2016-05-16T16:32:44-05:00 2015-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2014-07-01 480543778 Via Christi Hospital Pittsburg inc VIAC 6202316100 1 Mt Carmel Way Pittsburg KS 66762 Carol Karp CFO 2016-05-16 true Rebecca Lyons P01487105 5137847100 2014 2016-08-17 19:52:53Z Randall Cason 1 Mt Carmel Way Pittsburg KS 66762 86301268 false 0928 X https://www.viachristi.org/locations/hospitals/via-christi-hospital-pittsburg X 1903 KS We serve as a healing presence with special concern for our neighbors who are vulnerable. 15 12 799 158 235640 92158 107193 187666 82559522 83163115 1849196 1440046 1297573 1245397 85813484 86036224 0 0 0 0 42334566 42621201 0 0 0 40578445 43782946 82913011 86404147 2900473 -367923 120249552 114108181 32429110 29000155 87820442 85108026 As part of Via Christi Health, Inc., 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." false false 69087009 83602582 VIA CHRISTI HOSPITAL PITTSBURG, INC. (VCH-P) AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY, IMPROVE MEDICINE THROUGH RESEARCH, EDUCATING NURSES/NURSING STUDENTS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDE CARE AND SUPPORT TO PEOPLE IN NEED. VCH-P FURTHER SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. 69087009 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 51 0 true 799 true true true false false false false false false false false false X 15 12 true false false false true true true true true false false true true true true true true false true true true X Judy Davis 3168584931 8200 E Thorn Drive Wichita KS 67226 MARTY BEEZLEY CHAIR 1.00 0 X X 0 0 0 ELIAS TAWIL VICE CHAIR 1.00 0 X X 0 0 0 RANDALL R CASON Sr. Administrator/President 50.00 0.00 X X 0 358017 56605 JEFF SEIRER ASST TREASURER (END 8/14), BOARD COMMITTEE 1.00 52.00 X X 0 345950 67759 JOHN CLARK TRUSTEE 1.00 0 X 0 0 0 HOLLY CRANSTON MD MEDICAL STAFF PRESIDENT (STARTED 1/15) 1.00 0 X 0 0 0 SISTER SUSANNE DANIELS TRUSTEE (Sch. 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O) 508500 REHABCARE GROUP INC 680 SOUTH FOURTH ST LOUISVILLE KY 40202 Patient Related 507941 REGIONAL MEDICAL LABORATORY DEPARTMENT 2821 TULSA OK 74182 Laboratory 435633 16 X 0 0 0 15745 171921 0 0 187666 Net Patient Service Revenue 621110 80106057 80106057 0 0 340b Pharmacy Revenue 621110 1739839 1739839 0 0 Meaningful Use Revenue 621110 1049510 1049510 0 0 Laboratory Services 621500 267709 205898 61811 0 0 0 0 0 83163115 1426933 0 58474 1368459 0 0 0 0 0 0 0 0 207085 0 129346 0 77739 0 77739 0 0 77739 0 148811 0 135698 0 13113 13113 0 0 13113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria 900099 402833 0 0 402833 Catering 722320 135889 0 32823 103066 Durable Medical Equipment 621610 74236 0 74236 0 554700 501278 8296 45126 1167658 86036224 83602582 235640 2010336 X 344737 344737 34220815 31417284 2803531 -1092269 -891364 -200905 6924283 5549054 1375229 2223635 1990222 233413 1094016 1094016 25093 25093 9851 9851 9538 9538 15081653 5862871 9218782 0 295812 2614 293198 18363550 18013571 349979 30896 29173 1723 1354542 1287865 66677 173075 142142 30933 35011 30454 4557 297468 297468 4681757 4302153 379604 556237 186290 369947 Medicaid State Assessment 565454 565454 COGS - Durable Medical Equipment 371836 371836 Membership Dues 306050 62948 243102 Social Events 121353 33654 87699 409754 130788 278966 0 86404147 69087009 17317138 0 4093040 1856911 220847 221287 0 11106001 11937149 0 0 0 0 2648300 2793193 249694 65212 62871234 8362482 47977150 54508752 0 0 0 430992 171880 147430 53782640 42147255 120249552 114108181 14561124 8064929 0 0 0 0 0 0 0 0 0 0 0 0 0 17867986 20935226 32429110 29000155 X 87820442 84677034 0 430992 0 0 0 0 0 0 0 87820442 85108026 120249552 114108181 X -367923 -1639531 -704962 X X false true X true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9538 9538 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying. Via Christi Hospital Pittsburg, 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. 