MANHATTAN COMMUNITY HEALTH FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MANHATTAN COMMUNITY HEALTH FOUNDATION (EIN 48-1152279)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201122289349301502
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-12T14:32:02-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18300 THORN DRIVE SUITE 300AddressLine1
CityWICHITACity
StateKSState
ZIP Code672262708ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN481152279EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY COMMUNITY HEALTH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone7855875462Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 13AddressLine1
CityMANHATTANCity
StateKSState
ZIP Code665050013ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARGARET R MICHALName
TitleEXECUTIVE DIRECTORTitle
Phone7855875462Phone
Date Signed2011-08-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3162653231Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARGARET MICHALNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11823 COLLEGE AVEAddressLine1
CityMANHATTANCity
StateKSState
ZIP Code66502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts403613GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MERCYHEALTHCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTO 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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year179278ContributionsGrantsPriorYear
Contributions Grants Current Year181484ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-10417InvestmentIncomePriorYear
Investment Income Current Year66938InvestmentIncomeCurrentYear
Other Revenue Prior Year51540OtherRevenuePriorYear
Other Revenue Current Year67018OtherRevenueCurrentYear
Total Revenue Prior Year220401TotalRevenuePriorYear
Total Revenue Current Year315440TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY19544GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year200016OtherExpensePriorYear
Other Expenses Current Year54297OtherExpensesCurrentYear
Total Expenses Prior Year200016TotalExpensesPriorYear
Total Expenses Current Year73841TotalExpensesCurrentYear
Revenues Less Expenses Prior Year20385RevenuesLessExpensesPriorYear
Revenues Less Expenses CY241599RevenuesLessExpensesCY
Total Assets BOY2896765TotalAssetsBOY
Total Assets EOY3237213TotalAssetsEOY
Total Liabilities BOY6314TotalLiabilitiesBOY
Total Liabilities EOY5732TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2890451NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3231481NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROMOTE HEALTH IN THE MANHATTAN, KANSAS COMMUNITY AND THE SURROUNDING AREAS IN A MANNER NOT INCONSISTANT 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. 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 OUSTANDING RESULTS IN THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense38667Expense
Grants0Grants
Revenue0Revenue
DescriptionTO PROVIDE ASSISTANCE TO MERCY REGIONAL HEALTH CENTER, INC.Description
Total Program Service Expense38667TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARGARET MICHALNamePerson
Telephone Number7855875462TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11823 COLLEGE AVEAddressLine1
CityMANHATTANCity
StateKSState
ZIP Code66502ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BELINDA SNYDER
TRUSTEE1.0X000
CHAD LOHMAN
TRUSTEE1.0X000
EILEEN HAYDEN
TRUSTEE1.0X000
FRED FREEMAN MD
TRUSTEE1.0X000
JOHN GRAHAM
TRUSTEE1.0X000
MARY VANIER
TRUSTEE1.0X000
PEGGY LYONS
TRUSTEE1.0X000
PHIL HOWE
TRUSTEE1.0X000
RICHARD BAKER MD
CHAIR1.0X000X
JOHN CONDERMAN
VICE CHAIR1.0X000X
TRACEY DEBRUYN
TRUSTEE1.0X000
JOE DOWNEY
TRUSTEE1.0X000
MARY KEVIN GILLER
TRUSTEE1.0X000
TOM HOLCOMBE
SECRETARY/TREASURER1.0X000X
MARK KNACKENDOFFEL
VICE CHAIRMAN1.0X000
TERESA RICKEL-MCMILLIN
TRUSTEE1.0X000
LINDA MULLER
TRUSTEE1.0X000
DR MARK HUNGERFORD
TRUSTEE1.0X000
CHARLES S AUTHUR
TRUSTEE EMERITUS1.0X000
DAN MESSELT
TRUSTEE EMERITUS1.0X000
COLLEEN VAN NOSTRAN
TRUSTEE EMERITUS1.0X000
BARBARA WILSON
TRUSTEE EMERITUS1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events126652FundraisingEvents
All Other Contributions54832AllOtherContributions
Total Contributions181484TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column74695TotalRevenueColumn
Exclusion$74,695ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7757Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-7757Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-7757TotalRevenueColumn
Exclusion-$7,757ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events147434GrossIncomeFundraisingEvents
Fundraising Direct Expenses80416FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column67018TotalRevenueColumn
Exclusion$67,018ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column315440TotalRevenueColumn
Exclusion$133,956ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15431Total
Program Services15431ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4113Total
Program Services4113ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1516Total
