ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC (EIN 48-1186704)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201531339349301258
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T08:20:44-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481186704 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Regional Health Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 7857763322 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1823 College Avenue | AddressLine1 |
| City | Manhattan | City |
| State | KS | State |
| ZIP Code | 66502 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Carol Karp | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 7857763322 | PhoneNum |
| Signature | 2015-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebecca Lyons | PreparerPersonNm |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John Broberg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1823 College Avenue | AddressLine1 |
| City | Manhattan | City |
| State | KS | State |
| ZIP Code | 66502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $97,026,649 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mercyregional.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | Serves as a healing presence with special concern for our neighbors who are vulnerable. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1047 | TotalEmployeeCnt |
| Total Volunteers | 257 | TotalVolunteersCnt |
| Total Gross UBI | $194,855 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $67,352 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $31,691 | PYContributionsGrantsAmt |
| CY Contributions Grants | $84,430 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $64,299,697 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $84,751,586 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,621,377 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,003,434 | CYInvestmentIncomeAmt |
| PY Other Revenue | $901,561 | PYOtherRevenueAmt |
| CY Other Revenue | $1,127,565 | CYOtherRevenueAmt |
| PY Total Revenue | $68,854,326 | PYTotalRevenueAmt |
| CY Total Revenue | $96,967,015 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $91,206 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $29,042,525 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,123,801 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,744,362 | PYOtherExpensesAmt |
| CY Other Expenses | $42,042,312 | CYOtherExpensesAmt |
| PY Total Expenses | $63,786,887 | PYTotalExpensesAmt |
| CY Total Expenses | $80,257,319 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,067,439 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,709,696 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $131,760,485 | TotalAssetsBOYAmt |
| Total Assets EOY | $143,763,800 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $46,803,304 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,722,528 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $84,957,181 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $107,041,272 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As part of Via Christi Health, 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,311,805 | ExpenseAmt |
| Desc | 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 Mercy Regional Health Center, Inc.'s criteria for financial assistance. Charity care is reported in terms of costs, not charges. Charity care does not include bad debt. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,570,271 | ExpenseAmt |
| Desc | Government sponsored means-tested health care - includes unpaid costs of public programs for low-income persons. This is the shortfall created when Mercy Regional Health Center, 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $59,155,300 | ExpenseAmt |
| Grant | $91,206 | GrantAmt |
| Revenue | $85,291,185 | RevenueAmt |
| Desc | 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. Mercy Regional Health Center, Inc. sponsors The American Heart Walk, provides fitness centers, exercise classes, ergonomic reviews, and provides scholarships to students attending nursing school. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $64,037,376 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 76 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1047 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Judy Davis | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3168584931 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 E Thorn Drive | AddressLine1 |
| City | Wichita | City |
| State | KS | State |
| ZIP Code | 67226 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Tom Holcombe | |||||||||
| Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Doug Hinkin MD | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael Cates | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Lance White | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John Broberg | |||||||||
| President/Sr. Administrator | 47.00 | 3.00 | Yes (X) | Yes (X) | $0 | $282,896 | $29,769 | ||
| Carleton Rider | |||||||||
| Chief Admin. Officer | 50.00 | 0.00 | Yes (X) | Yes (X) | $0 | $575,934 | $28,488 | ||
| Pat Bosco | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mike Daniels | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Hank Doering | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Mark Duff | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dave Gambino | |||||||||
| Trustee | 1.00 | 49.00 | Yes (X) | $0 | $429,376 | $96,728 | |||
| Mark Gros MD | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark Knackendoffel | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sister Anne Dolores LaPlante | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Leitch | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jan Marks | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Nancy O'Conner | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Harold Taylor | |||||||||
| Med. Staff Pres./Physician | 50.00 | 0.00 | Yes (X) | $265,992 | $0 | $35,272 | |||
| David Hadley end 13114 | |||||||||
| Assistant Treasurer | 1.00 | 49.00 | Yes (X) | $0 | $468,299 | $119,351 | |||
| Jeff Seirer start 2114 | |||||||||
| Assistant Treasurer | 1.00 | 49.00 | Yes (X) | $0 | $263,573 | $68,834 | |||
| James Fraser start 8713 | |||||||||
| Administrator-Finance | 50.00 | 0.00 | Yes (X) | $64,989 | $0 | $5,506 | |||
| Carla Yost | |||||||||
| Admin. Opertations | 50.00 | 0.00 | $197,922 | $0 | $29,052 | Yes (X) | |||
| Vishwanatha S Nadig MD | |||||||||
| Physician | 50.00 | 0.00 | $626,749 | $0 | $28,743 | Yes (X) | |||
| John R Daley | |||||||||
| Physician | 50.00 | 0.00 | $359,247 | $0 | $21,209 | Yes (X) | |||
| Casey M Poell MD | |||||||||
| Physician | 50.00 | 0.00 | $317,869 | $0 | $34,579 | Yes (X) | |||
| Asad Mohmand | |||||||||
| Physician | 50.00 | 0.00 | $285,896 | $0 | $21,371 | Yes (X) | |||
