Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990 REVIEW | PART VI, SECTION B, QUESTION 11 | A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES VIA A SECURE EMAIL AND REVIEWED PRIOR TO FILING WITH THE IRS. |
| CONFLICT OF INTEREST POLICY | PART VI, SECTION B, QUESTION 12C | THE ORGANIZATION MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY 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 | Via Christi Property Services, 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 | VIA CHRISTI PROPERTY SERVICES, INC.'s GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| INTERNAL BOARD OF TRUSTEES | PART VI, SECTION A, 1B | THE ORGANIZATION'S BOARD IS AN INTERNAL BOARD. ALL TRUSTEES ARE EMPLOYEES OF RELATED ORGANIZATIONS WITHIN THE HEALTH SYSTEM (VIA CHRISTI HEALTH, INC.). |
| RELATED TAX-EXEMPT ORGANIZATIONS | SCHEDULE R, PART II | VIA CHRISTI PROPERTY SERVICES, 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. |
| COMMUNITY BENEFIT | PART III | The community benefit contribution of Via Christi Property Services includes programs and activities that improve access to health care and improve health in the communities we serve. In order to portray the full breadth of our contribution, our community benefit information is described below: 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 of Carondolet and the Daughters of Charity we continue to respond to community needs in Kansas. The obligation to reach out to those in need and to improve community health flows directly from Via Christi Health's (VCH) identity as a faith-based healing ministry. VCH continues its tradition in providing community benefit because we are committed to: - Promoting and defending human dignity - Caring for persons living in poverty and other vulnerable populations - Stewarding resources responsibly The primary counties for Via Christi Health includes Sedgwick and Butler Counties. Sedgwick County has a land area of 999 square miles with a 2010 population of 498,365. Butler County has a land area of 1,428 square miles with a 2008 population of 65,880. Sedgwick County's population demographics include: 76.3% white, 9.3% Black, 1.2% American Indian; 4.1% Asian and 13.0% persons of Hispanic or Latino origin. The diversity of the population in Sedgwick County is greater than for either Butler County or the State of Kansas as a whole. Racial breakout for Butler County include: 93.5% white; 1.7% Black; 1.0% American Indian; 0.7% Asian persons; 3.9% persons of Hispanic or Latino origin. It was reported by 11.8% of the Sedgwick County and 3.2% of the Butler County residents that a language other than English is spoken at home. When it comes to education, 88.1% of Sedgwick County residents completed high school and 27.2% had a bachelor's degrees or higher. This compares to 91.33% for high school graduates and 23.9% bachelor's degrees for Butler County. Median household income for Sedgwick County residents in 2010 was $48,071 compared to $54,165 for Butler County. The median value of owner-occupied housing units in Sedgwick County was $113,600 in 2009 compared to $116,800 for Butler County residents. Sedgwick County reports 13.5% of its residents are below poverty level compared to 9.3% for Butler County. The Statewide poverty level is around 13.2%. There are ten inpatient health care facilities in or around Wichita, Kansas. Of these facilities, only Via Christi Health ministries are considered not-for-profit. Via Christi's Burn Center is the only one in the state, so it takes care of all burn victims throughout the area when needed. Via Christi Property Services (VCPS) provides free or reduced cost office space to not-for-profit organizations to ensure their viability in the Wichita community. Additionally, VCPS organizes quarterly charity food and supply drives at the VCPS office buildings. VCPS staff place collection boxes at their office building and deliver the donations to local charities, including food pantries and crisis centers for abused women. Issues and trends of significance in our community include: increasing unemployment or poverty; growing population of uninsured families; and higher incidence of cancer related deaths. To address some of these issues/trends Via Christi Property Services is collaborating with other community organizations, including but not limited to: GraceMed Health Clinic, Victory in the Valley, SIDS Support Network, Susan G. Komen Foundation, The Lords Diner, Open Door Shelter, Ronald McDonald House, Catholic Charities, and the Women's Crisis Center. The financial information in this report was prepared in accordance with the Catholic Health Association's community benefit reporting guidelines. These guidelines recommend the following: - Report charity care at cost, not charges - Do not include bad debt, contractual allowances, and quick pay discounts as part of charity care expense. - Do not count Medicare shortfall as a community benefit - Report the net expense for community benefit services (e.g. the total community benefit expense minus any associated revenue from patients, payers and other external sources.) For Fiscal Year Ended September 30, 2011 1) Charity Care (at cost) N/A 2) Government Sponsored Health Care - net expense N/A (Unpaid cost of public indigent care programs Includes Medicaid, SCHIP, other safety net programs, does not include Medicare shortfall) 3) Community Benefit Programs - net expense $ 101,112 - Financial and in-kind donations $100,980 - Community benefit operations $ 132 Total Quantifiable Community Benefit Expenses $ 101,112 |
| MEMBERS | PART VI, SECTION A, Q6, 7A, AND 7B | CERTAIN MATTERS AND TRANSACTIONS REQUIRE THE APPROVAL OF THE ACTIVE MEMBERS. SECTION V, PARAGRAPH 7 OF THE BYLAWS PROVIDE THE MEMBERS WITH THE FOLLOWING POWERS: * CHANGES IN THE CORPORATION'S PURPOSES OR PHILOSOPHY, AMENDMENT 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 $200,000 FOR CAPITAL NEEDS; * PURCHASE, SALE, ALIENATION, ENCUMBRANCE OR LEASE OF REAL PROPERTY HAVING A VALUE IN EXCESS OF $200,000; * APPOINTMENT OF DIRECTORS AND THE CHIEF EXECUTIVE OFFICER; AND * REVIEW AND APPROVAL OF THE CORPORATION'S BUDGETS. |
| OTHER CHANGES IN NET ASSETS | PART XI, LINE 5 | UNREALIZED LOSS ON INVESTMENTS........ (363,869) ACCUM OTHER COMP INC - PENSION........ ( 36,675) ----------- (400,544) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVE GAMBINO 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:DIANA KIDD TITLE:TRUSTEE HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MIKE WEGNER TITLE:TRUSTEE HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LAURIE LABARCA TITLE:TRUSTEE HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RANDALL PETERSON TITLE:TRUSTEE HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT ALLAN ALLFORD TITLE:TRUSTEE HOURS:49 |
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