{"success":true,"data":{"_id":481216238,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"The primary exempt purpose of mnmch,inc. Is to provide health care services to residents of the columbus, kansas community regardless of the ability to pay.","primary_activities":"Please refer to Schedule H, The Needs Assessment Narrative, Part VI, Item 2.\n\nMNMCH, Inc. has ceased conducting business, effective October 31, 2009. Accordingly, the information contained in this Form 990 represents MNMCH, Inc.'s wind-up period.","year":2009,"name":"MNMCH Inc","phone":"3164292545","type":"990","principal_officer":"Cynthia Neely","year_formation":1999,"state_legal_domicile":"KS","total_volunteers":3,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"220 NORTH PENNSYLVANIA, COLUMBUS, KS, 66725, USA","city":"COLUMBUS","state":"KS","country":"USA","zip_code":"66725"},"Governance":{"501c determination":true,"Number of voting members":5,"Number of independent voting members":3,"Number of employees total":52,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":52,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":true,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":1191803,"Contributions":{"value":0},"Program revenue":{"value":1176218,"Total revenue":{"value":1176218,"VARIOUS":1176218}},"Investment income":{"value":201,"Investment income total":201,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":15384,"Other total":15384,"Royalties revenue":0,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":1295085,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":668911,"Current officers":0,"Disqualified persons":0,"Other salaries and wages":501401,"Pension plan contributions":25928,"Other employee benefits":98227,"Payroll taxes":43355},"Other expenses":{"value":626174,"Management services":0,"Legal":0,"Accounting":0,"Lobbying services":0,"Investment management fees":0,"Other services":240901,"Advertising":0,"Office expenses":139575,"Information technology":0,"Royalties":0,"Occupancy":46985,"Travel":3163,"Conferences and meetings":0,"Interest":0,"Payments to affiliates":21331,"Depreciation and depletion":0,"Insurance":0,"Travel entertainment public officials":0,"Itemized Expenses":{"value":169015,"VARIOUS":169015},"All other expenses":5204}},"Assets":{"value":657815,"Non-interest bearing cash":163029,"Savings and temp cash investments":334104,"Accounts receivable":144860,"Inventories for sale or use":0,"Land, building, equipment":0,"Other assets":15822},"Liabilities":{"value":28430,"Accounts payable, accrued":28430,"Other liabilities":0},"Fund balance":{"value":629385},"Form990Details":{"program_service_accomplishments":[{"description":"Please refer to Schedule H, The Needs Assessment Narrative, Part VI, Item 2.","expense":1025493,"revenue":1176218}],"program_service_revenue_detail":[{"business_code":"900099","description":"NET PATIENT SERVICES","total_revenue":1151068,"related_or_exempt_function_income":1151068},{"business_code":"900099","description":"RELATED RENTAL INCOME","total_revenue":25150,"related_or_exempt_function_income":25150}],"functional_expense_allocations":{"current_officers_directors":{"total":0},"disqualified_persons":{"total":0},"other_salaries_and_wages":{"program_services":389305,"management_and_general":112096,"total":501401},"pension_plan_contributions":{"program_services":22817,"management_and_general":3111,"total":25928},"other_employee_benefits":{"program_services":86276,"management_and_general":11951,"total":98227},"payroll_taxes":{"program_services":38316,"management_and_general":5039,"total":43355},"management_fees":{"total":0},"legal_fees":{"total":0},"accounting_fees":{"total":0},"lobbying_fees":{"total":0},"professional_fundraising_fees":{"total":0},"investment_management_fees":{"total":0},"other_service_fees":{"program_services":161958,"management_and_general":78943,"total":240901},"advertising":{"total":0},"office_expenses":{"program_services":117997,"management_and_general":21578,"total":139575},"information_technology":{"total":0},"royalties":{"total":0},"occupancy":{"program_services":37868,"management_and_general":9117,"total":46985},"travel":{"program_services":383,"management_and_general":2780,"total":3163},"conferences_meetings":{"total":0},"interest":{"total":0},"payments_to_affiliates":{"program_services":21331,"total":21331},"depreciation_depletion":{"total":0},"insurance":{"total":0},"all_other_expenses":{"management_and_general":5204,"fundraising":0,"total":5204}},"tax_and_disclosure_flags":{"activities_conducted_through_partnership":false,"foreign_financial_account":false,"backup_withholding_compliance":true,"employment_tax_returns_filed":true,"lobbying_activities":true,"deductible_non_cash_contributions":false,"deductible_contributions_of_art":false,"method_of_accounting_accrual":true},"principal_officer_detail":{"person_name":"Cynthia