MANHATTAN COMMUNITY HEALTH FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MANHATTAN COMMUNITY HEALTH FOUNDATION (EIN 48-1152279)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-13
- IRS object ID
- 201312259349303131
- Schema version
- 2011v1.5
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-13T16:49:48-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8300 THORN DRIVE SUITE 300 | AddressLine1 |
| City | WICHITA | City |
| State | KS | State |
| ZIP Code | 672262708 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481152279 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Community Health Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARGARET MICHAL | InCareOfName |
| Name Control | MERC | NameControl |
| Phone | 7855875462 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 13 | AddressLine1 |
| City | Manhattan | City |
| State | KS | State |
| ZIP Code | 665050013 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Margaret Michal | Name |
| Title | Executive Director | Title |
| Date Signed | 2013-08-01 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kimberly Temple | Name |
| Phone | 3162653231 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Margaret Michal | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 523826 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mercyhealthcenter.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | TO PROMOTE HEALTH IN THE MANHATTAN, KANSAS COMMUNITY AND SURROUNDING AREAS BY RAISING FUNDS IN SUPPORT OF MERCY REGIONAL HEALTH CENTER, INC. AND ITS PROGRAMS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 451569 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 343296 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 149581 | InvestmentIncomePriorYear |
| Investment Income Current Year | 163320 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -36192 | OtherRevenuePriorYear |
| Other Revenue Current Year | -34937 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 564958 | TotalRevenuePriorYear |
| Total Revenue Current Year | 471679 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 48313 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 372672 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 45989 | OtherExpensePriorYear |
| Other Expenses Current Year | 40275 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 94302 | TotalExpensesPriorYear |
| Total Expenses Current Year | 412947 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 470656 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 58732 | RevenuesLessExpensesCY |
| Total Assets BOY | 3576378 | TotalAssetsBOY |
| Total Assets EOY | 3818732 | TotalAssetsEOY |
| Total Liabilities BOY | 5946 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7062 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3570432 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3811670 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROMOTE HEALTH IN THE MANHATTAN, KANSAS COMMUNITY AND THE SURROUNDING AREAS IN A MANNER NOT INCONSISTENT WITH THE MISSON OF MERCY REGIONAL HEALTH CENTER, INC. (MRHC) OF MANHATTAN, KANSAS BY DEVELOPING AND MAINTAINING INITIATIVES IN PRIVATE FUND RAISING, FINANCIAL MANAGEMENT, AND VOLUNTEERISM. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 397044 | Expense |
| Grants | 372672 | Grants |
| Description | TO PROVIDE ASSISTANCE TO MERCY REGIONAL HEALTH CENTER, INC. | Description |
| Total Program Service Expense | 397044 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARGARET MICHAL | NamePerson |
| Telephone Number | 7855875462 | TelephoneNumber |
Address US AddressUS
| 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) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Randall Anderes | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Richard Baker MD | ||||||
| Chair | 1.0 | X | 0 | 0 | 0 | X |
| James Barber | ||||||
| Trustee | 1.0 | X | 0 | 216485 | 38471 | |
| Tom Barth MD | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Tracey DeBruyn | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Joe Downey | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Frederick Freeman MD | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| John R Graham | ||||||
| Secretary/Treasurer | 1.0 | X | 0 | 0 | 0 | X |
| Jackie Hartman | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Tom Holcombe | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Mark Hungerford | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Richard Jankovich | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Nancy Knopp | ||||||
| Auxiliary President | 1.0 | X | 0 | 0 | 0 | X |
| Bob Krause | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Chad Lohman | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Peggy Lyons | ||||||
| Nominating Chair | 1.0 | X | 0 | 0 | 0 | X |
| David Pauls MD | ||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |
| Shon Robben | ||||||
| Secretary | 1.0 | X | 0 | 0 | 0 | X |
| Belinda Snyder | ||||||
| Vice Chair | 1.0 | X | 0 | 0 | 0 | X |
| John Broberg | ||||||
| President | 1.0 | X | 0 | 344539 | 51931 | X |
| Margaret Michal | ||||||
| Executive Director | 40.0 | 53488 | 0 | 11131 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 53488 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 561024 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 101533 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 112962 | FundraisingEvents |
| Related Organizations | 102482 | RelatedOrganizations |
| Government Grants | 10000 | GovernmentGrants |
| All Other Contributions | 117852 | AllOtherContributions |
| Total Contributions | 343296 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 103697 | TotalRevenueColumn |
