WAMEGO HOSPITAL ASSOCIATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WAMEGO HOSPITAL ASSOCIATION (EIN 72-1526400)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201701359349308400
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-05-15T14:08:50-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN721526400EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wamego Hospital Association IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWAMEBusinessNameControlTxt
Phone7854587201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 Genn DriveAddressLine1Txt
CityWamegoCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66547ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL MCCULLOUGHPersonNm
Person TitleCFOPersonTitleTxt
Signature2017-05-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Wamego Health Center Wamego Family CenterBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVE LANDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 Genn DriveAddressLine1Txt
CityWamegoCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66547ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,661,539GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.wamegohealthcenter.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionServes as a healing presence with special concern for our neighbors who are vulnerable.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$75,000PYContributionsGrantsAmt
CY Contributions Grants$8,580CYContributionsGrantsAmt
PY Program Service Revenue$12,047,485PYProgramServiceRevenueAmt
CY Program Service Revenue$11,579,131CYProgramServiceRevenueAmt
PY Investment Income$107,476PYInvestmentIncomeAmt
CY Investment Income$45,268CYInvestmentIncomeAmt
PY Other Revenue$31,593PYOtherRevenueAmt
CY Other Revenue$28,560CYOtherRevenueAmt
PY Total Revenue$12,261,554PYTotalRevenueAmt
CY Total Revenue$11,661,539CYTotalRevenueAmt
CY Grants And Similar Paid$12,612CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,176,852PYOtherExpensesAmt
CY Other Expenses$11,372,937CYOtherExpensesAmt
PY Total Expenses$11,176,852PYTotalExpensesAmt
CY Total Expenses$11,385,549CYTotalExpensesAmt
PY Revenues Less Expenses$1,084,702PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$275,990CYRevenuesLessExpensesAmt
Total Assets BOY$9,816,480TotalAssetsBOYAmt
Total Assets EOY$11,002,681TotalAssetsEOYAmt
Total Liabilities BOY$2,027,346TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,055,614TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,789,134NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,947,067NetAssetsOrFundBalancesEOYAmt
MissionWamego Hospital Association, Inc. is part of Via Christi Health, Inc., a Catholic Health System. We share this mission, "Inspired by the Gospel and our Catholic tradition, we serve as a healing presence with special concern for our neighbors who are vulnerable".MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,425,991ExpenseAmt
Grant$12,612GrantAmt
Revenue$11,581,253RevenueAmt
DescPROVIDING HEALTH CARE SERVICES AND CHARITY CARE: THE HOSPITAL PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS MEETING CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. THE HOSPITAL PROVIDES THE FOLLOWING SERVICES TO THE RESIDENTS OF WAMEGO AND SURROUNDING COMMUNITIES: INPATIENT HOSPITALIZATION, EMERGENCY ROOM, SWING BED, OUTPATIENT IV THERAPIES, DIABETES EDUCATION, SPECIALTY CLINICS, LABORATORY, IMAGING SERVICES, HERITAGE PROGRAMS FOR SENIOR ADULTS, AND DIETARY CONSULTATION. THE SPECIALTY CLINICS INCLUDE THE FOLLOWING: PODIATRY, SURGERY, ORTHOPEDICS, GASTROENTEROLOGY, OTOLARYNGOLOGY, OPHTHAMOLOGY, UROLOGY, AND DIABETES. AS A FULL SERVICE HOSPITAL CENTRALLY LOCATED TO SUPPORT POTTAWATOMIE, WABAUNSEE AND SURROUNDING COUNTIES, WAMEGO HOSPITAL ASSOCIATION, INC. (WHA) OFFERS A COMBINATION OF TECHNOLOGY AND CARING TO PROVIDE ALL THE SPECIALTIES AND SERVICES NEEDED TO SUPPORT THE COMMUNITY'S HEALTH CARE NEEDS, FROM OUTPATIENT THERAPIES AND PREVENTATIVE CARE TO LONG-TERM INPATIENT CARE AND EMERGENCY SERVICES. AS A PART OF VIA CHRISTI HEALTH, INC., A CATHOLIC HEALTH SYSTEM, WE SHARE THIS MISSION: "INSPIRED BY THE GOSPEL AND OUR CATHOLIC TRADITION, WE SERVE AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS WHO ARE VULNERABLE". VIA CHRISTI HEALTH SYSTEM'S HISTORY EXTENDS BACK OVER 100 YEARS AND TODAY, ALONG WITH OUR SPONSORING ORGANIZATION, ASCENSION HEALTH, WE CONTINUE TO RESPOND TO COMMUNITY NEEDS IN KANSAS AND NORTHEASTERN OKLAHOMA.Desc
Total Program Service Expenses$8,425,991TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM FISCHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3167193224PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 E THORN DRIVEAddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67226ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DWIGHT FAULKNER
CHAIR1.01.0Yes (X)Yes (X)$0$0$0
MICHAEL LEITCH
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
JOHN R BROBERG
SECRETARY1.049.0Yes (X)Yes (X)$0$329,415$62,281
JACOB PUGH
TREASURER1.00Yes (X)Yes (X)$0$0$0
WILLIAM E DITTO
TRUSTEE1.00Yes (X)$0$0$0
MARK KNACKENDOFFEL
TRUSTEE1.02.0Yes (X)$0$0$0
SISTER LOIS O'MALLEY CSJ
TRUSTEE1.01.0Yes (X)$0$0$0
CASEY POELL MD
TRUSTEE1.050.0Yes (X)$0$370,279$36,801
DAVID A GAMBINO
TRUSTEE1.054.0Yes (X)$0$544,747$74,387
SHANNAN FLACH
ADMINISTRATOR50.00.0Yes (X)$0$128,049$34,944
JAMES FRASER
ADMINISTRATOR FINANCE1.051.0Yes (X)$0$181,887$18,187
ROBERTA JOHNSON
ASSISTANT SECRETARY1.041.0Yes (X)$0$284,651$66,689
CAROL KARP
ASSISTANT TREASURER (START 10/14)/CFO1.055.0Yes (X)$0$417,633$52,960
CURTIS WOLFE
CHIEF OF STAFF50.00.0$0$202,178$35,534Yes (X)
ROLAND M DAREY JR MD
PHYSICIAN50.00.0$0$265,585$38,668Yes (X)
DANE DITTO MD
PHYSICIAN50.00.0$0$258,341$28,181Yes (X)
KATHY A DOUGLAS
NURSE PRACTICIONER50.00.0$0$118,191$26,274Yes (X)
TIMOTHY MINGES MD
PHYSICIAN50.00.0$0$218,544$30,542Yes (X)
JEFF SEIRER
ASSISTANT TREASURER (END 9/14)0.049.0$0$321,492$71,175Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,640,992TotReportableCompRltdOrgAmt
Total Other Compensation$576,623TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DIAMOND HEALTHCARE
701 E BYRD STREET 15TH FLOORRICHMONDVA23219CONSULTING$278,100
FREEMAN WHITE INC
8845 RED OAD BOULEVARDCHARLOTTENC28217CONSULTING$229,984
TELEQUALITY COMMUNICATIONS
21232 GATHERING OAKS 107SAN ANTONIOTX78260SERVICES$159,821
CASCADE HEALTH SERVICES
1045 SWIFT AVENORTH KANSAS CITYMO64116CONTRACT LABOR$107,524
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$8,580GovernmentGrantsAmt