Neely","address_line1":"220 NORTH PENNSYLVANIA","city":"COLUMBUS","state":"KS","zip":"66725"},"audit_financial_statement_detail":{"accountant_compile_or_review":false,"audited_financial_statement_consolidated":true,"federal_grant_audit_required":false},"related_party_due_diligence":{"officer_entity_with_business_relationship":false,"officer_mailing_address":false,"related_entity":true,"related_org_controlled_entity":true,"compensation_from_other_sources":false,"excess_benefit_transaction":false,"annual_disclosure_covered_persons":true},"grant_due_diligence":{"grants_to_organizations":false,"grants_to_individuals":false,"more_than_5000_to_organizations":false,"more_than_5000_to_individuals":false},"books_are_in_care_of":{"person_name":"CYNTHIA NEELY","phone":"6204292545","address_line1":"220 N PENNSYLVANIA AVENUE","city":"Columbus","state":"KS","zip":"66725"},"officers_directors_key_employees":[{"title":"Chairman of Board","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"board member","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":111617,"other_compensation":19491,"individual_trustee_or_director":true,"officer":true},{"title":"MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"OFFICER","average_hours_per_week":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":69529,"other_compensation":13109,"individual_trustee_or_director":true,"officer":true},{"title":"Vice Chairman of Board","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":94756,"other_compensation":3388,"former":true},{"title":"PRESIDENT & CEO","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":386928,"other_compensation":39007,"former":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":false,"required":false},"ScheduleC":{"lobbying_activities":{"volunteers":false,"paid_staff_or_management":false,"media_advertisements":false,"mailings_members":false,"publications_or_broadcast":false,"grants_other_organizations":true,"grants_other_organizations_amount":22,"direct_contact_legislators":false,"rallies_demonstrations":false,"other_activities":false,"total_lobbying_expenditures":22},"supplemental_information":[{"identifier":"Lobbying Expenses","form_and_line_reference":"Schedule C Part II-B, line 1f","explanation":"THE ENTITY'S CONTROLLING ORGANIZATION, CATHOLIC HEALTH INITIATIVES, PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND CATHOLIC HOSPITAL ASSOCIATION (CHA), A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT SHOWN IN LINE 1F ABOVE REPRESENTS THIS ENTITY'S SHARE OF ALLOCATED LOBBYING EXPENSES. aha, $13; CHA, $9"}]},"ScheduleD":{"land_buildings_equipment":{"equipment":{"other_cost_or_other_basis":0,"depreciation":0}},"other_liabilities":{"federal_income_tax_liability":0,"total_liability":0},"net_assets_reconciliation":{"total_revenue":1191803,"total_expenses":1295085,"excess_or_deficit_for_year":-103282,"excess_or_deficit_per_financial_statements":-103282},"supplemental_information":[{"identifier":"FIN 48 Footnote (Now known as ASC 740)","form_and_line_reference":"SCHEDULE D, PART X","explanation":"MNMCHs FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2010 READS AS FOLLOWS: \"CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS.\""}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":false,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":127825,"reimbursed_by_medicare":647674,"cost_of_care_reimbursed_by_medicare":24779,"medicare_surplus_or_shortfall":622895,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":13754,"net_community_benefit_expense":13754,"total_expense_percentage":0.0112},"total_financial_assistance":{"total_community_benefit_expense":13754,"net_community_benefit_expense":13754,"total_expense_percentage":0.0112},"community_health_services":{"total_community_benefit_expense":6887,"net_community_benefit_expense":6887,"total_expense_percentage":0.0068},"cash_and_inkind_contributions":{"total_community_benefit_expense":349,"net_community_benefit_expense":349},"total_other_benefits":{"total_community_benefit_expense":7236,"net_community_benefit_expense":7236,"total_expense_percentage":0.0068},"total_community_benefits":{"total_community_benefit_expense":20990,"net_community_benefit_expense":20990,"total_expense_percentage":0.018}},"community_building":{"community_support":{"total_community_benefit_expense":323,"net_community_benefit_expense":323,"total_expense_percentage":0.0003},"health_improvement_advocacy":{"total_community_benefit_expense":7446,"net_community_benefit_expense":7446,"total_expense_percentage":0.0064},"other_community_building_activities":{"total_community_benefit_expense":47,"net_community_benefit_expense":47},"total_community_building_activities":{"total_community_benefit_expense":7816,"net_community_benefit_expense":7816,"total_expense_percentage":0.0067}},"hospital_facilities":[{"business_name_line1":"MNMCH","address_line1":"200 