| Exclusion | $103,697 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 59623 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 59623 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 59623 | TotalRevenueColumn |
| Exclusion | $59,623 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 17210 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 112962 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 52147 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -34937 | TotalRevenueColumn |
| Exclusion | -$34,937 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 471679 | TotalRevenueColumn |
| Exclusion | $128,383 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357852 | Total |
| Program Services | 357852 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14820 | Total |
| Program Services | 14820 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2407 | Total |
| Management And General | 2407 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3000 | Total |
| Management And General | 3000 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 929 | Total |
| Management And General | 929 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 643 | Total |
| Management And General | 643 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 388 | Total |
| Management And General | 388 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2306 | Total |
| Management And General | 2306 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| ONE COMMUNITY | 6821 | 6821 | |
| WOMEN & CHILDREN | 5155 | 5155 | |
| INFECTION CONTROL IT | 4648 | 4648 | |
| DONOR APPRECIATION | 4313 | 4313 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9665 | Total |
| Program Services | 7748 | ProgramServices |
| Management And General | 1917 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412947 | Total |
| Program Services | 397044 | ProgramServices |
| Management And General | 15903 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95523 | BOY |
| EOY | 60640 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1526 | BOY |
| EOY | 50606 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136 | BOY |
| EOY | 500 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 23262 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 23262 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2306 | BOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3476887 | BOY |
| EOY | 3706986 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3576378 | BOY |
| EOY | 3818732 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 842 | BOY |
| EOY | 2637 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5104 | BOY |
| EOY | 4425 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5946 | BOY |
| EOY | 7062 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99004 | BOY |
| EOY | 184545 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2686007 | BOY |
| EOY | 2837105 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 785421 | BOY |
| EOY | 790020 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3570432 | BOY |
| EOY | 3811670 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3576378 | BOY |
| EOY | 3818732 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 58732 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 182506 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 287708 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 179278 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 181484 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 451569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 343296 | CurrentTaxYear |
| Total | 1443335 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 136829 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 147434 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12445 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17210 | CurrentTaxYear |
| Total | 313918 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 287708 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 316107 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 328918 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 464014 | CurrentTaxYearMinus1Year |
| Current Tax Year | 360506 | CurrentTaxYear |
| Total | 1757253 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 8786 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18050 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 161649 | CurrentTaxYearMinus1Year |
| Current Tax Year | 56770 | CurrentTaxYear |
| Total | 245255 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 8786 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18050 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 161649 | CurrentTaxYearMinus1Year |
| Current Tax Year | 56770 | CurrentTaxYear |
| Total | 245255 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1511998 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 105961 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 89608 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 74695 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 149581 | CurrentTaxYearMinus1Year |
| Current Tax Year | 103697 | CurrentTaxYear |
| Total | 523542 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 105961 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 89608 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 74695 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 149581 | CurrentTaxYearMinus1Year |
| Current Tax Year | 103697 | CurrentTaxYear |
| Total | 523542 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 393669 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 405715 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 403613 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 613595 | CurrentTaxYearMinus1Year |
| Current Tax Year | 464203 | CurrentTaxYear |
