2013-08-09T10:55:58-05:00 2012-09-30 GRANT THORNTON LLP 8300 THORN DRIVE SUITE 300 WICHITA KS 672262708 990 2011-10-01 481186704 Mercy Regional Health Center Inc % SHELLY TRENT MERC 7857763322 1823 COLLEGE AVENUE MANHATTAN KS 66502 John Broberg 2013-08-01 true Kimberly Temple 3162653231 2011 2016-02-24 21:20:13Z John Broberg 1823 COLLEGE AVENUE MANHATTAN KS 66502 90699646 false X WWW.MERCYREGIONAL.ORG X 1996 KS Inspired by the Gospel our Catholic tradition, Mercy Regional Health Center, Inc. serves as a healing presence with special concern for our neighbors who are vulnerable. 18 15 1112 342 219817 134846 2974 40311 87632302 87398276 2192574 967081 2981047 1448097 92808897 89853765 0 10000 0 0 41265985 40730327 0 0 0 47892893 42131469 89158878 82871796 3650019 6981969 122667093 130408113 50708841 48030845 71958252 82377268 X AS A 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 SYSTEMS'S HISTORY EXTENDS BACK OVER 100 YEARS AND TODAY, ALONG WITH OUR SPONSORING CONGREGATION - THE SISTERS OF THE SORROWFUL MOTHER, CONGREGATION OF ST. JOSEPH, SISTERS OF ST. JOSEPH CARONDOLET AND THE DAUGHTERS OF CHARITY - 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; AND EXCELLENCE - WE EXTEND OURSELVES IN OUTSTANDING SERV false false 2393000 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. 1851000 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. 62330847 10000 88124448 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. 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. 66574847 true true false true false false false false false false true true false true true true false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 109 0 true 1112 true true true false false false false false false false false false X 18 15 false false false false true true true true true false false true true true true true true true true true false X SHELLY TRENT 3167193200 8200 E THORN DRIVE SUITE 300 Wichita KS 67226 X Apostolos Evangelidis MD 1.0 X 0 0 0 David Hadley 1.0 X 0 558974 85162 David Gambino 1.0 X 0 521595 71696 Doug Hinkin MD 1.0 X 0 0 0 Hal Taylor 1.0 X 0 0 0 Henry Doering 1.0 X 0 0 0 John Broberg 50.0 X X 0 344539 51931 Lance White 1.0 X X 0 0 0 Sister Lois Ann O'Malley 1.0 X X 0 0 0 Mark Gros MD 1.0 X 0 0 0 Mark Knackendoffel 1.0 X 0 0 0 Michael Cates 1.0 X 0 0 0 Mike Daniels 1.0 X X 0 0 0 Nancy O'Conner 1.0 X 0 0 0 Pat Bosco 1.0 X 0 0 0 Randall Peterson 1.0 X 0 640820 135270 Robert Duff 1.0 X 0 0 0 Tom Holcombe 1.0 X X 0 0 0 Tracey DeBruyn 1.0 X 0 0 0 Gerald Lueger 50.0 X 121084 0 12058 Susan Morgan 50.0 X 0 0 0 Marcia Bubak 50.0 X 175056 0 20531 Fadi V Bedros MD 50.0 X 384805 0 15793 Vishwanatha Nadig MD 50.0 X 640177 0 14796 Casey Poell MD 50.0 X 272136 0 7998 Priyantha S Ranaweera MD 50.0 X 645553 0 14531 David Wichman MD 50.0 X 225845 0 13476 Richard Allen 0.0 X 0 242295 0 Janet Criqui 0.0 X 167748 0 5671 2632404 2308223 448913 28 true true false EMERGENCY PHYSICIANS OF MANHATTAN 8717 W 110th Street Suite 500 OVERLAND PARK KS 66210 PROFESSIONAL Service 710800 TRIMEDX LLC PO BOX 636129 CINCINNATI OH 45263 management service 1270556 Aureus Radiology LLC PO Box 3037 OMAHA NE 68103 contract labor 319980 Institute of Extracorporeal Therapi 3521 Gary Avenue MANHATTAN KS 66503 Dialysis 129271 Dr Fadi Bedros 4809 Vue Du Lac Place MANHATTAN KS 66503 physician services 164800 5 40311 40311 NET PATIENT SERVICE REVENUE 621110 83556223 83422079 134144 EMS 621990 2282679 2282679 MEANINGFUL USE REVENUE 621110 1500000 1500000 PHARMACY 446110 47069 47069 WELLNESS & FITNESS 624100 12305 12305 87398276 908438 74 908364 0 0 170148 187852 -17704 -17704 7383 -25087 674392 42280 0 658029 674392 -615749 58643 58643 0 0 0 FOOD SERVICES 722210 483935 483935 MANAGEMENT 541900 300553 281597 18956 EDUCATION 611600 64982 64982 616331 513737 