N PENNSYLVANIA","city":"COLUMBUS","state":"KS","zip":"66725","licensed_hospital":true,"general_medical_and_surgical":true,"critical_access_hospital":true,"emergency_room_24_hours":true,"name":"MNMCH","address":"200 N PENNSYLVANIA, COLUMBUS, KS, 66725"}],"part_vi_explanations":{"affiliated_health_care_system":"Maude Norton Memorial Hospital, along with its affiliated outpatient facilities are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted- and residential-living facilities; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized \"shared services\" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and more than $3.9 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society.","annual_community_benefit":"Maude Norton Memorial Hospital prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization.","bad_debt_footnote":"(A) Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 36.02%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. (B) Maude Norton Memorial Hospital does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. Maude Norton Memorial Hospital does not issue separate company audited financial statements, rather it is included in the consolidated CHI financial statements. The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Management periodically assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility.","community_building_activities":"Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.","community_information":"Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.","costing_method_used":"A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments.","debt_collection_policy":"Maude Norton Memorial Hospital's (\"MNMH\") debt collection policy provides that MNMH will perform a reasonable review of each inpatient account prior to turning an account for to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through MNMH's community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the MNMH community assistance policy is required to be returned immediately by the third-party collection agent to MNMH for appropriate follow-up. MNMH requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: - Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; - Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and - No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect.","income_based_criteria":"When Catholic Health Initiatives (the ultimate parent organization to Maude Norton Memorial Hospital) established its charity care policy it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among the 69 urban and rural communities in 19 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines (\"FPG\"), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. Maude Norton Memorial Hospital bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. An individual's income under the HUD guidelines is a significant factor in determining eligibility for charity care. However, in determining whether to extend discounted or free care to a patient, the patient's assets may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances.","needs_assessment":"St. John's Maude Norton Memorial Hospital is a rural limited service hospital that has been converted to a special designation as a Critical Access Hospital under the Medicare Rural Hospital Flexibility Grant Program. St. John's Maude Norton Memorial Hospital became affiliated with St. John's Regional Medical Center in 1999 to enhance existing patient care services and strengthen healthcare accessibility in the Southeastern Kansas area. As a rural healthcare provider, St. John's Maude Norton offers quality, convenient and affordable services for area families and businesses. St. John's Maude Norton Memorial Hospital is part of Catholic Health Initiatives, one of the largest Catholic not-for-profit health care systems in the United States. The mission of St John's Maude Norton Memorial Hospital is: \"...to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st Century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.\" St. John's Maude Norton Memorial Hospital services include 25 in-patient beds, Acute/Skilled Care, 24-hour Emergency Room Care, Laboratory Services, Imaging Services, Physical Therapy, Respiratory Therapy, Industrial Medicine Program, and Visiting Specialty Clinics. St. John's Maude Norton Memorial Hospital provides skilled care for those patients who are well enough to leave the acute care level of the hospital, but not well enough to return to their home. The Skilled Care program offers an extended hospital stay for the convenience of the patients and their family. Any person who receives Medicare, and meets Medicare's criteria, is eligible for an assessment of possible Skilled Care placement. Quantifiable community-benefit programs include traditional charity care and other