2012-08-10T09:10:41-05:00 2011-09-30 GRANT THORNTON LLP 8300 THORN DRIVE SUITE 300 WICHITA KS 672262708 990 2010-10-01 481049532 GERARD HOUSE INC GERA 3162686182 3144 N HOOD WICHITA KS 67204 MIKE WEGNER 2012-08-01 true Kimberly Temple 3162653231 2010 2016-02-24 21:20:13Z SR MARY CATHERINE SACK 3144 N HOOD WICHITA KS 67204 290422 false 0928 X www.via-christi.org X 1987 KS PROVIDES 24-HOUR RESIDENTIAL SERVICES, EDUCATION, COUNSELING, CASE MANAGEMENT AND CARE PROGRAMS FOR NEEDY PREGNANT WOMEN AND THEIR BABIES. 8 4 0 0 0 0 145858 160637 146532 106036 19684 23749 0 0 312074 290422 0 0 0 0 232563 238779 0 0 0 85365 81763 317928 320542 -5854 -30120 489095 437654 42291 44252 446804 393402 PROVIDES 24-HOUR RESIDENTIAL SERVICES, EDUCATION, COUNSELING, CASE MANAGEMENT AND CARE PROGRAMS FOR NEEDY PREGNANT WOMEN AND THEIR BABIES. false false 173543 106036 Gerard House, Inc. is a private non-profit maternity home organized for the purpose of providing 24-hour residential services, education, counseling, case management and care programs for needy pregnant women and their babies. The program provides services upholding the principles of the Catholic Church, with emphasis on the poor and underserved teen mothers of the region. These services, which provide an alternative to abortion, are available for the full term of a pregnancy and for up to two months following the birth of the infant. During the fiscal year ended September 30, 2011, services were provided to 24 women ranging in age from 14 to 19 years, and 4 babies. 24356 Coordination and distribution of infant care products and furnishings to those in need including the following: continued education and GED programs for clients, Nutrition, Parenting and Health Education programs for clients and community members. A Nurse Consultant and Medical Advisor are also critical support elements of the program. 49569 Gerard House, Inc. provides services to women unable to pay. During the fiscal year $49,567 in uncompensated care was provided. 247468 true true false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true X 1 0 true 0 false false false false false false false false false false X 8 4 false false false false true true true true true false false true true true true true true true true false X KIM STORER 3168584931 8200 E THORN DR SUITE 300 WICHITA KS 67226 X SR MARY CATHERINE SACK 1.0 X 0 66943 9695 JOHN MCCORMICK PHD 1.0 X 0 0 0 TED BARTLETT 1.0 X X 0 0 0 JAMES BARBER 1.0 X 0 221763 37952 RHONDA SCHMIDTZ 1.0 X 0 0 0 SISTER SHERRI MARIE KUHN 1.0 X 0 223457 28043 LAURA HILL 1.0 X X 0 141684 15264 BRIAN ROSE 1.0 X 0 0 0 0 653847 90954 0 false true false NA 0 160637 160637 RESIDENT FEES 623990 106036 106036 106036 9978 9978 0 0 13771 0 13771 13771 13771 0 0 0 0 290422 106036 23749 0 0 0 0 0 0 183263 118707 64556 8518 8518 34146 34146 12852 12852 12949 12949 0 11064 11064 0 0 0 95 95 0 8827 8827 0 0 7410 7410 0 0 23 23 0 0 9119 9119 1323 1323 GROCERIES 11773 11773 DONATED MERCHANDISE EXPENSE 3154 3154 CLIENT EXPENSE 6902 6902 VEHICLE FUEL & MAINTENANCE 4121 4121 MEDICAL TESTING 1571 1571 3432 