59260 43334 1465801 89853765 88124448 219817 1469189 10000 10000 0 0 0 518809 182949 335860 0 32783605 28980201 3803404 92286 28381 63905 4933838 4425963 507875 2401789 2005879 395910 2033748 2033748 27198 15517 11681 20937 20937 0 0 0 13923066 6396176 7526890 212740 1421 211319 13933392 13695958 237434 220441 33836 186605 0 1821743 1653508 168235 138419 67157 71262 0 16014 1421 14593 2358107 2354638 3469 0 5397491 5202870 194621 1115277 1108348 6929 VEHICLE FUEL & MAINTENANCE 196784 196618 166 MEMBERSHIP DUES 185003 20984 164019 DONATION & GIFTS 146022 139758 6264 PHYSICIAN RECRUITMENT COST 93404 3700 89704 291683 49564 242119 82871796 66574847 16296949 0 7342087 8262769 7723776 10926120 0 0 12300853 12534703 0 0 0 0 0 0 2577413 2552958 28042 1321711 113786797 57312597 60497383 56474200 0 0 19226297 18087997 0 0 0 0 12971242 20247655 122667093 130408113 7027590 7059011 0 0 0 0 30101599 30380000 0 0 0 0 795393 0 0 0 12784259 10591834 50708841 48030845 X 71958252 82377268 0 0 0 0 71958252 82377268 122667093 130408113 X 6981969 3437047 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11089 11089 false Lobbying Activities Part II-B, Question 1i A Portion of dues paid to the various organizations listed below is used for lobbying. Dues % Lobbying Total AHA 15,283 24.60% 3,760 KHA 48,148 14.90% 7,174 Chamber of Commerce 3,103 5.00% 155 ------ ----- 66,534 11,089 0 733250 733250 0 70254017 25650306 44603711 1840078 1593253 246825 0 36235085 27561084 8674001 0 4724367 2507954 2216413 56474200 LONG TERM INVESTMENTS 18087997 F 18087997 CHAMPUS/TRICARE SETTLEMENT 463641 SETTLEMENT RECEIVABLE 8502 OTHER CURRENT ASSETS - UNREL 934475 BOARD DESIGNATED FUNDS 11418187 SELF INSURANCE ARRANGEMENTS 2565344 MEDICARE CURRENT SETTLEMENT 1759608 INVESTMENT IN MRHMS 289616 INVESTMENT IN MILLC 503637 INVESTMENT IN WHA 1372815 ISSUANCE COST 931830 20247655 0 MEDICAID SETTLEMENT 29729 ASSET RETIREMENT OBLIGATION 4973775 VCHS NOTE PAYABLE 5450907 LEASE PAYABLE 137423 10591834 FIN 48 (ASC 740) Footnote Part X, Question 2 The organization follows the FIN 48 policy of Via Christi Health, Inc. (VCH) and the policy is provided in the VCH consolidated audited financial statements. With the exception of certain subsidiaries, all of the entities in the Health System are organizations under Section 501(c)(3) of the Internal Revenue Code and are generally exempt from payment of income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. Subsidiaries which are for-profit organizations are subject to federal and state income taxes. Accounting principles generally accepted in the United States of America require the Health System's management to evaluate tax positions taken by the Health System and its subsidiaries and recognize a tax liability (or asset) if an uncertain position has been taken that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions by the Health System and its subsidiaries, and has concluded that as of September 30, 2012 and 2011, there were no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. Tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Income tax expense or benefit is included in other nonoperating gains and losses in the consolidated statements of operations and changes in net assets. Deferred tax assets and liabilities are measured using enacted tax rates expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. true true X true X true X true true false true true 2319000 2319000 0.02800 5255000 3805000 1450000 0.01750 7574000 3805000 3769000 0.04550 400701 29157 371544 0.00450 189579 189579 0.00230 740494 740494 0.00890 1330774 29157 1301617 0.01570 8904774 3834157 5070617 0.06120 229 229 124 124 4397 4397 0.00010 4750 4750 0.00010 true 1523663 24890226 25100294 -210068 X true true 1 1 MERCY REGIONAL HEALTH CENTER INC