mission driven activities to improve the health of the community. The programs and services described throughout this report not only serve the community but also reduce the burdens on government. Community Benefit Approach: St. John's Maude Norton Memorial Hospital's Community Benefit Plan is based on our understanding of unique communities' needs derived from focus groups, Joint State Needs Assessment data and Kansas Hospital Association's report of the Most Frequent Conditions Treated in Community Hospitals for Cherokee County Kansas. The Joint State Needs Assessment data provides economic and health status indexes, ranks each indicator and compares the need for improvement based on state rates. The Kansas Hospital Association's data also compares Cherokee County mean rates to the state's rate. We recognize that the health of the community is not the responsibility of any one entity, but rather requires the coordinated efforts of many entities - public and private - to realize an improved health status of a community. St. John's Maude Norton works together with our affiliate, St. John's Regional Medical Center, and other local organizations to improve the health status of the community. In reviewing the health status data and other demographic and economic indicators, our community has prioritized the following community health issues: St. John's Maude Norton is in a Health Professional Shortage Area and a Medically Underserved Area. Therefore, our primary concern and community benefit approach is continued access to health care services. Other issues we have prioritized are healthy behaviors, immunization rates for both children and adults and unintentional injuries. Financial Assistance Policies & Programs: Not-for-profit organizations (501(c) 3) have a responsibility to offer service that benefits their communities sufficient to reflect what would be their tax burden if they were a for-profit corporation. St. John's Maude Norton Memorial Hospital provides care, without regard to ability to pay, to individuals with limited financial resources. If a patient needs healthcare services, but lacks the means to pay, we provide patient financial counseling services. Financial counseling services include assisting patients enroll in Medicare, Medicaid or other local health care financial assistance. If they are not qualified under those programs, we provide financial assistance information, including our policy, procedures and an application, and help them complete the application with direct staff support as needed. Qualified patients will have all or part of their hospital bills forgiven. Additionally, our hospital ministries assist those patients who are uninsured, but do not qualify for Charity Care, in paying for their health care needs by applying a discount to both inpatient and outpatient service charges. Community Outreach for Persons Living in Poverty: St. John's Maude Norton Memorial Hospital offers financial counseling services for persons living in poverty and who need financial assistance. Financial Counselors are dedicated to helping patients determine sources of reimbursement for hospital services. As a private, non-profit charitable institution, St. John's Maude Norton relies on patient care revenues, whether from commercial insurance, government programs, or direct patient payments. Financial Counselors identify and assist patients who are unable to pay their estimated liability prior to treatments or who have large existing balances. This assistance includes assessing the patient's liability, linking patients to available funding sources such as Medicaid and Medicare, and determining whether they are eligible for charity care or financial hardship treatment. Financial counselors often assist the patient and family complete the necessary paperwork required by government programs and act as advocates on the patient's behalf. Patients requesting payment plans or financial hardship considerations are identified as early as possible in the registration/admission process so the necessary documentation, research, and approval can be completed thereby reducing the financial and emotional stress on the patient and family. Community Outreach for the Broader Community: St. John's Maude Norton Memorial Hospital offers a few services and programs that are designed to help the community at large. These programs and services not only help with the health of individual patients, but also create a positive impact on our community as a whole. Community Based Clinical Services Blood Pressure Screening Clinic St. John's Maude Norton provides no cost blood pressure screenings to the community. Community Health Fairs Community: Health Fairs are offered to provide no cost health related educational information or screenings. Maude Norton offers screening, health information and is