2012-08-10T09:11:57-05:00 2011-09-30 GRANT THORNTON LLP 8300 THORN DRIVE SUITE 300 WICHITA KS 672262708 990 2010-10-01 481152279 MERCY COMMUNITY HEALTH FOUNDATION INC MERC 7855875462 PO BOX 13 MANHATTAN KS 665050013 Susan Morgan 7855875462 2012-08-01 true Kimberly Temple 3162653231 2010 2016-02-24 21:20:13Z MARGARET MICHAL 1823 COLLEGE AVE MANHATTAN KS 66502 613595 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 19 0 0 0 0 181484 451569 0 0 66938 149581 67018 -36192 315440 564958 19544 48313 0 0 0 0 0 0 0 54297 45989 73841 94302 241599 470656 3237213 3576378 5732 5946 3231481 3570432 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 FUNDRAISING, FINANCIAL MANAGEMENT, AND VOLUNTEERISM. MERCY COMMUNITY HEALTH FOUNDATION, INC. SUPPORTS MRHC BY GIVING TO FOUR MAJOR EFFORTS: --EXPANSIONS AND RENOVATIONS OF MRHC --RECRUITMENT OF PHYSICIANS AND SPECIALISTS TO THE REGION --EQUIPMENT AND TECHNOLOGY TO SUPPORT OUR PATIENTS AND MEDICAL SPECIALTIES --TRAINING AND EDUCATION FOR MEDICAL PROFESSIONALS BY PROVIDING AREA RESIDENTS WITH A VARIETY OF WAYS TO GIVE TO LOCAL HEALTH CARE, INCLUDING ANNUAL GIVING, CORPORATE PARTNERSHIPS, MEMORIALS, PLANNED GIVING, SPECIAL EVENTS, AND CAPITAL CAMPAIGNS, MERCY COMMUNITY HEALTH FOUNDATION, INC. HAS BEEN ABLE TO GENERATE THE RESOURCES NEEDED TO CREATE OUTSTANDING RESULTS IN THE COMMUNITY. false false 60472 48313 0 TO PROVIDE ASSISTANCE TO MERCY REGIONAL HEALTH CENTER, INC. 60472 true true 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 false false false false false false false false false false false false false false true false false false false true 0 0 0 false false false false false false false false false false X 20 19 false false false false false false false true true false false true true true true true true false false false X MARGARET MICHAL 7855875462 1823 COLLEGE AVE MANHATTAN KS 66502 X BELINDA SNYDER 1.0 X X 0 0 0 CHAD LOHMAN 1.0 X 0 0 0 EILEEN HAYDEN 1.0 X X 0 0 0 FRED FREEMAN MD 1.0 X 0 0 0 JOHN GRAHAM 1.0 X X 0 0 0 MARY VANIER 1.0 X 0 0 0 PEGGY LYONS 1.0 X 0 0 0 PHIL HOWE 1.0 X 0 0 0 RICHARD BAKER MD 1.0 X X 0 0 0 JOE DOWNEY 1.0 X 0 0 0 MARK HUNGERFORD MD 1.0 X 0 0 0 JACKIE HARTMAN 1.0 X 0 0 0 RICH JANKOVICH 1.0 X 0 0 0 SHON ROBBEN 1.0 X 0 0 0 Tracey DeBruyn 1.0 X 0 0 0 David Pauls MD 1.0 X 0 0 0 Mark Knackendoffel 1.0 X 0 0 0 Jim Barber 1.0 X 0 0 0 Tom Holcombe 1.0 X 0 0 0 Teresa Rickel McMillin 1.0 X 0 0 0 0 0 0 0 false false false 0 98275 110000 243294 451569 0 99346 99346 0 0 50235 0 50235 50235 50235 12445 98275 48637 -36192 -36192 0 0 0 564958 0 0 113389 35615 35615 12698 12698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6532 6532 0 1533 1533 4284 4284 0 0 1931 1931 0 0 438 438 0 3952 3952 0 CARDIOLOGY 7999 7999 DONOR APPRECIATION 6173 6173 BAD DEBT PROVISION 8039 8039 ONE COMMUNITY 1528 1528 SAFE KIDS 1370 1370 2210 1262 948 94302 60472 33830 0 103307 95523 18311 1526 0 136 1800 0 23262 20956 6258 2306 3107537 3476887 3237213 3576378 0 842 5732 5104 5732 5946 X 90559 99004 2493000 2686007 647922 785421 3231481 3570432 3237213 3576378 X 470656 -131705 X false true true X false X 269817 287708 179278 181484 451569 1369856 136829 147434 12445 296708 269817 287708 316107 328918 464014 1666564 1666564 106751 105961 89608 74695 149581 526596 106751 105961 89608 74695 149581 526596 376568 393669 405715 403613 613595 2193160 0.75989 0.75714 0.24011 0.24286 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 367088 240149 -9401 1321 596515 225912 119815 22183 822 367088 