2016-05-16T16:03:40-05:00 2015-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2014-07-01 481186704 Via Christi Hospital Manhattan Inc VIAC 7857763322 1823 College Avenue Manhattan KS 66502 Carol Karp CFO 2016-05-16 true Rebecca Lyons P01487105 5137847100 2014 2016-08-17 19:52:53Z John Broberg 1823 College Avenue Manhattan KS 66502 96365311 false X https://www.viachristi.org/location/via-christi-hospital-manhattan X 1996 KS SERVES AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS WHO ARE VULNERABLE. 13 10 988 243 263850 109571 84430 13350 84751586 92673137 11003434 2880504 1127565 824597 96967015 96391588 91206 204863 0 0 38123801 38611026 0 0 0 42042312 44742994 80257319 83558883 16709696 12832705 143763800 155785676 36722528 36518939 107041272 119266737 As 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. 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: Human dignity - we recognize and respect the sacredness of each person; Stewardship - we responsibly care for all resources entrusted to us; Excellence - we extend ourselves in outstanding service. false false 61815546 204863 92799608 Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, Inc.) IS COMMITTED TO COMMUNITY HEALTH WITH PROGRAMS INCLUDING, BUT NOT LIMITED TO, DIABETES EDUCATION, NUTRITION EDUCATION, FITNESS EDUCATION, AND LIFESAVING EDUCATION. Via Christi Hospital Manhattan, Inc. SPONSORS THE AMERICAN HEART WALK, PROVIDES FITNESS CENTERS, EXERCISE CLASSES, ERGONOMIC REVIEWS, AND PROVIDES SCHOLARSHIPS TO STUDENTS ATTENDING NURSING SCHOOL. 2216800 Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, Inc.), PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO INDIVIDUALS IN THE COMMUNITY REGARDLESS OF SOCIOECONOMIC OR DEMOGRAPHIC BACKGROUND. CHARITY CARE - FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY AND WHO MEET Via Christi Hospital Manhattan, Inc.'s CRITERIA FOR FINANCIAL ASSISTANCE. CHARITY CARE IS REPORTED IN TERMS OF COSTS, NOT CHARGES. CHARITY CARE DOES NOT INCLUDE BAD DEBT. 1262358 GOVERNMENT SPONSORED MEANS-TESTED HEALTH CARE INCLUDES UNPAID COSTS OF PUBLIC PROGRAMS FOR LOW-INCOME PERSONS. THIS IS THE SHORTFALL CREATED WHEN Via Christi Hospital Manhattan, Inc. 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. 65294704 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 true false true true false false false false false false false false true false false false false false false true true true false false true 70 0 true 988 true true true false false false false false false false false false X 13 10 true false true 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 DOUG HINKIN MD CHAIR 1.00 0 X X 0 0 0 TOM HOLCOMBE CHAIR 1.00 1.00 X X 0 0 0 LANCE WHITE VICE CHAIR 1.00 0 X X 0 0 0 ROBERT MARK DUFF SECRETARY/TREASURER 1.00 0 X X 0 0 0 JOHN R BROBERG PRESIDENT/SENIOR ADMINISTRATOR 1.00 49.00 X X 0 371296 58655 ROBERTA JOHNSON ASSISTANT SECRETARY 1.00 49.00 X X 0 280071 51357 PAT BOSCO TRUSTEE 1.00 0 X 0 0 0 MICHAEL CATES TRUSTEE 1.00 0 X 0 0 0 MARK GROS MD TRUSTEE 1.00 0 X 0 0 0 SHERRY HAUSMANN TRUSTEE (START 8/14) 1.00 49.00 X 0 511373 85924 MARK KNACKENDOFFEL TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL LEITCH TRUSTEE 1.00 1.00 X 0 0 0 NANCY O'CONNER TRUSTEE 1.00 0 X 0 0 0 HAROLD TAYLOR MEDICAL STAFF PRESIDENT (END 9/14) 50.00 0 X 280909 0 40773 JEFF SEIRER ASSISTANT TREASURER 1.00 52.00 X 0 345950 67759 JAMES FRASER ADMINISTRATOR - FINANCE 50.00 2.00 X 220194 0 16521 CARLA YOST ADMINISTRATOR - OPERATIONS 2.00 48.00 X 238495 0 45334 DAVID M WICHMAN PHYSICIAN 50.00 0 X 226886 0 42455 ASAD MOHMAND PHYSICIAN 50.00 0 X 273240 0 30769 AUTUMN CAYCEDO MD PHYSICIAN 50.00 0 X 283059 0 10145 CASEY POELL MD PHYSICIAN 50.00 1.00 X 284073 0 34667 JOHN R DALEY PHYSICIAN 50.00 0 X 403172 0 28781 DAVID A GAMBINO FORMER TRUSTEE 55.00 X 0 563471 121219 CARLETON RIDER FORMER OFFICER 0.00 1.00 X 0 306391 27171 2210028 2378552 661530 33 true true true Trimedx LLC PO Box 636129 Cincinnati OH 452636129 Equipment Management Services 1108758 Emergency Physicians of Manhattan LLC 8717 W 110th St Overland Park KS 66210 Professional Fees 913524 Hill-Rom 1069 State Route 46 East Mail Code J36 Batesville IN 47006 Rent 691493 Rehabcare Group Inc PO Box 502096 St Louis MO 631502096 Rehab Management Contract 438802 Omnicell 590 E Middlefield Rd Mountain View CA 94043 Automated Healthcare Solutions 375532 20 X 8117 5233 13350 Net Patient Services 621110 89367995 89132791 