| Total | 2280795 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.66293 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.75989 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.22954 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.24011 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 596515 | BeginningOfYearBalance |
| Contributions | 78774 | Contributions |
| Investment Earnings Or Losses | 105663 | InvestmentEarningsOrLosses |
| Administrative Expenses | 2017 | AdministrativeExpenses |
| End Of Year Balance | 778935 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 367088 | BeginningOfYearBalance |
| Contributions | 240149 | Contributions |
| Investment Earnings Or Losses | -9401 | InvestmentEarningsOrLosses |
| Administrative Expenses | 1321 | AdministrativeExpenses |
| End Of Year Balance | 596515 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 225912 | BeginningOfYearBalance |
| Contributions | 119815 | Contributions |
| Investment Earnings Or Losses | 22183 | InvestmentEarningsOrLosses |
| Administrative Expenses | 822 | AdministrativeExpenses |
| End Of Year Balance | 367088 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 87086 | BeginningOfYearBalance |
| Contributions | 126318 | Contributions |
| Investment Earnings Or Losses | 12887 | InvestmentEarningsOrLosses |
| Administrative Expenses | 379 | AdministrativeExpenses |
| End Of Year Balance | 225912 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23262 | OtherCostOrOtherBasis |
| Depreciation | 23262 | Depreciation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | GIFT ANNUITY | Description |
| Amount | $4,425 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4425 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS | PART V, QUESTION 4 | THE FUNDS ARE USED FOR SCHOLARSHIP DISTRIBUTIONS. |
| 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. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Gala | NameOfEvent1 |
| Gross Receipts Event1 | 64617 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 58917 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 5700 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 8475 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 10155 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Golf | NameOfEvent2 |
| Gross Receipts Event2 | 60790 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 54045 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 6745 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 29772 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 1001 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 4765 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 4765 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 471 | RentFacilityCostsOtherEvents |
| Other Direct Expenses Other Events | 2273 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 130172 | GrossReceiptsTotal |
| Charitable Contributions Total | 112962 | CharitableContributionsTotal |
| Gross Revenue Total Events | 17210 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 38718 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 13429 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 52147 | DirectExpenseSummaryEvents |
| Net Income Summary | -34937 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| United Way of Riley County | |||||||
| PO Box 922 | Manhattan | KS | 66505 | 480847598 | 501(c)(3) | 11292 | Employee Campaign Contributions |
| Mercy Regional Health Center Inc | |||||||
| 1823 College Avenue | Manhattan | KS | 66502 | 481186704 | 501(c)(3) | 332186 | Support for Equip. & Courtyard Project |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Employee Education Assistance | TypeOfGrant |
| Number Of Recipients | 55 | NumberOfRecipients |
| Amount Of Cash Grant | 14820 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANTS PAID | Identifier |
| Return Reference | PART I, QUESTION 2 | ReturnReference |
| Explanation | Mercy Community Health Foundation, Inc. does not solicit grant applications from organizations to which it provides assistance. The Foundation provides assistance to certain organizations listed in Schedule I based on Employee Payroll Contributions; the individual contributions are forwarded to the organization as soon as the funds are received. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James Barber | |||||||||||||
| 0 | 184462 | 0 | 27821 | 0 | 4202 | 0 | 27600 | 0 | 10871 | 0 | 254956 | 0 | 0 |
| John Broberg | |||||||||||||
| 0 | 265055 | 0 | 72373 | 0 | 7111 | 0 | 40794 | 0 | 11137 | 0 | 396470 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Nonqualified Retirement Plan Paid by a Related Organization | Identifier |
| Return Reference | Section I, Question 4b | ReturnReference |
| Explanation | James Barber $11,339.49 John Broberg $21,695.48 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990 REVIEW | PART VI, SECTION B, QUESTION 11b | A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES VIA A SECURE E-MAIL PRIOR TO FILING WITH THE IRS. |
| GOVERNING DOCUMENTS | PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS ARE MAILED IN THE FORM OF AN ANNUAL REPORT TO ALL CONTRIBUTORS TO THE FOUNDATION. THEY ARE ALSO AVAILABLE ON THE FOUNDATION'S WEBSITE. OTHER PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| 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. |
| RECONCILIATION OF NET ASSETS | PART XI, QUESTION 5 | UNREALIZED GAIN $ 182,506 |
| Compensation Review | Part VI, Section B, Line 15a | Mercy Community Health Foundation 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. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:James Barber TITLE:Trustee HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:John Broberg TITLE:President HOURS:49 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| CIBOR Inc | ||||||||||