Total Contributions$8,580TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$11,523,282$11,523,282
MEANINGFUL USE REVENUE621990$55,849$55,849

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,579,131TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,268TotalRevenueColumnAmt
Exclusion$45,268ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,113RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,113RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,113TotalRevenueColumnAmt
Exclusion$6,113ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE MEALS & VENDING INCOME722514$20,055$20,055
MEDICAL RECORD FEES INCOME621990$2,122$2,122
Unclaimed Property900099$270$270

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$22,447OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,661,539TotalRevenueColumnAmt
Related Or Exempt Func Income$11,581,253RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$71,706ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,612TotalAmt
Program Services$12,612ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,691,668TotalAmt
Program Services$1,480,992ProgramServicesAmt
Management And General$210,676ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,139TotalAmt
Program Services$401ProgramServicesAmt
Management And General$21,738ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$961,115TotalAmt
Program Services$854,158ProgramServicesAmt
Management And General$106,957ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$33,978TotalAmt
Program Services$19,285ProgramServicesAmt
Management And General$14,693ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$227,129TotalAmt
Program Services$226,311ProgramServicesAmt
Management And General$818ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,467TotalAmt
Program Services$22,271ProgramServicesAmt
Management And General$6,196ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,643TotalAmt
Program Services$7,794ProgramServicesAmt
Management And General$18,849ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$248,040TotalAmt
Program Services$256,784ProgramServicesAmt
Management And General-$8,744ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,888TotalAmt
Program Services$24,015ProgramServicesAmt
Management And General$65,873ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased Services- Affiliate$6,511,244$5,130,403$1,380,841
MANAGEMENT FEES$1,028,479$1,028,479
payroll taxes$379,082$325,799$53,283
i/c lab services$53,330$53,330

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$71,735TotalAmt
Program Services$11,836ProgramServicesAmt
Management And General$59,899ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,385,549TotalAmt
Program Services$8,425,991ProgramServicesAmt
Management And General$2,959,558ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,651,121BOYAmt
EOY$1,613,537EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$871,046BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,402,269BOYAmt
EOY$1,318,236EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$27,969BOYAmt
EOY$28,700EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$749EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,436,189LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,101,816LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,306,540BOYAmt
EOY$1,334,373EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$62,450BOYAmt
EOY$37,430EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,495,085BOYAmt
EOY$6,669,656EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,816,480BOYAmt
EOY$11,002,681EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,316,825BOYAmt
EOY$718,707EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$710,521BOYAmt
EOY$2,336,907EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,027,346BOYAmt
EOY$3,055,614EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,789,134BOYAmt
EOY$7,947,067EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,789,134BOYAmt
EOY$7,947,067EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,816,480BOYAmt
EOY$11,002,681EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$275,990ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$118,057NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$3,369OtherActivitiesAmt
Total Lobbying Expenditures$3,369TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Wamego Hospital Association, 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 ACTIVITYLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Wamego Hospital Association, 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 D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,127OtherCostOrOtherBasisAmt
Depreciation$23,341DepreciationAmt
Book Value$22,786BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$176,529OtherCostOrOtherBasisAmt
Depreciation$102,409DepreciationAmt
Book Value$74,120BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,778,433OtherCostOrOtherBasisAmt
Depreciation$2,976,066DepreciationAmt
Book Value$802,367BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$435,100OtherCostOrOtherBasisAmt
Book Value$435,100BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,334,373TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
LONG TERM INVESTMENTS$6,453,531
CSI RECEIVABLE$34,136
DEPOSITS$37,251
GRANTS DUE FROM RESTRICTED
WAMEGO CITY HOSPITAL RECEIVABLE$24,790
OTHER RECEIVABLES$28,606
INTERCOMPANY RECEIVABLES$91,342
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,669,656TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
MEDICARE SETTLEMENT$559,566
INTERCOMPANY PAYABLES$1,777,341
FieldValueIRS element (for citing)
Total Liability$2,336,907TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationFrom the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Wamego Hospital Association, Inc.: 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, 2016.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,206TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92,206NetCommunityBenefitExpnsAmt
Total Expense0.0081TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$566,225TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$301,347DirectOffsettingRevenueAmt
Net Community Benefit Expns$264,878NetCommunityBenefitExpnsAmt
Total Expense0.0233TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$658,431TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$301,347DirectOffsettingRevenueAmt
Net Community Benefit Expns$357,084NetCommunityBenefitExpnsAmt
