARE REFLECTIVE OF THIS NEW APPROACH TO HEALTHY EATING AS THE HOSPITAL SERVES THE COMMUNITY DAILY THROUGH VISITORS, PATIENTS AND EMPLOYEES. TO INCREASE ACCESS TO AFFORDABLE PRESCRIPTIONS FOR LOW INCOME RESIDENTS, AVCH-M IS WORKING WITH THE MERCY COMMUNITY FOUNDATION TO PROVIDE PRESCRIPTION ASSISTANCE TO THOSE IN NEED AND WILL BE CONDUCTING A FEASIBILITY STUDY OF PARTNERING WITH THE DISPENSARY OF HOPE TO ASSESS LAUNCHING A PROGRAM IN MANHATTAN LIKE WHAT HAS BEEN OPERATIONAL IN WICHITA THROUGH VIA CHRISTI HOSPITALS FOR YEARS. ASCENSION VIA CHRISTI HOME HEALTH CARE PARTNERS (AVCHH) WORKS WITH THE HOSPITAL TO IDENTIFY PATIENTS IN NEED OF TEMPORARY SERVICES FOLLOWING HOSPITALIZATION TO KEEP THEM LIVING INDEPENDENTLY AT HOME. MANY OF THE SERVICES ARE COVERED BY MEDICARE AND AVCHH WILL WORK WITH PATIENTS WHO MAY NOT YET BE ELIGIBLE FOR MEDICARE BUT MAY BE ELIGIBLE FOR ADDITIONAL FINANCIAL SERVICES THROUGH OTHER PROGRAMS. 4) LACK OF ACCESSIBLE AND AFFORDABLE MENTAL HEALTH SERVICES IS A TOP CONCERN ESPECIALLY FOR PERSONS WITH LOW INCOME AND FOR THOSE WHOSE PRIMARY LANGUAGE IS NOT ENGLISH - AVCH-M WAS SUCCESSFUL IN RECRUITING AN ADOLESCENT PSYCHIATRIST TO PROVIDE SERVICES IN THE AREA SINCE THE LAST CHNA. WHEN RESIDENTS ARE BROUGHT INTO THE ER FOR IMMEDIATE TREATMENT FOR CRISIS SITUATIONS THAT ARE BEYOND THE CAPABILITY OF AVCH-M RESOURCES, APPROPRIATE REFERRALS ARE MADE AND SECURE TRANSPORTATION IS ARRANGED WHEN NECESSARY TO MAKE SURE THESE PATIENTS GET THE HELP THEY NEED TO ENSURE THEIR SAFETY AS WELL AS THE SAFETY OF OTHERS. MANY TIMES, THESE INDIVIDUALS ARE WITHOUT INSURANCE OR GOVERNMENT ASSISTANCE, SO THE HOSPITAL ENDS UP FOOTING THE BILL FOR THE SECURE TRANSPORTS. AVCH-M REGULARLY ATTENDS HEALTH AND HUMAN SERVICES COMMITTEE MEETINGS IN THE STATE CAPITOL AND ADVOCATES AND GIVES TESTIMONY TO LEGISLATORS ON NEED FOR EXPANSION OF MEDICAID AND ADDITIONAL RESOURCES NEEDED FOR MENTAL HEALTH CARE SERVICES. 5) AVCH-M OFFERS ITS SERVICES TO ALL PEOPLE PRESENTING THEMSELVES WITHOUT REGARD FOR THEIR ABILITY TO PAY AND OFFERS THEM FINANCIAL ASSISTANCE WHEN APPROPRIATE. AVCH-M ALSO ASSISTS PATIENTS WITH APPLICATION COMPLETION AND SUBMISSION OF GOVERNMENT PUBLIC BENEFIT FORMS WHEN THEY NEED HELP IN APPLYING AND/OR QUALIFYING FOR ELIGIBLE GOVERNMENT PROGRAMS. TO INCREASE ACCESS TO HEALTH CARE SERVICES, A NEW ASCENSION VIA CHRISTI FAMILY MEDICINE CLINIC WAS OPENED ON THE EAST SIDE OF MANHATTAN TO ADDRESS THE NEEDS OF RESIDENTS LIVING IN THAT AREA. AVCH-M STAFF HAS ALSO PARTNERED WITH THE CRISIS CENTER IN WORKING TO IDENTIFY AND TREAT VICTIMS OF HUMAN TRAFFICKING. CLINICAL STAFF HAVE RECEIVED EDUCATION AT TOWN HALLS AND OTHER VARIOUS FORMATS ON HOW TO IDENTIFY RED FLAGS OF VICTIMS OF HUMAN TRAFFICKING WITH ADDITIONAL TRAINING ON PEDIATRIC VICTIMS. PROBLEMS IDENTIFIED BUT NOT BEING ADDRESSED BY AVCH-M 1) LACK OF AFFORDABLE HOUSING - AVCH-M IS NOT ABLE TO ASSIST WITH THIS COMMUNITY NEED DUE TO LACK OF RESOURCES AND EXPERTISE. HOUSING COSTS IN THE RILEY COUNTY AREA HAVE RISEN AND IS EXPECTED TO CONTINUE TO RISE AS MORE PEOPLE MOVE IN BUT THIS NEED DOES NOT COMPLEMENT OUR MISSION OF PROVIDING HEALTH CARE. OTHER RESOURCES ADDRESSING THIS NEED INCLUDE FLINT HILLS AREA AGENCY ON AGING, KS DEPARTMENT OF AGING AND DISABILITY SERVICES AND MANHATTAN HOUSING AUTHORITY. 