2011-08-12T14:32:02-05:00 2010-09-30 GRANT THORNTON LLP 8300 THORN DRIVE SUITE 300 WICHITA KS 672262708 990 2009-10-01 481152279 MERCY COMMUNITY HEALTH FOUNDATION INC MERC 7855875462 PO BOX 13 MANHATTAN KS 665050013 MARGARET R MICHAL 7855875462 2011-08-10 true 3162653231 2009 2016-02-24 21:20:13Z MARGARET MICHAL 1823 COLLEGE AVE MANHATTAN KS 66502 403613 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. 18 18 0 0 0 0 179278 181484 0 0 -10417 66938 51540 67018 220401 315440 0 19544 0 0 0 0 0 0 0 200016 54297 200016 73841 20385 241599 2896765 3237213 6314 5732 2890451 3231481 TO 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. false false 38667 0 0 TO PROVIDE ASSISTANCE TO MERCY REGIONAL HEALTH CENTER, INC. 38667 true true false false false false false false true true false true false false false false false false true false false true false false false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false 18 18 false true 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 0 0 0 CHAD LOHMAN 1.0 X 0 0 0 EILEEN HAYDEN 1.0 X 0 0 0 FRED FREEMAN MD 1.0 X 0 0 0 JOHN GRAHAM 1.0 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 JOHN CONDERMAN 1.0 X X 0 0 0 TRACEY DEBRUYN 1.0 X 0 0 0 JOE DOWNEY 1.0 X 0 0 0 MARY KEVIN GILLER 1.0 X 0 0 0 TOM HOLCOMBE 1.0 X X 0 0 0 MARK KNACKENDOFFEL 1.0 X 0 0 0 TERESA RICKEL-MCMILLIN 1.0 X 0 0 0 LINDA MULLER 1.0 X 0 0 0 DR MARK HUNGERFORD 1.0 X 0 0 0 CHARLES S AUTHUR 1.0 X 0 0 0 DAN MESSELT 1.0 X 0 0 0 COLLEEN VAN NOSTRAN 1.0 X 0 0 0 BARBARA WILSON 1.0 X 0 0 0 0 0 0 0 false false false 0 126652 54832 181484 0 74695 74695 0 0 7757 -7757 -7757 -7757 147434 80416 67018 67018 0 0 0 315440 133956 15431 15431 4113 4113 0 0 0 0 0 0 0 0 0 1516 1516 8662 8662 0 0 0 12339 12339 801 801 3685 3685 3467 3467 0 0 1842 1842 0 0 484 484 0 4011 4011 0 EMPLOYEE ASSISTANCE 4887 4887 CARDIOLOGY 4005 4005 EMERGENCY ASSISTANCE 387 387 SAFE KIDS 878 878 GUARDIAN ANGEL 581 581 6752 8385 -1633 73841 38667 35174 0 80354 103307 16438 0 36017 18311 3970 1800 23262 17004 10269 6258 2749717 3107537 2896765 3237213 6314 5732 6314 5732 X 83579 90559 2159879 2493000 646993 647922 2890451 3231481 2896765 3237213 X false true true X false X 459046 269817 287708 179278 181484 1377333 459046 269817 287708 179278 181484 1377333 1377333 64774 106751 105961 89608 74695 441789 64774 106751 105961 89608 74695 441789 523820 376568 393669 268886 256179 1819122 0.75714 0.78529 0.24286 0.21471 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 225912 119815 22183 822 367088 87086 126318 12887 379 225912 1.00000 true false 23262 17004 6258 0 6258 0 GIFT ANNUITY 5732 5732 ENDOWMENT FUNDS SCH D, PART V, QUESTION 4 THE FUNDS ARE USED FOR SCHOLORSHIP 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 79630 74905 4725 42974 3416 GOLF TOURNAMENT 58462 51747 6715 27729 970 1 9343 9343 5327 147435 126652 20783 70703 9713 80416 -59633 false UNITED WAY OF RILEY COUNTY PO BOX 922 MANHATTAN KS 66505 480847598 501(c)(3) 11190 Deliver Cont 3 0 GRANTS PAID SCHEDULE I, PART 1, QUESTION 1 & 2 MERCY 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. 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 ORGANZIATION IS OPERATING CONSISTENT WITH THE POLICY AND ENFORCING THE POLICY'S TERMS. RELATED TAX-EXEMPT ORGANIZATIONS 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. CONSOLIDATED C CORP INFORMATION 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. 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 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 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 AMBULATORY SURGERY CENTER LP 8200 E THORN DR SUITE 300 WICHITA KS 67226 481114690 SURGERY CTR KS NA N/A 0 0 0 AMS DIAGNOSTICS LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 481223653 RADIOLOGY SVC KS NA N/A 0 0 0 KS SURGERY AND RECOVERY CTR LLC 2770 NORTH WEBB ROAD WICHITA KS 67226 481148580 SURGERY CTR KS NA N/A 0 0 0 MERCY IMAGING LLC 1823 COLLEGE AVENUE MANHATTAN KS 66502 481251984 RADIOLOGY SVC KS NA N/A 0 0 0 MR IMAGING CENTER LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 481000538 DIAGNOSTIC IMGING 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 PREFERRED PET IMAGING OF KS LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 481250123 DIAGNOSTIC IMGING KS NA N/A 0 0 0 VIA CHRISTI CYBERKNIFE LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 354588711 RADIOLOGY SVC KS NA N/A 0 0 0 ST JOSEPH MRI LLC 8200 E THORN DR SUITE 300 WICHITA KS 67214 481007220 MEDICAL SVCS KS NA N/A 0 0 0 PREFERRED HEALTH SYSTEMS INC 8535 21ST NORTH WICHITA KS 67206 481134570 INSURANCE HOLDING KS VC HEALTH C-CORP 439254485 182890046 1.00000 AFFILIATED MEDICAL SERVICES LAB INC 2916 E CENTRAL WICHITA KS 67214 481239522 MEDICAL LAB KS VC HEALTH C-CORP 12537000 7230000 1.00000 SUNFLOWER ASSURANCE LTD 980223159 INSURANCE CJ NA FOREIGN CORP 4300000 29641000 1.00000 false true true false false false false false false false false false true true false false false false