MANHATTAN COMMUNITY HEALTH FOUNDATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MANHATTAN COMMUNITY HEALTH FOUNDATION (EIN 48-1152279)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-01-24
- IRS object ID
- 201800249349301605
- Schema version
- 2016v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-01-24T16:56:39-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 300038643 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VARNEY & ASSOCIATES CPAS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 NORTH JULIETTE | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 665026092 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481152279 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY COMMUNITY HEALTH FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 7855875462 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 13 | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 665050013 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR DAVID PAULS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7855875462 | PhoneNum |
| Signature | 2018-01-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TAMMY M BRYANT | PreparerPersonNm |
| PTIN | P00733332 | PTIN |
| Phone | 7855372202 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.184.233.175 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-01-24 | IPDt |
| IP Tm | 13:16:19 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 1A735CD3651B28D620A1BC4BAB67BA1DD16B13BC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1A735CD3651B28D620A1BC4BAB67BA1DD16B13BC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR DAVID PAULS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 13 | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 665050013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $417,327 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VIA-CHRISTI.ORG/MERCYFOUNDATION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | TO RAISE FUNDS IN SUPPORT OF VIA CHRISTI HOSPITAL IN MANHATTAN, KANSAS AND ITS PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $280,610 | PYContributionsGrantsAmt |
| CY Contributions Grants | $148,501 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $24,348 | PYInvestmentIncomeAmt |
| CY Investment Income | $176,008 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$88,773 | PYOtherRevenueAmt |
| CY Other Revenue | $33,642 | CYOtherRevenueAmt |
| PY Total Revenue | $216,185 | PYTotalRevenueAmt |
| CY Total Revenue | $358,151 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $40,996 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $80,514 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $50,544 | PYOtherExpensesAmt |
| CY Other Expenses | $40,894 | CYOtherExpensesAmt |
| PY Total Expenses | $91,540 | PYTotalExpensesAmt |
| CY Total Expenses | $121,408 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $124,645 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $236,743 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,454,760 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,752,155 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,262 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $363 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,453,498 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,751,792 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE HEALTH IN THE MANHATTAN, KANSAS COMMUNITY AND THE SURROUNDING AREAS IN A MANNER NOT INCONSISTENT WITH THE MISSION OF VIA CHRISTI HOSPITAL OF MANHATTAN, KANSAS BYDEVELOPING AND MAINTAINING INITIATIVES IN PRIVATE FUNDRAISING, FINANCIAL MANAGEMENT, ANDVOLUNTEERISM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $89,871 | ExpenseAmt |
| Grant | $80,514 | GrantAmt |
| Desc | SINCE 2001, THE MERCY FOUNDATION HAS RECEIVED NEARLY 62,000 GIFTS AND RAISED MORE THAN $0.3 MILLION TO SUPPORT COMMUNITY HEALTH CARE AT VIA CHRISTI HOSPITAL, INCLUDING:- $5 MILLION FOR THE CAPITAL CAMPAIGN. THIS MONEY HAS HELPED FUND THE EXPANSION AND MODERNIZATION OF VIA CHRISTI HOSPITAL, INCLUDING FACILITIES AND EQUIPMENT,- MORE THAN $1,254,000 FOR THE CARDIAC INITIATIVE. THIS MONEY HAS HELPED FUND A STATE-OF-THE-ART CATHETERIZATION LAB AND A CARDIOLOGY PICTURE ARCHIVING COMPUTER SYSTEM (PACS), PURCHASE A 64-SLICE CT SCANNER, RECRUIT TWO INTERVENTIONAL CARDIOLOGISTS, AND ESTABLISH THE HEART INSTITUTE AT VIA CHRISTI. | Desc |
