2011-08-15T15:12:25-05:00 2010-09-30 GRANT THORNTON LLP 8300 THORN DRIVE SUITE 300 WICHITA KS 672262708 990 2009-10-01 481067110 CATHOLIC CARE CENTER INC CATH 3167442020 6700 EAST 45TH STREET NORTH BEL AIRE KS 67226 JERRY CARLEY 3169465215 2011-08-11 true 3162653231 2009 2016-02-24 21:20:13Z THOMAS CHURCH 6700 EAST 47TH STREET NORTH WICHITA KS 67226 20166661 false 8050 X WWW.VIA-CHRISTI.ORG X 1988 KS PROVIDE HEALTH CARE AND HOUSING TO THE ELDERLY PEOPLE OF WICHITA AND THE SURROUNDING COMMUNITIES. 11 7 565 100 0 32937 26466 19228203 19994007 200770 130930 204813 13036 19666723 20164439 0 0 0 0 10624645 10613806 0 0 0 7054193 8033290 17678838 18647096 1987885 1517343 35132519 36083361 21919955 21043381 13212564 15039980 AS A PART OF VIA CHRISTI HEALTH, A CATHOLIC HEALTH SYSTEM, WE SHARE THIS MISSION: "INSPIRED BY THE GOSPEL AND OUR CATHOLIC TRADITION, WE SERVE AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS WHO ARE VULNERABLE." VIA CHRISTI HEALTH'S HISTORY EXTENDS BACK OVER 100 YEARS AND TODAY, ALONG WITH OUR SPONSORING CONGREGATIONS - THE SISTERS OF THE SORROWFUL MOTHER, CONGREGATION OF ST. JOSEPH, SISTERS OF ST. JOSEPH CARONDOLET AND THE DAUGHTERS OF CHARITY WE CONTINUE TO RESPOND TO COMMUNITY NEEDS IN KANSAS AND NORTHEASTERN OKLAHOMA. THE OBLIGATION TO REACH OUT TO THOSE IN NEED AND IMPROVE COMMUNITY HEALTH FLOWS DIRECTLY FROM OUR IDENTITY AS A FAITH-BASED HEALING MINISTRY. AS A MISSION-DRIVEN ORGANIZATION, WE PROVIDE COMMUNITY BENEFIT BECAUSE WE ARE COMMITTED TO OUR CORE VALUES OF: HUMAN DIGNITY - WE RECOGNIZE AND RESPECT THE SACREDNESS OF EACH PERSON; STEWARDSHIP- WE RESPONSIBLY CARE FOR ALL RESOURCES ENTRUSTED TO US; EXCELLENCE - WE EXTEND OURSELVES IN OUTSTANDING SERVICE. CATHOLIC false false 16006231 19994007 CATHOLIC CARE CENTER, INC. IS A NURSING AND ASSISTED LIVING FACILITY. THE CENTER CONSISTS OF A 178-BED NURSING FACILITY AND A 100-UNIT ASSISTED LIVING FACILITY LOCATED IN WICHITA, KANSAS. Catholic Care Center, Inc. serves people in the Wichita area. The primary counties include Sedgwick and Butler. A trend of significance in the community is the growing elderly population. To address this trend, Catholic Care Center, Inc. is collaborating with other community organizations, including but not limited to: Meals on Wheels, Alzheimer's Association, and nursing education organizations to provide services and education to the elderly. Financial surpluses are used to fulfill our charitable purpose. The board of directors includes members of the local community. Our organization offers discounted care to persons without adequate financial means to pay for such services. This includes the participation in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs. 16006231 true true false true false false false false false true true true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 34 0 true 565 true false false false false false false false false false 11 7 false false false false true true true true true false false true true true true true true true true false X BILL SLATER 3169465215 2622 