1823 COLLEGE AVENUE MANHATTAN KS 66502

X X X MERCY REGIONAL HEALTH CENTER INC 1 true true 200. true 400. true X X X X X X X true true X X X true false true X false false 12 WOMEN'S IMAGING

1133 COLLEGE AVE BLDG G SUITE 130 MANHATTAN KS 66502

OUTPATIENT DIAGNOSTIC SERVICES BEHAVIORAL HEALTH SERVICES

1105 SUNSET AVE MANHATTAN KS 66505

OUTPATIENT BEHAVIORAL HEALTH CLINIC DIABETES CENTER

1105 SUNSET AVE MANHATTAN KS 66505

DIABETES EDUCATION CLINIC RILEY COUNTY EMS

2011 CLAFLIN ROAD MANHATTAN KS 66505

EMERGENCY MEDICAL SERVICES POTTAWATOMIE COUNTY EMS - WAMEGO

406 MILLER DR SUITE F WAMEGO KS 66547

EMERGENCY MEDICAL SERVICES POTTAWATOMIE COUNTY EMS - WESTMORELAND

312 MAIN STREET WESTMORELAND KS 66549

EMERGENCY MEDICAL SERVICES MERCY EAST

415 E POYNTZ AVE MANHATTAN KS 66502

OUTPATIENT REHABILITATION SERVICES MERCY WEST

315 S SETH CHILD RD MANHATTAN KS 66502

OUTPATIENT REHABILITATION SERVICES AND OCCUPATIONAL HEALTH SERVICES SLEEP DISORDERs SERVICES

1105 SUNSET AVE MANHATTAN KS 66505

SLEEP LAB SERVICES PAIN MANAGEMENT CLINIC

1105 SUNSET AVE MANHATTAN KS 66505

OUTPATIENT PAIN MANAGEMENT CLINIC MERCY LIGHT

1105 SUNSET AVE MANHATTAN KS 66505

MEDICALLY SUPERVISED WEIGHT MANAGEMENT SENIOR ADULT PROGRAM

1105 SUNSET AVE MANHATTAN KS 66505

SENIOR ADULT DAY PROGRAM ANNUAL COMMUNITY BENEFIT REPORT PART I, Question 6a A community benefit update is printed in the ministry's annual report which is released in various formats to the public and available from the ministry's webpage at www.viachristi.org/about-us or upon request. In addition, Via Christi makes public presentations, when invited, on the findings of the latest health needs assessment. MRHC and Wamego City Hospital's (WCH) annual report is prepared and printed in "Up Close," a magazine printed with 2,400 copies distributed to surrounding communities of Clay Center, Manhattan, and Wamego. "Up Close" is also available on MRHC's website at www.mercyregional.org. COMMUNITY BENEFIT PROGRAMS PART I, Question 7 For examples of some of the community benefit programs provided by Mercy Regional Health Center, Inc. and Wamego Hospital Association, Inc. (a combined report) see the Schedule O footnote for Part III, Statement of Program Services. COMMUNITY BUILDING ACTIVITIES PART II Community building activities are essential roles for health care organizations in that they address many of the underlying determinants of health. Research has consistently shown that when the socioeconomic factors influencing health are explored, health care actually plays a smaller role proportionately. A report in the Journal of American Medical Association and the Center for Disease Control suggests that the determinants impacting health are as follows: lifestyle and behaviors, 50%; environment, 20%; genetics and human biology, 20%; and health care, 10%. Community building activities help to address the other determinants outside of the role traditionally played by health care organizations. The hospital provides timely and specific resources to help community organizations through donations to fulfill their missions of improving the well-being of the community and contributing to its overall health status in ways that may differ from direct clinical services provided by the hospital. These activities are almost exclusively done in partnership with other community organizations which are better suited to address identified community needs. Listed below are just a few of the Community Building activities reported by our hospital during FY2012. This is not a complete listing but a sampling of how the hospital participates in the health of the community through its Community Building activities. Presentations made to the Chamber of Commerce meetings in Manhattan, Wamego, and other surrounding communities to update them on the results of the community health needs assessments, strategic plans of the hospital and participation in discussions regarding economic development and workforce development all benefit the communities. Actively sharing the findings of the community health needs assessments allows other Chamber members to be aware of the most up-to-date information and gives them an opportunity to partner with the hospital and other area businesses in finding solutions. The National Bioscience Agricultural Facility (NBAF) Participated in a community update forum with area universities, colleges, and nonprofit institutions to hear and learn about the opportunities being provided to the region by the NBAF. Their focus is to recruit more scientists in the area, as well as health care professionals and technicians, to conduct bioscience research, development, testing, and product commercialization activities. By participating in this event, MRHC leaders become more knowledgeable about the type of scientists and researchers being recruited and can assist in the promotion and ultimate recruitment. Through the research efforts of those recruited, health care best practices can be identified resulting in better health outcomes for all. 4-H Discovery Days - This youth conference, hosted by Kansas State University, brought 700+ youth (ages 13 - 18) together over three days to explore various careers and the required educational steps they will have to master to realize their dreams. Topics at the conference ranged from human biology to water quality and the environment. The youth also had an opportunity to tour a grain science flour mill to learn about food product safety development. The event is planned by the Kansas 4-H organization, but health care providers are a major contributor to the success of this event. MRHC's involvement gives students real hands-on access to those who are in fields of interests to stimulate student interests and participation. Estimating Bad Debt Expense PART III, Section A, Question 3 The organization has no suitable basis for estimating bad debt expense that would be attributable to patients eligible under the organization's charity care policy. Audit Footnote on Bad Debt Expense PART III, Section A, Question 4 The provision for bad debt expense is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payer category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debt expense