2) AFFORDABLE CHILD CARE - AVCH-M DOES NOT HAVE ADEQUATE SPACE NOR IS CHILD CARE A PART OF THE MISSION. THERE ARE SEVERAL PLACES IN RILEY COUNTY WHERE PARENTS CAN GO TO GET REFERRALS BUT AS MORE PEOPLE MOVE INTO THE AREA, THERE IS A NEED FOR MORE PROVIDERS AS OPENINGS ARE NOT VACANT FOR LONG. OTHER RESOURCES IN THE COMMUNITY ADDRESSING THIS NEED INCLUDE: MATERNAL AND INFANT/FAMILY CONNECTIONS; FAMILY AND CHILD RESOURCE CENTER' ECONOMIC AND EMPLOYMENT SERVICES; K-STATE CENTER FOR CHILD DEVELOPMENT; MATERNAL AND INFANT/FAMILY CONNECTIONS AND FLINT HILLS CHILD CARE RESOURCE AND REFERRAL AGENCY. AFTER SCHOOL PROGRAMS ARE AVAILABLE FROM THE BOYS AND GIRLS CLUB OF MANHATTAN AND THE CITY OF MANHATTAN PARKS AND RECREATION. 3) FINANCIAL ASSISTANCE TO FAMILIES IS PROVIDED TO FAMILIES WHEN THEY MEET THE FINANCIAL ASSISTANCE GUIDELINES FOR HOSPITALIZATION AND EMERGENCY CARE. HOWEVER, SINCE RESOURCES ARE LIMITED, FINANCIAL ASSISTANCE IS NOT AVAILABLE FOR OTHER NEEDS LIKE RENT OR UTILITY ASSISTANCE. HERE ARE A FEW PROGRAMS THAT MAY BE ABLE TO HELP WITH THOSE KINDS OF EXPENSES ON A TEMPORARY BASIS: SHEPHERD'S CROSSING; ASSISTANCE - HOMELESS PREVENTION; HOMELESS RENTAL ASSISTANCE PROGRAM; ECONOMIC AND EMPLOYMENT SERVICES: FOOD ASSISTANCE; AND CONSUMER CREDIT COUNSELING. PROGRESS MADE FROM CHNA INCLUDE: 1) ADDITIONAL RECRUITMENT OF NEW PHYSICIANS TO RELOCATE TO THE MANHATTAN/WAMEGO AREA TO SERVE MORE PATIENTS. BUT MORE SPECIALISTS ARE NEEDED. 2) HOSTING OF HUMAN TRAFFICKING EDUCATION PLANNING SESSIONS FOR HEALTHCARE ASSOCIATES AND COMMUNITY PARTNERS TO ASSIST IN THE IDENTIFICATION OF VICTIMS WHO PRESENT THEMSELVES IN THE ER OR CLINIC FOR MEDICAL TREATMENT. 3) PARTICIPATION WITH OTHER HEALTH CARE PROVIDERS AND HOSPITALS TO PROMOTE THE NEED FOR MEDICAID EXPANSION IN THE STATE IN ORDER TO INCREASE ACCESS TO CARE FOR THOSE WHO ARE POOR/VULNERABLE. 4) PARTICIPATION IN COMMUNITY EFFORTS TO EXPAND BEHAVIORAL HEALTH SERVICES - BETTER COORDINATION HAS RESULTED IN A TIME WHEN MORE SERVICES ARE BEING CUT DUE TO STATE REDUCTIONS. 11 Via Christi Imaging LLC 1133 COLLEGE AVE BLDG G STE 110 MANHATTAN KS 66502 OUTPATIENT RADIOLOGY, DIAGNOSTIC IMAGING, AND PET ASCENSION VIA CHRISTI CLINIC PRIMARY CARE 222 N 6TH STREET MANHATTAN KS 66502 PRIMARY CARE Via Christi Clinic and Via Christi Therapy Center 315 S SETH CHILD ROAD MANHATTAN KS 66502 THERAPIES - OCCUPATIONAL, PHYSICAL, HAND, AQUATIC Via Christi Therapy Center 451 E POYNTZ AVE MANHATTAN KS 66502 THERAPIES - SPEECH, OCCUPATIONAL, PHYSICAL, BRAIN INJURY Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 OUTPATIENT BEHAVIORAL HEALTH CLINIC Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 SLEEP LAB SERVICES MERCY PHYSICAL THERAPY MAX FITNESS 3011 ANDERSON AVE STE C MANHATTAN KS 66503 PHYSICAL THERAPY Via Christi Clinic 3901 VANESA DRIVE STE E MANHATTAN KS 66503 Pain Management Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 Infectious Disease, Cardiology, Wound Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 