| Total Program Service Expenses | $89,871 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRISTIN COTTAM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7855875462 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1823 COLLEGE AVE | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66502 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| DAVID PAULS MD | |||||||
| CHAIR | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICH JANKOVICH | |||||||
| SECRETARY/TREASURER | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | 2.00 |
| RANDALL ANDERES | |||||||
| VICE CHAIR | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD BAKER MD | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| TOM BARTH DDS | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| MARYE MEEKER | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| MARK DUFF | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| RUTH DYER PHD | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| MARK GROS MD | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| EILEEN HINKIN | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| MARK HUNGERFORD DDS | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| PEGGY LYONS | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| DAN MESSELT | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| WARD MORGAN | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| RAWLEY PHILPOTT DDS | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| MONICA COEN | |||||||
| FOUNDATION ADVISOR | 0.25 | Yes (X) | $0 | $313,645 | $0 | ||
| SHON ROBBEN | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| DAVID ROGERS | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| JEFF SMITH | |||||||
| TRUSTEE | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| KRISTIN COTTAM | |||||||
| FOUNDATION DIRECTOR | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $313,645 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $15,879 | FundraisingAmt |
| Related Organizations | $50,025 | RelatedOrganizationsAmt |
| All Other Contributions | $82,597 | AllOtherContributionsAmt |
| Noncash Contributions | $15,879 | NoncashContributionsAmt |
| Total Contributions | $148,501 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $110,672 | TotalRevenueColumnAmt |
| Exclusion | $110,672 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,336 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,336 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,336 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,336 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $92,818 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $15,879 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $59,176 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,642 | TotalRevenueColumnAmt |
| Exclusion | $33,642 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $358,151 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,336 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $144,314 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,354 | TotalAmt |
| Program Services | $62,354 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,160 | TotalAmt |
| Program Services | $18,160 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,400 | TotalAmt |
| Management And General | $18,400 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,137 | TotalAmt |
| Management And General | $13,137 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550 | TotalAmt |
| Program Services | $550 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314 | TotalAmt |
| Program Services | $314 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,660 | TotalAmt |
| Program Services | $1,660 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| EMERGENCY SERVICES | $2,030 | $2,030 |
| ONE COMMUNITY | $992 | $992 |
| DONOR APPRECIATION | $901 | $901 |
| MEMBERSHIP DUES | $338 | $338 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72 | TotalAmt |
| Program Services | $72 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,408 | TotalAmt |
| Program Services | $89,871 | ProgramServicesAmt |
| Management And General | $31,537 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,395 | BOYAmt |
| EOY | $161,669 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $676 | BOYAmt |
| EOY | $676 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,375,689 | BOYAmt |
| EOY | $4,589,810 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,454,760 | BOYAmt |
| EOY | $4,752,155 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127 | BOYAmt |