available for minor medical emergency support at the local Farm Show and the community-wide Columbus Days events. Flu Immunizations for Area Businesses & Community Organizations: St. John's Maude Norton provides no cost or low cost flu immunizations to area businesses and community organizations. Sports Physicals Members of our medical staff provide free physicals for area school children, a requirement for their participation in school athletic programs. In-Kind Donations Community Boards & Involvement: St. John's Maude Norton's staff supports a variety of not-for-profit organizations through board and community service.","other_information":"Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.","patient_education_assistance":"Maude Norton Memorial Hospital (\"MNMH\") includes information concerning its financial assistance policy on its website. In addition, MNMH prominently displays its charity care policy in both English and Spanish in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in MNMH outpatient facilities. In addition, MNMH registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under MNMH's charity care policy. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. MNMH registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non English-speaking individuals. MNMH's staff will also assist the patient / guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies.","percent_of_total_expense":"Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $ 127,825.","reports_filed_with_states":"MO","shortfall_as_community_benefit":"(A)MNMCH, INC is designated as a Critical Access Hospital (\"CAH\"). CAHs are rural community hospitals that are certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures. CAHs are certified under a different set of Medicare Conditions of Participation (CoP). Shortfalls are created when a facility receives payments that are less than the costs of caring for program beneficiaries. Because shortfalls are based on costs, not charges, and MNMCH,INC. due to its designation as a CAH, received cost-based reimbursement for Medicare purposes, MNMCH,INC. will not experience Medicare related shortfalls. (B)However MNMCH,INC. and its affiliates, believe that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as \"subsidized health services.\" Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays."}},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"John Mentgen","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":85238,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":3388,"other_compensation_filing_org":0,"other_compensation_related_orgs":9518,"total_compensation_filing_org":0,"total_compensation_related_orgs":98144,"name":"John Mentgen"},{"person_name":"Debra Linnes","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":-3492,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":39007,"other_compensation_filing_org":0,"other_compensation_related_orgs":390420,"total_compensation_filing_org":0,"total_compensation_related_orgs":425935,"name":"Debra Linnes"}],"supplemental_information":[{"identifier":"METHODS USED TO ESTABLISH CEO COMPENSATION","form_and_line_reference":"Schedule J, Part I, Q. 3","explanation":"Compensation for the top management official of MNMCH, Inc. was established and paid by a related organization, catholic health initiatives (CHI). CHI used the following methods to establish the top management official's compensation: 1) compensation committee; 2) independent compensation consultant; 3) compensation survey or study; and 4) approval by the board or compensation committee; 5) written employment contract."},{"identifier":"POST-TERMINATION PAYMENTS","form_and_line_reference":"SCHEDULE J, PART I, Q. 4A","explanation":"Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's (\"CHI\") MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. During the fiscal year ended June 30, 2010, Debra Linnes received a severance payment in the amount $390,420."}]},"ScheduleN":{"successor_relationships":{"director_of_successor":true,"employee_of_successor":true,"owner_of_successor":false,"received_compensation":false},"dispositions":[{"person_name":"SISTERS OF MERCY HEALTH SYSTEM","ein":431423050,"irc_section":"501(C)(3)","distribution_date":"2009-10-01T00:00:00","description":"EQUIPMENT","fair_market_value":231743,"method_of_fmv_determination":"ACTUAL COST","address_line1":"14528 SOUTH OUTER 30 ROAD SUITE 10","city":"CHESTERFIELD","state":"MO","zip":"63017","name":"SISTERS OF MERCY HEALTH SYSTEM","address":"14528 SOUTH OUTER 30 ROAD SUITE 10, CHESTERFIELD, MO, 63017"},{"person_name":"SISTERS OF MERCY HEALTH SYSTEM","ein":431423050,"irc_section":"501(C)(3)","distribution_date":"2009-10-01T00:00:00","description":"PREPAID EXPENSES","fair_market_value":122088,"method_of_fmv_determination":"ACTUAL COST","address_line1":"14528 SOUTH OUTER 30 ROAD SUITE 10","city":"CHESTERFIELD","state":"MO","zip":"63017","name":"SISTERS OF MERCY HEALTH SYSTEM","address":"14528 SOUTH OUTER 30 ROAD SUITE 10, CHESTERFIELD, MO, 63017"}],"supplemental_information":[{"identifier":"SHEDULE N PART II Q 2E","explanation":"MNMCH, INC. SOLD SUBSTANTIALLY ALL OF ITS ASSETS TO THE SISTERS OF MERCY HEALTH SYSTEM ON OCTOBER 31, 2009. ALL OF THE OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES THAT ARE LISTED ON PART VII ON THIS FORM 990 WILL HOLD THE SAME POSITIONS AFTER THE TRANSITION TO THE SISTER OF MERCY HEALTH SYSTEM."