3432 320542 247468 73074 0 19844 36510 370597 323477 33180 16277 1844 6879 286986 232475 63630 54511 0 0 489095 437654 18824 16941 0 3421 23467 23890 42291 44252 X 446804 393402 489095 437654 X -30120 -23282 X false true true X false X 19 203610 183175 145858 160637 693299 19 203610 183175 145858 160637 693299 693299 15522 13906 14013 9576 9978 62995 756294 696590 0.91671 0.93316 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 155354 109038 46316 31237 28521 2716 95117 89638 5479 5278 5278 0 54511 0 PENSION DEPOSITS PAYABLE 23890 23890 FIN 48 SCHEDULE D, PART X 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 ENTITIES, ALL OF THE ENTITIES IN THE HEALTH SYSTEM ARE ORGANIZATIONS DESCRIBED IN 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. 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 CARRYFORWARD. INCOME TAX EXPENSE OR BENEFIT IS INCLUDED IN OTHER NON-OPERATING GAINS AND LOSSES IN THE CONSOLIDATED STATEMENTS OF OPERATION 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. X X X X false true false false false false false false false JAMES BARBER 0 180912 0 37248 0 3603 0 27807 0 10145 0 259715 0 0 SISTER SHERRI MARIE KUHN 0 188143 0 32941 0 2373 0 19399 0 8644 0 251500 0 0 LAURA HILL 0 134078 0 6222 0 1384 0 10572 0 4692 0 156948 0 0 CEO COMPENSATION PART I, ITEM 3 THIS ORGANIZATION DOES NOT CURRENTLY HAVE A CEO. HOWEVER, WHEN A CEO IS EMPLOYED, THIS PERSON'S SALARY IS SET AFTER REVIEW OF A SALARY SURVEY FOR CEOS OF SIMILAR-TYPE ORGANIZATIONS. Supplemental Non-Qualified Retirement Paid by a Related Organization Part I, Question 4b James Barber $11,117.15 FORM 990 REVIEW PART VI, SECTION B, QUESTION 11 THE ORGANIZATION USES VIA CHRISTI HOSPITALS WICHITA, INC.'S AUDIT COMMITTEE TO REVIEW THE FORM 990. THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990 PRIOR TO THE DATE OF FILING. THE AUDIT COMMITTEE REPORTS ON THE REVIEW TO THE BOARD OF TRUSTEES AND ASSURES THAT THE BOARD HAS THE OPPORTUNITY TO REVIEW THE FINAL FORM 990 AS FILED. 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. 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, QUESTION 15 Gerard House, Inc. uses the policies established by Via Christi Health, Inc. (VCH). VCH has established a common philosophy, strategy, and processes for executive compensation to be used throughout the Via Christi Health System. VCH's philosophy, strategy and process for executive compensation are described next. 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 * 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 GERARD HOUSE, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. MEMBERS PART VI, SECTION A, Q6, 7A, AND 7B VIA CHRISTI HOSPITALS WICHITA, INC IS THE SOLE MEMBER. THE MEMBER MAY APPROVE AND REMOVE INDIVIDUALS ON THE BOARD OF TRUSTEES. ARTICLE 2 OF THE BYLAWS PROVIDE THE MEMBER WITH THE FOLLOWING POWERS: * DEFINE, APPROVE, CHANGE OR INTERPRET THE MISSION, VALUES, PURPOSE AND PHILOSOPHY OF THE CORPORATION. APPROVE THE ARTICLES OF INCORPORATION, THE BYLAWS AND ANY AMENDMENTS. * APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES. * APPROVE