to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, The Health System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to terms of certain restrictions on collection efforts as determined by the Health System. Accounts receivable are written off after collections efforts have been followed in accordance with the Health System's policies. Medicare Shortfall PART III, Section B, Question 8 MRHC follows the CHA guidelines regarding Medicare and does not include it as community benefit. The methodology described in the instructions to Schedule H, Part III, Section B, Line 7 for reporting Medicare shortfall does not take into account all costs incurred by the Hospital and does not represent the total Medicare shortfall. The Medicare shortfall reported on Schedule H, Part III, Section B, Line 7 was determined using information from the organization's Medicare cost report (using the Medicare Cost report step-down methodology of allocating costs). The most common reason for a difference between the Medicare shortfall reported on Schedule H and the actual shortfall reported above include inclusion of Medicare Advantage revenue and expenses, inclusion of Medicare Part B Revenue and Expenses, inclusion of other fee schedule revenue, other timing issues, and costs that are considered unallowable on the Medicare cost report that are, in fact, related to Medicare patient care. Debt Collection Policy Part III, Section C, Question 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 the MRHC mission by requiring ethical conduct in billing and collecting self-pay balances from patient/guarantor's regardless of ability to pay. The policy ensures that prior to turning an account over to a Third Party Collection Agent (Agent) for collection activity, 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 VCH's financial assistance policy; b. Ensure the patient/guarantor was offered a financial assistance application; c. Ensure documentation of any known extraordinary financial circumstances of the patient/guarantor or if they are medically indigent. Financial Assistance Policy Part V, Question 13g The full policy is not posted in each of these areas; however, reference to the policy is posted and the policy is immediately available to anyone who requests it. Needs Assessment PART VI, Question 2 Ministry representatives are involved with numerous coalitions that periodically assess community needs (e.g. Flint Hills Community Clinic, Kansas Health Care Collaborative, United Way of Riley County, Shepherds' Crossing and others) and in 2011 conducted their own health assessment. Secondary data, other community assessments and one-on-one interviews with community leaders, social service providers, health care providers, and government representatives are used to conduct the assessments. Patient Education of Eligibility for Assistance Part VI, Question 3 VCH financial assistance staff is trained on how to qualify patients for Medicaid, SCHIP, and other such income-based programs. During the patient's registration, admissions, and discharge processes, VCH attempts to identify patients who may be eligible for charity or discounted care through the charity care policy. In addition, VCH uses a percentage of the Federal Poverty Guidelines (FPG) to determine free and discounted care. Community Information Part VI, Question 4 The primary counties for Manhattan ministries include Riley, Geary, and Pottawatomie. Riley County has a land area of 610 square miles with a 2011 estimated population of 72,997. Pottawatomie County has a land area of 841 square miles with a 2011 estimated population of 21,920. Geary County has a land area of 385 square miles with a 2011 estimated population of 35,323. Riley County's population demographic includes: 85.0% white, 6.6% Black, 0.7% American Indian, 4.2% Asian and 7.0% 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: 94.6% white, 1.3% Black, 0.9% American Indian, 0.8% Asian persons, and 4.7% persons of Hispanic or Latino origin. The demographic distribution for Geary County includes: 70.2% white, 18.4% Black, 1.2% American Indian, 3.4% Asian and 13.1% 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 8.5% of the Riley County residents, 4.5% of the Pottawatomie County residents and 13.0% of the Geary County residents report that a language other than English is spoken at home. When it comes to education, 95.3% of Riley County residents completed high school and 45.6% had a bachelor's degree or higher. This compares to 93.2% and 29.7% for Pottawatomie County and 91.3% and 19.9% for Geary County. Median household income for Riley County residents between 2007 and 2011 was $41,427 compared to $54,309 for Pottawatomie County and $45,649 for Geary County. During this same time period, the median value of owner-occupied housing units in Riley County was $164,500 compared to $148,200 in Pottawatomie and $122,000 for Geary County residents. Riley County reports 23.6% of its residents are below poverty level compared to 6.8% for Pottawatomie and 12.5% for Geary County. The Statewide poverty level is around 12.6%. 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 2011 that 13.3% of all residents were persons 65 years of age and older. This compares to 7.3% for Riley, 12.2% for Pottawatomie and 7.5% for Geary Counties. The City of Manhattan is home to Kansas State University which has a student enrollment of 23,810 for the 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. Wamego CITY HOSPITAL is the only hospital in the City of Wamego, but it is approximately 12 miles from MRHC should emergencies call for a full-service medical center. Promotion of Community Health Part VI, Question 5 VCH and its affiliates enrich the communities in which they operate as well as the broader community, improving medicine through research, 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. Community Representation on the Governing Body - The Board of Trustees is the governing body of MRCH. The majority of the Board of Trustees is comprised of persons who reside in or around the hospital's primary market and has overall responsibility for the charitable mission of the organization as set forth in its Articles of Incorporation and ByLaws. These trustees are selected based on their