2100000 2100000 33145155 2368629 30776526 0 0 0 17971315 5888404 12082911 9654764 105449 9549315 54508752 Related Party Receivables Interest in Investments Held by Ascension Health Alliance 37696731 Prepaid Pension 2611800 Medicare/Medicaid Settlement Other Current Assets 1616889 Investment in RML of SEK 190240 Investment in Pinnacle Care 31595 42147255 VCHS Note Payable 17524990 Asset Retirement Obligation 36868 Related Party Payables 371211 Medicare/Medicaid Settlement 3002157 20935226 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Via Christi Hospital Pittsburg, 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, 2015. true true X true X true X true true true false true true 3995645 0 3995645 0.0462 11822233 10964194 858039 0.0099 0 0 0 0.0 0 0 15817878 10964194 4853684 0.0562 252742 23448 229294 0.0027 174102 174102 0.0020 0 0 0 0.0 11399 0 11399 0.0001 64245 0 64245 0.0007 0 0 502488 23448 479040 0.0055 0 0 16320366 10987642 5332724 0.0617 0 0 0 0.0 2035 0 2035 0.0000 3104 0 3104 0.0000 0 0 0 0.0 8696 0 8696 0.0001 0 0 0 0.0 0 0 0 0.0 446 0 446 0.0000 0 0 0 0.0 0 0 14281 0 14281 0.0002 false 3237797 0 28800701 25465685 3335016 X true true 1 1 VIA CHRISTI HOSPITAL PITTSBURG INC 1 Mt CARMEL WAY PITTSBURG KS 66762 https://www.viachristi.org/locations/hospitals/via-christi-hospital-pittsburg KANSAS H-019-002 X X X LEVEL III TRAUMA CENTER, CANCER CENTER AND HEART VIA CHRISTI HOSPITAL PITTSBURG INC 1 false false true X X X X X X X X X 14 true false true true X https://www.viachristi.org/about-via-christi/mission/community-benefit X https://www.viachristi.org/about-via-christi/mission/community-benefit X true 14 false true false true X 2.0 4.0 X X true true X X X X true X https://www.viachristi.org/sites/default/files/pdf/billing/FAA%20Proposed%2010-29-14.pdf X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Via Christi Hospital Pittsburg, Inc.. The Lower 8 of Southeast Kansas counties (Elk, Wilson, Neosho, Crawford, Chautauqua, Montgomery, Labette and Cherokee Counties) participated in one community health needs assessment. The organizations that assisted with this effort and served on the core team included: County Boards of Health, Kansas Department of Health and Environment, Kansas Association of Local Health Departments, Kansas Health Institute, Kansas Hospital Association, East Central Kansas Public Health Region, SG Co Health Department, Pittsburg State University's School of Nursing, Southeast Kansas Educational Service Center, Via Christi Hospital Pittsburg, Inc., Hometown Health Care, Fredonia First United Methodist Church Healthy Congregation and Regional Public Health Coordinator. The four major areas of concern identified by the regional work group were: economic development, healthy nutrition, access to affordable health care and family social determinants. The model adopted for this CHNA was developed by the National Association of City/County Health Officials and the Centers for Disease Control and Prevention. The Mobilizing For Action Through Planning and Partnerships (MAPP) Model consists of six phases: Organization, Visioning, The Four Assessments, Identifying Strategic Issues, Formulating Goals and Strategies, and Action Cycle. For Crawford County, where Via Christi Hospital Pittsburg, Inc. resides, the following organizations were represented: Crawford County Health Department, Mother to Mother, Crawford County Community Mental Health Center, Crawford County Health Department, Pittsburg State University, Crawford County Commissioner, Chamber of Commerce, Southeast Kansas Education Service Center, Kansas Department of Health and Environment, Red Cross, Via Christi Hospital, USD #250, Pittsburg Presbyterian Church, Girard Medical Center, Kansas Health Institute, Community Foundation of Southeast Kansas, Addiction Treatment Center, and Community Health Center of Southeast Kansas. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Core CHNA Team was comprised of the following organizations:. County Boards of Health, Kansas Department of Health and Environment, Kansas Association of Local Health Departments, Kansas Health Institute, Kansas Hospital Association, East Central Kansas Public Health Region, SG Co Health Department, Pittsburg State University's School of Nursing, Southeast Kansas Educational Service Center, Via Christi Hospital Pittsburg, Inc., Hometown Health Care, Fredonia First United Methodist Church Healthy Congregation and Regional Public Health Coordinator. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Via Christi Hospital Pittsburg, Inc.. Goals Being Addressed Post CHNA 1) Partner with area churches and agencies to address poverty - VCH-P continues to play a leading role in the implementation of the Circles USA Moving Out of Poverty Program. VCH-P help Circles Leaders (families) deal with the realities of benefits decreasing as income increases. In addition, staff is staying involved in this work to do a deeper analysis of the causes of poverty and to work in the community for systemic changes. 2) Improve the nutrition of the community - VCH-P is starting "At Home First" by more menu choices for patients and more food choices for visitors/families in the cafeteria. More fresh fruits and vegetables will also be offered. 