AND REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OF THE CORPORATION * ESTABLISH OVERALL DEBT LIMIT FOR THE CORPORATION AND APPROVE INSURANCE OF DEBT IN EXCESS OF THAT LIMIT. * APPROVE THE DISSOLUTION, MERGER OR CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF GERARD HOUSE, INC. * APPROVE ANY INDEPENDENT AUDITING FIRM FOR THE CORPORATION. * REVIEW AND APPROVE OPERATING AND CAPITAL BUDGETS AND FINANCIAL REPORTS OF THE CORPORATION. * REVIEW AND APPROVE ALL DONATIONS, TRANSFERS, LEASES, ENCUMBRANCES OR OTHER CONVEYANCES OF REAL OR PERSONAL PROPERTY CONSISTENT WITH PROVISIONS OF CANON LAW. RELATED TAX-EXEMPT ORGANIZATIONS SCHEDULE R, PART II GERARD HOUSE, 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. EMPLOYEES PART V, QUESTION 2A GERARD HOUSE, INC. DID NOT FILE FORM W-3. ALL EMPLOYEES ARE PAID BY A RELATED ORGANIZATION. RECONCILIATION OF NET ASSETS PART XI, LINE 5 UNREALIZED GAIN/LOSS (23,282) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SR MARY CATHERINE SACK TITLE:TRUSTEE HOURS:49 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:SISTER SHERRI MARIE KUHN TITLE:TRUSTEE HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LAURA HILL TITLE:SECRETARY HOURS:49 Catholic Care Center Inc 6700 E 45th St N Wichita KS 67226 481067110 Rtrmnt Home KS 501(c)(3) 9 na CIBOR INC 9229 E 27TH ST N SUITE 200 Wichita KS 67226 270564463 Research KS 501(c)(3) 9 na CORNERSTONE ASSISTED LIVING INC 3636 N Ridge Road Wichita KS 67205 481241079 Rtrmnt Home KS 501(c)(3) 9 na Via Christi Village Pittsburg Inc 1502 E Centennial Dr Pittsburg KS 66762 743070971 Rtrmnt Home KS 501(c)(3) 9 na Via Christi Village Georgetown Inc 1655 S Georgetown Wichita KS 67218 481129325 Rtrmnt Home KS 501(c)(3) 9 na Marian Health System Inc 1923 South Utica Avenue Tulsa OK 74104 363659989 Hospital Supp DE 501(c)(3) 11 na Mercy Community Health Foundation Inc 1823 College Ave Manhattan KS 66502 481152279 Foundation KS 501(c)(3) 11 na Mercy Regional Health Center Inc 1823 College Ave Manhattan KS 66502 481186704 Hospital KS 501(c)(3) 3 na Mercy Regional Home Medical Services 2439 Claflin Road Manhattan KS 66502 432024491 Home Medical KS 501(c)(3) 11 na VC Immediate Care Mother Mary Ann Inc 929 N St Francis Wichita KS 67214 208374099 Med. Clinic KS 501(c)(3) 9 na Mount Carmel Foundation 1102 E Centennial Dr Pittsburg KS 66762 480961283 Foundation KS 501(c)(3) 11 na Via Christi Hospital Pittsburg Inc 1102 E Centennial Dr Pittsburg KS 66762 480543778 Hospital KS 501(c)(3) 3 na Via Christi Village McLean Inc 777 N McLean Blvd Wichita KS 67203 481247723 Rtrmnt Home KS 501(c)(3) 9 na Salina Regional Home Medical Services 520 S Santa Fe Ave Ste 140 Salina KS 67401 431948057 Home Medical KS 501(c)(3) 11 na St John's Inc 2225 Cantebury Dr Hays KS 67601 202828680 Rtrmnt Home KS 501(c)(3) 9 na Via Christi Village Manhattan Inc 2800 Willowgrove Rd Manhattan KS 66502 481078862 Rtrmnt Home KS 501(c)(3) 9 na Via Christi Foundation Inc 723 N McLean Blvd Wichita KS 67203 481173588 Foundation KS 501(c)(3) 11 na Via Christi Health Partners Inc 8200 Thorn Drive Suite 