Total Expense0.0314TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,416TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,416NetCommunityBenefitExpnsAmt
Total Expense0.0027TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,321NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,045TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,045NetCommunityBenefitExpnsAmt
Total Expense0.0013TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$48,782TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,782NetCommunityBenefitExpnsAmt
Total Expense0.0043TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$707,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$301,347DirectOffsettingRevenueAmt
Net Community Benefit Expns$405,866NetCommunityBenefitExpnsAmt
Total Expense0.0356TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,998TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,998NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$679TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$679NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$471TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$471NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,119TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,119NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$13,267TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,267NetCommunityBenefitExpnsAmt
Total Expense0.0012TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense$775,404BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,303,125ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,097,656CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$205,469MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAMEGO HOSPITAL ASSOCIATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 GENN DRIVEAddressLine1Txt
CityWAMEGOCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66547ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://WWW.VIACHRISTI.ORGWebsiteAddressTxt
State LicenseKANSAS H-075-002StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WAMEGO HOSPITAL ASSOCIATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.wamegohealthcenter.org/about-us/community-needs-assessment/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttp://www.pottawatomiecountycommunityneedsassessment.org/OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.viachristi.org/PATIENTS-AND-VISITORS/BILLING-AND-FINANCE/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Wamego Hospital Association, Inc.. The assessment was conducted by Wichita State University's Center for Community Support and Research (CCSR). The Riley County Seniors' Service Center provided leadership and coordination of this CHNA effort and it encompassed nearly 100 not-for-profit organizations or government agencies through survey research and/or focus group participation and feedback on initial CHNA draft. The organizations included area health care providers including health and mental health departments, unified school districts, government offices, low-income housing, senior living facilities, colleges, faith-based groups, homeless shelters and many others. Specific organizations participating included in addition to the two already name included: Caroline Peine Charitable Foundation (Manhattan Fund), Konza United Way, Via Christi Hospital - Manhattan (formerly called Mercy Regional Health Center), Riley County Council on Aging, Wamego Health Center, Riley County Health Department, 1350KMAN, Angel 95FM, Bethel AME Church, Big Brothers/Big Sisters of Riley County, Big Lakes Development Center, Boys & Girls Club of Manhattan, Catholic Charities of Northern Kansas, Center on Aging - KS State University, Child Development Center - KS State University, City of Leonardvile, City of Manhattan, City of Manhattan Parks & Recreation, City of Manhattan Social Services Advisory Board, City of Ogden, City of Randolph, City of Riley, Colorado Plaza Apartments, Community Health Ministries - Manhattan, Community Health Ministries - Wamego, Department of Sociology, Anthropology and Social Work - KS State University, Douglass Community Center, Downtown Manhattan, Inc., Family Connections of Riley County, First Presbyterian Church, First United Methodist Church, Flint Hills Area Transportation Agency, Flint Hills Breadbasket, Flint Hills Community Clinic, Flint Hills Human Rights Project, Flint Hills Volunteer Center (formerly RSVP of the Flint Hills, Inc.), Friendship Meals Program, Garden Grove Apartments, Greater Manhattan Community Foundation, Hands On Kansas State, Homecare & Hospice, Homestead Assisted Living, Housing & Credit Counseling Inc. - Manhattan, Kansas Legal Services, Konza Prairie Community Health Clinic, Konza United Way, KSNT News, League of Women Voters of Manhattan/Riley County, LGBT Resource Center - KS State University, Lion's Club, Manhattan Area Chamber of Commerce, Manhattan Area Habitat for Humanity, Manhattan Area Housing Partnership, Manhattan Area Technical College, Manhattan Arts Center, Manhattan Broadcasting, Manhattan Emergency Shelter, Inc., Manhattan Housing Authority, Manhattan Public Library, Manhattan/Riley County Preservation Alliance, Manhattan-Ogden USD 383 Head Start/Early Head Start, Meadowlark Hills Retirement Community, National Church Residences, North Central Flint Hills Area Agency on Aging, Ogden Friendship House, Pawnee Mental Health Services, Pilgrim Baptist Church, Pottawatomie County Health Department, Riley County, Riley County Community Corrections, Riley County Council on Aging, Riley County Extension, Riley County Health Department, Riley County Police Department, Saint Luke's Episcopal Church - Wamego, Salvation Army, School of Leadership Studies - KS State University, Seven Dolors Catholic Church, Shepherd's Crossing, South Manhattan Neighborhood Association, Stoneybrook Retirement Community, Sunflower CASA Project, Inc., Sunny 102.5, The Crisis Center, The KS State Collegian, The Manhattan Free Press, The Manhattan Mercury, Three Rivers, Inc., UFM Community Learning Center, USD 320 Wamego, USD 323 Rock Creek, USD 378 Riley, USD 383 Manhattan/Ogden, USD 383 Open Door, USD 384 Blue Valley, Via Christi Retirement Village, Wamego Chamber of Commerce, Wamego Smoke Signal, WIBW News and Wonder Workshop.