| EOY | $363 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,262 | BOYAmt |
| EOY | $363 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,405 | BOYAmt |
| EOY | $254,969 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,896,149 | BOYAmt |
| EOY | $3,174,768 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,321,944 | BOYAmt |
| EOY | $1,322,055 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,453,498 | BOYAmt |
| EOY | $4,751,792 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,454,760 | BOYAmt |
| EOY | $4,752,155 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $236,743 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $61,551 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,696 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $289,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $273,296 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $280,610 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $148,501 | CurrentTaxYearAmt |
| Total | $1,059,028 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,696 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $289,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $273,296 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $280,610 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $148,501 | CurrentTaxYearAmt |
| Total | $1,059,028 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,059,028 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $86,392 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $113,303 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $122,529 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $123,413 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $176,008 | CurrentTaxYearAmt |
| Total | $621,645 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,680,673 | TotalSupportAmt |
| Public Support CY170 | 0.63010 | PublicSupportCY170Pct |
| Public Support PY170 | 0.71140 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $909,575 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $89,275 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,838 | AdministrativeExpensesAmt |
| End Year Balance | $996,012 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $922,775 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$662 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $9,850 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $2,688 | AdministrativeExpensesAmt |
| End Year Balance | $909,575 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $935,415 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,582 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,441 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $2,781 | AdministrativeExpensesAmt |
| End Year Balance | $922,775 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $849,197 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $101,240 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,164 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $2,858 | AdministrativeExpensesAmt |
| End Year Balance | $935,415 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $778,935 | BeginningYearBalanceAmt |
| Contributions | $4,825 | ContributionsAmt |
| Investment Earnings Or Losses | $67,040 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,603 | AdministrativeExpensesAmt |
| End Year Balance | $849,197 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $4,589,810 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $4,589,810 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GIFT ANNUITY | Desc |
| Amt | $363 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $363 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE FUNDS ARE USED FOR SCHOLARSHIP DISTRIBUTIONS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA (RED DRESS) | Event1Nm |