235204 EMS 621990 2341922 2341922 Meaningful Use Funds 900099 910783 910783 Pharmacy 446110 39292 39292 Wellness & Fitness 624100 13145 13145 0 0 0 0 92673137 2906781 2906781 79016 0 0 0 79016 0 79016 79016 0 -26277 0 26277 -26277 -26277 Food Services 722210 355168 0 0 355168 Management 541900 273812 273812 0 0 EMS Deficit Billing 900099 62491 62491 0 0 54110 25372 28646 92 745581 96391588 92799608 263850 3314780 X 204863 204863 0 0 520544 520544 30281289 27316707 2964582 -125905 -125905 5726558 4594830 1131728 2208540 1938817 269723 2185450 49262 2136188 7917 0 7917 31500 0 31500 9975 0 9975 15870414 7654582 8215832 0 247260 285 246975 16101480 15962285 139195 377767 124400 253367 2201961 1978371 223590 100898 54915 45983 14660 8480 6180 782303 345 781958 4780153 4283397 496756 548667 75695 472972 MEMBERSHIP DUES 150334 3871 146463 DONATIONS & GIFTS 205488 114663 90825 RELOCATION COSTS 59059 12706 46353 PHYSICIAN RECRUITMENT 38052 0 38052 1029656 916230 113426 0 83558883 65294704 18264179 0 9267268 5847051 49269 50930 10209236 11796927 0 0 0 2605238 2605033 2019216 1762400 46238787 8959146 38745723 37279641 0 441923 4015537 80425927 92428157 143763800 155785676 6858546 7846183 26542684 25152180 0 3321298 3520576 36722528 36518939 X 107041272 115251200 4015537 107041272 119266737 143763800 155785676 X 12832705 -3070525 2463285 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9975 9975 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, Inc.) does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 2127222 2127222 25595822 2596338 22999484 147568 117177 30391 16913865 6146733 10767132 1454310 98898 1355412 37279641 INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE 90166032 ESTIMATED A/R FROM THIRD PARTY PAYORS 1115158 MISC. A/R UNRELATED PARTIES 1074660 INCOME GUARANTEE NOTE RECEIVABLE 72307 92428157 ASSET RETIREMENT OBLIGATION 3520576 3520576 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 Manhattan, Inc. (f/k/a Mercy Regional Health Center, 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 false true true 2216800 0 2216800 0.0265 6047468 4785110 1262358 0.0151 0 0.0 0 0 8264268 4785110 3479158 0.0416 496076 18659 477417 0.0057 457351 0 457351 0.0055 0 0 0 0.0 0 0 0 0.0 12510 575 11935 0.0001 0 0 965937 19234 946703 0.0113 0 0 9230205 4804344 4425861 0.0530 0 0.0 909 909 0.0000 0 0.0 15375 15375 0.0002 0 0.0 187 187 0.0000 804 804 0.0000 20823 20823 0.0002 0 0.0 0 0 38098 0 38098 0.0005 false 3456317 0 26652068 31830803 -5178735 X true true Via Christi Imaging LLC (fka Mercy Imaging LLC) DIAGNOSTIC IMAGING 0.75 0.0 0.25 1 1 Via Christi Hospital Manhattan Inc 1823 COLLEGE AVENUE MANHATTAN KS 66502 https://www.viachristi.org/location/via-christi-hospital-manhattan KANSAS H-081-003 X X X Via Christi Hospital Manhattan Inc 1 false false true X X X X X X X X X 12 true true true true X http://www.rileycountycommunityneedsassessment.org/uploads/4/1/4/2/41422627/final_riley_county_commu X HTTP://WWW.SENIORSSERVICECENTER.ORG/ X 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 Manhattan, Inc.. In partnership with the CHNA coalition, of which VCH-M was a part, multiple opportunities were given to people who either are involved in serving the various target populations or who represent the broad interests of the community through surveys, phone interviews, key informant interviews and focus groups. The community survey was conducted via the internet, mail, phone and through administration at public locations or meetings to gather input from residents regarding their perceptions of community strengths and needs. A total of 1,126 surveys were completed. Key informant interviews were conducted with 25 community members representing a wide range of interests and professions (e.g. ecumenical, business, healthcare, social service and education). Additionally, a focus group was held for three populations: young adults (18 to 24 years old), persons with low household incomes, and Hispanic/Latino populations. On page 3 of the CHNA, there is a list of organizations that assisted with getting the word out to their clients and encouraging them to participate in the survey research including: Big Brothers/Big Sisters; Boys & Girls Club; Catholic Charities; Child Development Center; Community Health Ministries; Flint Hills Breadbasket; Flint Hills Community Clinic; Friendship Meals Program; Homecare & Hospice; Konza Prairie Community Health Clinic; Manhattan Housing Authority; Manhattan-Ogden USD383 Head Start; Riley County Police Department; Salvation Army; The Crisis Center; and Pawnee Mental Health Services, just to name a few. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Wamego City Hospital. WCH is a 25 bed facility. There are several general practitioners on staff, as well as a number of associate and courtesy staff specialists. Emergency care is provided in a new state-of-the art emergency facility. The hospital also has its own laboratory, radiology and physical therapy departments, CT Scan and MRI services. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Konza United Way. The mission of KUW is to improve lives by mobilizing the caring power of the community. The vision is to unite the community to advance the common good and create opportunities to help all people reach their full potential. Today, KUW invests its resources in three specific areas: education, health and income, creating a collaborative effort to impact the critical problems. The primary goal is to advance education, financial stability and health for those living in the six-county region who are facing poverty. Schedule H, Part V, Section B, Line 6b Facility , 2 Facility , 2 - Riley County Council on Aging. The purpose of RCCOA is to represent the older population in Riley County by funding requests, supporting proposals and projects important to aging, and determining and communicating the needs and services of the aging while encouraging and facilitating activities that benefit older persons by coordinating with agencies and organizations that work with older persons. Schedule H, Part V, Section B, Line 6b Facility , 3 Facility , 3 - Riley County Health Department. RCHD employs a workforce of approximately 40 employees which includes nurses, social workers, dietitians, support staff and administration. Their purpose is to prepare, promote, protect and provide services that strengthen the health and quality of life in the Riley County communities. Schedule H, Part V, Section B, Line 6b Facility , 4 Facility , 4 - Riley County Seniors' Service Center. RCSSC provides services and activities for persons 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. RCCSSC wrote the original grant for the community needs assessment which was funded in part by the Caroline Peine Charitable Foundation (Manhattan Fund). Konza United Way, Via Christi Hospital Manhattan, Inc., Riley County Council on Aging and Wamego City Hospital all joined forces and brought forth more resources to hire Wichita State University's Center for Community Support and Research to conduct the assessment. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Riley County Health Department. The CHNA is available on every website of the leading organizations that provided funding for it. That includes Via Christi Hospital Manhattan, Inc., Wamego City Hospital, Konza United Way and Riley County Council on Aging. Riley County Health Department offers a variety of services which includes immunizations and maternal and infant care and has a workforce of approximately 40 employees that includes nurses, social workers, dietitians, support staff and administration. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Via Christi Hospital Manhattan. Inc.. 1) Access to Health Services - VCH-M currently pays for the salaries of staff working in the Flint Hills Community Clinic and, through its social work department, provides information upon discharge of patients on how to sign-up for affordable care insurance and where to go to establish a medical home. 2) Spirit of Community & Collaboration - VCH-M is a valued team player when it comes to working with other providers in Riley County. For example, VCH-M pays for a SANE/SART nurse to work with victims that are brought in after a sexual assault event. This collaboration helps the victim, Women's Crisis Center staff and Law Enforcement personnel so that no has to travel to Topeka for victim processing. Being a funding partner in this last CHNA effort is another example of how VCH-M is working with the community to identify and address community needs. 3) Lack of Affordable Housing - student housing, as well as, affordable housing for low income and middle class households is seen to be a problem area. This issue, while important, is based more on the economic challenge than on the cost of housing and is not really a specific health related issue. VCH-M does participate in this discussion through membership in the Chamber and Fort Riley Advisory meetings but given its current resources cannot really do much to relieve this burden. 