87086 126318 12887 379 225912 1.00000 false false 23262 20956 2306 2306 0 GIFT ANNUITY 5104 5104 ENDOWMENT FUNDS SCH D, PART V, QUESTION 4 THE FUNDS ARE USED FOR SCHOLARSHIP DISTRIBUTIONS. FIN 48 SCHEDULE D, PART X THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE IN THEIR FINANCIAL STATEMENTS. THE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION UNDER THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION HAS MAINTAINED ITS TAX EXEMPT STATUS BY CONDUCTING ACTIVITIES WITHIN THE SCOPE OF ITS EXEMPTION GRANTED BY THE INTERNAL REVENUE SERVICE. GALA 54045 48345 5700 16846 3703 GOLF TOURNAMENT 56675 49930 6745 26445 1643 0 110720 98275 12445 43291 5346 48637 -36192 true UNITED WAY OF RILEY COUNTY PO BOX 922 MANHATTAN KS 66505 480847598 501(c)(3) 12030 Employee Campaign Contributions 1 0 EMPLOYEE EDUCATION ASSISTANCE 5 12698 GRANTS PAID SCHEDULE I, PART 1, QUESTION 1 & 2 MERCY COMMUNITY HEALTH FOUNDATION, INC. DOES NOT SOLICIT GRANT APPLICATIONS FROM ORGANIZATIONS TO WHICH IT PROVIDES ASSISTANCE. THE ASSISTANCE PROVIDED TO ORGANIZATIONS LISTED IN SCHEDULE I COMES FROM EMPLOYEE PAYROLL CONTRIBUTIONS FROM EMPLOYEES OF MERCY REGIONAL HEALTH CENTER. THE FOUNDATION FORWARDS THE INDIVIDUAL CONTRIBUTIONS TO THE ORGANIZATIONS AS SOON AS THE FUNDS ARE RECEIVED. FORM 990 REVIEW PART VI, SECTION B, QUESTION 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND A COPY OF THE RETURN 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 WEB-SITE. 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; 4) PERIODIC REVIEWS ARE CONDUCTED BY GOVERNANCE, COMPLIANCE, AND INTERNAL AUDIT TO ENSURE THE ORGANIZATION IS OPERATING CONSISTENT WITH THE POLICY AND ENFORCING THE POLICY'S TERMS. RELATED TAX-EXEMPT ORGANIZATIONS SCHEDULE R, 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. EXECUTIVE DIRECTOR PART VI, SECTION A, QUESTION 3 THE EXECUTIVE DIRECTOR OF MERCY COMMUNITY HEALTH FOUNDATION, INC. IS RESPONSIBLE FOR SUPERVISING AND CONDUCTING THE DAILY BUSINESS OF THE ORGANIZATION. THE EXECUTIVE DIRECTOR IS SELECTED BY THE BOARD OF TRUSTEES IN CONSULTATION WITH THE CHIEF EXECUTIVE OFFICER OF THE MERCY REGIONAL HEALTH CENTER, INC. THE DUTIES OF THE EXECUTIVE DIRECTOR INCLUDE THE FOLLOWING: 1) SUPERVISE THE DAILY ACTIVITIES OF THE ORGANIZATION; 2) HIRE, TERMINATE, AND EVAULATE EMPLOYEES OF THE ORGANIZATION; 3) SUPERVISE PROGRAMS INCIDENT TO THE ACCOMPLISHMENT OF THE GOALS OF THE ORGANIZATION; 4) REPORT PROGRESS IN SUCH PROGRAMS TO THE TRUSTEES; 5) DEPOSIT MONEY IN THE NAME OF THE CORPORATION IN SUCH BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES AS SHALL BE SELECTED IN ACCORDANCE WITH THE PROVISIONS OF THE BYLAWS; 6) SIGN CHECKS, DRAFTS, OR OTHER ORDERS FOR THE PAYMENT OF MONEY, NOTES, OR OTHER EVIDENCES OF INDEBTEDNESS ISSUED IN THE NAME OF THE CORPORATION IN ACCORDANCE WITH THE PROVISIONS OF THE BYLAWS. RECONCILIATION OF NET ASSETS PART XI, QUESTION 5 UNREALIZED LOSS $ (131,705) Catholic Care Center Inc 6700 E 45th St N Wichita KS 67226 481067110 Rtrmnt Home KS 501(c)(3) 9 NA CIBOR Inc 929 N St Francis Wichita KS 67214 270564463 Research KS 501(c)(3) 7 NA Cornerstone Assisted Living Inc 3636 N Ridge Road Wichita KS 67205 481241079 Rtrmnt Home KS 501(c)(3) 9 NA Gerard House Inc 3144 N Hood Wichita KS 67204 481049532 Shelter KS 501(c)(3) 7 NA Marian Health System Inc 1923 South Utica Avenue Tulsa OK 74104 363659989 Hospital Supp DE 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 LLC 2439 Claflin Road Manhattan KS 66502 432024491 Home