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Wamego Hospital Association, Inc.. Wamego Hospital Association, Inc. conducted its CHNA with Via Christi Hospital in Manhattan. Via Christi Hospital in Manhattan is a healthcare leader in northeastern Kansas, with 150 physicians, 800 employees and 350 volunteers serving the people of Manhattan and the surrounding areas with a wide range of quality health and wellness services. Services offered in Manhattan include: Outpatient behavioral health, A full-service emergency room, Heart care and cardiac rehabilitation, Physical rehabilitation, Orthopedics, Pain management, Labor and delivery, Sleep medicine, Weight loss services (Via Christi LIGHT), and more.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Wamego Hospital Association, Inc.. Riley County Seniors' Service Center (RCSSC) The Riley County Seniors' Service Center provides services and activities for persons age 60 years of age and older living in Manhattan and Riley County. Services and activities provided include information and referral services. Cooperative efforts with service providers to address older adult needs, educational programs, volunteer service opportunities and recreational and social activities. KONZA UNITED WAY (KUW) SERVING CLAY, MARSHALL, POTTAWATOMIE, RILEY, WABAUNSEE AND WASHINGTON COUNTIES IN KANSAS, THE KUW FOCUSES ON THREE-SPECIFIC INITIATIVES: EDUCATION, HEALTH AND INCOME. THEIR PRIMARY GOAL IS TO ADVANCE EDUCATION, FINANCIAL STABILITY AND HEALTH FOR THOSE LIVING IN THEIR SIX COUNTY REGION WHO ARE FACING POVERTY. RILEY COUNTY COUNCIL ON AGING (RCCOA) THE PURPOSE OF RCCOA IS TO REPRESENT THE OLDER POPULATION IN RILEY COUNTY IN FUNDING REQUESTS, SUPPORTING PROPOSALS AND PROJECTS IMPORTANT TO AGING, DETERMINING AND COMMUNICATING THE NEEDS AND SERVICES FOR THE AGING WHILE ENCOURAGING AND FACILITATING ACTIVITIES THAT BENEFIT OLDER PERSONS BY COORDINATING WITH AGENCIES AND ORGANIZATIONS THAT WORK WITH OLDER PERSONS. RILEY COUNTY HEALTH DEPARTMENT (RCHD) THE RCHD HAS BEEN SERVING RILEY COUNTY FOR WELL OVER 50 YEARS. THEIR WORKFORCE INCLUDES NURSES, SOCIAL WORKERS, DIETITIANS, SUPPORT STAFF AND ADMINISTRATION. THE HEALTH DEPARTMENT OFFERS A WIDE VARIETY OF PROGRAMS AND SERVICES AND THEY VARY BY ELIGIBILITY BY COST. SOME SERVICES ARE AVAILABLE TO ANYONE WHILE SOME ARE RESTRICTED GEOGRAPHICALLY OR HAVE INCOME OR OTHER ELIGIBILITY REQUIREMENTS. SOME SERVICES ARE FREE, SOME HAVE SLIDING SCALES, SOME HAVE INSURANCE COVERAGE AND A FEW SPECIALTY SERVICES HAVE MANDATORY CHARGES. SERVICES PROVIDED INCLUDE BREAST CANCER AWARENESS, CHILD CARE LICENSING, CLINIC FORMS, COMMUNICABLE DISEASES, COMMUNITY CLINICS, COMMUNITY HEALTH PROMOTIONS AND WELLNESS, EMERGENCY PREPAREDNESS IMMUNIZATIONS AND INTERNATIONAL TRAVEL VACCINATIONS, MATERNAL AND CHILD HEALTH, RAISING RILEY, REPRODUCTIVE HEALTH SERVICE, RYAN WHITE PART B (HIV/AIDS PROGRAM), SCHOOL INSPECTIONS, SEXUALLY TRANSMITTED DISEASES (STDS), SHARPS DISPOSAL, TUBERCULOSIS (TB) CONTROL AND WOMEN INFANTS & CHILDREN (WIC) NUTRITION.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Wamego Hospital Association (WHA). Some of the ways WHA has contributed to Wamego and/or Pottawatomie County include: 1) Provide the support of Family Clinic physicians to Community Health Ministries' Clinic on a regular basis in seeing their patients who are not able to afford medical care but who are in need. 2) Donations of medical supplies to Community Health Ministries' Clinic when they have a need and may have limited resources to purchase their own supplies. 3) Provide free sport concussion screenings for Wamego High School athletes, many who would not be able to afford them or regularly access health care providers. Services provided that addresses the CHNA include: 1) Secondary data showed that Pottawatomie County residents are slightly less likely to consume enough fruits and vegetables than the state average; even though, the majority of survey respondents indicate that they eat healthy in general. Responses were mixed on the CHNA survey regarding whether the community has adequate access to healthy food. WHA gardeners worked together with the community to procure a grant to build their own community vegetable garden. Land was donated by the church, across from the hospital, and staff, as well as volunteers from the community, work together to grow produce and any extra produce realized is picked by WHA staff and others and donated to the local food pantry, WIC program participants, and nearby low-income housing communities. 2) Secondary data from the 2013 BRFSS showed that the percentage of Pottawatomie County residents who have experienced poor mental health is higher than the state average (12.0% for Pottawatomie, 9.7% for Kansas). The same is true for those who have experienced a depressive disorder (26.6% for County versus 18.1% for Kansas). The CHNA also found that 7.6% of respondents had been diagnosed with mental illness of some type, with depression being the most common diagnosis. The top need related to mental health were focused on affordability and access to quality services, including more providers of mental health services, affordable mental health services and insurance, high quality services and increased education and prevention regarding mental health. In order to address this need, WHA has made its licensed therapists available to work in partnership with the Community Health Ministries' Clinic through the Heritage Program. This program serves as a mental health clinic for senior adults in the City of Wamego and allows a person access to mental health care without driving to Manhattan or Topeka in order to gain access. 3) Concern was raised about the availability and affordability of child care, activities for children and youth and employment opportunities for teens. Because achieving educational goals is important to the overall economic and health status of every resident living in and around Wamego, WHA is a proud partner in the mentoring program with the school district. Every year, all students entering into the Wamego High School, are assigned a mentor who will stay with that student for their four years of high school. That adult volunteer helps the student to realize their goal of academic success, and many times steers their career aspirations, into areas the student never thought about prior to their mentoring encounter. 