4) Lack of Accessible & Affordable Mental Health Services - VCH-M's CEO and area doctors are collaborating on creative ways to address the increasing need of mid-level mental health professionals. One of their strategies is to engage more stakeholders to improve the gap in services since the Mental Health budget supported by the State of Kansas has been reduced. This effort also includes working to attract new mental health clinicians to the area. 5) Infrastructure Growth for Possible Growth in Business - With the addition of the National Bio and Agro Defense Facility and the proposed growth expected in Fort Riley at the Army Base, some folks are concerned about the ability of the infrastructure to support such rapid growth. VCH-M is working with the Chamber of Commerce, Fort Riley's Leadership, local law enforcement and others to ensure basic health care services are in place to accommodate any growth pains that might occur. Being involved in the community at various touch points allows VCH-M the opportunity to hear about these concerns from various audiences and stay flexible enough to address issues that may be health related. 6) Affordable Child Care - This is a major issue and has been for a period of time. Part of that is due to the younger population who attend Kansas State University and who no longer live close to relatives who are able or willing to take care of young children. According to the Department for Children and Families (2013), the funding for child care assistance in Riley County has decreased over the past few years, and 11% of the survey respondents stated they have lost or quit a job due to child care issues. In addition, over 40% of the survey respondents indicated they cannot find affordable child care. VCH-M is working in collaboration with the Riley County Perinatal Coalition to work with at-risk pregnant women in need of prenatal care and offers free safety car seat checks every week to ensure children get started out on the right foot. In addition, they regularly offer classes on safe sitters, first aid for children, newborn basics, daddy basics, breastfeeding basics, child care, infant massage and others to ensure that people who are in need of training have access to it, while at the same time, trying to expand those who may offer child care in their private homes. 16 Via Christi Imaging LLC 1133 COLLEGE AVE BLDG G STE 110 MANHATTAN KS 66502 OUTPATIENT RADIOLOGY, DIAGNOSTIC IMAGING, AND PET Via Christi Clinic and Via Christi Therapy Center 315 S SETH CHILD ROAD MANHATTAN KS 66502 THERAPIES - OCCUPATIONAL, PHYSICAL, HAND, AQUATIC Via Christi Imaging LLC 1133 COLLEGE AVE BLDG G STE 130 MANHATTAN KS 66502 OUTPATIENT DIAGNOSTIC SERVICES Via Christi Therapy Center 451 E POYNTZ AVE MANHATTAN KS 66502 THERAPIES - SPEECH, OCCUPATIONAL, PHYSICAL, BRAIN INJURY Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 SLEEP LAB SERVICES Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 OUTPATIENT BEHAVIORAL HEALTH CLINIC MERCY PHYSICAL THERAPY MAX FITNESS 3011 ANDERSON AVE STE C MANHATTAN KS 66503 PHYSICAL THERAPY Via Christi Clinic 3901 VANESA DRIVE STE E MANHATTAN KS 66503 INFECTIOUS DISEASE, CARDIOLOGY Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 OUTPATIENT PAIN MANAGEMENT Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 MEDICALLY SUPERVISED WEIGHT MANAGEMENT Via Christi Clinic 1105 SUNSET AVE MANHATTAN KS 66502 DIABETES EDUCATION CLINIC RILEY COUNTY EMS 2011 CLAFLIN RD MANHATTAN KS 66502 EMERGENCY MEDICAL SERVICES POTTAWATOMIE COUNTY EMS - WAMEGO 406 MILLER DRIVE BLDG F WAMEGO KS 66547 EMERGENCY MEDICAL SERVICES POTTAWATOMIE COUNTY EMS - ONAGA 200 W 9TH ONAGA KS 66521 EMERGENCY MEDICAL SERVICES POTTAWATOMIE COUNTY EMS - ST MARY'S 206 S GRAND AVE ST MARYS KS 66536 EMERGENCY MEDICAL SERVICES POTTAWATOMIE COUNTY EMS - WESTMORELAND 206 OREGON TRAIL DRIVE WESTMORELAND KS 66549 EMERGENCY MEDICAL SERVICES Schedule H, Part III, Line 1 Bad Debt Expense in accordance with Statement No. 15 VCH-M 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 NAME OF RELATED ORGANIZATION THAT PREPARED THE COMMUNITY BENEFIT REPORT 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 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 Organization uses a