| David Wichman | |||||||||
| Physician | 50.00 | 0.00 | $231,214 | $0 | $41,133 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,349,878 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,020,078 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $560,035 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Trimedx LLC | |||||
| PO Box 636129 | Cincinnati | OH | 45263 | Equipment Management Services | $1,747,257 |
| Sodexo Inc & Affiliates | |||||
| 4880 Paysphere Circle | Chicago | IL | 60674 | Nutrition Management Services | $964,146 |
| Emergency Physicians of Manhattan LLC | |||||
| 8717 W 110th St Ste 500 | Overland Park | KS | 66210 | Prof. Fees - Physicians | $900,197 |
| Rehabcare Group Inc | |||||
| PO Box 502096 | St Louis | MO | 631502096 | Rehab. Mgt. Contract | $753,838 |
| Cascade Health Services | |||||
| 1045 Swift Ave | North Kansas City | MO | 64116 | Contract Labor | $638,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $79,122 | RelatedOrganizationsAmt |
| Government Grants | $5,308 | GovernmentGrantsAmt |
| Total Contributions | $84,430 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Services | 621110 | $81,490,816 | $81,321,096 | $169,720 |
| EMS | 621990 | $1,915,573 | $1,915,573 | |
| Meaningful Use Funds | 900099 | $1,250,244 | $1,250,244 | |
| Pharmacy | 446110 | $37,565 | $37,565 | |
| Wellness & Fitness | 624100 | $17,525 | $17,525 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,863 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,863 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $84,751,586 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,576,050 | TotalRevenueColumnAmt |
| Exclusion | $2,576,050 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $146,799 | RealAmt |
| Personal | $2,800 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $59,634 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,165 | RealAmt |
| Personal | $2,800 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,965 | TotalRevenueColumnAmt |
| Exclusion | $89,965 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,427,384 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,427,384 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,427,384 | TotalRevenueColumnAmt |
| Exclusion | $8,427,384 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Food Services | 722210 | $372,355 | $372,355 | |
| Management | 541900 | $330,714 | $330,714 | |
| Deficit Billing | 900099 | $160,427 | $160,427 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,104 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $128,213 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $25,135 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,756 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,037,600 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,967,015 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,201,220 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $194,855 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,486,510 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,206 | TotalAmt |
| Program Services | $91,206 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $753,101 | TotalAmt |
| Program Services | $235,401 | ProgramServicesAmt |
| Management And General | $517,700 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,798,049 | TotalAmt |
| Program Services | $26,910,178 | ProgramServicesAmt |
| Management And General | $2,887,871 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$109,070 | TotalAmt |
| Management And General | -$109,070 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,468,449 | TotalAmt |
| Program Services | $4,514,585 | ProgramServicesAmt |
| Management And General | $953,864 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,213,272 | TotalAmt |
| Program Services | $1,930,534 | ProgramServicesAmt |
| Management And General | $282,738 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,935,996 | TotalAmt |
| Management And General | $1,935,996 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,463 | TotalAmt |
| Program Services | $1,825 | ProgramServicesAmt |
| Management And General | $6,638 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,675 | TotalAmt |
| Management And General | $19,675 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,305 | TotalAmt |
| Management And General | $8,305 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,705,565 | TotalAmt |
| Program Services | $7,195,713 | ProgramServicesAmt |
| Management And General | $7,509,852 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,302 | TotalAmt |
| Program Services | $606 | ProgramServicesAmt |
| Management And General | $222,696 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,920,465 | TotalAmt |
| Program Services | $14,558,989 | ProgramServicesAmt |
| Management And General | $361,476 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,782 | TotalAmt |
| Program Services | $103,006 | ProgramServicesAmt |
| Management And General | $161,776 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,030,566 | TotalAmt |
| Program Services | $1,674,651 | ProgramServicesAmt |
| Management And General | $355,915 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,375 | TotalAmt |
| Program Services | $86,497 | ProgramServicesAmt |
| Management And General | $60,878 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,234 | TotalAmt |
| Program Services | $784 | ProgramServicesAmt |
| Management And General | $4,450 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,043,582 | TotalAmt |
| Program Services | $1,043,582 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,335,368 | TotalAmt |
| Program Services | $3,658,795 | ProgramServicesAmt |
| Management And General | $676,573 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,249 | TotalAmt |
| Program Services | $615,841 | ProgramServicesAmt |
| Management And General | $1,408 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Membership Dues | $139,642 | $13,576 | $126,066 | $0 |
| Donations & Gifts | $138,621 | $138,621 | $0 | $0 |
| Relocation Costs | $73,795 | $3,014 | $70,781 | $0 |
| Income Tax Expense | $42,254 | $0 | $42,254 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,382,073 | TotalAmt |
| Program Services | $1,259,972 | ProgramServicesAmt |
| Management And General | $122,101 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,257,319 | TotalAmt |
| Program Services | $64,037,376 | ProgramServicesAmt |
| Management And General | $16,219,943 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,528,658 | BOYAmt |
| EOY | $9,267,268 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,681 | BOYAmt |
| EOY | $49,269 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,333,588 | BOYAmt |