4) Although Pottawatomie County has a lower percentage of adults age 65 or older than is average for Kansas, concern was still voiced about their access to healthy food. WHA associates regularly assist in delivering Meals on Wheels to low income and/or home-bound elderly who are no longer able to afford or prepare healthy meals. Needs Not Being Addressed include: 1) Both secondary and survey data paint a fairly positive picture of Pottawatomie County regarding common social issues (e.g. crime, poverty, drop-out rates). Rates of poverty, youth substance abuse, and crime are lower than state averages, but secondary data show a possible issue with adult binge drinking. Survey responses note concerns about substance abuse for youth and adults, manufacturing and selling of drugs, inattentive driving and poverty. Given the resources the hospital currently has to address this need, becoming a primary player is limited except through community partnerships. WHA is willing to partner with other groups, including law enforcement, on combating these issues when adequate resources are available. 2) Education - secondary data shows that Pottawatomie County fares well regarding education except when comparing the number of Early Head Start slots and schools offering all-day/everyday Kindergarten to the state average. The primary needs as identified by respondents were recruiting and keeping good teachers, increased expectations for students and parental involvement, equality in funding among districts and more arts activities for students. Given the high ranking of the school, and the continued and growing partnership between the district and WHA, future programming was not seen to be a priority need at the present time. 3) Housing values are well above average for the state as a result over 60% of CHNA respondents agreed that there is a lack of affordable housing in the community. Housing costs are beyond the scope and financial resources of WHA. While, active in the Chamber, WHA keeps an eye on housing costs but there is relatively little WHA can do to influence the prices to become more affordable when the demand for housing continues to grow in the area. 4) Secondary data show Pottawatomie County to be relatively prosperous with higher than average median household income, median housing value and per capita sales; however, CHNA respondents indicated a lack of well-paying job opportunities. The primary needs identified by CHNA respondents are related to job availability, small business development, assistance to families for basic needs, and assistance with personal financial management. WHA reviews its own wages to ensure they are competitive for their own employees, participates on the Chamber to assist where possible on bringing in new businesses and volunteers with agencies which provide families with basic needs through Meals on Wheels, Wamego Community Garden and other projects. 5) Transportation was not identified by CHNA respondents as a major problem beyond desiring an increase of transportation options and routes (e.g. for bikes and pedestrians) and maintenance and improvements of road conditions. Transportation for medical appointments, when doctors are located outside of Wamego can be challenging for elderly drivers, So WHA works with its neighboring hospital (VCH-Manhattan) in providing access to specialists when needed.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAMEGO FAMILY HEALTH CAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 GENN DRIVEAddressLine1Txt
CityWAMEGOCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66547ZIPCd
FieldValueIRS element (for citing)
FacilityFAMILY PRACTICEFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 7Kansas does not require hospitals to file community benefit reports, but Via Christi Health, Inc., which includes the activity of Wamego Hospital Association, Inc., distributes their community benefit totals and activities annually in press releases as well as in our annual report.
Schedule H, Part III, Line 1 BAD DEBT IN ACCORDANCE WITH STATEMENT NO. 15Wamego Hospital Association, Inc. (WHA) reports bad debt in accordance with generally accepted accounting principles (GAAP). Healthcare Financial Management Statement No. 15 is followed to the extent that it aligns with the guidelines set forth by GAAP.
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationVia Christi Health
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with the Catholic Health Association (CHA) guidelines. The best available data was used to calculate the amounts reported in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building ActivitiesOne of Wamego Health Center's employees serves on the board of directors for the Wamego Community Foundation which helps to fund various projects in the Wamego community including health profession scholarships. Through these scholarships, high school graduates from around the area are given an opportunity to pursue health care careers and upon graduation from these programs encouraged to stay in the area to promote better health for their neighbors. In addition, high school students are mentored by Wamego Health Center employees and allowed to visit the health facility and shadow health professionals on-the-job to assist them in their discernment on establishing a health care career post high school graduation. Wamego Health Center employees are also very concerned about the environment and how waste in parks, highways and sidewalks put unsuspecting visitors, residents and children at risk. Our health center staff regularly participate in an area cleanup by removing unsafe debris/waste on Highway 24 thus reducing dangers caused by hazardous materials, unsafe fluids and unsanitary conditions for all.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBad debt expense at cost is determined using the same cost-to-charge ratio that is used for charity care and Medicaid shortfall. WHA follows the guidance from CHA and does not consider bad debt as a community benefit.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyWamego Hospital Association, Inc. has a very robust financial assistance program; therefore, no estimate is made for bad debt attributed to financial assistance eligible patients.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteFrom the audited financial statements of Ascension Health Alliance (which include the activity of Wamego Hospital Association, Inc.): 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. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. WHA's bad debt deduction was $775,404 at charges and $381,434 at cost (after the cost to charge ratio was applied to the amount of charges).