MEDICALLY SUPERVISED WEIGHT MANAGEMENT Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 DIABETES EDUCATION CLINIC Schedule H, Part I, Line 6a Community benefit report prepared by related organization ASCENSION VIA CHRISTI HEALTH,INC. (F/K/A VIA CHRISTI HEALTH, INC.) EIN: 48-1172107 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities STAFF SERVES ON K-STATE HEALTH PROGRAM FOR STUDENTS ADVISORY COUNCIL, CORONADO AREA COUNCIL FOR BOY SCOUTS' EXECUTIVE COMMITTEE AND BOARD AND PERIODICALLY AVAIL THEMSELVES TO GROUPS LOOKING AT ECONOMIC DEVELOPMENT PLANS TO ENSURE ADEQUATE MEDICAL HEALTH CARE NEEDS ARE BEING ADDRESSED FOR THE AREA. SERVING WITH THE BOY SCOUTS GETS YOUNG MEN INTERESTED IN HEALTH-RELATED FIELDS AS THEY ARE EXPOSED TO HEALTH CHALLENGES AND CLINICAL PROFESSIONAL TRACKS. IN ADDITION, STAFF GOES ABOVE AND BEYOND DUTY TO RECYCLE PLASTICS AND CARDBOARD USED BY THE HOSPITAL AND OTHERS AS PART OF THEIR GO GREEN INITIATIVE. THIS EXTRA EFFORT INSURES BETTER HEALTH FOR AREA RESIDENTS AS IT CUTS DOWN ON TRASH AND HARMFUL POLLUTANTS. ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) IS ALSO VERY MUCH INVOLVED IN PROVIDING PRE-PROFESSIONAL SHADOWING EXPERIENCES FOR STUDENTS WHO ARE DISCERNING THEIR FUTURE CAREER SELECTIONS BY SPENDING TIME WITH STUDENTS INTERESTED IN FOLLOWING A HEALTH CARE CAREER. GROWING OUR OWN HEALTH CARE PROVIDERS IS IDEAL AS WE LOOK TOWARD THE FUTURE NEEDS OF AN EXPANDING COMMUNITY WITH AN AGING POPULATION. ENCOURAGING YOUNG PEOPLE THROUGH EXPOSURE TO HEALTH PROFESSIONS AVAILABLE LOCALLY WILL ALSO HELP TO STIMULATE THE ECONOMY AND IMPROVE QUALITY OF LIFE FOR ALL. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2018 WAS $5,687,190 AT CHARGES, ($1,478,669 AT COST). Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT EXPENSE IS LOCATED ON PAGE 21. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. Schedule H, Part V, Section B, Line 16a FAP website - ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.): Line 16a URL: https://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.): Line 16b URL: https://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.): Line 16c URL: https://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment IN LATE 2018, ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) (AVCH-M) AND WAMEGO HEALTH CENTER JOINED TOGETHER TO CONDUCT A CHNA IN 2018. THE CHNA USED SURVEYS AND FOCUS GROUP TO ENSURE FEEDBACK FROM THE COMMUNITY. ASSESSMENT INCLUDED RILEY AND POTTAWATOMIE COUNTIES. VARIOUS SECONDARY RESEARCH METHODS WERE USED IN COLLECTING DATA ON COMMUNITY NEEDS. THESE INCLUDED RESEARCHING POPULATION AND SOCIODEMOGRAPHIC DATA FROM THE CENSUS, COUNTY HEALTH RANKINGS, KANSAS HEALTH MATTERS AND STATISTICS FROM UNIVERSITY OF KANSAS INSTITUTE FOR POLICY AND SOCIAL RESEARCH. PRIMARY DATA USING WAS COLLECTED FROM 781 RESPONDENTS TO A SURVEY THAT WAS DISTRIBUTED IN PUBLIC PLACES AS WELL AS AVAILABLE ONLINE. ADDITIONALLY, TWO FOCUS GROUPS WERE HELD IN MANHATTAN AND ONE IN WAMEGO. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance AVCH-M FINANCIAL ASSISTANCE STAFF ARE TRAINED ON HOW TO QUALIFY PATIENTS FOR MEDICAID, SCHIP AND OTHER SUCH INCOME-BASED PROGRAMS. DURING THE PATIENT'S REGISTRATION, ADMISSIONS AND DISCHARGE PROCESSES, AVCH-M ATTEMPTS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY OR DISCOUNTED CARE THROUGH THE CHARITY CARE POLICY. IN ADDITION, AVCH-M USES A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE FREE AND DISCOUNTED CARE. Schedule H, Part VI, Line 4 Community information ACCORDING TO THE 2017 ESTIMATED CENSUS, RILEY COUNTY ENCOMPASSES 610 SQUARE MILES IN NORTHEAST KANSAS WITH APPROXIMATELY 117 PERSONS PER SQUARE MILE (COMPARED TO AN AVERAGE OF 35 PERSONS PER SQUARE MILE ACROSS KANSAS). THE TOTAL POPULATION OF RILEY COUNTY, IN 2017, WAS ESTIMATED AT 74,172. A DECLINE FROM 75,246 IN 2015. MANHATTAN IS THE LARGEST CITY IN THE COUNTY WITH A 2017 ESTIMATED POPULATION OF 54,832 THAT INCLUDES OVER 28,000 KANSAS STATE UNIVERSITY (KSU) STUDENTS AND A LARGE NUMBER OF FORT RILEY SOLDIERS AND THEIR FAMILIES. RILEY COUNTY IS SLIGHTLY MORE DIVERSE THAN THE NORMAL FOR THE STATE WITH APPROXIMATELY 82.3% WHITE, 5.5% BLACK OR AFRICAN AMERICAN, 6.8% HISPANIC OR LATINO, NEARLY 6.2% ASIAN AND 3.9% TWO OR MORE RACES. DUE TO THE LARGE NUMBER OF KSU STUDENTS, THE POPULATION TENDS TO BE YOUNGER THAN THE STATE AVERAGE. ALTHOUGH AGRICULTURE PLAYS A LARGE ROLE IN THE ECONOMY AND CULTURE OF RILEY COUNTY, THE LARGEST EMPLOYERS ARE FORT RILEY (MILITARY AND CIVILIAN EMPLOYEES), KANSAS STATE UNIVERSITY, AND THE MANHATTAN/OGDEN UNIFIED SCHOOL DISTRICT. RILEY COUNTY TYPICALLY EXPERIENCES LOWER RATES OF UNEMPLOYMENT, CRIME AND A NUMBER OF OTHER INDICATORS THAT NEGATIVELY IMPACT QUALITY OF LIFE AS COMPARED TO STATE AVERAGES AND IS RATED AS THE SECOND HEALTHIEST COUNTY IN KANSAS ACCORDING TO THE 2018 ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS WHEN IT COMES TO LENGTH OF LIFE AND THIRD WHEN IT COMES TO HEALTH OUTCOMES. THE MEDIAN HOUSEHOLD INCOME IS $47,632 WITH 25.4% OF PERSONS LIVING BELOW THE POVERTY LEVEL. THESE LAST TWO STATISTICS, ARE RELATED TO THE HIGH NUMBER OF STUDENTS LIVING IN THE AREA. ACCORDING TO THE 2017 POPULATION ESTIMATES, POTTAWATOMIE COUNTY HAS A POPULATION OF 23,661. APPROXIMATELY 94.3% OF POTTAWATOMIE COUNTY IS WHITE, 1.4% BLACK OR AFRICAN AMERICAN, 1% ASIAN, 5.3% HISPANIC OR LATINO AND 2.3% REPORTING TWO OR MORE RACES. THE LAND IS APPROXIMATELY 841 SQUARE MILES WITH A POPULATION DENSITY OF 25.7 PER SQUARE MILE. THE MEDIAN HOUSEHOLD INCOME BETWEEN 2012-2016 WAS $62,500 WITH APPROXIMATELY 8.2% OF ALL PERSONS LIVING BELOW THE POVERTY LEVEL, WHICH IS FEWER THAN THE 12.7% FOR THE UNITED STATES. ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC.(F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.), IS THE ONLY HOSPITAL SERVING RILEY COUNTY. ITS NEIGHBORING COUNTY OF POTTAWATOMIE IS SERVED BY THE WAMEGO HEALTH CENTER, A CRITICAL ACCESS HOSPITAL THAT PARTNERS WITH AVCH-M ON THE CHNA. Schedule H, Part VI, Line 5 Promotion of community health AVCH-M PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THEIR OUTREACH EFFORTS IN WORKING WITH THE VARIOUS ORGANIZATIONS AND EDUCATIONAL FACILITIES IN THE AREA. SPECIFICALLY, AVCH-M SUPPORTS ITS MISSION OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR THOSE WHO ARE POOR AND VULNERABLE BY HAVING A COMMUNITY BOARD, OPEN MEDICAL STAFF AND AN EMERGENCY ROOM THAT IS AVAILABLE 24/7 REGARDLESS OF PATIENTS ABILITY TO PAY. AVCH-M STAFF PARTICIPATE IN THE COMMUNITY BY SERVING ON BOARDS OF OTHER NOT-FOR-PROFIT ORGANIZATIONS, STATE-WIDE COALITIONS, HEALTH CLINICS, ETC. DURING FY2018, AVCH-M STAFF SERVED WITH THE FOLLOWING AREA NOT-FOR-PROFIT ORGANIZATIONS: MANHATTAN CHAMBER OF COMMERCE, CORONADO AREA COUNCIL BOY SCOUTS ASSOCIATION, MANHATTAN AREA STRATEGY PROJECT; BOYS AND GIRLS CLUB, AND RILEY COUNTY PERINATAL COALITION. THE MAJORITY OF THE AVCH-M BOARD OF DIRECTORS IS COMPRISED OF EXTERNAL MEMBERS WHO RESIDE IN OR AROUND RILEY COUNTY AND HAVE OVERALL RESPONSIBILITY FOR THE CHARITABLE MISSION OF THE ORGANIZATION AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. THESE DIRECTORS ARE SELECTED BASED ON THEIR EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE HEALTH CARE, FINANCE, EDUCATION, AND RELIGIOUS REPRESENTATIVES. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE MINISTRY BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO DAILY OPERATIONS. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY NEEDS AND BUSINESS AND FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR DETERMINING THE USE OF SURPLUS FUNDS GENERATED BY THE ORGANIZATION WHICH IS REINVESTED IN THE MINISTRY IN ORDER TO ALLOW THE MINISTRY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. - AVCH-M WORKS WITH MULTIPLE LAW ENFORCEMENT AGENCIES IN PROVIDING CARE TO VICTIMS OF HUMAN TRAFFICKING. - AVCH-M'S VASCULAR LAB STAFF ANNUALLY PERFORMS ECHO'S ON STUDENT ATHLETES FOR KSU AND HIGH SCHOOLS AROUND MANHATTAN TO ENSURE THEY HAVE HEALTHY HEARTS PRIOR TO GETTING INVOLVED IN COMPETITIVE SPORTS. - AVCH-M STAFF PARTICIPATE IN PERIODIC RED CROSS BLOOD DRIVES DUE TO OUR MISSION OF CARING FOR THOSE WHO ARE MEDICALLY VULNERABLE AND IN NEED OF LIFE-SAVING BLOOD TRANSFUSIONS. - AVCH-M'S CONFERENCE ROOMS ARE SHARED WITH OUTSIDE COMMUNITY NOT-FOR-PROFITS WHO SHARE OUR VALUES AND MISSION SO THEY CAN USE MORE OF THEIR RESOURCES FOR PROGRAMMING (E.G. DADDY BASICS CLASS, SANE/SART COURSES, ETC.). - EDUCATIONAL CLASSES ARE HELD ON A VARIETY OF TOPICS BY VARIOUS CLINICAL STAFF OF AVCH-M (E.G. SAFE SITTERS, CHILDBIRTH EDUCATION, FIRST AID FOR CHILDREN, NEWBORN BASICS, BREASTFEEDING BASICS, INFANT MASSAGE, CPR, FIRST AID, PASTORAL CARE TRAINING, HUMAN TRAFFICKING, LIFTING/ERGONOMICS, ETC.). - IN ADDITION, AVCH-M STAFF ALSO HOLDS SUPPORT GROUP MEETINGS FOR DIABETICS. Schedule H, Part VI, Line 6 Affiliated health care system AVCH-M IS AN AFFILIATE OF ASCENSION VIA CHRISTI HEALTH, INC.(F/K/A VIA CHRISTI HEALTH, INC.) (AVCH) AND ASCENSION HEALTH. AVCH'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. MISSION: THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. - COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. CERTAIN COSTS SUCH AS GRADUATE MEDICAL EDUCATION AND CERTAIN OTHER ACTIVITIES ARE EXCLUDED FROM TOTAL OPERATING EXPENSES FOR PURPOSES OF THIS COMPUTATION. true FLINT HILLS COMMUNITY CLINIC INC 401 HOUSTON ST STE C MANHATTAN KS 66502 202306015 501(C)(3) 48339 ANNUAL DONATION TO FUND SALARIES AND BENEFITS FOR STAFFING NEEDS. 