cost accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self-pay). The best available data was used to calculate the amounts reported in the table. For certain categories in the table, this was a cost accounting system; in other categories, such as Financial Assistance and Medicaid, a specific cost-to charge ratio was calculated and applied. Schedule H, Part II Community Building Activities The activities above promote health by mentoring students on the importance of staying in school and giving them hands-on learning opportunities by shadowing health care professionals. By encouraging them to look at the possibilities of establishing health care careers, the community stands to gain an increase in access to health care at all levels. In addition, promotion of recycling results in less trash for the landfill, which causes less pollution for the area, resulting in better health outcomes for the broader community and more efficient use of resources. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount $3,456,317 is the amount of patient bad debt as posted to our general ledger by the VCH-M patient accounting systems. Bad debt expense is a combination of accounts that have been turned over to collection because they have been deemed uncollectible, as well as an estimate for accounts still in accounts receivable that uses a historical look back period to estimate collectability. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, 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 footnote From the audited financial statements of Ascension Health Alliance (which include the activity of Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, 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-M's bad debt deduction was $3,456,317 at charges and $950,549 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 Ascension 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 assistance It is the policy of VCH-M to promote socially just practices for billing and collections for all patients receiving care. The policy is intended to further VCH-M's mission by requiring ethical conduct in billing and collecting self-pay balances from patient/guarantor's 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-M will perform a reasonable review of each account to verify that the patient/guarantor is not potentially eligible for any government assistance program (e.g. Medicaid, Medicare, etc.) and would likely not qualify for charity care. VCH-M 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-M'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 Manhattan, 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 In late 2014, Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, Inc.), Konza United Way, Riley County Health Department and Riley County Seniors' Service Center, who received a grant from the Caroline Peine Charitable Foundation, hired the Wichita State University's Center for Community Support and Research to conduct an assessment in Riley and Pottawatomie Counties. Various research methods were used in collecting data on community needs. These included secondary data analysis, distribution of a community survey through mail, internet, phone calls, and public locations, interviews with 25 community leaders and three targeted focus groups. A total of 1,126 surveys were completed. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance VCH-M financial assistance staff are trained on how to qualify patients for Medicaid, SCHIP and other such income-based programs. During the patient's registration, admissions and discharge processes, VCH-M attempts to identify patients who may be eligible for charity or discounted care through the charity care policy. In addition, VCH-M uses a percentage of the Federal Poverty Guidelines (FPG) to determine free and discounted care. Schedule H, Part VI, Line 4 Community information According to the 2010 Census, Riley County encompasses 609.77 square miles in Northeast Kansas with approximately 117 persons per square mile (compared to an average of 35 persons per square mile across Kansas). The total population of Riley County, in 2014, was estimated at 75,194. a growth of 5.7% over the 2010 census. Manhattan is the largest city in the county with a population of 56,143 that includes over 24,000 Kansas State University (KSU) students and a large number of Fort Riley soldiers and their families. Riley County is slightly more