Management And General1516ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8662Total
Management And General8662ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12339Total
Management And General12339ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total801Total
Management And General801ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3685Total
Management And General3685ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3467Total
Management And General3467ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total1842Total
Management And General1842ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total484Total
Management And General484ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4011Total
Management And General4011ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
EMPLOYEE ASSISTANCE48874887
CARDIOLOGY40054005
EMERGENCY ASSISTANCE387387
SAFE KIDS878878
GUARDIAN ANGEL581581

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6752Total
Program Services8385ProgramServices
Management And General-1633ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total73841Total
Program Services38667ProgramServices
Management And General35174ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY80354BOY
EOY103307EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16438BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY36017BOY
EOY18311EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3970BOY
EOY1800EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23262LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17004LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10269BOY
EOY6258EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2749717BOY
EOY3107537EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2896765BOY
EOY3237213EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6314BOY
EOY5732EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6314BOY
EOY5732EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY83579BOY
EOY90559EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2159879BOY
EOY2493000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY646993BOY
EOY647922EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2890451BOY
EOY3231481EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2896765BOY
EOY3237213EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years459046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years269817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years287708CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year179278CurrentTaxYearMinus1Year
Current Tax Year181484CurrentTaxYear
Total1377333Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years459046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years269817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years287708CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year179278CurrentTaxYearMinus1Year
Current Tax Year181484CurrentTaxYear
Total1377333Total
FieldValueIRS element (for citing)
Public Support Total5091377333PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years106751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105961CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89608CurrentTaxYearMinus1Year
Current Tax Year74695CurrentTaxYear
Total441789Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years106751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105961CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89608CurrentTaxYearMinus1Year
Current Tax Year74695CurrentTaxYear
Total441789Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years523820CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years376568CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years393669CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year268886CurrentTaxYearMinus1Year
Current Tax Year256179CurrentTaxYear
Total1819122Total
FieldValueIRS element (for citing)
Public Support Percentage5090.75714PublicSupportPercentage509
Prior Year Support Percentage0.78529PriorYearSupportPercentage
Investment Income Percentage0.24286InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.21471PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance225912BeginningOfYearBalance
Contributions119815Contributions
Investment Earnings Or Losses22183InvestmentEarningsOrLosses
Administrative Expenses822AdministrativeExpenses
End Of Year Balance367088EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance87086BeginningOfYearBalance
Contributions126318Contributions
Investment Earnings Or Losses12887InvestmentEarningsOrLosses
Administrative Expenses379AdministrativeExpenses
End Of Year Balance225912EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23262OtherCostOrOtherBasis
Depreciation17004Depreciation
Book Value6258BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6258TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionGIFT ANNUITYDescription
Amount$5,732Amount
FieldValueIRS element (for citing)
Total Of Amounts5732TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCH D, PART V, QUESTION 4THE FUNDS ARE USED FOR SCHOLORSHIP DISTRIBUTIONS.