| EOY | $10,209,236 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,324,749 | BOYAmt |
| EOY | $2,605,238 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,415,208 | BOYAmt |
| EOY | $2,019,216 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,029,709 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,283,986 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,222,043 | BOYAmt |
| EOY | $38,745,723 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $441,923 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,885,558 | BOYAmt |
| EOY | $80,425,927 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,760,485 | BOYAmt |
| EOY | $143,763,800 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,768,658 | BOYAmt |
| EOY | $6,858,546 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,060,000 | BOYAmt |
| EOY | $26,542,684 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,974,646 | BOYAmt |
| EOY | $3,321,298 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,803,304 | BOYAmt |
| EOY | $36,722,528 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,957,181 | BOYAmt |
| EOY | $107,041,272 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,957,181 | BOYAmt |
| EOY | $107,041,272 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,760,485 | BOYAmt |
| EOY | $143,763,800 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,709,696 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,520,243 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,854,152 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $8,305 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,305 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Mercy Regional Health Center, Inc. does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,127,223 | OtherCostOrOtherBasisAmt |
| Book Value | $2,127,223 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,361,525 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,265,075 | DepreciationAmt |
| Book Value | $23,096,450 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $147,638 | OtherCostOrOtherBasisAmt |
| Depreciation | $68,016 | DepreciationAmt |
| Book Value | $79,622 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,602,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,831,191 | DepreciationAmt |
| Book Value | $12,771,236 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $790,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $119,704 | DepreciationAmt |
| Book Value | $671,192 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $38,745,723 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Estimated AR from 3rd Party Payors | $1,455,522 |
| Misc AR Unrelated Parties | $759,736 |
| Other Assets - Related Party | $72,387 |
| Income Guarantee Note Receivable | $88,611 |
| Interest in Investments Held by Ascension Health Alliance | $78,049,671 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $80,425,927 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Asset Retirement Obligation | Desc |
| Amt | $3,321,298 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,321,298 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Mercy Regional Health Center, Inc.: The System accounts for uncertainty in income tax provisions 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, 2014. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,311,805 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,311,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,064,892 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,554,621 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,510,271 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,376,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,554,621 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,822,076 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $504,656 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,297 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $492,359 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $188,751 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $188,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,912 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $41,912 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,541 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $44,541 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $779,860 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,297 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $767,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,156,557 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,566,918 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,589,639 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06970 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $256 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $256 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,359 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,359 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,652 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,652 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,074,985 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $564,826 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,710,398 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $28,378,585 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,668,187 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Mercy Imaging LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Diagnostic Imaging | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.75000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.25000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Regional Health Center Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1823 College Avenue | AddressLine1 |
| City | Manhattan | City |
| State | KS | State |
| ZIP Code | 66502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mercyregional.org | WebsiteAddressTxt |