W CENTRAL SUITE 100 WICHITA KS 67203 LAUREL ALKIRE 1.0 X 0 0 0 MONSIGNOR ROBERT HEMBERGER 1.0 X X 0 0 0 THOMAS CHURCH 40.0 X X 0 122688 50249 GERARD BRUNGARDT MD 1.0 X 0 0 0 JOAN FELTS PHD 1.0 X 0 0 0 MARILYN B PAULY 1.0 X X 0 0 0 LYNNETTE RAUVOLABOUTA 1.0 X 0 244607 46850 SISTER PAM YOUNG 1.0 X 0 0 0 JERRY CARLEY 1.0 X X 0 252433 47594 DAN LOUGHMAN 1.0 X 0 0 0 JAMES BARBER 1.0 X 0 206884 37978 KATRINA BUSS 1.0 X 0 0 0 VICKY MENDEZ 40.0 X 0 93540 28186 0 920152 210857 0 false true false CATHOLIC LIFE CENTER 424 N BROADWAY WICHITA KS 67202 LANDSCAPING 102834 SUNDANCE REHABILITATION 6549 PAYSPHERE CIRCLE CHICAGO IL 60674 THERAPY SERVICES 1196156 2 26466 26466 RESIDENT ROOM,CARE 623000 19895864 19895864 REIMBURSEMENT REVENUE 623000 98143 98143 19994007 130930 130930 0 0 0 4547 2222 2325 2325 0 0 BEAUTY & BARBER 812900 98956 98956 VENDING MACHINE 900099 2993 2993 GIFT SHOP 453220 34389 34389 -125627 -125627 10711 20164439 19994007 143966 0 0 0 0 0 0 8888678 8029106 859572 0 1046506 945309 101197 678622 612999 65623 1058829 1058829 1214 1214 21450 21450 0 0 0 1524002 1421176 102826 43819 43819 1908953 1778780 130173 0 0 818429 818161 268 5701 2265 3436 0 17631 11022 6609 806547 806547 0 1413540 1413540 65356 65356 MAINTENANCE - SOFTWARE 124695 124695 BAD DEBT 91128 91128 RESIDENT TRANSPORTATION 42285 42285 RELIGIOUS 27404 27404 GIFT SHOP 19489 19489 42818 14424 28394 18647096 16006231 2640865 0 5097323 5489403 3640087 4099373 1829163 2186895 72352 61570 39955 48150 34523519 10407387 24293463 24116132 160176 81838 35132519 36083361 1673844 1549818 3648264 3095934 16534847 16340129 63000 57500 21919955 21043381 X 13118632 14938344 93932 101636 13212564 15039980 35132519 36083361 X false true true X false X 42006 47124 25059 32937 26466 173592 14455391 16458280 18055244 19228203 19994007 88191125 14497397 16505404 18080303 19261140 20020473 88364717 71187 77257 81178 81470 82765 393857 71187 77257 81178 81470 82765 393857 87970860 253788 299672 284252 199528 130930 1168170 253788 299672 284252 199528 130930 1168170 226246 279789 210222 204318 249852 1170427 14977431 17084865 18574777 19664986 20401255 90703314 0.96988 0.96844 0.01288 0.01405 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2036 2036 false LOBBYING SCHEDULE C, PART II-B CATHOLIC CARE CENTER, INC. PAYS DUES TO KAHSA. 10% OF THE DUES PAID ARE FOR LOBBYING. THE DUES WERE USED FOR LOBBYING ISSUES RELATED TO CARRYING OUT HEALTHCARE PROGRAMS AND DO NOT PARTICIPATE IN ACTIVITIES SUPPORTING A POLITICAL CANDIDATE. 1201416 1201416 20429891 5825409 14604482 9721068 3665475 6055593 3171144 916503 2254641 24116132 0 REFUNDABLE SECURITY DEPOSITS 57500 57500 20164439 18647096 1517343 310073 310073 1827416 20474512 310073 310073 20164439 20164439 18647096 18647096 18647096 FIN 48 SCHEDULE D, PART X THE COMPANY IS A TAX-EXEMPT ORGANIZATION UNDER THE INTERNAL REVENUE CODE. IN ADDITION, THE COMPANY HAS MAINTAINED ITS TAX EXEMPT STATUS BY CONDUCTING ACTIVITIES WITHIN THE SCOPE OF ITS EXEMPTION GRANTED BY THE INTERNAL REVENUE SERVICE. X false true X X X X false true