FIN 48SCHEDULE D, PART XTHE 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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event179630GrossReceiptsEvent1
Charitable Contributions Event174905CharitableContributionsEvent1
Gross Revenue Event14725GrossRevenueEvent1
Rent Facility Costs Event142974RentFacilityCostsEvent1
Other Direct Expenses Event13416OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event258462GrossReceiptsEvent2
Charitable Contributions Event251747CharitableContributionsEvent2
Gross Revenue Event26715GrossRevenueEvent2
Rent Facility Costs Event227729RentFacilityCostsEvent2
Other Direct Expenses Event2970OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events9343GrossReceiptsOtherEvents
Gross Revenue Other Events9343GrossRevenueOtherEvents
Other Direct Expenses Other Events5327OtherDirectExpensesOtherEvents
Gross Receipts Total147435GrossReceiptsTotal
Charitable Contributions Total126652CharitableContributionsTotal
Gross Revenue Total Events20783GrossRevenueTotalEvents
Rent Facility Costs Total Events70703RentFacilityCostsTotalEvents
Other Direct Expenses Total Events9713OtherDirectExpensesTotalEvents
Direct Expense Summary Events80416DirectExpenseSummaryEvents
Net Income Summary-59633NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNITED WAY OF RILEY COUNTYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 922AddressLine1
CityMANHATTANCity
StateKSState
ZIP Code66505ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient480847598EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant11190AmountOfCashGrant
Purpose Of GrantDeliver ContPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANTS PAIDIdentifier
Return ReferenceSCHEDULE I, PART 1, QUESTION 1 & 2ReturnReference
ExplanationMERCY COMMUNITY HEALTH FOUNDATION, INC. DOES NOT SOLICIT GRANT APPLICATIONS FROM ORGANIZATIONS IT PROVIDES ASSISTANCE TO. THE ASSISTANCE PROVIDED TO ORGANIZATIONS LISTED IN SCHEDULE I COMES FROM EMPLOYEE PAYROLL CONTRIBUTIONS. THE FOUNDATION FORWARDS THE INDIVIDUAL CONTRIBUTIONS TO THE ORGANIZATIONS AS SOON AS THE FUNDS ARE RECEIVED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 REVIEWPART VI, SECTION B, QUESTION 11THE 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 DOCUMENTSPART VI, SECTION C, LINE 19THE 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 POLICYPART VI, SECTION B, QUESTION 12CTHE 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.
RELATED TAX-EXEMPT ORGANIZATIONSMERCY 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.
CONSOLIDATED C CORP INFORMATIONPREFERRED 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.
EXECUTIVE DIRECTORPART VI, SECTION A, QUESTION 3THE 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 HTE PAYMENT OF MONEY, NOTES, OR OTHER EVIDENCES OF INDEBTEDNESS ISSUED IN THE NAME OF THE CORPORATION IN ACCORDANCE WITH THE PROVISIONS OF THE BYLAWS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Care Center Inc
6700 E 45th St NWichitaKS67226481067110Rtrmnt HomeKS501(c)(3)9NA
CIBOR Inc
929 N St FrancisWichitaKS67214270564463ResearchKS501(c)(3)7NA
Cornerstone Assisted Living Inc
3636 N Ridge RoadWichitaKS67205481241079Rtrmnt HomeKS501(c)(3)9NA
Gerard House Inc
3144 N HoodWichitaKS67204481049532ShelterKS501(c)(3)7NA
Marian Health System Inc
1923 South Utica AvenueTulsaOK74104363659989Hospital SuppDE501(c)(3)11NA
Mercy Regional Health Center Inc
1823 College AveManhattanKS66502481186704HospitalKS501(c)(3)3NA
Mercy Regional Home Medical Services LLC
2439 Claflin RoadManhattanKS66502432024491Home MedicalKS501(c)(3)11NA
Mount Carmel Foundation Inc
1102 E Centennial DrPittsburgKS66762480961283FoundationKS501(c)(3)11NA