expertise, experience, and other criteria established by the nominating committee of the Board of Trustees. Areas of expertise and experience include such areas as health care, finance, education, business, 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. Open Medical Staff - The medical staff of MRHC is an open medical staff and is composed of physicians, dentists, and podiatrists licensed to practice medicine in the state of Kansas. MRHC staff also participate in the community on boards of other not-for-profit organizations, government entities, foundations, area college and university committees, state-wide coalitions, etc. Flint Hills Community Clinic - In partnership with area physicians, MRHC oversees uninsured and underinsured individuals by providing staff support, as well as free diagnostic testing (e.g. lab, x-rays, etc) for the clinic. In FY2012, over 1,500 persons were served through this clinic. MRHC also donated time and SurgiStain to reprocess some of the clinics old instruments. SANE/SART is a program in response to all victims of sexual assault who present themselves to MRHC hospital. MRHC hospital staff provided them with immediate medical care and WOULD follow up with them through advocacy and criminal justice services, if appropriate. In FY2012, 62 individuals were assisted by the SANE/SART team through evidence exams, consults, and/or follow-up services. Cardiac Screenings through the Anthony Bates Foundation project provide echocardiograms and electrocardiogram tests for $20 per person. This community partnership between Kansas State Athletics, K-State Alumni Center, MRHC, and Little Apple Pilot Club is looking to reduce sudden cardiac deaths in young athletes and others at an affordable price. In FY2012, 325 people took advantage of this heart screening program. Community Boards/Committees/Coalitions - MRHC staff serve on various not-for-profit boards, committees, or coalitions to keep informed about community needs and to share MRHC resources and expertise with various groups as they work to achieve their missions. In FY2012, MRHC served with these groups: Homecare and Hospice Board; Healthy Little Apple Coalition; Sound Beginnings Advisory Committee; Flint Hills Community Clinic Board; Ministerial Alliance; American Cancer Society Camp Hope; Local Emergency Preparedness Committee; NE KS Regional Homeland Security Council; Sound Beginnings Advisory Committee, and Raising Riley Board. Kansas State University Foundation - A $10,000 donation was made for pre-health scholarships for incoming freshmen and student athletes. This program is intended to "grow your own" health care providers for the Riley County and surrounding areas. Emergency Medical Services - MRHC's EMS provides standby care for various community activities to ensure quick response of medical care should accidents occur during an event. In FY2012, MRHC provided assistance for the Riley County Rodeo; Thunder Over Manhattan; July 4th Celebrations; Juneteenth Celebrations; Alert Road Race; Job Corp Safety Day; 4-H Discover Days; St Patrick's Day Road Race; Aggieville New Years Eve Celebration; KState Football; and Spooktacular. One Community Campaign - MRHC's staff annually volunteer to coordinate the internal campaign which benefits United Way of Riley County. Staff serve as department ambassadors assisting with presentations, pledge card distribution and collection, hosting team meetings, and learning about the various programs funded through the local United Way. Community Disaster Preparations - MRHC staff participate in regional disaster drills above and beyond what is required by licensing boards to ensure other community organizations are trained and ready to go should the area experience a natural disaster. These disaster preparations included regional hospital meetings, local emergency planning committee meetings, and tabletop exercise hosted by the Manhattan Fire Department. Conference Room Availability - MRHC provides meeting space free of charge for health related not-for-profit groups. Some of the groups taking advantage of this hospitality during FY2012 include: Overeaters Anonymous; National Association of Mental Illness; Flint Hills Community Clinic; Manhattan Fire Department; Riley County Police Department and Kansas State University. Free Car Seat Safety Checks - MRHC's Emergency Medical Services Staff offer a MONTHLY safety seat check for children's car seats. During FY2012, over 160 car seats were inspected and parents/grandparents were trained on how to ensure seats are installed correctly and the importance of regularly checking that straps are secure. School Safety Expo Fair - MRHC's Emergency Medical Services Staff participated in the Manhattan Town Center expo fair. While there, they promoted the use of bicycle helmets, showing parents how to correctly measure and adjust to fit childrens' heads. Bicycle helmets were available for purchase and additional safety infoRMATION was distributed to children alerting them to maintaining their safety to and from school. Safety/Wellness Fair for Seniors - MRHC's staff participated in the Meadowlark Wellness Fair aimed at providing senior residents with information on community resources and, in partnership with the National Alzheimer's Foundation and Riley County Senior Services Center, staff conducted memory screenings for people concerned about dementia. Staff also provided speakers on memory issues and hosted an educational booth on senior related issues. Heart Education Health News - The Pump, a bi-annual newsletter, is distributed to heart patients in the community and surrounding area. The newsletter is prepared by the cardiac rehab staff and is distributed to over 1,000 individuals. Each newsletter has educational infoRMATION to provide helpful tips on living with heart disease, heart healthy nutrition suggestions, exercise to promote heart healthy outcomes, etc. Speakers Bureau Presentations - MRHC staff provide presentations on a number of topics dealing with health care, specific diseases, or on community needs. In FY2012, presentations were given at Kansas State University's Kinesiology, Civil Engineering, social work and healthcare management classes and Speech/Hearing/Language Association; Parkinson's