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ALL GRANTS AND ASSISTANCE ARE REVIEWED AND APPROVED BY A GRANT COMMITTEE CONSISTING OF MEMBERS OF THE BOARD OF TRUSTEES. GRANTS EXPENSES ARE REVIEWED BY THE ACCOUNTING DEPARTMENT, AND DETAILED REPORTS ARE REQUESTED FROM THE GRANTEES. true true false false false false false false false ROBERT C COPPLE HOSPITAL PRESIDENT-MANHATTAN 265507 0 35031 0 27716 0 12084 0 22441 0 362779 0 0 0 DAVID M WICHMAN TRUSTEE/MEDICAL STAFF VP 271357 0 0 0 600 0 14850 0 15446 0 302253 0 0 0 CLAUDIO J FERRARO FORMER OFFICER (END 4/2016) 0 313208 0 40954 0 28159 0 17550 0 23232 0 423103 0 0 SHERRY HAUSMANN FORMER OFFICER (END 4/2016) 0 438920 0 67844 0 50134 0 14850 0 24803 0 596551 0 0 ROBERTA JOHNSON FORMER OFFICER (END 6/2016) 0 240754 0 29374 0 2395 0 16441 0 9327 0 298291 0 0 JAMES G FRASER ADMINISTRATOR FINANCE 163921 0 17042 0 3588 0 8276 0 16143 0 208970 0 0 0 EDWARD J HETT CCO-MINISTRY MKT KANSAS 0 315528 0 40755 0 16869 0 17550 0 17667 0 408369 0 0 GARY KNIGHT ASST SECRETARY-GENERAL COUNSEL MINISTRY MKT 0 270721 0 153776 0 107287 0 17100 0 15857 0 564741 0 0 MICHAEL MCCULLOUGH CFO-MINISTRY MKT KANSAS 0 262455 0 0 0 9657 0 7267 0 8610 0 287989 0 0 JOY M SCOTT CSO-MINISTRY MKT KANSAS 0 237085 0 26727 0 771 0 16851 0 24536 0 305970 0 0 MARGARET A TICHACEK VP MSN-CMIO MINISTRY MKT KANSAS 0 274399 0 121599 0 36697 0 17477 0 9741 0 459913 0 0 CARLA J YOST CHIEF NURSING OFFICER 0 291723 0 42728 0 26781 0 14538 0 22586 0 398356 0 0 DARRELL J YOUNGMAN CQO-MINISTRY MKT KANSAS 0 209310 0 33128 0 140729 0 12500 0 13421 0 409088 0 0 NICHOLAS EVANGELIDIS PHYSICIAN 211995 0 0 0 422 0 11000 0 25087 0 248504 0 0 0 IAN C MALBURG MD PHYSICIAN 401609 0 0 0 671 0 13500 0 13673 0 429453 0 0 0 ASAD MOHMAND PHYSICIAN 199650 0 0 0 0 0 0 0 0 0 199650 0 0 0 CASEY M POELL MD HOSPITALIST 315793 0 42365 0 474 0 14798 0 21095 0 394525 0 0 0 LAKSHIKA M RANAWEERA PHYSICIAN 216933 0 0 0 1107 0 12375 0 25382 0 255797 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ASCENSION VIA CHRISTI HEALTH,INC. (F/K/A VIA CHRISTI HEALTH, INC.), A RELATED ORGANIZATION OF ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.), USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2017: DARRELL J YOUNGMAN - $111,659 GARY KNIGHT - $67,101 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible 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 unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No payments were made to listed persons in Part VII under the non-qualified retirement plan during the year. A CITY OF MANHATTAN KANSAS 486023836 56301PBF8 2013-01-23 28469624 To refund bonds issued 2/1/2001 false false false A 5445000 28469624 564057 27905567 true false true true A true 0.0 A false false true false false false false false true A true Schedule K, Part III COLUMN A REFUNDING PRE-2003 ISSUES: PART III HAS NOT BEEN COMPLETED SINCE THE REFUNDED BONDS, WHICH FINANCED THE ORIGINAL PROJECT, WERE ISSUED PRIOR TO 2003. Form 990, Part IV, Line 20b EXPLANATION OF FINANCIAL STATEMENTS THE ACTIVITY OF ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.). Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, THE PROCESS PERFORMED BY ASCENSION VIA CHRISTI HEALTH,INC. (F/K/A VIA CHRISTI HEALTH, INC.), A RELATED ORGANIZATION OF ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.), INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY ASCENSION VIA CHRISTI HEALTH,INC. (F/K/A VIA CHRISTI HEALTH, INC.), A RELATED ORGANIZATION OF ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.), INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ASCENSION VIA CHRISTI HEALTH,INC. (F/K/A VIA CHRISTI HEALTH, INC.) EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) HAS A SINGLE CORPORATE MEMBER, ASCENSION VIA CHRISTI HEALTH,INC. (F/K/A VIA CHRISTI HEALTH, INC.). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) HAS A SINGLE CORPORATE MEMBER, ASCENSION VIA CHRISTI HEALTH,INC. (F/K/A VIA CHRISTI HEALTH, INC.), WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ASCENSION ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ASCENSION VIA CHRISTI HEALTH,INC. (F/K/A VIA CHRISTI HEALTH, INC.). Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue OTHER MISCELLANEOUS REVENUE - Total Revenue: 82500, Related or Exempt Function Revenue: 82500, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Medical Records Fees - Total Revenue: 523, Related or Exempt Function Revenue: 523, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Revenue - Total Revenue: 24722, Related or Exempt Function Revenue: 24722, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Physician Fees - Total Expense: 4032051, Program Service Expense: 4013744, Management and General Expenses: 18307, Fundraising Expenses: ; Consulting Fees - Total Expense: 135796, Program Service Expense: , Management and General Expenses: 135796, Fundraising Expenses: ; Professional Fees - Total Expense: 10045113, Program Service Expense: 1465009, Management and General Expenses: 8580104, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER WITH AFFILIATE - 6777; CHANGE IN BENEFICIAL INTEREST IN MERCY COMMUNITY HEALTH FOUNDATION - 320611; TRANSFERS WITH ALPHA FUND - 7261; Form 990, Part XII, Line 2c OVERSIGHT OF AUDIT OR SELECTION OF INDEPENDENT ACCOUNTANT ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC. (F/K/A VIA CHRISTI HOSPITAL MANHATTAN, INC.) IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION VIA CHRISTI HEALTH INC (FKA VIA CHRISTI HEALTH INC) 8200 E THORN DRIVE WICHITA KS 67226 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type III-FI ASCENSION HEALTH false ASCENSION VIA CHRISTI HEALTH PARTNERS INC(FKA VIA CHRISTI HEALTH PARTNERS I NC) 8200 E THORN DRIVE WICHITA KS 67226 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC(FKA VIA CHRISTI HEALTH INC) true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC(FKA VIA CHRISTI HOSPITAL PITTS BURG INC) 1 MT CARMEL WAY PITTSBURG KS 66762 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC(FKA VIA CHRISTI HEALTH INC) true ASCENSION VIA CHRISTI PROPERTY SERVICES INC(FKA VIA CHRISTI PROPERTY SERVIC ES INC) 8200 E THORN DRIVE WICHITA KS 67226 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC(FKA