| Gross Receipts Event1 | $76,904 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $11,821 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $65,083 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $9,095 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $2,500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $15,833 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $31,793 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $4,058 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $27,735 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $25,913 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $455 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $5,380 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $108,697 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $15,879 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $92,818 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $25,913 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $9,550 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $21,213 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $59,176 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $33,642 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIA CHRISTI HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 E THORN DRIVE SUITE 300 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 481172107 | RecipientEIN |
| Cash Grant | $62,354 | CashGrantAmt |
| Purpose Of Grant | PURCHASE OF CRIBS FOR BABY & WOMENS AND BABY HARNESS KIDS/SEATS | PurposeOfGrantTxt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | EMPLOYEES EDUCATION ASSISTANCE, SCHOLARSHIPS, AND ASSISTANCE WITH PATIENT EXPENSES | GrantTypeTxt |
| Recipient | 3000 | RecipientCnt |
| Cash Grant | $18,160 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MERCY COMMUNITY HEALTH FOUNDATION, INC. DOES NOT SOLICIT GRANT APPLICATIONS FROM ORGANIZATIONS TO WHICH IT PROVIDES ASSISTANCE. THE FOUNDATION PROVIDES ASSISTANCE TO CERTAIN ORGANIZATIONS LISTED IN SCHEDULE I BASED ON EMPLOYEE PAYROLL CONTRIBUTIONS; THE INDIVIDUAL CONTRIBUTIONS ARE FORWARDED TO THE ORGANIZATION AS SOON AS THE FUNDS ARE RECEIVED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA COEN | PersonNm |
| Title | FOUNDATION ADVISOR | TitleTxt |
| Base Compensation Filing Org | $0 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $290,746 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $22,899 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $0 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $313,645 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE ORGANIZATION DOES NOT COMPENSATE THE TOP MANAGEMENT OFFICIAL FOR THEIR ROLE AS SENIOR ADMINISTRATOR OF THE ORGANIZATION. HOWEVER, IF THEY DID, THIS PERSON'S SALARY WOULD BE SET USING THE FOLLOWING POLICIES ESTABLISHED BY VIA CHRISTI HEALTH, INC., A RELATED ORGANIZATION: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4B | 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 FUNDED ANNUALLY BASED ON PARTICIPATION AND ARE NOT VESTED UNTIL THE 5 YEAR SERVICE REQUIREMENT IS REACHED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. THE AMOUNT FUNDED ANNUALLY UNDER THE PROGRAM TO THE EXECUTIVES IS REPORTED AS COMPENSATION ON FORM 990 SCHEDULE J, PART II, COLUMN B IN THE YEAR FUNDED, THE AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO EXECUTIVES IS REPORTED ON FORM 990 SCHEDULE J, PART II, COLUMN F. THERE WERE NO DISTRIBUTIONS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED VIA CHRISTI HEALTH, INC. ENTITY BOARDS. - BUSINESS RELATIONSHIP |
| FORM 990, PART VI, SECTION A, LINE 6 | MERCY COMMUNITY HEALTH FOUNDATION, INC. HAS A SINGLE CORPORATE MEMBER, VIA CHRISTI HOSPITAL MANHATTAN, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | MERCY COMMUNITY HEALTH FOUNDATION, INC. HAS A SINGLE CORPORATE MEMBER, VIA CHRISTI HOSPITAL MANHATTAN, INC,, WHO HAS THE RESERVE POWER TO APPROVE TWO OF THE NOMINEES AND REMOVE THESE TWO MEMBERS OF THE BOARD OF TRUSTEES OF MERCY COMMUNITY HEALTH FOUNDATION, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORK DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN THROUGH MANNER, PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AS PART OF THE SYSTEM-WIDE PROCEDURES OF VIA CHRISTI HEALTH, INC. AND NOT AT THE ORGANIZATIONAL LEVEL. THE SYSTEM-WIDE PROCEDURES ARE AS FOLLOWS: 1 - AT TIME OF APPOINTMENT AND ANNUALLY THEREAFTER, ALL INTERESTED PERSONS, INCLUDING BOARD AND COMMITTEE MEMBERS, COMPLETE A DISCLOSURE STATEMENT WHICH ADDRESSES ACTUAL OR POTENTIAL CONFLICTS OF INTEREST; 2 - THE DISCLOSURE STATEMENT IS DONE ELECTRONICALLY AND THE RETURN OF THE COMPLETED STATEMENT IS A CONDITION OF CONTINUED APPOINTMENT, EMPLOYMENT, OR PARTICIPATION WITH THE ORGANIZATION; 3 - ALL ACTUAL OR POTENTIAL CONFLICTS ARE REVIEWED, INVESTIGATED, AND RESOLVED BY THE CHIEF GOVERNANCE OFFICER AND THE CORPORATE RESPONSIBILITY OFFICER, WITH THE RESULTS SHARED WITH THE CHIEF EXECUTIVE OF THE ORGANIZATION; AND 4 - PERIODIC REVIEWS ARE CONDUCTED BY GOVERNANCE, COMPLIANCE, AND INTERNAL AUDIT TO ENSURE THE ORGANIZATION IS OPERATING CONSISTENT WITH THE POLICY AND ENFORCING THE POLICY'S TERMS. |