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":710897107,"business_name_line1":"St Joseph Community Health Services","primary_activities":"Community","exempt_code_section":"501(c)(3)","public_charity_status":"11a","legal_domicile_state":"NM","direct_controlling_business_name_line1":"CHI","address_line1":"300 Central SW Suite 300","city":"Albuquerque","state":"NM","zip":"87102","name":"St Joseph Community Health Services","address":"300 Central SW Suite 300, Albuquerque, NM, 87102"},{"ein":850253087,"business_name_line1":"St Joseph Community Health Foundation","primary_activities":"Foundation","exempt_code_section":"501(c)(3)","public_charity_status":"7","legal_domicile_state":"NM","direct_controlling_business_name_line1":"SJCHS","address_line1":"300 Central SW Suite 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NO INTERESTED PERSONS RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR 2012."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (\"CHI\"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: MARY ELIZABETH O'BRIEN DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MARY ELIZABETH O'BRIEN - $83,869 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: MARY ELIZABETH O'BRIEN - $43,883"}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false},"supplemental_information":[{"identifier":"Interested person who became an employee or independent contractor of successor organization","form_and_line_reference":"Schedule N, Part I, Line 2b","explanation":"MARK PARRINGTON AND MARY ELIZABETH O'BRIEN ARE EMPLOYEES OF CATHOLIC HEALTH INITIATIVES (\"CHI\"). CHI IS THE SOLE CORPORATE MEMBER OF MNMCH, INC.'S SOLE MEMBER SJRMC, JOPLIN MISSOURI."}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"ALEGENT CREIGHTON CLINIC","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"NE","direct_controlling_business_name_line1":"ACH","address_line1":"12809 WEST DODGE ROAD","city":"OMAHA","state":"NE","zip":"68154","name":"ALEGENT CREIGHTON CLINIC","address":"12809 WEST DODGE ROAD, OMAHA, NE, 68154"},{"business_name_line1":"ALEGENT CREIGHTON HEALTH","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"NE","direct_controlling_business_name_line1":"NA","address_line1":"12809 WEST DODGE ROAD","city":"OMAHA","state":"NE","zip":"68154","name":"ALEGENT CREIGHTON HEALTH","address":"12809 WEST DODGE ROAD, OMAHA, NE, 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CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE."},{"identifier":"POST-TERMINATION PAYMENTS","form_and_line_reference":"SCHEDULE J, PART I, LINE 4A","explanation":"POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES (\"CHI\") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO INTERESTED PERSONS RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR 2012."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (\"CHI\"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: MARY ELIZABETH O'BRIEN DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MARY ELIZABETH O'BRIEN - $83,869 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: MARY ELIZABETH O'BRIEN - $43,883"}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false},"supplemental_information":[{"identifier":"Interested person who became an employee or independent contractor of successor organization","form_and_line_reference":"Schedule N, Part I, Line 2b","explanation":"MARK PARRINGTON AND MARY ELIZABETH O'BRIEN ARE EMPLOYEES OF CATHOLIC HEALTH INITIATIVES (\"CHI\"). CHI IS THE SOLE CORPORATE MEMBER OF MNMCH, INC.'S SOLE MEMBER SJRMC, JOPLIN MISSOURI."}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"ALEGENT CREIGHTON CLINIC","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"NE","direct_controlling_business_name_line1":"ACH","address_line1":"12809 WEST DODGE ROAD","city":"OMAHA","state":"NE","zip":"68154","name":"ALEGENT CREIGHTON CLINIC","address":"12809 WEST DODGE ROAD, OMAHA, NE, 68154"},{"business_name_line1":"ALEGENT CREIGHTON HEALTH","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"NE","direct_controlling_business_name_line1":"NA","address_line1":"12809 WEST DODGE ROAD","city":"OMAHA","state":"NE","zip":"68154","name":"ALEGENT CREIGHTON HEALTH","address":"12809 WEST DODGE ROAD, OMAHA, NE, 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