false false false false false false false THOMAS CHURCH 0 94525 0 13203 0 14960 0 9027 0 41222 0 172937 0 0 LYNNETTE RAUVOLABOUTA 0 202180 0 38304 0 4123 0 37525 0 9325 0 291457 0 0 JERRY CARLEY 0 215162 0 31955 0 5316 0 35753 0 11841 0 300027 0 0 JAMES BARBER 0 180166 0 23465 0 3253 0 26283 0 11695 0 244862 0 0 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAID BY A RELATED ORGANIZATION PART I, QUESTION 4B Lynnette RauvolaBouta 21,425.39 Jerry Carley 20,923.92 GROSS UP PAYMENTS PAID BY A RELATED ORGANIZATION PART I, QUESTION 1 Lynnette RauvolaBouta 599.34 PART I, QUESTION 1B Via Christi Health does not have a written policy regarding the items listed in Schedule J, Part 1, Question 1b, the Via Christi Health Executive Compensation Committee has oversight for any compensation paid to Via Christi Health executives. Payment of health and/or social club dues payments were discontinued in calendar year 2009. Gross-up payment are made in specific circumstances and on a limited basis. SEDGWICK COUNTY 486000798 815331DF7 2010-08-01 16860000 REFUNDING 2001 & 2003 BOND ISSUES false false 16860000 335000 2003 true false true true false false false false false 0.00000 0.00000 0.00000 true false true false false false false FORM 990 REVIEW PART VI, SECTION A, QUESTION 11 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 Catholic Care Center, 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 CATHOLIC CARE CENTER, 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 THE TERM MEMBERS SHALL BE INTERPRETED TO MEAN THE ROMAN CATHOLIC BISHOP OF THE WICHITA DIOCESE AND VIA CHRISTI VILLAGES, INC. SECTION IV, PARAGRAPH 13 OF THE BYLAWS PROVIDE THE MEMBER WITH THE FOLLOWING POWERS: *CHANGES IN THE CORPORATION'S PURPOSES OR PHILOSOPHY, AMENDMENTS OF ITS ARTICLES OF INCORPORATION OR BYLAWS, OR RESTRUCTURING OF THE CORPORATION WITH OTHER ENTITIES; *ISSUANCE OF NOTES, BONDS OR OTHER EVIDENCE OF INDEBTEDNESS IN EXCESS OF $100,000 FOR CAPITAL NEEDS; *PURCHASE, SALE, ALIENATION, ENCUMBRANCE OR LEASE OR REAL PROPERTY HAVING A VALUE IN EXCESS OF $100,000; *APPOINTMENT OF DIRECTORS AND THE CHIEF EXECUTIVE OFFICER; AND *REVIEW AND APPROVAL OF THE CORPORATION'S BUDGETS, AND UNDBUDGETED EXPENDITURES IN EXCESS OF $100,000. RELATED TAX-EXEMPT ORGANIZATIONS SCHEDULE R, PART II CATHOLIC CARE CENTER, 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. CONSOLIDATED C-CORP INFORMATION SCHEDULE R, PART IV PREFERRED HEALTH SYSTEMS, INC. IS THE PARENT COMPANY OF THE FOLLOWING WHOLLY-OWNED SUBSIDIARIES: --PREFERRED PLUS OF KANSAS, INC. --PREFERRED HEALTH CARE, INC. --KANSAS HEALTH PLAN, INC. --PREFERRED HEALTH SYSTEMS, INC. INSURANCE CO. --PREFERRED BENEFITS ADMINISTRATOR, INC. THE SCHEDULE R, PART IV DISCLOSURE OF PREFERRED HEALTH SYSTEMS, INC. CONSISTS OF CONSOLIDATED INFORMATION FOR THE YEAR ENDED DECEMBER 31, 2009. PREFERRED HEALTH SYSTEMS, INC. WAS SOLD DURING THE FISCAL YEAR. THE SALE WAS ANNOUNCED OCTOBER 2009 AND FINALIZED FEBRUARY 2010. PREFERRED HEALTH SYSTEMS, INC. WAS NOT A RELATED ORGANIZATION AT THE END OF THE FISCAL