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsAscension Health and 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 assistanceIt is the policy of Wamego Hospital Association, Inc. (WHA) to promote socially just practices for billing and collections for all patients receiving care. The policy is intended to further the WHA mission by requiring ethical conduct in billing and collecting self-pay balances from the patient/guarantor regardless of ability to pay. The policy ensures that prior to turning an account to a Third Party Collection Agent (Agent) for collection activity, WHA will perform a reasonable review of each account to verify that the patient/guarantor is not potentially eligible for any government assistance programs (e.g. Medicaid, Medicare, etc.) and would likely not qualify for charity care. WHA will direct its staff and agents to periodically assess each patient/guarantor's ability to pay or to determine eligibility for charity care, The review and assessment should include but may not be limited to the following: a. Ensure the patient/guarantor has been notified of WHA's financial assistance policy; b. Ensure the patient/guarantor was offered a financial assistance application; c. Ensure documentation of any known extraordinary financial circumstances of the patient/guarantor or if they are medically indigent.
Schedule H, Part V, Section B, Line 16a FAP website- WAMEGO HOSPITAL ASSOCIATION, 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- WAMEGO HOSPITAL ASSOCIATION, 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- WAMEGO HOSPITAL ASSOCIATION, INC.: Line 16c URL: https://www.viachristi.org/patients-and-visitors/billing-and-finance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to partnering with many organizations to conduct the CHNA, staff and Board members of the Wamego Hospital Association, Inc's (WHA) serve on community not-for-profit, service and faith-based boards and/or committees and are kept apprised of needs being presented. In addition, regular participation in community coalition meetings and Rotary where issues are raised are also a way that WHA stays engaged with community issues. Involvement with the schools to teach coaching staff and students the best way to prevent or recognize symptoms of injury also helps to build networks where problems can be shared and followed-up on. Keeping up with secondary data analysis conducted in behalf of Pottawatomie also helps to paint a picture on demographics so that changes can be monitored and addresses which may impact community needs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceWamego Hospital Association, Inc.'s (WHA) financial assistance staff is trained on how to qualify patients for Medicaid, SCHIP and other such income-based programs. During the patient's registration, admissions and discharge processes, WHA attempts to identify patients who may be eligible for charity or discounted care through the charity care policy. In addition, WHA uses a percentage of the Federal Poverty Guidelines (FPG) to determine free and discounted care.
Schedule H, Part VI, Line 4 Community informationThe primary Kansas County for Wamego Hospital Association, Inc. (WHA) is Pottawatomie. Pottawatomie County has a land area of 841 square miles with a 2015 estimated population of 23,298. The demographic breakout for Pottawatomie County includes: 94.0% white, 1.5% Black, 0.9% American Indian, 1.0% Asian persons, and 5.4% persons of Hispanic or Latino origin. Approximately 5.0% of Pottawatomie County residents report that a language other than English is spoken at home. When it comes to education, 95.7% completed high school and 32.2% of the adults 25 years of age or older had a bachelor's degree or higher. Median household income for Pottawatomie County residents between 2011 and 2015 was $60,216. During this same time period, the median value of owner-occupied housing units was $160,700 in Pottawatomie. Pottawatomie County reports 8.1% of its residents are below poverty level compared to the Statewide poverty level of 13.0%. Pottawatomie County has fewer residents age 65 years and older compared to the State of Kansas. Kansas reported in 2015 that 14.6% of all residents were persons 65 years of age and older. This compares to 13.4% for Pottawatomie. WHA is the only hospital in the City of Wamego and services are available to all persons regardless of their ability to pay.
Schedule H, Part VI, Line 5 Promotion of community healthWamego Hospital Association, Inc. (WHA) enriches the area in which they operate, as well as the broader community, by increasing access to health care by providing care and support to people in need. WHA further supports this mission with a community board, open medical staff, and an emergency room available to patients regardless of ability to pay. Open Medical Staff - The medical staff of WHA is open and is composed of physicians licensed to practice medicine in the State of Kansas. WHA staff also participate in the community on boards/committees of other not-for-profit organizations. During FY2015, WHA staff served on the following area not-for-profit organizations: Wamego Housing Authority Board, Three Rivers Board, Konza United Way Board and Kansas Hospital Associations committees. In addition, WHA staff participated in projects sponsored by the Kansas Department of Transportation Highway Clean-Up Project, Wamego Community Garden, American Red Cross Blood Drive, Wamego High School Senior Interview Day, Wamego Flu Shot Clinic, etc. Community representation of the Governing body - The Board of Directors is the governing body of WHA. The majority of its members are external members comprised of persons who reside in or around Pottawatomie County and has 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 areas such as healthcare, finance, education, and local government. 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 and business/financial concerns. The Board is also the primary group for determining the use of surplus funds generated by the organization which are reinvested in the ministry in order to allow the ministry to sustain its mission and prepare for the future. Annually, WHA provides diagnostic and lab services for Community Health Ministries Clinic. WHA staff participate in periodic Red Cross blood drives due to our mission of caring for those who are vulnerable and in need of life-saving blood. WHA staff have assisted in fundraising activities for other not-for-profits in the community (e.g. Community Garden and Konza United Way). WHA's conference room is shared with the outside community not-for-profits so they can use more of their resources in carrying out their missions. WHA's clinicians regularly spend time at the Community Health Ministries Clinic to assist with patients who have multiple chronic diseases and who are in need of advanced medical management. WHA's counselor provides mental health services for patients accessing medical care at the Community Health Ministries Clinic on an as needed basis. WHA's staff is actively involved in delivering Meals on Wheels to homebound elderly residents living in the Pottawatomie County area. In partnership with the Wamego School District, WHA gave free concussion screenings to student athletes as well as held sports clinics for those injured. In partnership with Wamego High School, WHA staff participate in the student mentoring project, where students are matched as freshmen and the program concludes once the student graduates. WHA sponsors diabetes support groups for patients as well as their caregivers. WHA provided a series of educational presentations (e.g. mental health and clergy and presentations to seniors at the Center). In addition, when needed, clinical staff has assisted the Coroner's Office.