3) Chronic disease support - VCH-P is offering various health education classes, as well as smoking cessation classes, to support patients and their families in their desire to understand their chronic conditions and how best to manage them for healthier outcomes. 4) Increase access to affordable quality healthcare - VCH-P in partnership with the Community Health Center has worked out an agreement to have cardiac specialists work at the CHC on a routine basis to address the need for the FQHC's patient to have access to specialist care without going outside of the area. In addition, through health fairs and screenings, VCH-P is working with area employers and schools to promote health fairs and screenings several times a year to look for high blood pressure, skin cancers, and sports related concussions. VCH-P continues to offer CareVan assistance which is free transportation to and from health care appointments. The CareVan does accept donations but is a service primarily used by frail elderly and physically challenged individuals who may no longer drive themselves around the county. Goals Not Being Addressed Post CHNA 1) Development of a health academy (partnership between St. Mary Colgan and VCH-P) - interest is high in the school but the small numbers don't justify the resources needed to get the program off to a successful start. With a new area technical education center opening in Fort Scott, it was decided to hold off on this initiative until adequate resources could be sustained. 2) Development of a walking/fitness trail - the group is still evaluating whether this would be the best use of community resources. Originally it involved developing a fitness trail around the hospital but after some study, it wouldn't be a good fit due to some drainage issues and the limited space. 14 PHYSICAL THERAPY 1 MEDICAL CENTER CIRCLE STE B PITTSBURG KS 66762 OUTPATIENT PHYSICAL THERAPY, SPEECH THERAPY, SPORTS THERAPY, Occupational therapy services SLEEP LAB 3 MEDICAL CENTER CIRCLE PITTSBURG KS 66762 SLEEP LAB SERVICES WOMEN'S HEALTH 2711 S ROUSE STE B PITTSBURG KS 66762 OUTPATIENT WOMEN'S HEALTH & OB/GYN SERVICES HOME HEALTH 3 MEDICAL CENTER CIRCLE PITTSBURG KS 66762 HOME HEALTH SERVICES CARDIOLOGY 1011 MT CARMEL PLACE PITTSBURG KS 66762 OUTPATIENT CARDIOLOGY SERVICES CARDIOLOGY 2711 S ROUSE STE C/D PITTSBURG KS 66762 OUTPATIENT CARDIOLOGY SERVICES BEHAVIORAL HEALTH 200 E CENTENNIAL STE 13 PITTSBURG KS 66762 OUTPATIENT BEHAVIORAL HEALTH CLINIC HOME MEDICAL 202 E CENTENNIAL STE 15 PITTSBURG KS 66762 OUTPATIENT DURABLE MEDICAL EQUIPMENT SURGERY CLINIC 2701 S ROUSE STE A PITTSBURG KS 66762 OUTPATIENT SURGICAL SERVICES PAIN MANAGEMENT 1 MEDICAL CENTER CIRCLE STE A PITTSBURG KS 66762 OUTPATIENT PAIN MANAGEMENT SERVICES PULMONOLOGY CLINIC 2711 S ROUSE STE C/D PITTSBURG KS 66762 OUTPATIENT PULMONARY SERVICES WOMEN'S HEALTH 2701 S ROUSE STE A PITTSBURG KS 66762 OUTPATIENT WOMEN'S HEALTH & OB/GYN SERVICES CANCER CENTER - PARSONS 1509 MAIN PARSONS KS 67357 OUTPATIENT ONCOLOGY CLINIC CANCER CENTER - FORT SCOTT 1621 S MAIN FORT SCOTT KS 66701 OUTPATIENT ONCOLOGY CLINIC Schedule H, Part VI, Line 7 States with which the organization files a community benefit report The state of Kansas does not require hospitals to file community benefit reports; but VCH distributes our community benefit totals and activities annually in press releases as well as in our annual report. Schedule H, Part I, Line 6a NAME OF RELATED ORGANIZATION Via Christi Health, Inc. produces a consolidated annual report for all ministries in their periodical magazine called "Via Christi Life". Within the report, several pages describe the Community Benefit activities that have taken place over the last year and the monetary value to the Wichita area. Community Benefit Report: Via Christi Rehabilitation Hospital, Inc. ("VCRH") is a member of Via Christi Health, Inc. ("VCH"). As a Catholic health system, VCRH has its origins in faith-based responses to health needs of our communities, with a particular concern for those living in poverty and who are vulnerable. The obligation to reach out to those in need and improve community health flows directly from our identity as a faith-based healing ministry. As a mission-driven organization, we provide community benefit because we are committed to our core values of: - Service of the Poor - Generosity of spirit, especially for persons most in need. - Reverence - Respect and compassion for the dignity and diversity