| FORM 990, PART VI, SECTION B, LINE 15 | MERCY COMMUNITY HEALTH FOUNDATION USES THE POLICIES ESTABLISHED BY VIA CHRISTI HEALTH, INC. (VCH). VCH HAS ESTABLISHED A COMMON PHILOSOPHY, STRATEGY, AND PROCESSES FOR EXECUTIVE COMPENSATION. THROUGH THE OVERSIGHT OF THE VCH EXECUTIVE COMPENSATION COMMITTEE, EXECUTIVE COMPENSATION IS COMPETITIVELY POSITIONED AT ITS STATED MARKET POSITION WHEN COMPARED TO THE COMPENSATION PAID BY RELEVANT ORGANIZATIONS (COMPARABLY-SIZED HEALTH SYSTEMS, OSPITALS, AND LONG-TERM CARE PROVIDERS). VCH RECOGNIZES ITS RESPONSIBILITY TO ENSURE THAT ITS EXECUTIVE COMPENSATION PROGRAM IS APPROPRIATE IN VIEW OF ITS MISSION AND TAX EXEMPT STATUS AND THAT ITS COMPENSATION LEVELS AND EXPENDITURES ARE REASONABLE AND NOT EXCESSIVE. TO ENSURE THESE ENDS, THE VCH EXECUTIVE COMPENSATION COMMITTEE HAS ESTABLISHED AND APPROVED THE EXECUTIVE COMPENSATION PHILOSOPHY FOR VCH AND ALL RELATED ENTITIES. IT WILL ALSO APPROVE ALL CHANGES IN THE COMPENSATION PACKAGE FOR VCH EXECUTIVES IN ADVANCE. ON AN ANNUAL BASIS, THE COMMITTEE CONDUCTS A COMPREHENSIVE REVIEW OF TOTAL COMPENSATION FOR ALL EXECUTIVES. IT ALSO REVIEWS AND APPROVES "OFF-CYCLE" COMPENSATION TRANSACTIONS AS NEEDED. IN THEIR REVIEW, THE COMMITTEE CONSIDERS THE FOLLOWING FACTORS: - MARKET DATA FROM INDEPENDENT COMPENSATION SURVEYS AND SOURCES THAT REFLECT COMPARABLE POSITIONS IN ORGANIZATIONS OF SIMILAR SIZE AND SCOPE; - DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES; - SKILLS, EXPERIENCE AND PERFORMANCE HISTORY OF INDIVIDUAL EXECUTIVES; - CRITICAL BUSINESS OR STRATEGIC ISSUES THAT THE ORGANIZATION MAY FACE; AND - MARKET POSITION FOR TOTAL COMPENSATION. THE ADEQUACY, COMPETITIVENESS, AND COST OF THE VCH TOTAL EXECUTIVE COMPENSATION PROGRAM ARE REVIEWED ON AN ONGOING BASIS AND CHANGES ARE MADE AS THE COMMITTEE DETERMINES APPROPRIATE. THE EXECUTIVE COMPENSATION PROGRAM WILL HE MAINTAINED SUCH THAT IT WILL FALL WITHIN THE SAFE HARBOR GUIDELINES ESTABLISHED BY THE INTERMEDIATE SANCTIONS REGULATIONS. THE COMMITTEE ALSO EMPLOYS THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE MARKET ANALYSIS TO AID AND SUPPORT THE COMMITTEE'S ACTIONS, PROVIDE DOCUMENTATION OF MARKET TRENDS FOR BUDGET SETTING PURPOSES, REVIEW ANNUAL COMPENSATION CHANGES TO ENSURE "REASONABLENESS AND PROVIDE ATTESTATION, AND PROVIDE CONSULTATION ON ALL EXECUTIVE COMPENSATION ISSUES. THE COMMITTEE ALSO RELIES ON THIRD-PARTY VALIDATION OF PERFORMANCE MEASURES USED IN THE DETERMINATION OF COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | |||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(C)(3) | LINE 12A, I | N/A | 0 | |
| ASCENSION HEALTH | |||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(C)(3) | LINE 12A, I | 0 | ASCENSION HEALTH ALLIANCE | |
| VIA CHRISTI HEALTH INC | |||||||||||
| 8200 E THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 481172107 | HEALTH SYSTEM PARENT | KS | 501(C)(3) | LINE 12C, III-FI | 0 | ASCENSION HEALTH ALLIANCE | |
| VIA CHRISTI VILLAGES INC | |||||||||||
| 2622 W CENTRAL SUITE 100 | WICHITA | KS | 67203 | 480559086 | MANAGEMENT COMPANY | KS | 501(C)(3) | LINE 12C, III-FI | 0 | VIA CHRISTI HEALTH INC | |
| VIA CHRISTI VILLAGE HAYS INC | |||||||||||
| 2225 CANTERBURY DRIVE | HAYW | KS | 67601 | 202828680 | RETIREMENT HOME | KS | 501(C)(3) | LINE 10 | Yes (1) | VIA CHRISTI VILLAGES INC | |
| VIA CHRISTI CARE AT HOME INC | |||||||||||
| 2622 W CENTRAL SUITE 100 | WICHITA | KS | 67203 | 271889960 | HEALTH AGENCY | KS | 501(C)(3) | LINE 10 | Yes (1) | VIA CHRISTI VILLAGES INC | |
| VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC | |||||||||||
| 2622 W CENTRAL SUITE 100 | WICHITA | KS | 67203 | 481236589 | PAGE COMMUNITY PROGRAMS | KS | 501(C)(3) | LINE 10 | Yes (1) | VIA CHRISTI VILLAGES INC | |
| VIA CHRISTI VILLAGE GEORGETOWN INC | |||||||||||
| 165 S GEORGETOWN | WICHITA | KS | 67218 | 481129325 | RETIREMENT HOME | KS | 501(C)(3) | LINE 10 | Yes (1) | VIA CHRISTI VILLAGES INC | |
| VIA CHRISTI VILLAGE MANHATTAN INC | |||||||||||
| 2800 WILLOW GROVE ROAD | MANHATTAN | KS | 66502 | 481078862 | RETIREMENT HOME | KS | 501(C)(3) | LINE 10 | Yes (1) | VIA CHRISTI VILLAGES INC | |
| VIA CHRISTI VILLAGE MCLEAN INC | |||||||||||
| 777 N MCLEAN BLVD | WICHITA | KS | 67203 | 481247723 | RETIREMENT HOME | KS | 501(C)(3) | LINE 10 | Yes (1) | VIA CHRISTI VILLAGES INC | |
| VIA CHRISTI VILLAGE PITTSBURG INC | |||||||||||
| 1502 E CENTENNIAL DRIVE | PITTSBURG | KS | 66762 | 743070971 | RETIREMENT HOME | KS | 501(C)(3) | LINE 10 | Yes (1) | VIA CHRISTI VILLAGES INC | |