Support Group; United Methodist Preschool Class as part of their "Healthy Body Week"; Women in the Know Organization; First Responder Class in Waterville, KS; First Responder Class in St. George; Olsberg Senior Citizen's Club, and Flu Clinic at Pottawatomie County Health Department. Support Groups - MRHC staff host several support groups geared to meet the needs of specific target populations. The cardiac support group meets monthly to discuss cardiac related health challenges and how best to overcome them through guided discussions and shared learning. Community Education - MRHC staff prepared and provided various educational opportunities for the community on a variety of topics. During FY2012, presentations were made on advance directives; living with Parkinson's; breastfeeding basics; childbirth education; daddy basics; newborn basics; super siblings; infant massage; pediatric first aid; heart saver CPR; CPR initial and renewal classes; depression and anxiety class; active shooter/school lock down training with schools and local police departments; bicycle safety/helmet use promotion presentations; emergency medical services with ambulance demonstrations; yoga class for preschoolers; First Aid training for police department; and presentations for the I CAN COPE Program, American Cancer Society's program developed for cancer survivors. Health Profession Education - area physicians, nurses, physician assistants, nursing students and other health care professi Affiliated Health Care System Part VI, Question 6 MRHC is an affiliate of Via Christi Health, Inc (VCH). VCH's affiliates are large multi-faceted, integrated, not-for-profit ministries including Hospital and Non-Hospital ministries (Physician Group Practices, Hospital organizations, Research, Home Health, Durable Medical Equipment, and Senior Facilities). These ministries work together to care for patients, joined by common systems and a philosophy of serving as a healing presence with special concern for our neighbors especially those who are vulnerable. This community benefit happens through its focus on patient care, education, and research. The organizations work together to serve their communities at the local, regional and state level. State Filing of Community Benefit Report Part VI, Question 7 Kansas does not require hospitals to file community benefit reports but Via Christi Health, Inc. distributes our community benefit totals and activities annually in press releases as well as in our annual report. true Kansas State University Foundation 2323 Anderson Avenue Suite 500 Manhattan KS 66502 480667209 501(c)(3) 10000 Scholarships 1 0 Grant Monitoring PART I, LINE 2 All grants and assistance are reviewed and approved by a grant committee consisting of members of the Board of Trustees. Grant expenses are reviewed by the accounting department and detailed grant reports are requested from all grantees. X X X X true true false false false false false false false David Hadley 0 441316 0 107317 0 10341 0 73443 0 11719 0 644136 0 0 David Gambino 0 414410 0 95511 0 11674 0 62769 0 8927 0 593291 0 0 John Broberg 0 265055 0 72373 0 7111 0 40794 0 11137 0 396470 0 0 Randall Peterson 0 502186 0 124597 0 14037 0 125809 0 9461 0 776090 0 0 Marcia Bubak 139601 0 24448 0 11007 0 9780 0 10751 0 195587 0 0 0 Fadi V Bedros MD 382520 0 0 0 2285 0 0 0 15793 0 400598 0 0 0 Vishwanatha Nadig MD 562844 0 75000 0 2333 0 0 0 14796 0 654973 0 0 0 Casey Poell MD 252377 0 18500 0 1259 0 0 0 7998 0 280134 0 0 0 Priyantha S Ranaweera MD 583225 0 59501 0 2827 0 0 0 14531 0 660084 0 0 0 David Wichman MD 224674 0 0 0 1171 0 0 0 13476 0 239321 0 0 0 Richard Allen 0 0 0 0 0 242295 0 0 0 0 0 242295 0 0 Janet Criqui 74981 0 23165 0 69602 0 774 0 4897 0 173419 0 0 0 SEVERANCE PAYMENTS PART I, QUESTION 4A Marcia Bubak $ 6,434.05 Janet Criqui $66,363.12 SUPPLEMENTAL NON-QUALIFED RETIREMENT PLAN PART I, QUESTION 4B Paid by the Filing Organization: Marcia Bubak $ 9,124.65 Paid by a Related Organization: David Gambino $ 44,393.63 David Hadley $ 57,517.71 John Broberg $ 21,695.48 Randall Peterson $105,226.91 Suzanne Broberg Employee 14481 Wages false FORM 990 REVIEW PART VI, SECTION B, QUESTION 11B A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES VIA A SECURE EMAIL PRIOR TO FILING WITH THE IRS. CONFLICT OF INTEREST POLICY PART VI, SECTION B, QUESTION 12C THE ORGANIZATION'S POLICY IS MONITORED AS PART OF THE SYSTEM-WIDE PROCEDURES 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 ORGANZIATION IS OPERATING CONSISTENT WITH THE POLICY AND ENFORCING THE POLICY'S TERMS. COMPENSATION REVIEW PART VI, SECTION B, QUESTIONs 15A & 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. GOVERNING DOCUMENTS PART VI, SECTION C, QUESTION 19 MERCY REGIONAL HEALTH CENTER, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. MEMBERS PART VI, SECTION A, Questions 6, 7A, & 7B VIA CHRISTI HEALTH, INC. AND MEMORIAL HOSPITAL ASSOCIATION, INC. ARE THE MEMBERS. THE MEMBERS MAY APPROVE AND REMOVE INDIVIDUALS ON THE BOARD OF TRUSTEES. ARTICLE 2 OF THE BYLAWS PROVIDE THE MEMBERS WITH THE FOLLOWING POWERS: *Approve, before they may become effective, all mission, philosophy, and value statements of the corporation and all amendments thereto; *Monitor compliance with the mission and philosophy of the corporation through receipt of annual reports, financial statements and other pertinent information; *Approve Articles of Incorporation and Bylaws of the corporation or amendments thereto; *Approve appointment and removal of all Directors of the corporation; *Approve, before it may become effective, any merger or consolidation involving the corporation; *Approve any partial or total dissolution of the corporation; *Approve the issuance of any debt by the corporation in excess of $1 million or the amount specified in writing from time to time by the Corporate Members; *Approve all transfers, leases, encumbrances or other conveyances of the property of all assets of the corporation in excess of $1 million or the amount specified in writing from time to time by the Corporate Members; *Approve, before it may become effective, the creation of any subsidiary organization to the corporation; *Receive reports on all operating and capital budgets of the corporation; *Receive reports