of life. - Integrity - Inspiring trust through personal leadership. - Wisdom - Integrating excellence and stewardship. -Creativity - Courageous innovation. - Dedication - Affirming the hope and joy of our ministry. According to the VCRH mission statement, "As a part of Via Christi Health, Inc., 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." The financial information in this report was prepared in accordance with the Catholic Health Association's (CHA) A Guide for Planning and Reporting Community Benefit Guidelines (2012). Per these guidelines, we report the net expense for community benefit services (e.g. the total community benefit expense minus any associated revenue from patients, residents, payers and other external sources). The CHA guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health for all. The following are VCRH's definitions for quantifiable community benefits reports. Charity Care - free or discounted health services provided to persons who cannot afford to pay and who meet VCH's criteria for financial assistance. Charity care is reported in terms of costs, not charges. Charity care does not include bad debt. Government Sponsored Means-Tested Health Care - includes unpaid costs of public programs for low-income persons. The shortfall created when VCH receives payments that are less than the cost of caring for public program beneficiaries. This payment shortfall is not the same as a contractual allowance, which is the full difference between charges and government payments. For Fiscal Year Ended June 30, 2015 Community Benefit (VCRH): 1. Charity Care, at cost: $46.2 million 2. Government Sponsored Health Care, net expense: Unpaid cost of public indigent care programs (includes Medicaid, SCHIP and other safety net programs; does not include Medicare shortfall): $15.5 million 3. Community Benefit programs, net expense: $20.8 million 4. Total Quantifiable Community Benefit: $82.5 million Schedule H, Part III, Line 1 BAD DEBT IN ACCORDANCE WITH STATEMENT NO. 15 VCH-P 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 7 Costing Methodology used to calculate financial assistance The 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 Catholic Health Association (CHA) guidelines. The best available data was used to calculate the amounts reported in the table. For certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied. Schedule H, Part II Community Building Activities As an active member of the Executive Committee of the Chamber's board, staff is in a position to recruit new health care providers wanting to move into the area in order to increase access to health for all residents. Under community support, VCH-P in partnership with other response teams, prepare for, respond to, and provide feedback on readiness for specific disasters in the area. Additional practice, especially in the outlying areas outside of the Pittsburg area, ensures that when a disaster does strike, the hospital and it's staff will be ready to go into special operations. Conference rooms at the hospital are put into use by several organizations in the community (e.g. Kiwanis, Rotary, Lion's, etc). By having these groups meet at the hospital, it allows them and their members to become more acquainted with services provided by the hospital and it allows our staff an opportunity to promote healthy educational materials to their members several times a year in order to promote healthy living. VCH-P is involved in the Circles USA Moving Out of Poverty Program where members learn leadership skills in order to exit their family's cycle of poverty. Once these new leaders master their new skills, they have a different frame of reference for dealing with people of authority and feel more empowered to ask questions and become a self-advocate for their level of care. In dealing with workforce related areas, students are actively recruited to pursue careers in health care. Mentors promote the importance of graduating from high school and then promoting a career choice in health care is both rewarding and challenging. Students who are interested in shadowing health care professionals for a day are welcomed in order to further whet their appetite to succeed in school. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense at cost is determined using the same cost-to-charge ratio that is used for charity care and Medicaid shortfall. VCH-P follows the guidance from CHA and does not consider bad debt as a community benefit. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Via Christi Hospital Pittsburg, Inc. has a very robust financial assistance policy; 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 footnote From the audited financial statements of Ascension Health Alliance (which include the activity of Via Christi Hospital PIttsburg, 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. VCH-P's bad debt deduction was $3,237,797 at charges and $1,004,232 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 costs VCH-P follows the CHA guidelines regarding Medicare and does not include it as community benefit. However, the methodology described in the instructions to Schedule H, Part III, Section B, Line 7 for reporting Medicare shortfall does not take into account all costs incurred by VCH-P and does not represent the total Medicare shortfall. The Medicare shortfall reported on Schedule H, Part III, Section E, Line 7 was determined using information from the organization's Medicare cost report (using the Medicare cost report step-down methodology of allocating costs). However, utilizing an internal cost accounting system actually results in a Medicare shortfall of $6,504,184. The most common reason for a difference between the Medicare shortfall reported on schedule h and the actual shortfall reported above include: inclusion of Medicare advantage revenue and expenses, inclusion of Medicare Part B revenue and expenses, inclusion of other fee schedule revenue, other timing issues, and costs that are considered unallowable on the Medicare cost report that are, in fact, related to Medicare Patient care. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance It is the policy of VCH-P to promote socially just practices for billing and collections for all patients receiving care. The policy is intended to further the VCH-P mission by requiring ethical conduct in billing and collecting self-pay balances from patients/guarantors regardless of ability to pay. The policy ensures that prior to turning an account over to a third party collection agent (agent) for collection activity, VCH-P 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. VCH-P 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 VCH'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 16b FAP Application website - VIA CHRISTI HOSPITAL PITTSBURG, INC.: Line 16b URL: https://www.viachristi.org/sites/default/files/pdf/billing/FAA%20Proposed%2010-29-14.pdf; Schedule H, Part VI, Line 2 Needs assessment Via Christi Hospital Pittsburg, Inc. (VCH-P) was a core team member in the 2014 Lower 8 Community Health Needs Assessment and Community Health Improvement Plan. This assessment covered The Lower 8 Counties of Southeast Kansas - Chautauqua, Cherokee, Crawford, Elk, Labette, Montgomery, Neosho and Wilson County. The Health Departments of these Lower 8 Counties, VCH-P, County Commissioners, and others were involved in bringing this CHNA to fruition. The Lower 8 CHNA followed the MAPP Process adopted by the Council of Health Departments. It included 4 assessments: Community Themes and Strengths, Community Health Status, Local Public Health System and Forces of Change. Surveys were distributed by all core team members and were available electronically for residents to participate in the identification of needs. A total of 3,261 surveys were analyzed. The Survey was available in English and Spanish and was made available in paper and electronic format. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance The VCH-P 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, VCH-P staff attempt to identify patients who may be eligible for charity or discounted care through the charity care policy. In addition, VCH-P uses a percentage of the federal poverty guidelines (FPG) to determine free and discounted care. Schedule H, Part VI, Line 4 Community information The primary counties for Pittsburg ministries include Crawford and Cherokee Counties. Crawford County has a land area of 590 square miles and Cherokee County has a land area of 588 square miles. Crawford County has an estimated 2014 population of 39,290 compared to Cherokee County's 20,787. The population demographics for Crawford County include: 92.0% white, 2.3% Black, 1.1% American Indian, 1.7% Asian, and 4.5% persons of Hispanic or Latino origin. Cherokee County demographics include: 90.5% white, 0.8% Black, 4.0% American Indian, 0.4% Asian, and 2.3% persons of Hispanic or Latino origin. Approximately 5.5% of the Crawford County residents and 2.7% of the Cherokee County residents reported using a language other than English in their homes. High school