Schedule H, Part VI, Line 6 Affiliated health care systemWHA is an affiliate of Via Christi Health, Inc. (VCH). VCH's affiliates are multi-faceted, integrated, not-for-profit ministries including hospital and non-hospital ministries (Physician Group Practices, Hospital organizations, Research, Home Health, and Durable Medical Equipment). 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 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Pottawatomie County Economic DevelopmentBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11004 LincolnAddressLine1Txt
Address Line2P O Box 288AddressLine2Txt
CityWamegoCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66547ZIPCd
FieldValueIRS element (for citing)
Recipient EIN481059912RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Purpose Of GrantAdvance Pottawatomie CountyPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationORGANIZATIONS REQUESTING DONATIONS ARE ASKED TO SUBMIT A REQUEST IN WRITING WHICH IDENTIFIES THE NEED THE DONATION WILL BE ADDRESSING, ALONG WITH GOALS AND OBJECTIVES. REQUESTS ARE REVIEWED BY ADMINISTRATION AT A WEEKLY MEETING.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN R BROBERG
SECRETARY$0$288,916$0$36,151$0$4,348$0$51,381$0$10,900$0$391,696$0$0
CASEY POELL MD
TRUSTEE$0$319,156$0$50,702$0$421$0$22,525$0$14,276$0$407,080$0$0
DAVID A GAMBINO
TRUSTEE$0$444,439$0$92,278$0$8,029$0$49,950$0$24,437$0$619,133$0$0
JEFF SEIRER
ASSISTANT TREASURER (END 9/14)$0$269,148$0$49,628$0$2,716$0$50,408$0$20,767$0$392,667$0$0
SHANNAN FLACH
ADMINISTRATOR$0$115,581$0$12,060$0$409$0$15,186$0$19,758$0$162,994$0$0
JAMES FRASER
ADMINISTRATOR FINANCE$0$163,080$0$16,429$0$2,378$0$4,165$0$14,022$0$200,074$0$0
ROBERTA JOHNSON
ASSISTANT SECRETARY$0$244,281$0$33,055$0$7,315$0$58,855$0$7,834$0$351,340$0$0
CAROL KARP
ASSISTANT TREASURER (START 10/14)/CFO$0$352,689$0$61,150$0$3,794$0$31,950$0$21,010$0$470,593$0$0
CURTIS WOLFE
CHIEF OF STAFF$0$201,548$0$0$0$630$0$15,486$0$20,048$0$237,712$0$0
ROLAND M DAREY JR MD
PHYSICIAN$0$264,558$0$0$0$1,027$0$17,225$0$21,443$0$304,253$0$0
DANE DITTO MD
PHYSICIAN$0$244,623$0$12,611$0$1,107$0$8,910$0$19,271$0$286,522$0$0
TIMOTHY MINGES MD
PHYSICIAN$0$215,493$0$160$0$2,891$0$15,820$0$14,722$0$249,086$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3The organization does not compensate the top management official for their role as President of the organization. However, if a President was employed, 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 - Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEligible 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. Keysop plan-frozen: Eligible executives participated in a frozen supplemental option benefit program that provides for supplemental retirement benefits that was limited to Via Christi Hospital St. Francis, Preferred Medical Associates Physicians, Mount Carmel Regional Medical Center and Via Christi Health system executives. The payment of benefits under the program, if any, was linked to the exercise date for the options or to earned dividends on the options. Executives were vested in full when the options were granted. The amount ultimately paid under the program to executives receiving net option value is reported on Form 990 Schedule J, Part II, Column F. The following individual received a distribution from the Keysop plan in the amount listed below: Roberta Johnson - 16271

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholdersWamego Hospital Association, Inc. has two corporate members, Via Christi Hospital Manhattan, Inc. and City of Wamego.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyWamego Hospital Association, Inc. has two corporate members, Via Christi Hospital Manhattan, Inc. and City of Wamego, who have the ability to elect members to the governing body of Wamego Hospital Association, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to Wamego Hospital Association, Inc. financial information or corporation as a whole are subject to approval by its two corporate members, Via Christi Hospital Manhattan, Inc. and Wamego City Hospital.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe finance committee reviews Wamego Hospital Association, Inc.'s Form 990. The finance committee reviews and approves the Form 990 prior to the date of filing. The finance committee reports on the review to the board of trustees and assures that the board has the opportunity to review the final Form 990 as filed. A copy of Form 990 is provided to the board of trustees via a secure email prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policyThe conflict of interest policy is monitored/enforced as part of the system-wide procedures and is not handled at the organizational level. The policy is monitored and enforced 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, Line 19 Required documents available to the publicWamego Hospital Association, Inc.'s governing documents and conflict of interest policy are available to the public upon request.
Form 990, Part IX, Line 11g Other FeesCONTRACT LABOR - Total Expense: 284672, Program Service Expense: 281454, Management and General Expenses: 3218, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 834372, Program Service Expense: 766670, Management and General Expenses: 67702, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 572624, Program Service Expense: 432868, Management and General Expenses: 139756, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountantThe activity of Wamego Hospital Association, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Wamego Hospital Association, Inc. is completed. Ascension Health Alliance's audit committee assumes responsibility for oversight of the audit of the financial statements. The audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Wamego Hospital Association, Inc.
Form 990, Part IV, Line 20B Explanation of Financial StatementsThe activity of Wamego Hospital Association, Inc. ("Wamego") is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Wamego is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Wamego.