Medical KS 501(c)(3) 11 NA Mount Carmel Foundation Inc 1102 E Centennial Dr Pittsburg KS 66762 480961283 Foundation KS 501(c)(3) 11 NA Salina Regional Home Medical Services L 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 Foundation Inc 723 N McLean Blvd Wichita KS 67203 481173588 Foundation KS 501(c)(3) 11 NA Via Christi Health Partners Inc 8200 E Thorn Drive Wichita KS 67226 480958974 Mgmnt Co. KS 501(c)(3) 9 NA Via Christi Health Inc 8200 E Thorn Drive Wichita KS 67226 481172107 Hospital Supp 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 Home Health Wichita Inc 555 S Washington Wichita KS 67211 481046371 Home Health KS 501(c)(3) 9 NA Via Christi Hospital Pittsburg Inc 1102 E Centennial Dr Pittsburg KS 66762 480543778 Hospital KS 501(c)(3) 3 NA Via Christi Hospital Wichita St Teresa 14800 W ST TERESA Wichita KS 67214 271965272 Hospital KS 501(c)(3) 3 NA Via Christi Hospitals Wichita Inc 929 N St Francis Wichita KS 67214 481172106 Hospital KS 501(c)(3) 3 NA Via Christi Immediate Care MMA Inc 929 N St Francis Wichita KS 67214 208374099 Med. Clinic KS 501(c)(3) 9 NA Via Christi InMyHome Inc 2622 W Central Suite 100 Wichita KS 67203 271889960 Hlth Agency KS 501(c)(3) 9 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 Rehabilitation Hospital Inc 1151 N Rock Road Wichita KS 67206 481158274 Rehab. KS 501(c)(3) 3 NA Via Christi Village Georgetown Inc 1655 S Georgetown Wichita KS 67218 481129325 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 Village McLean Inc 777 N McLean Blvd Wichita KS 67203 481247723 Rtrmnt Home KS 501(c)(3) 9 NA Via Christi Village Ponca City Inc 1601 Academy Rd Ponca City OK 74604 731153337 Rtrmnt Home OK 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 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 Ascension Health PO Box 45998 St Louis MO 63145 311662309 Hlth Sys Gov MO 501(c)(3) 11 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 8200 E THORN DR SUITE 300 WICHITA KS 67226 481114690 SURGERY CTR KS NA n/a 0 0 0 0.00000 AMS DIAGNOSTICS LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 481223653 RADIOLOGY SVC KS NA n/a 0 0 0 0.00000 KS SURGERY AND RECOVERY CTR LLC 2770 NORTH WEBB ROAD WICHITA KS 67226 481148580 SURGERY CTR KS NA n/a 0 0 0 0.00000 MERCY IMAGING LLC 1823 COLLEGE AVENUE MANHATTAN KS 66502 481251984 RADIOLOGY SVC KS NA n/a 0 0 0 0.00000 MR IMAGING CENTER LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 481000538 DIAGNOSTIC IM KS na n/a 0 0 0 0.00000 PFI LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 721557076 MED CHEM MFG KS NA n/a 0 0 0 0.00000 PREFERRED PET IMAGING OF KS LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 481250123 DIAGNOSTIC IM KS NA n/a 0 0 0 0.00000 VIA CHRISTI CYBERKNIFE LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 354588711 RADIOLOGY SVC KS NA n/a 0 0 0 0.00000 ST JOSEPH MRI LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 481007220 MEDICAL SVCS KS NA n/a 0 0 0 0.00000 AFFILIATED MEDICAL SERVICES LAB INC 2916 E CENTRAL WICHITA KS 67214 481239522 MEDICAL LAB KS VC HEALTH C CORP 1.00000 SUNFLOWER ASSURANCE LTD 980223159 INSURANCE CJ NA FOREIGN CORP 1.00000 INTEGRATED HEALTHCARE SYSTEMS INC 3311 EAST MURDOCK WICHITA KS 67208 480941549 CLINIC SERVICES KS NA C CORP 1.00000 VCH IOWA PC TRUST 8200 E THORN DRIVE SUITE 300 WICHITA KS 67226 276937322 BENEFICIARY TRUST IA NA TRUST 1.00000 VCH IOWA PC 8200 E THORN DRIVE SUITE 300 WICHITA KS 67226 273983977 PROF. 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