YEAR ENDING 09/30/2010. TAX EXEMPT BONDS SCHEDULE K GENERAL INFORMATION THE SEDGWICK COUNTY HEALTH CARE FACILITIES REFUNDING REVENUE BONDS WERE ISSUED TO REDEEM THE CENTER'S HEALTH CARE FACILITIES REVENUE BONDS SERIES 2001 AND SERIES 2003. IN CONNECTION WITH THE ISSUANCE OF THE BONDS, THE CENTER AND SEDGWICK COUNTY, KANSAS HAVE ENTERED INTO A LEASE AGREEMENT WHEREBY THE CENTER AGRESS TO MAKE PAYMENTS DIRECTLY TO A TRUSTEE SUFFICIENT TO RETIRE THE BONDS AND PAY ALL INTEREST EXPENSE INCURRED. THE BONDS ARE COLLATERALIZED BY SUBSTANTIALLY ALL OF THE CENTER'S PROPERTY AND EQUIPMENT. ADDITIONALLY, THE 2010 BONDS ARE COLLATERALIZED BY A WRITTEN GUARANTY AGREEMENT WITH VIA CHRISTI AND THE WICHITA DIOCESE. HOURS WORKED BY OFFICERS/TRUSTEES FOR A RELATED ORGANIZATION PART VII, COLUMN A THE FOLLOWING INDIVIDUALS WORKED 40 HOURS PER WEEK FOR A RELATED ORGANIZATION: LYNNETTE RAUVOLABOUTA, THOMAS CHURCH, JERRY CARLEY AND JAMES BARBER CIBOR INC 9229 E 27TH ST N SUITE 200 Wichita KS 67226 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 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 LL 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 DR SUITE 300 Wichita KS 67226 480958974 Mgmnt Co. KS 501(c)(3) 9 NA Via Christi Health Inc 8200 E Thorn Dr SUITE 300 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 67235 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 VC IMMEDIATE CARE MOTHER MARY ANNE INC 929 N St Francis Wichita KS 67214 208374099 Med. Clinic 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 INMYHOME INC 2622 W CENTRAL SUITE 100 WICHITA KS 67203 271889960 HLTH AGENCY KS 501(c)(3) 9 NA ST JOSEPH MRI LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 481007220 MEDICAL SVCS KS NA N/A 0 0 0 AMBULATORY SURGERY CENTER KS 8200 E THORN DR SUITE 300 WICHITA KS 67226 481114690 SURGERY CTR KS NA N/A 0 0 0 KANSAS SURGERY AND RECOVERY CTR LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 481148580 SURGERY CTR KS NA N/A 0 0 0 MR IMAGING CENTER LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 481000538 RADIOLOGY SVC KS NA N/A 0 0 0 VIA CHRISTI CYBERKNIFE LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 354588711 RADIOLOGY SVC KS NA N/A 0 0 0 AMS DIAGNOSTICS LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 481223653 RADIOLOGY SVC KS NA N/A 0 0 0 PREFERRED PET IMAGING OF KS LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 481250123 DIAGNOSTIC IM KS NA N/A 0 0 0 PFI LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 721557076 MED CHEM MFG KS NA N/A 0 0 0 MERCY IMAGING LLC 8200 E THORN DR SUITE 300 WICHITA KS 67226 481251984 DIAGNOSTIC IM KS NA N/A 0 0 0 PREFERRED HEALTH SYSTEMS INC 8535 21ST NORTH WICHITA KS 67206 481134570 INSURANCE HOLDING KS NA C-CORP 439254485 182890046 1.00000 AFFILIATED MEDICAL SERVICES LAB INC 2916 E CENTRAL WICHITA KS 67214 481235922 MEDICAL LAB KS NA C-CORP 12537000 7230000 1.00000 SUNFLOWER ASSURANCE LTD PO BOX 1085 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 980223159 INSURANCE CO. 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