Form 990, Part VI, Line 15 Process for Determining CompensationWamego Hospital Association, Inc. uses the policies established by Via Christi Health, Inc. (VCH). VCH has established a common philosophy, strategy, and process for executive compensation. Through the oversight of the VCH Executive Compensation Committee, executive compensation is competitively positioned at its stated market position when compared to the compensation paid by relevant organizations (comparably-sized health systems, hospitals, and long-term care providers). VCH recognizes its responsibility to ensure that its executive compensation program is appropriate in view of its mission and tax-exempt status and that its compensation levels and expenditures are reasonable and not excessive. To ensure these ends, the VCH Executive Compensation Committee has established and approved the executive compensation philosophy for VCH and all related entities. It will also approve all changes in the compensation package for VCH executives in advance. On an annual basis, the Committee conducts a comprehensive review of total compensation for all executives. It also reviews and approves "off-cycle" compensation transactions as needed. In their review, the Committee considers the following factors: - Market data from independent compensation surveys and sources that reflect comparable positions in organizations of similar size and scope; - Difficulties in recruiting and retaining executives; - Skills, experience and performance history of individual executives; - Critical business or strategic issues that the organization may face; and - Market position for total compensation. The adequacy, competitiveness, and cost of the VCH total executive compensation program are reviewed on an ongoing basis and changes are made as the Committee determines appropriate. The executive compensation program will be maintained such that it will fall within the safe harbor guidelines established by the intermediate sanctions regulations. The Committee also employs the services of an independent compensation consultant to prepare market analysis to aid and support the Committee's actions, provide documentation of market trends for budget setting purposes, review annual compensation changes to ensure "reasonableness" and provide attestation and consultation on all executive compensation issues. The Committee also relies on third-party validation of performance measures used in the determination of compensation.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
VIA CHRISTI HEALTH INC
8200 E THORN DRIVE SUITE 300WICHITAKS67226481172107HEALTH SYSTEM PARENTKS501(c)(3Type III-FIASCENSION HEALTH ALLIANCEfalse
VIA CHRISTI HOSPITAL PITTSBURG INC
1 MT CARMEL WAYPITTSBURGKS66762480543778HOSPITALKS501(c)(33VIA CHRISTI HEALTH INCfalse
VIA CHRISTI HOSPITAL WICHITA ST TERESA INC
14800 W ST TERESAWICHITAKS67235271965272HOSPITALKS501(c)(33VIA CHRISTI HEALTH INCfalse
VIA CHRISTI HOSPITALS WICHITA INC
929 N SAINT FRANCISWICHITAKS67214481172106HOSPITALKS501(c)(33VIA CHRISTI HEALTH INCfalse
GERARD HOUSE INC
3144 N HOODWICHITAKS67204481049532HOSPITAL SUPPORTKS501(c)(39VIA CHRISTI HOSPITALS WICHITA INCfalse
VIA CHRISTI REHABILITATION HOSPITAL INC
1151 N ROCK ROADWICHITAKS67206481158274REHABILITATION HOSPITALKS501(c)(33VIA CHRISTI HOSPITALS WICHITA INCfalse
VIA CHRISTI PROPERTY SERVICES INC
8200 E THORN DRIVE SUITE 300WICHITAKS67226480948571PROPERTY MANAGEMENTKS501(c)(4VIA CHRISTI HOSPITALS WICHITA INCfalse
VIA CHRISTI HEALTH PARTNERS INC
8200 E THORN DRIVE SUITE 300WICHITAKS67226480958974MANAGEMENT COMPANYKS501(c)(39VIA CHRISTI HEALTH INCfalse
Via Christi Hospital Manhattan Inc
1823 COLLEGE AVENUEMANHATTANKS66502481186704HOSPITALKS501(c)(33VIA CHRISTI HEALTH INCfalse
SALINA REGIONAL HOME MEDICAL SERVICES LLC
520 SOUTH SANTA FE AVESALINAKS67401431948057MEDICAL EQUIPMENTKS501(c)(39SALINA REGIONAL HEALTH CENTER INCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtOwnershipOwnershipPct
AMBULATORY SURGERY CENTER LP
818 N Emporia Ste 108WICHITAKS67214481114690SURGERY CENTERKSNAN/A0.0
KANSAS SURGERY AND RECOVERY CENTER LLC
2770 North Webb RoadWICHITAKS67226481148580SURGERY CENTERKSNAN/A0.0
VIA CHRISTI IMAGING LLC (fka MERCY IMAGING LLC)
1823 College AvenueMANHATTANKS66502481251984RADIOLOGY SERVICESKSNAN/A0.0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line2USAddress/AddressLine2Txt
VIA CHRISTI CLINIC SERVICES INC
8200 E THORN DRIVE SUITE 300WICHITAKS67226273984287CLINIC SERVICESKSNAC Corporationfalse
AFFILIATED MEDICAL SERVICES LABORATORY INC
2916 E CENTRALWICHITAKS67214481239522MEDICAL LABORATORYKSNAC Corporationfalse
INTEGRATED HEALTHCARE SYSTEMS INC
3311 EAST MURDOCKWICHITAKS67208480941549CLINIC SERVICESKSNAC Corporationfalse
VCH IOWA PC TRUST
8200 E THORN DRIVE SUITE 300WICHITAKS67226276937322BENEFICIARY TRUSTIANATrustfalse
VCH IOWA PC
8200 E THORN DRIVE SUITE 300WICHITAKS67226273983977PROFESSIONAL ASSOCIATIONIANAC Corporationfalse
VIA CHRISTI CLINIC PA
3311 EAST MURDOCKWICHITAKS67208480993446PROFESSIONAL ASSOCIATIONKSNAC Corporationfalse
VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC
8200 E Thorn DriveWichitaKS67226462872857ACOKSNAC CorporationfalseSuite 300
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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