graduation rates, for the years 2010-2014, were 89.8% in Crawford County and 86.6% in Cherokee County. A bachelor's degree or higher was reported by 28.9% of Crawford County residents and 16.1% for Cherokee County residents. Median household income for Crawford County residents for the years 2010-2014 was $37,154 compared to $40,920 for Cherokee County. Median value of owner-occupied housing units for the same time period was $85,000 for Crawford County and $70,600 for Cherokee County. According to Quick Facts from the US Census, 20.8% of Crawford County lived below the poverty level between the years 2010-2014. This is higher than the 14.8% identified for the State of Kansas. Cherokee County is also above the State of Kansas level as 17.4% of their residents suggest that they live below the poverty level. VCH-P is the only hospital facility in the City of Pittsburg. Other hospitals are in neighboring communities but offer fewer services. In order to find a similar medical facility, patients would need to travel to Joplin, Missouri or Tulsa, Oklahoma for emergency care. Kansas reported in 2014 that 14.5% of all residents were persons 65 years of age and older. This compares to 14.8% for Crawford and 17.7% for Cherokee Counties. Thus services for a growing aging population need to be monitored in future assessments. Schedule H, Part VI, Line 5 Promotion of community health VCH-P enriches Crawford County as well as the broader community by improving medicine through educating clinical providers and providing care and support to people in need. VCH-P further supports this mission with a community board, open medical staff, and an emergency room available 24/7 to patients regardless of ability to pay. The majority of its Governing Board are external members comprised of persons who reside in or around Crawford County and have overall responsibility for the charitable mission of the organization as set forth in its Articles of Incorporation and Bylaws. These directors are selected based on their expertise, experience, and other criteria established by the nominating committee of the Board of Directors. Areas of expertise and experience include such areas 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. -The medical staff of VCH-P is open and is composed of physicians licensed to practice medicine in the State of Kansas. -VCH-P staff participates on boards of not-for-profit organizations, government entities, area colleges and university committees, state-wide coalitions, and more (e.g. Mother to Mother Ministry Elm Acres Foundation, Safe House, United Way and others). -In Pittsburg, Kansas, VCH-P participated in monthly car seat installations and safety checks where staff educated those in attendance on how to properly install and adjust infant and child car seats. Periodic health fairs were held at various locations around town to promote healthy living and good nutrition practices. Staff also perform blood pressure screenings, and shared information regarding fall prevention in the home practices, stroke recognition training and breast exam pamphlets. BMis and Derma Scans were also available and performed. -Additional health fairs were held for different employee groups, the broader community at St. Mary's Colgan, Pittsburg Business Expo, Pittsburg State University Employee Health and Four State Farm Shows. -Concussion education for youth football coaching staff and parents, and concussion screenings were held in multiple locations (middle school, high school and college) throughout the year. -Civic groups are also invited in to VCH-P to use conference rooms for their meetings to allow their limited resources to be used for programs that enhance the quality of life in the community. -Staff assist with fundraising efforts for other not-for-profit organizations (e.g. American Heart Walk, Move and Shake for MUltiple Sclerosis, Our Lady of Lourdes Student Mission Trip, Salvation Army, Christmas Angels, Safehouse Drive, Lions Chili Feed, Project Warmth, etc.). -Staff also assist with coordinating and participating in periodic American Red Cross blood drives. -VCH-P provides a monthly meal subsidy for the Family Resource Center to ensure children get healthy meals while at the daycare center. -VCH-P also provides free medication for indigent patients who are in need of financial assistance. -VCH-P hosts monthly support groups for those with breast cancer and those who may have other types of cancer as well. -VCH-P has additional support groups and/or educational classes for those who have had