| State License | Kansas H-08 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Regional Health Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Schedule H, Part V, Section C | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Mercy Regional Health Center, Inc. | Part V, Section B, Line 3: As part of the 2012 Aging Assessment, interviews with a wide range of stakeholders within Mercy Regional Health Center primary service areas were conducted between April and December 2011. In total, 224 interviews were completed state-wide with individuals representing businesses, healthcare providers, government agencies, faith communities, other area not-for-profits, caregivers and last, but not least, 80 elderly residents who are currently residing in an independent or assisted living facility. In the Manhattan market, 23 one-on-one interviews were conducted and a focus groups of 11 residents of Via Christi Villages. All people participating in this Aging Assessment are listed in Attachment A and can be accessed at the following website. http://www.via-christi.org/workfiles/community-benefit/Aging-Assessment-VCV-Markets.pdf, pages 82-85. For protection of those who are vulnerable, the 11 residents are not named in this document. Individuals who participated included: Crystal Borhani- Public HousingJohn Broberg- Mercy Regional Health CenterLyle Butler- Manhattan Chamber of CommerceToni Mitchell-Dawson- Colorado PlazaGayle Doll- Kansas State University Center of AgingDr. Matt Floersch- Medical AssociatesDeb Kiker- Community Health Ministries WamegoNancy Knopp- Mercy Regional Health CenterLinda Kroeger- Medical AssociatesJudine Mecseri- Home Care & HospiceWillie Novotny- Meadowlark Hills Retirement CommunityBeverly Olson- Shepherd's CrossingSusan Peterson- Riley County Senior CenterBen Ross- Stoneybrook Retirement CommunityAnn Smith- Riley County ATA BusErica Smith- HomesteadStaci Smock- Mercy Regional Health Center's Senior Adult ProgramBruce Sneed- MayorSusan Sprague- North Central Flint Hills Area Agency on AgingJackie Sump- Stoneybrook Retirement CommunityJoann Sutton- Manhattan Housing AuthorityEdith Vonfeldt- Department of Social & Rehabilitation ServicesFr. Don Zimmerman- St. Thomas More Catholic ChurchVia Christi Village Manhattan Residents (11) |
| Mercy Regional Health Center, Inc. | Part V, Section B, Line 4: The CHNA focused on the aging population within geographical areas where Via Christi Health has hospital and senior living ministries. The participating partners included: -Via Christi Hospitals Wichita-Via Christi Hospital St. Teresa-Via Christi Rehabilitation Hospital-Via Christi Hospital Pittsburg-Mercy Regional Health Center-Wamego City Hospital |
| Mercy Regional Health Center, Inc. | Part V, Section B, Line 5d: Hospital facility's website:http://www.viachristi.org/sites/default/files/pdf/about_us/Ading-Assessment-VCV-Markets.pdf |
| Mercy Regional Health Center, Inc. | Part V, Section B, Line 7: The Hospital facility did not address all of the significant needs identified in its most recently conducted CHNA. See below for specifics:2012 Aging Assessment - Need: Transportation for health appointments - Why Need not being addressed: Flint Hills Regional Breakthrough Team is working on this issue.2012 Aging Assessment - Need: the Via Christi HOPE program needs to be expanded and would also address home health care needs. Why Need not being addressed: Via Christi Villages is already pursuing this need and is discussing the feasibility of this expansion with the State of Kansas. In partnership with Kansas, their HOPE program is being expanded in the NE part of the state first. Other parts of KS may fall-in later depending on funding.2010 CHNA - Need: Lack of Shared Medical Records - Why Need not being addressed: State of Kansas is working on this plan and VCH is involved on the State level as are other hospital providers.2010 CHNA - Need: Recruitment of specialists that are in high need. Addressing this issue is a cost of doing business and not seen as resulting from CHNA. - Why Need not being addressed: This is going to be an on-going initiative and is discussed in the Medical Staff Development Plan (Oct 1, 2010 - Sept 30, 2013). |
| Mercy Regional Health Center, Inc. | Part V, Section B, Line 14g: Patients are notified in writing that the hospital facility has a Financial Assistance Policy and trained financial counselors are available to assist patients. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Mercy Imaging LLC | ||||
| 1133 College Ave Bldg G Ste 110 | Manhattan | KS | 66502 | Outpatient Radiology, Diagnostic Imaging, and PET |
| Mercy West | ||||
| 315 Seth Child Rd | Manhattan | KS | 66502 | Therapies - Occupational, Physical, Hand, Aquatic |
| Women's Imaging | ||||
| 1133 College Ave Bldg G Ste 130 | Manhattan | KS | 66502 | Outpatient Diagnostic Services |
| Mercy East | ||||
| 451 E Poyntz Ave | Manhattan | KS | 66502 | Therapies - Speech, Occupational, Physical, Brain Injury |
| Mercy Regional Health Ctr Sleep Lab | ||||
| 1105 Sunset Ave | Manhattan | KS | 66502 | Sleep Lab Services |
| Behavioral Health Services | ||||
| 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 |
| Physician Specialists | ||||
| 3901 Vanesa Drive Ste E | Manhattan | KS | 66503 | Infectious Disease, Cardiology |
| Pain Management Clinic | ||||
| 1105 Sunset Ave | Manhattan | KS | 66502 | Outpatient Pain Management |
| Mercy Light | ||||
| 1105 Sunset Ave | Manhattan | KS | 66502 | Medically Supervised Weight Management |
| Diabetes Center | ||||
| 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 |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Via Christi Health produces a consolidated annual report for all ministries including Mercy Regional Health Center. Within the report, several pages are devoted to describe the Community Benefit activities that has taken place over the last year and its monetary value to the Manhattan/Riley County area. |
| Part I, Line 7: | 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. |
| Part II, Community Building Activities: | MRHC representatives are involved with numerous Community Building coalitions that periodically assess community needs and work towards improving the health and safety of the community:-Geary County Perinatal Coalition focuses on the lack of access to prenatal care for women living in Geary County.-Riley County Perinatal Coalition focuses on the lack of access to prenatal care for women living in Riley County.-Flint Hills Breast Feeding Coalition led to the development of a resource guide that lets current and future mothers know about all the various organizations in the area that serve as breastfeeding resources. This new resource guide is used by organization in Manhattan, Junction City and Fort Riley.-MRHC staff is involved with the Manhattan Chamber of Commerce in an effort to draw in new businesses in order to generate more job opportunities.-Staff also work with Kansas State University departments and the Manhattan Area Technical College reviewing student resumes and providing mock interview feedback to prepare students for entry into the job market.-By our involvement, the community is better aware of the services available for them and MRHC, in turn, is constantly being updated with regards to community needs and/or gaps in services so they can be improved. |
| Part III, Line 2: | The amount of $13,074,985 is the amount of patient bad debt as posted to our general ledger by the MRHC patient accounting systems. Bad debt expense is a combination of accounts that have been turned to collection because they have been deemed uncollectible as well as an estimate for accounts still in AR that uses a historical look back period to estimate collectability. |
| Part III, Line 3: | MRHC estimated the bad debt expense that would be attributable to patients eligible under the organization's charity care policy by taking gross bad debt expense and multiplying it by a charity write-off percentage. This percentage is calculated taking the full charity write-offs for a defined period divided by the total amount of bad debt allowance for the period preceding. This organization does not consider bad debt as a community benefit. |
| Part III, Line 1: | MRHC 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. Bad debt expense at cost is determined using the same cost-to-charge ratio that is used for charity care and Medicaid shortfall. MRHC follows the guidance from CHA and does not consider bad debt as a community benefit. |
| Part III, Line 4: | From the audited financial statements of Ascension Health Alliance (which include the activity of MRHC):The provision for doubtful accounts is based upon management's assessmentof expected net collections considering economic conditions, historicalexperience, 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.MRHC's bad debt deduction was $13,074,985 at charges and $564,826 atcost (after the cost to charge ratio was applied to the amount of charges). |
| Part III, Line 8: | 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. |
| Part III, Line 9b: | It is the policy of MRHC to promote socially just practices for billing and collections for all patients receiving care. The policy is intended to further MRHC'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 to a Third Party Collection Agent (Agent) for collection activity, MRHC 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. MRHC 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 MRHC'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. |
| Part VI, Line 2: | In addition to the Aging Assessment conducted in 2012, other area assessments were taken into account (primarily the Manhattan/Wamego 2011 Assessment). Up-to-date downloads from the Census Bureau as well as the Kansas University's Institute for Policy and Social Research and Kansas Hospital Association help to guide us in gathering data for our geographical areas and one-on-one interviews were held. |
| Part VI, Line 3: | MRHC 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, MRHC attempts to identify patients who may be eligible for charity or discounted care through the charity care policy. In addition, MRHC uses a percentage of the Federal Poverty Guidelines (FPG) to determine free and discounted care. |
| Part VI, Line 4: | The primary counties for Manhattan ministries include Riley, Geary and Pottawatomie. Riley County has a land area of 610 square miles with a 2013 estimated population of 75,394. Pottawatomie County has a land area of 841 square miles with a 2013 estimated population of 22,691. Geary County has a land area of 385 square miles with a 2013 estimated population of 37,384. Riley County's population demographic includes: 84.5% White, 6.9% Black, 0.7% American Indian, 4.4% Asian and 7.9% persons of Hispanic or Latino origin. The diversity of the population in Riley County is greater than for Pottawatomie County. Racial breakout for Pottawatomie County includes: 94.3% White, 1.3% Black, 0.9% American Indian, 0.9% Asian persons, and 5.2% persons of Hispanic or Latino origin. The demographic distribution for Geary County includes: 69.9% White, 18.7% Black, 1.3% American Indian, 3.7% Asian and 14.6% Hispanic or Latino origin. Geary County has the highest diversity rates primarily due to Fort Riley, an Army base and Home of the 1st Infantry Division. Almost 8.4% of the Riley County residents, 4.3% of the Pottawatomie County residents and 13.3% of the Geary County residents report that a language other than English is spoken at home. When it comes to education, 95.4% of Riley County residents completed high school and 45.4% had a bachelor's degree or higher. This compares to 93.9% and 28.5% for Pottawatomie County and 91.1% and 19.9% for Geary County.Median household income for Riley County residents between 2008 and 2012 was $43,364 compared to $56,775 for Pottawatomie County and $47,879 for Geary County. During this same time period, the median value of owner-occupied housing units in Riley County was $166,900 compared to $152,000 in Pottawatomie and $130,600 for Geary County residents. Riley County reports 22.7% of its residents are below poverty level compared to 8.2% for Pottawatomie and 10.8% for Geary County. The Statewide poverty level is around 13.2%.Riley County has far fewer residents age 65 years and older compared to the State of Kansas and the other two counties. Kansas reported in 2013 that 14.0% of all residents were persons 65 years of age and older. This compares to 7.6% for Riley, 12.9% for Pottawatomie and 7.3% for Geary Counties. The City of Manhattan is home to Kansas State University which has a student enrollment of 23,810 for Spring 2013 semester.MRHC is the only hospital in the City of Manhattan and is the largest full-service medical center in the area that is available to all persons regardless of their ability to pay. |
| Part VI, Line 5: | MRHC enriches the area in which they operate as well as the broader community, improving medicine and increasing access through educating physicians and other healthcare providers, and providing care and support to people in need. MRHC further supports this mission with a community board, open medical staff, and an emergency room available to patients regardless of ability to pay.Open Medical Staff The medical staff of MRCH is open and is composed of physicians licensed to practice medicine in the State of Kansas. On a day-to-day basis, that means approximately 150 physicians, more than 800 employees and about 350 volunteers are serving the people of Manhattan and the surrounding areas with a wide range of quality health and wellness services. MRHC staff also participates in the community on boards of other not-for-profit organizations, government entities, foundations, area colleges and university committees, state-wide coalitions, etc. Currently, MRHC staff is serving with the following area not-for-profit organizations (e.g. Flint Hills Community Clinic Board, Riley County Perinatal Coalition, Flint Hills Breast Feeding Coalition, Manhattan Chamber of Commerce, Homecare and Hospice Board, Riley County Public Health Advisory Council, Indigent Care Clinic Committee, Riley County Domestic Violence Task Force, Junction City Domestic Violence Task Force, Flint Hills Sexual Assault Coalition and United Way of Riley County Board.) Community representation on the Governing BodyThe Board of Directors is the governing body of MRHC. The majority of its members are external members comprised of persons 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 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.