Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Members | Part VI, Section A, Questions 6, 7a, & 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. |
| Form 990 Review | Part VI, Section B, Question 11b | VIA CHRISTI PROPERTY SERVICES, INC. SHARES VIA CHRISTI HOSPITALS WICHITA, INC.'S AUDIT COMMITTEE. The audit committee reviews and approves the Form 990 prior to the date of filing. The audit committee reports on the review to the Board of Trustees and assures that the Board has the opportunity to review the final Form 990 as filed. 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 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; and 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. |
| Compensation Review | Part VI, Section B, Questions 15a & 15b | 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. 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; and *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. |
| Reconciliation of Net Assets | Part XI, Question 5 | Transfer 19 acres of land $(5,284,629) Pension Adjustment $ 73,407 Unrealized Gain $ 461,756 ------------ $(4,749,466) |
| Internal Board of Trustees | Part VI, Section A, Question 1a | The organization's board is an internal board. All trustees are employees of related organizations within the health system (Via Christi Health, Inc.). |
| Statement of Community Benefit | Part III | 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 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 Via Christi Property Services, Inc. (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 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 VCPS collaborates 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, 2012 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 $111,797 * Financial and in-kind donations $111,531 * Community benefit operations $ 266 Total Quantifiable Community Benefit Expenses $111,797 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Carleton Rider TITLE:Trustee; Hired 4/2012 HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David Gambino 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:Laurie Labarca TITLE:Trustee HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michael Wegner TITLE:Trustee HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Randall Peterson TITLE:Trustee; Term. 4/2012 HOURS:49 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Sr. Sherri Marie Kuhn TITLE:Trustee HOURS:49 |
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