300 Wichita KS 67226 480958974 Mgmnt Co. KS 501(c)(3) 9 na Via Christi Healthcare Outreach Program 2622 W Central Suite 100 Wichita KS 67203 481236589 PACE Communit KS 501(c)(3) 9 na Via Christi Health Inc 8200 Thorn Drive Suite 300 Wichita KS 67226 481172107 Hospital Supp KS 501(c)(3) 9 na Via Christi Home Health Wichita Inc 555 S Washington Wichita KS 67211 481046371 Home Health KS 501(c)(3) 9 na Via Christi Hospital Wichita St Teresa 929 N St Francis Wichita KS 67214 271965272 Hospital KS 501(c)(3) 3 na Via Christi Property Services Inc 1100 N St Francis Suite 240 Wichita KS 67214 480948571 Property Mgmt KS 501(c)(4) N/A NA Via Christi Hospitals Wichita Inc 929 N St Francis Wichita KS 67214 481172106 Hospital KS 501(c)(3) 3 na Via Christi Rehabilitation Hospital Inc 1151 N Rock Road Wichita KS 67206 481158274 Rehab. KS 501(c)(3) 3 na Via Christi Villages Inc 2622 W Central Suite 100 Wichita KS 67203 480559086 Mgmnt Co. KS 501(c)(3) 11 na Wamego Hospital Association 711 Genn Dr Wamego KS 66547 721526400 Hospital KS 501(c)(3) 3 na Via Christi Village Ponca City Inc 1601 Academy Rd Ponca City KS 74604 731153337 Rtrmnt Home OK 501(c)(3) 9 na ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 HLTH SYS GOV MO 501(c)(3) 11 na VIA CHRISTI INMYHOME INC 2622 W Central Suite 100 WICHITA KS 67203 271889960 HLTH AGENCY KS 501(c)(3) 9 NA VIA CHRISTI CLINIC SERVICES INC 8200 THORN DRIVE SUITE 300 WICHITA KS 67226 273984287 MED. CLINIC KS 501(C)(3) 11 NA Ambulatory Surgery Center LP dba CS 8200 THORN DR SUITE 300 Wichita KS 67226 481114690 SURGERY CTR KS NA n/a 0 0 0 0.00000 AMS Diagnostics LLC 8200 THORN DR SUITE 300 Wichita KS 67226 481223653 Diagnostic IM KS NA n/a 0 0 0 0.00000 Kansas Surgery and Recovery Center LLC 2770 North Webb Road Wichita KS 67226 481148580 Medical Servi KS NA n/a 0 0 0 0.00000 Mercy Imaging LLC 1823 College Avenue Manhattan KS 66502 481251984 Diagnostic Im KS NA n/a 0 0 0 0.00000 MR Imaging Center LLC dba Anatomi Ima 8200 THORN DR SUITE 300 Wichita KS 67226 481000538 RADIOLOGY SVC KS NA n/a 0 0 0 0.00000 PFI LLC 8200 THORN DR SUITE 300 Wichita KS 67226 721557076 MED CHEM MFG KS NA n/a 0 0 0 0.00000 Preferred PET Imaging of Kansas LLC 8200 THORN DR SUITE 300 Wichita KS 67226 481250123 Diagnostic Im KS NA n/a 0 0 0 0.00000 Via Christi Cyberknife LLC 8200 THORN DR SUITE 300 Wichita KS 67226 354588711 RADIOLOGY SVC KS NA n/a 0 0 0 0.00000 St Joseph MRI LLC 8200 THORN DR SUITE 300 WICHITA KS 67226 481007220 MEDICAL SVCS KS NA n/a 0 0 0 0.00000 AFFILIATED MEDICAL SERVICES 2916 E CENTRAL WICHITA KS 67214 481239522 MEDICAL LAB KS VC HEALTH C CORP 12321597 7892802 1.00000 SUNFLOWER ASSURANCE LTD 980223159 INSURANCE CJ NA FOREIGN CORP 3651768 38500707 1.00000 INTEGRATED HEALTHCARE SYSTEMS INC 3311 EAST MURDOCK WICHITA KS 67208 480941549 CLINIC SERVICES KS NA C CORP 58758618 41790046 1.00000 VCH IOWA PC TRUST 8200 THORN DRIVE SUITE 300 WICHITA KS 67226 276937322 BENEFICIARY TRUST IA NA TRUST 0 0 1.00000 VCH IOWA PC 8200 THORN DRIVE SUITE 300 WICHITA KS 67226 273983977 PROF. 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