-Annually, MRHC provides diagnostic services for Flint Hills Community Clinic and picks up the cost of wages for the community clinic staff.MRHC also provides diagnostic services for the Riley County Clinic.-MRHC works with multiple law enforcement agencies in providing care to victims of sexual assault. Because MRHC provides for 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.-MRHC's vascular lab staff annually perform ECHO's on student athletes for KS-State and high schools around Manhattan to ensure they have healthy hearts prior to getting involved in competitive sports.-MRHC staff participate in periodic Red Cross blood drives due to our mission of caring for those who are vulnerable and in need of life-saving blood.-MRHC annual makes a $15,000 donation to the KS State Foundation restricted to the pre-health scholarship program as a way to ensure future health care providers will be available in the State of Kansas.-Additional cash donations are made to organizations who share our mission to serve as a healing presence with special concern for neighbors who are vulnerable (e.g. Flint Hills Community Clinic and Homecare and Hospice).-MRHC also supports preventative steps to ensure health and wellness for all ages. A grant was made to the National Fire Safety Council for education materials used for Kindergarten through 6th graders to teach them the importance of fire safety.-In partnership with Riley County EMS, MRHC 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).-MRHC staff have assisted in fundraising activities for other not-for-profits in the community (e.g. Flint Hills Community Clinic and United Way of Riley County).-MRHC's conference rooms are shared with outside community not-for-profits so they can use more of their resources in carrying out their missions (e.g. Breastfeeding Support Group, Palliative Care Group, Kansas State University Advisory Council, Overeaters Anonymous Group, Flint Hills Community Clinic, etc.)-When weather allows, the EMS staff provide 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 MRHC (e.g. physical therapy staff provided an aquatic exercise class for people who are overweight in partnership with Mercy Light; in partnership with the Flint Hills Area Agency on Aging, a program on family caregiving was presented to the community; several presentations given on the topic of cancer, heart disease, depression, CPR, safe babysitting, breastfeeding basics, Daddy basics, childbirth education, infant massages, etc.) |
| Part VI, Line 6: | Mercy Regional Health Center (MRHC) 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 corporation 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. TheParticipating Entities of Ascension Sponsor are the Daughters of Charityof 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 theThird Order of St. Francis of Assisi - US/Caribbean Province. As morefully described in the Organizational Changes note, Marian Health System,which was previously sponsored by the Sisters of the Sorrowful Mother ofthe Third Order of St. Francis of Assisi - US/Caribbean Province, becamepart of Ascension Health on April 1, 2013.Mission:The System directs its governance and management activities toward strong,vibrant, Catholic Health Ministries united in service and healing, anddedicates its resources to spiritually centered care which sustains andimproves the health of the individuals and communities it serves. Inaccordance with the System's mission of service to those persons living inpoverty and other vulnerable persons, each Health Ministry acceptspatients regardless of their ability to pay. The System uses fourcategories to identify the resources utilized for the care of personsliving in poverty and community benefit programs:-Traditional charity care includes the cost of services provided topersons who cannot afford healthcare because of inadequate resourcesand/or who are uninsured or underinsured.-Unpaid cost of public programs, excluding Medicare, represents the unpaidcost of services provided to persons covered by public programs forpersons living in poverty and other vulnerable persons.-Cost of other programs for persons living in poverty and other vulnerablepersons includes unreimbursed costs of programs intentionally designed toserve the persons living in poverty and other vulnerable persons of thecommunity, 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 benefitprograms and services for the general community, not solely for thepersons 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 themeans to pay. Discounts provided to those patients who did not qualify forassistance under charity care guidelines are not included in the cost ofproviding care of persons living in poverty and other community benefitprograms. The cost of providing care to persons living in poverty andother community benefit programs is estimated by reducing charges forgoneby a factor derived from the ratio of each entity's total operatingexpenses to the entity's billed charges for patient care.Certain costs such as graduate medical education and certain otheractivities are excluded from total operating expenses for purposes of thiscomputation. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Manhattan Area Chamber of Commerce | |||||||
| 501 Poyntz Ave | Manhattan | KS | 66502 | 480319620 | 501(c)(6) | $60,000 | Advantage Manhattan Investment |
| KSU Ahearn Fund | |||||||
| 1800 College Ave | Manhattan | KS | 66502 | 480667209 | 501(c)(3) | $9,700 | Ahearn Fund - Event Seating & Donation |
| KSU Foundation | |||||||
| 2323 Anderson Ave Ste 500 | Manhattan | KS | 66502 | 480667209 | 501(c)(3) | $15,000 | Pre-Health Scholarship |
| Flint Hills Community Clinic | |||||||
| 401 Houston St Ste C | Manhattan | KS | 66502 | 202306015 | 501(c)(3) | $5,506 | Annual Donation & Flu Shot Donation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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 all grantees. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John Broberg | ||||||||||||||
| President/Sr. Administrator | $0 | $271,118 | $0 | $4,886 | $0 | $6,892 | $0 | $21,228 | $0 | $8,541 | $0 | $312,665 | $0 | $0 |
| Carleton Rider | ||||||||||||||
| Chief Admin. Officer | $0 | $454,635 | $0 | $0 | $0 | $121,299 | $0 | $26,362 | $0 | $2,126 | $0 | $604,422 | $0 | $0 |
| Dave Gambino | ||||||||||||||
| Trustee | $0 | $395,610 | $0 | $22,500 | $0 | $11,266 | $0 | $81,140 | $0 | $15,588 | $0 | $526,104 | $0 | $0 |
| Harold Taylor | ||||||||||||||
| Med. Staff Pres./Physician | $241,586 | $0 | $24,032 | $0 | $374 | $0 | $20,714 | $0 | $14,558 | $0 | $301,264 | $0 | $0 | $0 |
| David Hadley end 13114 | ||||||||||||||