on all unbudgeted expenses in excess of $50,000 or the amount specified in writing from time to time by the Members; *Receive information and reports on all long-range strategic and financial plans of the corporation; and *Receive reports on all alliances and affiliations entered into by the corporation. OTHER CHANGES IN NET ASSETS PART XI, Question 5 UNREALIZED GAIN 3,066,116 NET PENSION ADJUSTMENT 125,409 K-1 ADJUSTMENTS: PFI LLC (66,008) MERCY IMAGING LLC 311,530 245,522 ----------- TOTAL 3,437,047 Statement of Program Services PART III Mercy Regional Health Center, Inc. (MRHC) is a member of Via Christi Health, Inc. (VCH). As a Catholic health system, VCH has its origins in faith-based responses to health needs of our communities, with a particular concern for those living in poverty and who are vulnerable. In addition to typical inpatient and outpatient services, VCH operates primary care clinics, a low income neighborhood outreach clinic, specialty hospitals and centers, home medical services, therapy centers, and long-term care villages. The obligation to reach out to those in need and to improve community health flows directly from VCH's identity as a faith-based healing ministry. VCH continues its tradition in providing community benefit because we are committed to: * Promoting and defending human dignity; * Caring for persons living in poverty and other vulnerable populations; * Promoting the common good; and * Stewarding resources responsibly. According to the VCH mission statement, "As a part of Via Christi Health, we share this Mission: Inspired by the Gospel and our Catholic tradition, we serve as a healing presence with special concern for our neighbors who are vulnerable." The financial information in this report was prepared in accordance with the Catholic Health Association's (CHA) A Guide for Planning and Reporting Community Benefit Guidelines. Per these Guidelines, we report the net expense for community benefit services, i.e., the total community benefit expense minus any associated revenue from patients, residents, payers, and other external sources. The CHA Guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the Guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health for all. The following are MRHC definitions for quantifiable community benefits reports. Charity Care: Free or discounted health services provided to persons who cannot afford to pay and who meet VCH's criteria for financial assistance. Charity care is reported in terms of costs, not charges. Charity care does not include bad debt. Government Sponsored Means-Tested Health Care: Includes unpaid costs of public programs for low-income persons - the shortfall created when VCH receives payments that are less than the cost of caring for public program beneficiaries. This payment shortfall is not the same as a contractual allowance, which is the full difference between charges and government payments. Health Professions Education: Helping to prepare future health care professionals is a distinguishing characteristic of not-for-profit health care and constitutes a significant community benefit. This category includes programs and financial assistance for physicians and medical students, nurses and nursing students, interns, and other health professionals. For fiscal year ended September 30, 2012 Community Benefit (MRHC and Subsidiaries): 1. Charity care - at cost $2.4 million 2. Government sponsored health care, net expense $1.8 million Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, other safety net programs; does not include Medicare shortfall) 3. Community Benefit Programs - net expense $1.4 million 4. Total Quantifiable Community Benefit $5.6 million Listed below are just a few of the community benefit programs offered by MRHC and Wamego City Hospital (WCH) during FY2012. This is not a complete listing but a sampling of how the hospital gives back to the community while meeting current needs; additional information is provided on Schedule H. Flint Hills Community Clinic - In partnership with area physicians, MRHC oversees uninsured and underinsured individuals by providing staff support, as well as free diagnostic testing (e.g. lab, x-rays, etc) for the clinic. In FY2012, over 1,500 persons were served through this clinic. MRHC also donated time and SurgiStain to reprocess some of the clinics old instruments. SANE/SART is a program in response to all victims of sexual assault who present themselves to MRHC hospital. MRHC hospital staff provided them with immediate medical care and WOULD follow up with them through advocacy and criminal justice services, if appropriate. In FY2012, 62 individuals were assisted by the SANE/SART team through evidence exams, consults, and/or follow-up services. Community Boards/Committees/Coalitions - MRHC staff serve on various not-for-profit boards, committees, or coalitions to keep informed about community needs and to share MRHC resources and expertise with various groups as they work to achieve their missions. In FY2012, MRHC served with these groups: Homecare and Hospice Board; Healthy Little Apple Coalition; Sound Beginnings Advisory Committee; Flint Hills Community Clinic Board; Ministerial Alliance; American Cancer Society Camp Hope; Local Emergency Preparedness Committee; NE KS Regional Homeland Security Council; Sound Beginnings Advisory Committee, and Raising Riley Board. Emergency Medical Services - MRHC's EMS provides standby care for various community activities to ensure quick response of medical care should accidents occur during an event. In FY2012, MRHC provided assistance for the Riley County Rodeo; Thunder Over Manhattan; July 4th Celebrations; Juneteenth Celebrations; Alert Road Race; Job Corp Safety Day; 4-H Discover Days; St Patrick's Day Road Race; Aggieville New Years Eve Celebration; KState Football; and Spooktacular. One Community Campaign - MRHC's staff annually volunteer to coordinate the internal campaign which benefits United Way of Riley County. Staff serve as department ambassadors assisting with presentations, pledge card distribution and collection, hosting team meetings, and learning about the various programs funded through the local United Way. Free Car Seat Safety Checks - MRHC's Emergency Medical