Salina Regional Home Medical Services L
520 S Santa Fe Ave Ste 140SalinaKS67401431948057Home MedicalKS501(c)(3)11NA
St John's Inc
2225 Cantebury DrHaysKS67601202828680Rtrmnt HomeKS501(c)(3)9NA
Via Christi Foundation Inc
723 N McLean BlvdWichitaKS67203481173588FoundationKS501(c)(3)11NA
Via Christi Health Partners Inc
8200 E Thorn DriveWichitaKS67226480958974Mgmnt Co.KS501(c)(3)9NA
Via Christi Health Inc
8200 E Thorn DriveWichitaKS67226481172107Hospital SuppKS501(c)(3)9NA
Via Christi Healthcare Outreach Program
2622 W Central Suite 100WichitaKS67203481236589PACE CommunitKS501(c)(3)9NA
Via Christi Home Health Wichita Inc
555 S WashingtonWichitaKS67211481046371Home HealthKS501(c)(3)9NA
Via Christi Hospital Pittsburg Inc
1102 E Centennial DrPittsburgKS66762480543778HospitalKS501(c)(3)3NA
Via Christi Hospital Wichita St Teresa
14800 W ST TERESAWichitaKS67214271965272HospitalKS501(c)(3)3NA
Via Christi Hospitals Wichita Inc
929 N St FrancisWichitaKS67214481172106HospitalKS501(c)(3)3NA
Via Christi Immediate Care MMA Inc
929 N St FrancisWichitaKS67214208374099Med. ClinicKS501(c)(3)9NA
Via Christi InMyHome Inc
2622 W Central Suite 100WichitaKS67203271889960Hlth AgencyKS501(c)(3)9NA
Via Christi Property Services Inc
1100 N St Francis Suite 240WichitaKS67214480948571Property MgmtKS501(c)(4)N/ANA
Via Christi Rehabilitation Hospital Inc
1151 N Rock RoadWichitaKS67206481158274Rehab.KS501(c)(3)3NA
Via Christi Village Georgetown Inc
1655 S GeorgetownWichitaKS67218481129325Rtrmnt HomeKS501(c)(3)9NA
Via Christi Village Manhattan Inc
2800 Willowgrove RdManhattanKS66502481078862Rtrmnt HomeKS501(c)(3)9NA
Via Christi Village McLean Inc
777 N McLean BlvdWichitaKS67203481247723Rtrmnt HomeKS501(c)(3)9NA
Via Christi Village Ponca City Inc
1601 Academy RdPonca CityOK74604731153337Rtrmnt HomeOK501(c)(3)9NA
Via Christi Village Pittsburg Inc
1502 E Centennial DrPittsburgKS66762743070971Rtrmnt HomeKS501(c)(3)9NA
Via Christi Villages Inc
2622 W Central Suite 100WichitaKS67203480559086Mgmnt Co.KS501(c)(3)11NA
Wamego Hospital Association
711 Genn DrWamegoKS66547721526400HospitalKS501(c)(3)3NA
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309HLTH SYS GOVMO501(C)(3)11NA

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsCode VCodeVAmount
AMBULATORY SURGERY CENTER LP
8200 E THORN DR SUITE 300WICHITAKS67226481114690SURGERY CTRKSNAN/A00$0
AMS DIAGNOSTICS LLC
8200 E THORN DR SUITE 300WICHITAKS67214481223653RADIOLOGY SVCKSNAN/A00$0
KS SURGERY AND RECOVERY CTR LLC
2770 NORTH WEBB ROADWICHITAKS67226481148580SURGERY CTRKSNAN/A00$0
MERCY IMAGING LLC
1823 COLLEGE AVENUEMANHATTANKS66502481251984RADIOLOGY SVCKSNAN/A00$0
MR IMAGING CENTER LLC
8200 E THORN DR SUITE 300WICHITAKS67214481000538DIAGNOSTIC IMGINGKSnan/a00$0
PFI LLC
8200 E THORN DR SUITE 300WICHITAKS67226721557076MED CHEM MFGKSNAN/A00$0
PREFERRED PET IMAGING OF KS LLC
8200 E THORN DR SUITE 300WICHITAKS67214481250123DIAGNOSTIC IMGINGKSNAN/A00$0
VIA CHRISTI CYBERKNIFE LLC
8200 E THORN DR SUITE 300WICHITAKS67214354588711RADIOLOGY SVCKSNAN/A00$0
ST JOSEPH MRI LLC
8200 E THORN DR SUITE 300WICHITAKS67214481007220MEDICAL SVCSKSNAN/A00$0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
PREFERRED HEALTH SYSTEMS INC
8535 21ST NORTHWICHITAKS67206481134570INSURANCE HOLDINGKSVC HEALTHC-CORP4392544851828900461.00000
AFFILIATED MEDICAL SERVICES LAB INC
2916 E CENTRALWICHITAKS67214481239522MEDICAL LABKSVC HEALTHC-CORP1253700072300001.00000
SUNFLOWER ASSURANCE LTD
980223159INSURANCENAFOREIGN CORP4300000296410001.00000CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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