diverse than the normal for the state with approximately 84% white, 7% Black or African American, 8% Hispanic or Latino, nearly 5% Asian and 3% two or more races. Due to the large number of KSU students, the population tends to be younger than the state average. Although agriculture plays a large role in the economy and culture of Riley County, the largest employers are Fort Riley (military and civilian employees), KSU, and the Manhattan/Ogden Unified School District. Riley County typically experiences lower rates of unemployment, crime and a number of other indicators that negatively impact quality of life as compared to state averages and is rated as the second healthiest county in Kansas according to the 2014 Robert Wood Johnson Foundation's County Health Rankings. The median household income is $43,962 with 23% of persons living below the poverty level. These last two statistics are related to the high number of students living in the area. According to the 2014 population estimates, Pottawatomie County has a population of 22,897, A 6% increase over the 2010 Census. Approximately 94% of Pottawatomie County is white, 1.4% Black or African American, 1% Asian, 5.2% Hispanic or Latino and nearly 3% reporting two or more races. The land is approximately 841 square miles with a population density of 25.7 per square mile. The median household income between 2009-2013 was $56,854 with approximately 9% of all persons living below the poverty level, Which is fewer than the 13.7% for the State of Kansas. Schedule H, Part VI, Line 5 Promotion of community health VCH-M promotes the health of the community through their outreach efforts in working with the various organizations and educational facilities in the area. Specifically, VCH-M supports its mission of serving as a healing presence with special concern for those who are poor and vulnerable by having a community board, open medical staff and an emergency room that is available 24/7 regardless of patients ability to pay. VCH-M staff participate in the community by serving on boards of other not-for-profit organizations, state-wide coalitions, health clinics, etc. Currently, VCH-M staff is serving with the following area not-for-profit organizations: Flint Hills Community Clinic Board, Riley County Public Health Advisory Board, Manhattan Chamber of Commerce, Flint Hills Sexual Assault Coalition, Riley County Perinatal Coalition and KONZA United Way Board. The majority of the VCH-M Board of Directors is comprised of external members who reside in or around Riley County and has overall responsibility for the charitable mission of the Organization as set forth in its Articles of Incorporation and Bylaws. These directors are selected based on their expertise, experience, and other criteria established by the nominating committee of the Board of Directors. Areas of expertise and experience include health care, finance, education, and religious representatives. The Board actively debates and sets policy and strategic direction for the ministry but does not get involved in issues related to daily operations. The Board takes a balanced approach when addressing community needs and business and financial concerns. The Board is also the primary group for determining the use of surplus funds generated by the organization which is reinvested in the ministry in order to allow the ministry to sustain its mission and prepare for the future. - Annually, VCH-M provides diagnostic services for Flint Hills Community Clinic and picks up the cost of wages for the community clinic staff. VCH-M also provides diagnostic services for the Riley County Clinic. - VCH-M works with multiple law enforcement agencies in providing care to victims of sexual assault. Because VCH-M provides the salary of SANE/SART nurses, sexual assault victims no longer are required to be transported to Topeka, Kansas (an hour drive) to be processed for legal proceedings. - VCH-M's vascular lab staff annually performs ECHO's on student athletes for KSU and high schools around Manhattan to ensure they have healthy hearts prior to getting involved in competitive sports. - VCH-M staff participate in periodic Red Cross blood drives due to our mission of caring for those who are medically vulnerable and in need of life-saving blood transfusions. - Additional are made to organizations who share our mission, for example, Flint Hills Community Clinic and National Fire Safety