Services Staff offer a MONTHLY safety seat check for children's car seats. During FY2012, over 160 car seats were inspected and parents/grandparents were trained on how to ensure seats are installed correctly and the importance of regularly checking that straps are secure. School Safety Expo Fair - MRHC's Emergency Medical Services Staff participated in the Manhattan Town Center expo fair. While there, they promoted the use of bicycle helmets, showing parents how to correctly measure and adjust to fit childrens' heads. Bicycle helmets were available for purchase and additional safety infoRMATION was distributed to children alerting them to maintaining their safety to and from school. Safety/Wellness Fair for Seniors - MRHC's staff participated in the Meadowlark Wellness Fair aimed at providing senior residents with information on community resources and, in partnership with the National Alzheimer's Foundation and Riley County Senior Services Center, staff conducted memory screenings for people concerned about dementia. Staff also provided speakers on memory issues and hosted an educational booth on senior related issues. Overall, MRHC and Wamego City Hospital combined community benefit programs (not counting unpaid reimbursement of Medicare or bad debt) accounted for $5.9 million to the geographical area of Manhattan and Wamego, Kansas for FY2012. Leadership Committee Part VI, Section A, Question 1a The bylaws of Mercy Regional Health Center, Inc. provide for a Leadership Committee, consisting of the chairperson, the vice chairperson, the immediate past chairperson, the president, the secretary, and the treasurer of the Board of Directors and two members appointed at-large. The Leadership Committee shall have power to transact all regular business of the Board of Directors during the period between meetings, subject to any prior limitation imposed by the Board. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Hadley TITLE:Trustee HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Gambino TITLE:Trustee HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Randall Peterson TITLE:Trustee; Term. 4/20/12 HOURS:49 Ascension Health PO Box 45998 St Louis MO 63145 311662309 Hlth Sys Gov MO 501(c)(3) 11-I NA false Catholic Care Center Inc 6700 E 45th St N Wichita KS 67226 481067110 Rtrmnt Home KS 501(c)(3) 09 NA false Cornerstone Assisted Living Inc 2622 W Central Suite 100 Wichita KS 67203 481241079 Rtrmnt Home KS 501(c)(3) 09 NA false Gerard House Inc 3144 N Hood Wichita KS 67204 481049532 Shelter KS 501(c)(3) 07 NA false Marian Health System Inc 1923 South Utica Avenue Tulsa OK 74104 363659989 Hospital Supp DE 501(c)(3) 11-I NA false Mercy Community Health Foundation Inc 1823 College Avenue Manhattan KS 66502 481152279 Foundation KS 501(c)(3) 09 MRHC true Mercy Regional Home Medical 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03 NA false Via Christi Village Georgetown Inc 1655 S Georgetown Wichita KS 67218 481129325 Rtrmnt Home KS 501(c)(3) 09 NA false Via Christi Village Manhattan Inc 2800 Willowgrove Rd Manhattan KS 66502 481078862 Rtrmnt Home KS 501(c)(3) 09 NA false Via Christi Village McLean Inc 777 N McLean Blvd Wichita KS 67203 481247723 Rtrmnt Home KS 501(c)(3) 09 NA false Via Christi Village Ponca City Inc 1601 Academy Road Ponca City OK 74604 731153337 Rtrmnt Home OK 501(c)(3) 09 NA false Via Christi Village Pittsburg Inc 1502 E Centennial Dr Pittsburg KS 66762 743070971 Rtrmnt Home KS 501(c)(3) 09 NA false Via Christi Villages Inc 2622 W Central Suite 100 Wichita KS 67206 480559086 Mgmt Co KS 501(c)(3) 11-III FI NA false Wamego Hospital Association Inc 711 Genn Drive Wamego KS 66547 721526400 Hospital KS 501(c)(3) 03 MRHC true Ambulatory Surgery Center LP 8200 E Thorn Drive Suite 300 Wichita KS 67226 481007220 Surgery Ctr KS NA n/a AMS Diagnostics LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 481223653 Radiology Svc KS NA n/a Kansas Surgery and Recovery Ctr 8200 E Thorn Drive Suite 300 Wichita KS 67226 481148580 Surgery Ctr KS NA n/a Mercy Imaging LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 481251984 Diagnostic Im KS MRHC RELATED -311530 false 0 false 0.75000 MR Imaging Center LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 481000538 Radiology Svc KS NA n/a PFI LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 721557076 Med Chem Mfg KS NA RELATED 66008 false 0 false 0.03165 Preferred PET Imaging of KS LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 481250123 Diagnostic Im KS NA N/A St Joseph MRI LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 481007220 Medical Svcs KS NA N/A Via Christi Cyberknife LLC 8200 E Thorn Drive Suite 300 Wichita KS 67226 354588711 Radiology Svc KS NA N/A Affiliated Medical Services Lab Inc 2916 E Central Wichita KS 67214 481239522 Medical Lab KS NA C Corp Integrated Healthcare Systems Inc 3311 East Murdock Wichita KS 67208 480941549 Clinic Svcs KS NA C Corp Sunflower Assurance LTD PO Box 1085 Grand Cayman CJ KY1-1102 980223159 Insurance Co CJ NA Foreign Corp Via Christi Clinic PA 3311 East Murdock Wichita KS 67208 480993446 Prof Assoc KS NA C Corp VCH Iowa PC 8200 E Thorn Drive Suite 300 Wichita KS 67226 273983977 Holding Co IA NA Trust VCH Iowa PC Trust 8200 E Thorn Drive Suite 300 Wichita KS 67226 276937322 Ben Trust IA NA Trust true false true false false false false false false false true false false true false true false true Wamego Hospital Association Inc p 301083 FMV Wamego Hospital Association Inc k 68250 FMV Mercy Imaging Center LLC k 75655 FMV Mercy Imaging Center LLC n 175334 FMV Mercy Imaging Center LLC a 74 FMV Mercy Community Health Foundation Inc c FMV Related Tax Exempt Organizations Part II MERCY REGIONAL HEALTH CENTER, INC. IS CONTROLLED BY VIA CHRISTI HEALTH, INC. VIA CHRISTI HEALTH, INC. IS JOINTLY SPONSORED AND CONTROLLED BY ASCENSION HEALTH AND MARIAN HEALTH SYSTEM, WHICH IN TURN ARE SPONSORED BY THE SISTERS OF THE SORROWFUL MOTHER, FOUR PROVINCES OF THE DAUGHTERS OF CHARITY, THE CONGREGATION OF ST. JOSEPH, AND THE SISTERS OF ST. JOSEPH OF CARONDELET. DUE TO SUCH SPONSORSHIP AND CONTROL, AND IN THE INTEREST OF INCREASED CLARITY AND TRANSPARENCY, BOTH ASCENSION HEALTH AND MARIAN HEALTH SYSTEM ARE BEING LISTED AS RELATED ORGANIZATIONS ON SCHEDULE R.