2013-08-13T16:49:48-05:00 2012-09-30 GRANT THORNTON LLP 8300 THORN DRIVE SUITE 300 WICHITA KS 672262708 990 2011-10-01 481152279 Mercy Community Health Foundation Inc % MARGARET MICHAL MERC 7855875462 PO Box 13 Manhattan KS 665050013 Margaret Michal 2013-08-01 true Kimberly Temple 3162653231 2011 2016-02-24 21:20:13Z Margaret Michal 1823 COLLEGE AVENUE Manhattan KS 66502 523826 false X www.mercyhealthcenter.org X 1994 KS 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. 20 18 0 0 0 451569 343296 0 0 149581 163320 -36192 -34937 564958 471679 48313 372672 0 0 0 0 0 0 0 45989 40275 94302 412947 470656 58732 3576378 3818732 5946 7062 3570432 3811670 X 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. false false 397044 372672 TO PROVIDE ASSISTANCE TO MERCY REGIONAL HEALTH CENTER, INC. 397044 true true false false false false false false false true true false false false true true false true false false false false false false true false false true true true false false false false false false false false false false false false false true false false false false true 6 0 true 0 false false false false false false false false false false X 20 18 false false false false false false false true true false false true true true true true true true false false X MARGARET MICHAL 7855875462 1823 COLLEGE AVENUE MANHATTAN KS 66502 X Randall Anderes 1.0 X 0 0 0 Richard Baker MD 1.0 X X 0 0 0 James Barber 1.0 X 0 216485 38471 Tom Barth MD 1.0 X 0 0 0 Tracey DeBruyn 1.0 X 0 0 0 Joe Downey 1.0 X 0 0 0 Frederick Freeman MD 1.0 X 0 0 0 John R Graham 1.0 X X 0 0 0 Jackie Hartman 1.0 X 0 0 0 Tom Holcombe 1.0 X 0 0 0 Mark Hungerford 1.0 X 0 0 0 Richard Jankovich 1.0 X 0 0 0 Nancy Knopp 1.0 X X 0 0 0 Bob Krause 1.0 X 0 0 0 Chad Lohman 1.0 X 0 0 0 Peggy Lyons 1.0 X X 0 0 0 David Pauls MD 1.0 X 0 0 0 Shon Robben 1.0 X X 0 0 0 Belinda Snyder 1.0 X X 0 0 0 John Broberg 1.0 X X 0 344539 51931 Margaret Michal 40.0 X 53488 0 11131 53488 561024 101533 0 false true false 0 112962 102482 10000 117852 343296 0 103697 103697 0 0 59623 0 59623 59623 59623 17210 112962 52147 -34937 -34937 0 0 0 471679 128383 357852 357852 14820 14820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2407 2407 0 3000 3000 929 929 0 0 643 643 0 0 388 388 0 2306 2306 0 ONE COMMUNITY 6821 6821 WOMEN & CHILDREN 5155 5155 INFECTION CONTROL IT 4648 4648 DONOR APPRECIATION 4313 4313 9665 7748 1917 412947 397044 15903 0 95523 60640 0 0 1526 50606 136 500 0 0 0 0 0 0 0 0 0 0 23262 23262 2306 3476887 3706986 0 0 0 0 0 0 0 0 3576378 3818732 842 2637 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5104 4425 5946 7062 X 99004 184545 2686007 2837105 785421 790020 3570432 3811670 3576378 3818732 X 58732 182506 X false true true X false X 287708 179278 181484 451569 343296 1443335 136829 147434 12445 17210 313918 287708 316107 328918 464014 360506 1757253 8786 18050 161649 56770 245255 8786 18050 161649 56770 245255 1511998 105961 89608 74695 149581 103697 523542 105961 89608 74695 149581 103697 523542 393669 405715 403613 613595 464203 2280795 0.66293 0.75989 0.22954 0.24011 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 596515 78774 105663 2017 778935 367088 240149 -9401 1321 596515 225912 119815 22183 822 367088 87086 126318 12887 379 225912 1.00000 false false 23262 23262 0 GIFT ANNUITY 4425 4425 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. Gala 64617 58917 5700 8475 10155 Golf 60790 54045 6745 29772 1001 1 4765 4765 471 2273 130172 112962 17210 38718 13429 52147 -34937 true 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 2 0 Employee Education Assistance 55 14820 GRANTS PAID PART I, QUESTION 2 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. X X X X false true false false false false false false false 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 Supplemental Nonqualified Retirement Plan Paid by a Related Organization Section I, Question 4b James Barber $11,339.49 John Broberg $21,695.48 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 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 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 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 PO Box 1085 Grand Cayman CJ KY1-1102 980223159 Insurance Co CJ NA C Corp 0 0 1.00000 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 true true true true Related Tax Exempt Organizations Part II 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.