| Assistant Treasurer | $0 | $444,000 | $0 | $14,650 | $0 | $9,649 | $0 | $96,500 | $0 | $22,851 | $0 | $587,650 | $0 | $0 |
| Jeff Seirer start 2114 | ||||||||||||||
| Assistant Treasurer | $0 | $251,983 | $0 | $6,922 | $0 | $4,668 | $0 | $50,220 | $0 | $18,614 | $0 | $332,407 | $0 | $0 |
| Carla Yost | ||||||||||||||
| Admin. Opertations | $185,523 | $0 | $2,677 | $0 | $9,722 | $0 | $13,581 | $0 | $15,471 | $0 | $226,974 | $0 | $0 | $0 |
| Vishwanatha S Nadig MD | ||||||||||||||
| Physician | $624,587 | $0 | $0 | $0 | $2,162 | $0 | $19,125 | $0 | $9,618 | $0 | $655,492 | $0 | $0 | $0 |
| John R Daley | ||||||||||||||
| Physician | $325,786 | $0 | $20,000 | $0 | $13,461 | $0 | $10,200 | $0 | $11,009 | $0 | $380,456 | $0 | $0 | $0 |
| Casey M Poell MD | ||||||||||||||
| Physician | $284,594 | $0 | $32,857 | $0 | $418 | $0 | $21,675 | $0 | $12,904 | $0 | $352,448 | $0 | $0 | $0 |
| Asad Mohmand | ||||||||||||||
| Physician | $285,410 | $0 | $0 | $0 | $486 | $0 | $19,145 | $0 | $2,226 | $0 | $307,267 | $0 | $0 | $0 |
| David Wichman | ||||||||||||||
| Physician | $230,763 | $0 | $0 | $0 | $451 | $0 | $18,498 | $0 | $22,635 | $0 | $272,347 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Via Christi Health, Inc., a related organization of Mercy Regional Health Center, Inc., uses the following to establish the compensation of the organizatio's CEO: -Compensation Committee -Independent Compensation Consultant -Compensation Survey or Study -Approval by the Board or Compensation Committee |
| Part I, Lines 4a-b | Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are funded annually based on participation and are not vested until the 5 year service requirement is reached. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. The amount funded annually under the program to the executives is reported as compensation on Form 990 Schedule J, Part II, Column B in the year funded. The amount ultimately paid under the program to executives is reported on Form 990 Schedule J, Part II, Column F. There were no distributions from a supplemental nonqualified retirement plan during the year. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Manhattan Kansas | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 486023836 | BondIssuerEIN |
| CUSIP | 56301PBF8 | CUSIPNum |
| Bond Issued | 2013-01-23 | BondIssuedDt |
| Issue Price | $28,469,624 | IssuePriceAmt |
| Purpose | Refunding of Series 2001 Bond Issue | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $28,469,624 | TotalProceedsAmt |
| In Reserve Fund | $54,098 | InReserveFundAmt |
| Issuance Costs From Proceeds | $509,959 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $27,905,567 | OtherSpentProceedsAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III, Column A: | FormAndLineReferenceDesc |
| Explanation | Refunding Pre-2003 Issues: Part III has not been completed since the refunded bonds were issued prior to 2003. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Suzanne Broberg | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Wife of John Broberg - President/Senior Administrator | RelationshipDescriptionTxt |
| Transaction | $41,615 | TransactionAmt |
| Transaction | Employment | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Many of the persons listed on Part VII have a "business relationship" with each other by virtue of employment by Via Christi Health, Inc. related entities. |
| Form 990, Part VI, Section A, line 6 | Mercy Regional Health Center, Inc. has a single corporate member, Via Christi Health, Inc. |
| Form 990, Part VI, Section A, line 7a | 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 Mercy Regional Health Center, Inc. |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to 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, Section B, line 11 | Management, including certain officers, work 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 Member's questions. |
| Form 990, Part VI, Section B, line 12c | 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, Section B, line 15b | Mercy Regional Health Center, Inc. uses the policies established by Via Christi Health, Inc. (VCH). VCH has established a common philosophy, strategy, and processes for executive compensation. Through the oversight of the VCH Executive Compensation Committee, executive compensation is competitively positioned at its stated market position when compared to the compensation paid by relevant organizations (comparably-sized health systems, 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, Section C, line 19 | Mercy Regional Health Center, Inc.'s governing documents and Conflict of Interest Policy are available to the public upon request. |
| Form 990, Part IX, line 11g | Service Center Fees: Program service expenses 0. Management and general expenses 7,598,163. Fundraising expenses 0. Total expenses 7,598,163. Purchased Services - Medical, Lab & Pharmacy, Other: Program service expenses 1,322,026. Management and general expenses 186,065. Fundraising expenses 0. Total expenses 1,508,091. Prof Fees, Contract Labor, Maintenance Service Contracts & Other: Program service expenses 5,873,687. Management and general expenses 334,934. Fundraising expenses 0. Total expenses 6,208,621. Contra Depreciation: Program service expenses 0. Management and general expenses -609,310. Fundraising expenses 0. Total expenses -609,310. |
| Form 990, Part XI, line 9: | Pension 188,165. Restricted Long-Lived Asset Contribution 83,584. FMV Adjustment -8,182,863. Reclass Investment in WHA -1,372,815. Reclass Sponsor Contrib to Treas Stock per AH -9,785,319. MRHC Buyout Entries 20,905,457. Correct of 6/13 Reimb from Foundation 17,943. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health Alliance | |||||||||||
| 4600 Edmundson Road | St Louis | MO | 63134 | 453358926 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | N/A | 0 | |
| Ascension Health | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | 0 | Ascension Health Alliance | |
| Via Christi Health Inc | |||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481172107 | Health System Parent | KS | Section 501(c)(3) | Schedule A, Line 11c | 0 | Ascension Health | |
| Via Christi Villages Inc | |||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 480559086 | Management Company | KS | Section 501(c)(3) | Schedule A, Line 11c | Yes (1) | Via Christi Health Inc | |
| Cornerstone Assisted Living Inc | |||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 481241079 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Hays Inc | |||||||||||
| 2225 Canterbury Drive | Hays | KS | 67601 | 202828680 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Care at Home Inc | |||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 271889960 | Health Agency | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Healthcare Outreach Program for Elders Inc | |||||||||||