strokes or have been diagnosed with arthritis. -VCH-P also operates a transport CareVan for those without transportation to get to and from their health care appointments. The van not only covers the City of Pittsburg but also goes into the rural areas of the county. -Weekly smoking cessation classes are held as statistics show that Crawford County has a higher percentage of people who use tobacco products than other counties in Kansas which explains the increased costs of dealing with Lung Diseases. -VCH-P also serves as a training site for nursing students, lab technicians, pharmacy students, cardiac rehab, ultrasound and radiology and others who must complete a field practicum before earning their diplomas and/or degrees. -A monthly discount is given to the Family Resource Center on their food expenses in order to provide healthy meals to children who are served through the FRC's daily programs. Schedule H, Part VI, Line 6 Affiliated health care system VCH-P is an affiliate of Via Christi Health, Inc. (VCH) and Ascension Health. VCH's affiliates are large multi-faceted, integrated, not-for-profit ministries including Hospital and Non-Hospital ministries (physician group practices, hospital organizations, research, home health, durable medical equipment, and senior facilities). These ministries work together to care for patients, joined by common systems and a philosophy of serving as a healing presence with special concern for our neighbors especially those who are vulnerable. This community benefit happens through its focus on patient care, education, and research. The organizations work together to serve their communities at the local, regional, and state 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. false true false false false false false false false RANDALL R CASON Sr. Administrator/President 0 270229 0 82864 0 4924 0 39220 0 17385 0 414622 0 0 JEFF SEIRER ASST TREASURER (END 8/14), BOARD COMMITTEE 0 276864 0 62485 0 6601 0 48628 0 19131 0 413709 0 0 SHERRY HAUSMANN TRUSTEE 0 400463 0 106084 0 4826 0 68686 0 17238 0 597297 0 0 DREW TALBOTT Administrator Operations/Secretary 144427 0 36714 0 2730 0 23685 0 9783 0 217339 0 0 0 ROBERTA JOHNSON ASSISTANT SECRETARY 0 215175 0 57129 0 7767 0 42318 0 9039 0 331428 0 19367 MIKE JOY Administrator Finance/Treasurer 106545 0 26659 0 1665 0 8153 0 16214 0 159236 0 0 0 CAROL KARP ASSISTANT TREASURER 0 119270 0 0 0 39332 0 5054 0 4078 0 167734 0 0 JASON BAILEY PHYSICIAN 476765 0 0 0 781 0 16900 0 104772 0 599218 0 0 0 ALI HAMMAD PHYSICIAN 859436 0 0 0 4010 0 30188 0 22749 0 916383 0 0 0 BASHAR MARJI PHYSICIAN 658302 0 200975 0 2288 0 34500 0 19734 0 915799 0 0 0 BOBAN N MATHEW PHYSICIAN 506720 0 0 0 2699 0 32349 0 24444 0 566212 0 0 0 MARY REED PHYSICIAN 448998 0 0 0 6772 0 16900 0 22367 0 495037 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Via Christi Health, Inc., a related organization of Via Christi Hospital Pittsburg, Inc., uses the following to establish the compensation of the organization's President: - Compensation committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are 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 - $19,367 Form 990, Part IV, Line 20b Explanation of Financial Statements The activity of Via Christi Hospital Pittsburg, Inc. (VCH-P) is reported on the consolidated financial statements of Ascension Health Alliance. No individual audit of VCH-P is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of VCH-P. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONG INTERESTED PERSONS MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY VIA CHRISTI HEALTH, INC. RELATED ENTITIES. Form 990, Part VI, Line 6 Classes of members or stockholders Via Christi Hospital Pittsburg, Inc. has a single corporate member, Via Christi Health, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Via Christi Hospital Pittsburg, Inc. has a single corporate member, Via Christi Health, Inc., who may approve and remove individuals on the board of trustees. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Via Christi Hospital Pittsburg, Inc. Financial information or corporation as a whole are subject to approval by its sole corporate member, Via Christi Health, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough 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, Line 12c Conflict of interest policy The Organization's Conflict of Interest Policy is monitored/enforced as part of the system-wide procedures of Via Christi Health, Inc. and not 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 15b Process to establish compensation of other employees Via Christi Hospital Pittsburg, 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 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, Line 19 Required documents available to the public Via Christi Hospital Pittsburg, Inc.'s governing documents and Conflict of Interest Policy are available to the public upon request. Form 990, Part VII, Section A Compensation Sister Marie Veronica Janousek receives compensation from Via Christi Hospital Wichita, Inc. Her compensation is not paid directly to her but is paid to her religious order in accordance with her vow of poverty. Sister Suzanne Daniel receives compensation from Via Christi Hospital Wichita, Inc. Her compensation is not paid directly to her but is paid to her religious order in accordance with her vow of poverty. Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS Amounts paid to HMN Architects, Inc. represent payments for both services and goods. These amounts cannot be separated. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Occ Health - Total Revenue: 187193, Related or Exempt Function Revenue: 187193, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Gift Shop & Auxiliary - Total Revenue: 153788, Related or Exempt Function Revenue: 153788, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Meals on Whels - Total Revenue: 45126, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 45126; Medical Records - Total Revenue: 39996, Related or Exempt Function Revenue: 39996, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Coffee Shop Deductions (employee) - Total Revenue: 24363, Related or Exempt Function Revenue: 24363, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Sports Therapy - Total Revenue: 18485, Related or Exempt Function Revenue: 18485, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; ATM Surcharges - Total Revenue: 16258, Related or Exempt Function Revenue: 16258, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Foundation Released Funds - Total Revenue: 15745, Related or Exempt Function Revenue: 15745, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Fitness Center (employees only) - Total Revenue: 14064, Related or Exempt Function Revenue: 14064, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Vending - Total Revenue: 12521, Related or Exempt Function Revenue: 12521, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Forensic Revenue - Total Revenue: 9300, Related or Exempt Function Revenue: 9300, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Sterilization - Total Revenue: 6087, Related or Exempt Function Revenue: 2573, Unrelated Business Revenue: 3514, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Pharmacy - Total Revenue: 4995, Related or Exempt Function Revenue: 213, Unrelated Business Revenue: 4782, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Education Revenue - Total Revenue: 2210, Related or Exempt Function Revenue: 2210, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Scrap Sales - Total Revenue: 1857, Related or Exempt Function Revenue: 1857, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Care Van Revenue - Total Revenue: 1204, Related or Exempt Function Revenue: 1204, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Clinical Care Trials Revenue - Total Revenue: 1093, Related or Exempt Function Revenue: 1093, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other - Total Revenue: 310, Related or Exempt Function Revenue: 310, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Kid Kare - Employees - Total Revenue: 105, Related or Exempt Function Revenue: 105, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 4925897, Program Service Expense: 4586813, Management and General Expenses: 339084, Fundraising Expenses: ; Service Center - Total Expense: 8414669, Program Service Expense: -172000, Management and General Expenses: 8586669, Fundraising Expenses: ; Other - Total Expense: 1741087, Program Service Expense: 1448058, Management and General Expenses: 293029, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Other Comp Income - Pension - -618431; Fixed Asset Transfers - -517523; Mount Carmel Foundation Beneficial Interest - 430992; Form 990, Part XII, Line 3b Reason organization did not undergo required audit Via Christi Hospital Pittsburg, Inc. was required to undergo an audit under the Single Audit Act and OMB Circular A-133. The required audit was started in September of 2015 and the final audit report was issued on January 1, 2016. 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