VIA CHRISTI HOSPITALS WICHI TA INC) true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC(FKA VIA CHRISTI REHABILIT ATION HOSPITALINC) 1151 N ROCK ROAD WICHITA KS 67206 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC(FKA VIA CHRISTI HOSPITALS WICHI TA INC) true ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC(FKA VIA CHRISTI HOSPIT AL WICHITA ST TERESAINC) 14800 W ST TERESA WICHITA KS 67235 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC(FKA VIA CHRISTI HEALTH INC) true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC(FKA VIA CHRISTI HOSPITALS WICHI TA INC) 929 N SAINT FRANCIS WICHITA KS 67214 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC(FKA VIA CHRISTI HEALTH INC) true GERARD HOUSE INC 3144 N HOOD WICHITA KS 67204 481049532 HOSPITAL SUPPORT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC(FKA VIA CHRISTI HOSPITALS WICHI TA INC) true SALINA REGIONAL HOME MEDICAL SERVICES LLC 520 SOUTH SANTA FE AVE SALINA KS 67401 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC(FKA VIA CHRISTI HEALTH PARTNERS I NC) true WAMEGO HOSPITAL ASSOCIATION INC 711 Genn Drive Wamego KS 66547 721526400 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC (FKA VIA CHRISTI HOSPITAL MANH ATTAN INC) true AMBULATORY SURGERY CENTER LP 818 N Emporia Ste 108 WICHITA KS 67214 481114690 SURGERY CENTER KS NA N/A KANSAS SURGERY AND RECOVERY CENTER LLC 2770 North Webb Road WICHITA KS 67226 481148580 SURGERY CENTER KS NA N/A ASCENSION VIA CHRISTI IMAGING MANHATTAN LLC (FKA VIA CHRISTI IMAGING LLC) 1823 College Avenue MANHATTAN KS 66502 481251984 RADIOLOGY SERVICES KS Via Christi Hospital Manhattan Inc Related 517303 604844 false true VIA CHRISTI MERCY CLINIC LLC 1 Mt Carmel Place Pittsburg KS 66762 812927645 MEDICAL SERVICES KS NA N/A AFFILIATED MEDICAL SERVICES LABORATORY INC 2916 E CENTRAL WICHITA KS 67214 481239522 MEDICAL LABORATORY KS NA C Corporation true ASCENSION MEDICAL GROUP VIA CHRISTI PA(FKA VIA CHRISTI CLINIC PA) 3311 EAST MURDOCK WICHITA KS 67208 480993446 PROFESSIONAL ASSOCIATION KS NA C Corporation true INTEGRATED HEALTHCARE SYSTEMS INC 3311 EAST MURDOCK WICHITA KS 67208 480941549 CLINIC SERVICES KS NA C Corporation true VIA CHRISTI CLINIC SERVICES INC 8200 E THORN DRIVE SUITE 300 WICHITA KS 67226 273984287 CLINIC SERVICES KS NA C Corporation true VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC 8200 E THORN DRIVE WICHITA KS 67226 482872857 ACO KS NA C Corporation true VCH IOWA PC TRUST 8200 E THORN DRIVE SUITE 300 WICHITA KS 67226 276937322 BENEFICIARY TRUST IA NA Trust true VCH IOWA PC 8200 E THORN DRIVE SUITE 300 WICHITA KS 67226 273983977 PROFESSIONAL ASSOCIATION IA NA C Corporation true false false false false false false false false false false false true true false true true true true true AFFILIATED MEDICAL SERVICES LABORATORY INC L 314756 FAIR MARKET VALUE VIA CHRISTI IMAGING LLC L 51734 FAIR MARKET VALUE VIA CHRISTI IMAGING LLC M 94807 FAIR MARKET VALUE VIA CHRISTI IMAGING LLC Q 104126 FAIR MARKET VALUE WAMEGO HOSPITAL ASSOCIATION INC L 82089 FAIR MARKET VALUE WAMEGO HOSPITAL ASSOCIATION INC M 68250 FAIR MARKET VALUE