Council for education materials used for Kindergarten through sixth grade to teach them the importance of fire safety. - In partnership with Riley County EMS, VCH-M provides staff for all major community events where injuries and/or unexpected emergencies could develop (e.g. fun runs, New Year's celebrations community festivals, etc.). - VCH-M staff have assisted in fundraising activities for other not-for-profits in the community (e.g. Flint Hills Community Clinic and KONZA United Way). - VCH-M's conference rooms are shared with outside community not-for-profits who share our values and mission so they can use more of their resources for programming (e.g. Daddy Basics Class, SANE/SART Courses, etc.). - When weather allows, the EMS staff provides regular child safety seat installations and checks for free at the Manhattan Fire Department headquarters. - Educational classes are held on a variety of topics by various clinical staff of VCH-M (e.g. safe sitters, childbirth education, first aid for children, newborn basics, breastfeeding basics, infant massage, CPR, first aid, pastoral care training, human trafficking, lifting/ergonomics, etc.). - In addition, VCH-M staff also holds support group meetings for diabetics. Schedule H, Part VI, Line 6 Affiliated health care system Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, Inc.) (VCH-M) 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, 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 of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. Mission: The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs: - Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured. - unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons. - Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome. - Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research. Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care. Certain costs such as graduate medical education and certain other activities are excluded from total operating expenses for purposes of this computation. true KSU Ahearn Fund 1800 College Ave Manhattan KS 66502 480667209 501(c)(3) 10200 0 Ahearn Fund - Event Seating & Donation Riley County Perinatal Coalition 555 Poyntz Ave Manhattan KS 66505 481215574 501(c)(3) 45000 0 Pregnancy Education Classes KSU Foundation 2323 Anderson Ave Ste 500 Manhattan KS 66502 480667209 501(c)(3) 20000 0 Pre-Health Scholarship Flint Hills Community Clinic Inc 401 Houston St Ste C Manhattan KS 66502 202306015 501(c)(3) 5000 114663 SALARIES & BENEFITS Staffing Annual Donation Kansas Healthcare Collaborative Inc 623 SW 10th Ave Topeka KS 66612 943483497 501(c)(3) 10000 0 Healthcare contribution 6 0 Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds All grants and assistance are reviewed and approved by a grant committee consisting of members of the Board of Trustees. Grants expenses are reviewed by the accounting department, and detailed reports are requested from the grantees. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. All grants and assistance are reviewed and approved by a grant committee consisting of members of the Board of Trustees. Grants expenses are reviewed by the accounting department, and detailed reports are requested from the grantees. false true false false false false false false false CARLETON RIDER FORMER OFFICER 0 247130 0 0 0 59261 0 26085 0 1086 0 333562 0 0 JOHN R BROBERG PRESIDENT/SENIOR ADMINISTRATOR 0 275321 0 86690 0 9285 0 49403 0 9252 0 429951 0 0 ROBERTA JOHNSON ASSISTANT SECRETARY 0 215175 0 57129 0 7767 0 42318 0 9039 0 331428 0 19367 DAVID A GAMBINO FORMER TRUSTEE 0 438370 0 116184 0 8917 0 105040 0 16179 0 684690 0 0 SHERRY HAUSMANN TRUSTEE (START 8/14) 0 400463 0 106084 0 4826 0 68686 0 17238 0 597297 0 0 HAROLD TAYLOR MEDICAL STAFF PRESIDENT (END 9/14) 245307 0 35224 0 378 0 21369 0 19404 0 321682 0 0 0 JEFF SEIRER ASSISTANT TREASURER 0 276864 0 62485 0 6601 0 48628 0 19131 0 413709 0 0 JAMES FRASER ADMINISTRATOR - FINANCE 159063 0 32831 0 28300 0 4024 0 12497 0 236715 0 0 0 CARLA YOST ADMINISTRATOR - OPERATIONS 187573 0 47490 0 3432 0 29000 0 16334 0 283829 0 0 0 DAVID M WICHMAN PHYSICIAN 226435 0 0 0 451 0 19346 0 23109 0 269341 0 0 0 ASAD MOHMAND PHYSICIAN 272754 0 0 0 486 0 20806 0 9963 0 304009 0 0 0 AUTUMN CAYCEDO MD PHYSICIAN 236390 0 46249 0 420 0 8244 0 1901 0 293204 0 0 0 CASEY POELL MD PHYSICIAN 237005 0 31958 0 15110 0 21574 0 13093 0 318740 0 0 0 JOHN R DALEY PHYSICIAN 397224 0 0 0 5948 0 10400 0 18381 0 431953 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 Manhattan, Inc. (f/k/a Mercy Regional Health Center, Inc.), uses the following to establish the compensation of the organization's CEO: -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 A CITY OF MANHATTAN KANSAS 486023836 56301PBF8 2013-01-23 28469624 REFUNDING OF SERIES 2001 BOND ISSUE false false false A 28469624 54098 509959 27905567 true false true true A false false false false 0.0 false false false A false true true false false false false false false A Schedule K, Part III Column A Refunding Pre-2003 Issues: Part III has not been completed since the refunded bonds were issued prior to 2003. SUZANNE BROBERG WIFE OF JOHN BROBERG - PRESIDENT/SENIOR ADMINISTRATOR 33312 EMPLOYMENT false Form 990, Part IV, Line 20b Explanation of Financial Statements The activity of Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, Inc.) (VCH-M) is reported on the consolidated financial statements of Ascension Health Alliance. No individual audit of VCH-M is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of VCH-M. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIP AMONGST 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 4 Significant changes to organizational documents The organization's governing documents have been changed as of April 2015. They have been updated for the name change from Mercy Regional Health Center, Inc. to Via Christi Hospital Manhattan, Inc. Form 990, Part VI, Line 6 Classes of members or stockholders Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, 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 Manhattan, Inc. (f/k/a Mercy Regional Health Center, Inc.) has a single corporate member, Via Christi Health, Inc., who has the ability to elect members to the governing body of Via Christi Hospital Manhattan, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, 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 Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided Form 990 and management team members are available to answer any Board Member's questions. Form 990, Part VI, Line 12c Conflict of interest policy The Organization's policy is monitored as part of the system-wide procedures of Via Christi Health, Inc. and not at the organizational level. The system-wide procedures are as follows: 1 - At time of appointment and annually thereafter, all interested persons, including board and committee members, complete a disclosure statement which addresses actual or potential conflicts of interest; 2 - The disclosure statement is done electronically and the return of the completed statement is a condition of continued appointment, employment, or participation with the organization; 3 - All actual or potential conflicts are reviewed, investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization; and 4 - Periodic reviews are conducted by governance, compliance, and internal audit to ensure the organization is operating consistent with the policy and enforcing the policy's terms. Form 990, Part VI, Line 15b Process to establish compensation of other employees Via Christi Hospital Manhattan, Inc. (f/k/a Mercy Regional Health Center, 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 Manhattan, Inc.'s (f/k/a Mercy Regional Health Center, Inc.) governing documents and Conflict of Interest Policy are available to the public upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 54110, Related or Exempt Function Revenue: 25372, Unrelated Business Revenue: 28646, Revenue Excluded from Tax Under Sections 512, 513, or 514: 92; Form 990, Part IX, Line 11g Other Fees SERVICE CENTER FEES - Total Expense: 8105282, Program Service Expense: , Management and General Expenses: 8105282, Fundraising Expenses: ; PURCHASED SERVICES-MEDICAL, LAB & PHARMACY, OTHER - Total Expense: 4059968, Program Service Expense: 3831030, Management and General Expenses: 228938, Fundraising Expenses: ; PROF FEES, CONTRACT LABOR, MAINT SERVICE CONT & OTHER - Total Expense: 4082416, Program Service Expense: 3823552, Management and General Expenses: 258864, Fundraising Expenses: ; CONTRA DEPRECIATION - Total Expense: -377252, Program Service Expense: , Management and General Expenses: -377252, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Fund Balance - 36596002; Sponsor/Community Contribution - 156791; 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