| 2622 W Central Suite 101 | Wichita | KS | 67203 | 481236589 | PACE Community Program | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Georgetown Inc | |||||||||||
| 1655 S Georgetown | Wichita | KS | 67218 | 481129325 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Manhattan Inc | |||||||||||
| 2800 Willow Grove Road | Manhattan | KS | 66502 | 481078862 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village McLean Inc | |||||||||||
| 777 N McLean Blvd | Wichita | KS | 67203 | 481247723 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Pittsburg Inc | |||||||||||
| 1502 E Centennial Drive | Pittsburg | KS | 66762 | 743070971 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Ponca City Inc | |||||||||||
| 1601 Academy Road | Ponca City | OK | 74604 | 731153337 | Retirement Home | OK | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Hospital Pittsburg Inc | |||||||||||
| 1 Mt Carmel Way | Pittsburg | KS | 66762 | 480543778 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Via Christi Health Inc | |
| Mount Carmel Foundation Inc | |||||||||||
| 1 Mt Carmel Way | Pittsburg | KS | 66762 | 480961283 | Foundation | KS | Section 501(c)(3) | Schedule A, Line 11a | Yes (1) | Via Christi Hospital Pittsburg Inc | |
| Via Christi Health Alliance in Accountable Care Inc | |||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 462872857 | ACO | KS | Yes (1) | Via Christi Health Inc | |||
| Via Christi Hospital Wichita St Teresa Inc | |||||||||||
| 14800 W St Teresa | Wichita | KS | 67235 | 271965272 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Via Christi Health Inc | |
| Via Christi Hospitals Wichita Inc | |||||||||||
| 929 N Saint Francis | Wichita | KS | 67214 | 481172106 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Via Christi Health Inc | |
| Gerard House Inc | |||||||||||
| 3144 N Hood | Wichita | KS | 67204 | 481049532 | Hospital Support | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Hospitals Wichita Inc | |
| Via Christi Rehabilitation Hospital Inc | |||||||||||
| 1151 N Rock Road | Wichita | KS | 67206 | 481158274 | Rehabilitation Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Via Christi Hospitals Wichita Inc | |
| Via Christi Property Services Inc | |||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 480948571 | Property Management | KS | Section 501(c)(4) | N/A | Yes (1) | Via Christi Hospitals Wichita Inc | |
| Via Christi Health Partners Inc | |||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 480958974 | Management Company | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Health Inc | |
| Mercy Community Health Foundation Inc | |||||||||||
| PO Box 13 | Manhattan | KS | 66502 | 481152279 | Foundation | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Mercy Regional Health Center Inc | |
| Wamego Hospital Association Inc | |||||||||||
| 711 Genn Drive | Wamego | KS | 66547 | 721526400 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | Mercy Regional Health Center Inc | |
| Mercy Regional Home Medical Services LLC | |||||||||||
| 2439 Claflin Road | Manhattan | KS | 66502 | 432024491 | Medical Equipment | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Mercy Regional Health Center Inc | |
| Salina Regional Home Medical Services LLC | |||||||||||
| 520 South Santa Fe Ave | Salina | KS | 67401 | 431948057 | Medical Equipment | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Salina Regional Health Center Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ambulatory Surgery Center LP | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481114690 | Surgery Center | KS | N/A | |||||||
| AMS Diagnostics LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481223653 | Radiology Services | KS | N/A | |||||||
| Kansas Surgery and Recovery Center LLC | ||||||||||||||
| 2770 North Webb Road | Wichita | KS | 67226 | 481148580 | Surgery Center | KS | N/A | |||||||
| MR Imaging Center LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481000538 | Imaging Center | KS | N/A | |||||||
| St Joseph MRI LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481007220 | Imaging Center | KS | N/A | |||||||
| Mercy Imaging LLC | ||||||||||||||
| 1823 College Avenue | Manhattan | KS | 66502 | 481251984 | Radiology Services | KS | Mercy Regional Health Center Inc | Related | $695,014 | $1,210,961 | 0 | 0 | 0.75000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Affiliated Medical Services Laboratory Inc | ||||||||||||||
| 2916 E Central | Wichita | KS | 67214 | 481239522 | Medical Laboratory | KS | N/A | C | 0 | |||||
| Integrated Healthcare Systems Inc | ||||||||||||||
| 3311 East Murdock | Wichita | KS | 67208 | 480941549 | Clinic Services | KS | N/A | C | 0 | |||||
| VCH Iowa PC Trust | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 276937322 | Beneficiary Trust | IA | N/A | T | 0 | |||||
| VCH Iowa PC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 273983977 | Professional Association | IA | N/A | C | 0 | |||||
| Via Christi Clinic PA | ||||||||||||||
| 3311 East Murdock | Wichita | KS | 67208 | 480993446 | Professional Association | KS | N/A | C | 0 | |||||
| Via Christi Clinic Services Inc | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 273984287 | Clinic Services | KS | N/A | C | 0 | |||||
| Sunflower Assurance Ltd | ||||||||||||||
| 980223159 | Insurance Company | N/A | C | 0 | PO Box 1085 | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Via Christi Health Inc | ||
| I | $801,272 | Actual Amount Transferred |
| Via Christi Health Inc | ||
| L | $99,214 | Actual Amount Transferred |
| Via Christi Health Inc | ||
| O | $130,557 | Actual Amount Transferred |
| Via Christi Health Inc | ||
| P | $3,702,684 | Actual Amount Transferred |
| Via Christi Health Inc | ||
| Q | $24,020,578 | Actual Amount Transferred |
| Via Christi Health Inc | ||
| S | $9,358,130 | Actual Amount Transferred |
| Via Christi Hospitals Wichita Inc | ||
| P | $235,479 | Actual Amount Transferred |
| Via Christi Hospitals Wichita Inc | ||
| S | $259,737 | Actual Amount Transferred |
| Wamego Hospital Association | ||
| C | $61,710 | Actual Amount Transferred |
| Wamego Hospital Association | ||
| L | $305,040 | Actual Amount Transferred |
| Wamego Hospital Association | ||
| P | $89,399 | Actual Amount Transferred |
| Wamego Hospital Association | ||
| Q | $86,831 | Actual Amount Transferred |
| Mercy Community Health Foundation Inc | ||
| L | $181,724 | Actual Amount Transferred |
| Mercy Community Health Foundation Inc | ||
| M | $181,724 | Actual Amount Transferred |
| Mercy Imaging LLC | ||
| C | $103,190 | Actual Amount Transferred |
| Mercy Imaging LLC | ||
| L | $99,454 | Actual Amount Transferred |
| Mercy Imaging LLC | ||
| P | $102,252 | Actual Amount Transferred |
| Mercy Imaging LLC | ||
| Q | $63,123 | Actual Amount Transferred |
Comments