| 9229 E 27th St N Suite 200 | Wichita | KS | 67226 | 270564463 | Research | KS | 501(c)(3) | 07 | 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 Regional Health Center Inc | ||||||||||
| 1823 College Avenue | Manhattan | KS | 66502 | 481186704 | Hospital | KS | 501(c)(3) | 03 | NA | false |
| Mercy Regional Home Medical Services LLC | ||||||||||
| 2439 Claflin Road | Manhattan | KS | 66502 | 432024491 | Home Medical | KS | 501(c)(3) | 11-III O | NA | false |
| Mount Carmel Foundation Inc | ||||||||||
| 1102 E Centennial Drive | Pittsburg | KS | 66762 | 480961283 | Foundation | KS | 501(c)(3) | 11-I | NA | false |
| Salina Regional Home Medical Services | ||||||||||
| 520 S Santa Fe Ave Ste 140 | Salina | KS | 67401 | 431948057 | Home Medical | KS | 501(c)(3) | 11-III O | NA | false |
| St John's Inc | ||||||||||
| 2225 Canterbury | Hays | KS | 67601 | 202828680 | Rtrmnt Home | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Clinic Services | ||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 273984287 | Med Clinic | KS | 501(c)(3) | 11-I | NA | false |
| Via Christi Foundation Inc | ||||||||||
| 723 N McLean Blvd | Wichita | KS | 67203 | 481173588 | Foundation | KS | 501(c)(3) | 11-III FI | NA | false |
| Via Christi Health Partners Inc | ||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 480958974 | Mgmt Co | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Health Inc | ||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481172107 | Hospital Supp | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Healthcare Outreach Program | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 481236589 | Pace Communit | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Home Health Wichita Inc | ||||||||||
| 555 S Washington | Wichita | KS | 67211 | 481046371 | Home Health | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Hospital Pittsburg Inc | ||||||||||
| 1102 E Centennial Drive | Pittsburg | KS | 66762 | 480543778 | Hospital | KS | 501(c)(3) | 03 | NA | false |
| Via Christi Hospital Wichita St Teresa | ||||||||||
| 14800 W St Teresa | Wichita | KS | 67235 | 271965272 | Hospital | KS | 501(c)(3) | 03 | NA | false |
| Via Christi Hospitals Wichita Inc | ||||||||||
| 929 N St Francis | Wichita | KS | 67214 | 481172106 | Hospital | KS | 501(c)(3) | 03 | NA | false |
| VC Immediate Care Mother Mary Anne Inc | ||||||||||
| 929 N St Francis | Wichita | KS | 67214 | 208374099 | Med Clinic | KS | 501(c)(3) | 09 | NA | false |
| Via Christi InMyHome Inc | ||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 271889960 | Hlth Agency | KS | 501(c)(3) | 09 | NA | false |
| Via Christi Property Services Inc | ||||||||||
| 1100 N St Francis Suite 240 | Wichita | KS | 67214 | 480948571 | Property Mgmt | KS | 501(c)(4) | N/A | NA | false |
| Via Christi Rehabilitation Hospital Inc | ||||||||||
| 1151 N Rock Road | Wichita | KS | 67206 | 481158274 | Rehab | KS | 501(c)(3) | 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 | ||||||||||
| 711 Genn Drive | Wamego | KS | 66547 | 721526400 | Hospital | KS | 501(c)(3) | 03 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ambulatory Surgery Center LP | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481007220 | Surgery Ctr | KS | NA | N/A | 0 | 0 | false | $0 | false | |
| AMS Diagnostics LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481223653 | Radiology Svc | KS | NA | N/A | 0 | 0 | false | $0 | false | |
| Kansas Surgery and Recovery Ctr | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481148580 | Surgery Ctr | KS | NA | N/A | 0 | 0 | false | $0 | false | |
| Mercy Imaging LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481251984 | Diagnostic Im | KS | NA | N/A | 0 | 0 | false | $0 | false | |
| MR Imaging Center LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481000538 | Radiology Svc | KS | NA | N/A | 0 | 0 | false | $0 | false | |
| PFI LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 721557076 | Med Chem Mfg | KS | NA | N/A | 0 | 0 | false | $0 | false | |
| Preferred PET Imaging of KS LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481250123 | Diagnostic Im | KS | NA | N/A | 0 | 0 | false | $0 | false | |
| St Joseph MRI LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481007220 | Medical Svcs | KS | NA | N/A | 0 | 0 | false | $0 | false | |
| Via Christi Cyberknife LLC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 354588711 | Radiology Svc | KS | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Affiliated Medical Services Lab Inc | ||||||||||||||||
| 2916 E Central | Wichita | KS | 67214 | 481239522 | Medical Lab | KS | VC Health | C Corp | 0 | 0 | 1.00000 | |||||
| Integrated Healthcare Systems Inc | ||||||||||||||||
| 3311 East Murdock | Wichita | KS | 67208 | 480941549 | Clinic Svcs | KS | NA | C Corp | 0 | 0 | 1.00000 | |||||
| Sunflower Assurance LTD | ||||||||||||||||
| 980223159 | Insurance Co | NA | C Corp | 0 | 0 | 1.00000 | PO Box 1085 | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| Via Christi Clinic PA | ||||||||||||||||
| 3311 East Murdock | Wichita | KS | 67208 | 480993446 | Prof Assoc | KS | NA | C Corp | 0 | 0 | 1.00000 | |||||
| VCH Iowa PC | ||||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 273983977 | Holding Co | IA | NA | Trust | 0 | 0 | 1.00000 | |||||
| VCH Iowa PC Trust | ||||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 276937322 | Ben Trust | IA | NA | Trust | 0 | 0 | 1.00000 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Related Tax Exempt Organizations | Identifier |
| Return Reference | Part II | ReturnReference |
| Explanation | MERCY COMMUNITY HEALTH FOUNDATION, INC. IS INDIRECTLY 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. | Explanation |
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