| VIA CHRISTI VILLAGE PONCA CITY INC | |||||||||||
| 1601 ACADEMY ROAD | PONCA CITY | OK | 74604 | 731153337 | RETIREMENT HOME | OK | 501(C)(3) | LINE 10 | Yes (1) | VIA CHRISTI VILLAGES INC | |
| VIA CHRISTI HOSPITAL PITTSBURG INC | |||||||||||
| 1 MT CARMEL WAY | PITTSBURG | KS | 66762 | 480543778 | HOSPITAL | KS | 501(C)(3) | LINE 3 | 0 | VIA CHRISTI HEALTH INC | |
| MOUNT CARMEL FOUNDATION INC | |||||||||||
| 1 MT CARMEL WAY | PITTSBURG | KS | 66762 | 480961283 | FOUNDATION | KS | 501(C)(3) | LINE 12A, I | 0 | VIA CHRISTI HOSPITAL PITTSBURG INC | |
| VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC | |||||||||||
| 8200 E THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 462872857 | ACO | KS | 501(C)(3) | 0 | VIA CHRISTI HEALTH INC | ||
| VIA CHRISTI HOSPITAL WICHITA ST TERESA INC | |||||||||||
| 14800 W ST TERESA | WICHITA | KS | 67235 | 271965272 | HOSPITAL | KS | 501(C)(3) | LINE 3 | 0 | VIA CHRISTI HEALTH INC | |
| VIA CHRISTI HOSPITALS WICHITA INC | |||||||||||
| 929 N SAINT FRANCES | WICHITA | KS | 67214 | 481172106 | HOSPITAL | KS | 501(C)(3) | LINE 3 | 0 | VIA CHRISTI HEALTH INC | |
| VIA CHRISTI REHABILITATION HOSPITAL INC | |||||||||||
| 1151 N ROCK ROAD | WICHITA | KS | 67206 | 481158274 | REHABILITATION HOSPITAL | KS | 501(C)(3) | LINE 3 | 0 | VIA CHRISTI HOSPITALS WICHITA INC | |
| VIA CHRISTI PROPERTY SERVICES INC | |||||||||||
| 8200 E THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 480948571 | PROPERTY MANAGEMENT | KS | 501(C)(4) | 0 | VIA CHRISTI HOSPITALS WICHITA INC | ||
| VIA CHRISTI HEALTH PARTNERS INC | |||||||||||
| 8200 E THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 480958974 | MANAGEMENT COMPANY | KS | 501(C)(3) | LINE 10 | 0 | VIA CHRISTI HEALTH INC | |
| VIA CHRISTI HOSPITAL MANHATTAN INC | |||||||||||
| 1823 COLLEGE AVENUE | MANHATTAN | KS | 66502 | 481186704 | HOSPITAL | KS | 501(C)(3) | LINE 3 | 0 | VIA CHRISTI HEALTH INC | |
| WAMEGO HOSPITAL ASSOCIATION INC | |||||||||||
| 711 GENN DRIVE | WAMEGO | KS | 66547 | 721526400 | HOSPITAL | KS | 501(C)(3) | LINE 3 | 0 | VIA CHRISTI HOSPITAL MANHATTAN INC | |
| SALINA REGIONAL HOME MEDICAL SERVICES LLC | |||||||||||
| 520 SOUTH SANTA FE AVE | SALINA | KS | 67401 | 431948057 | MEDICAL EQUIPMENT | KS | 501(C)(3) | LINE 10 | 0 | SALINA REGIONAL HEALTH CENTER INC | |
| CORNERSTONE ASSISTED LIVING INC | |||||||||||
| 2622 W CENTRAL SUITE 100 | WICHITA | KS | 67203 | 481241079 | RETIREMENT HOME | KS | 501(C)(3) | LINE 10 | 0 | VIA CHRISTI VILLAGES INC | |
| GERARD HOUSE INC | |||||||||||
| 929 N SAINT FRANCES | WICHITA | KS | 67214 | 481172106 | HOSPITAL | KS | 501(C)(3) | LINE 3 | 0 | VIA CHRISTI HEALTH INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| AMBULATORY SURGERY CENTER LP | |||||||||
| 8200 THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 481114690 | SURGERY CENTER | KS | N/A | 0 | 0 |
| AMS DIAGNOSTICS LLC | |||||||||
| 8200 THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 481223653 | RADIOLOGY SERVICES | KS | N/A | 0 | 0 |
| KANSAS SURGERY AND RECOVERY CENTER LLC | |||||||||
| 2770 NORTH WEBB ROAD | WICHITA | KS | 67226 | 481148580 | SURGERY CENTER | KS | N/A | 0 | 0 |
| MERCY IMAGING LLC | |||||||||
| 1823 COLLEGE AVENUE | MANHATTAN | KS | 66502 | 481251984 | RADIOLOGY SERVICES | KS | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFILIATED MEDICAL SERVICES LABORATORY INC | ||||||||||||||
| 2916 E CENTRAL | WICHITA | KS | 67214 | 481239522 | MEDICAL LABORATORY | KS | N/A | C | 0 | |||||
| INTEGRATED HEALTHCARE SYSTEMS INC | ||||||||||||||
| 3311 EAST MURDOCK | WICHITA | KS | 67208 | 480941549 | CLINIC SERVICES | KS | N/A | C | 0 | |||||
| VCH IOWA PC TRUST | ||||||||||||||
| 8200 E THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 276937322 | BENEFICIARY TRUST | IA | N/A | T | 0 | |||||
| VCH IOWA PC TRUST | ||||||||||||||
| 8200 E THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 273983977 | PROFESSIONAL ASSOCIATION | IA | N/A | C | 0 | |||||
| VIA CHRISTI CLINIC PA | ||||||||||||||
| 3311 EAST MURDOCK | WICHITA | KS | 67208 | 480993446 | PROFESSIONAL ASSOCIATION | KS | N/A | C | 0 | |||||
| VIA CHRISTI CLINIC SERVICES INC | ||||||||||||||
| 8200 E THORN DRIVE SUITE 300 | WICHITA | KS | 67226 | 273984287 | CLINIC SERVICES | KS | N/A | C | 0 | |||||
| SUNFLOWER ASSURANCE LTD | ||||||||||||||
| 980223159 | INSURANCE COMPANY | N/A | C | 0 | PO BOX 1085 | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments