Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Via Christi Hospitals Wichita Inc
 
Employer identification number
48-1172106
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Central Plains Health Care Partnership Inc
1102 South Hillside
Wichita,KS67211 		48-1200868 501(c)3 35,000       Project Access
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1) SCHOLARSHIPS 57 48,750      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds Scholarships are given to both employees and non-employees who are accepted into an approved degree program in the last year to two years before graduation. Scholarships are monitored through the education department staff. Scholarships are renewable each semester. To renew the scholarship, students must submit a completed renewal application, a copy of their pre-registration schedule for the upcoming semester, and a copy of their current course grades upon completion of each semester. Students must maintain a 3.0 GPA and be a resident of Kansas and a citizen or national of the United States. Students who choose not to renew their scholarship or are ineligible to renew their scholarship must continue to submit their pre-registration schedule for the upcoming semester and a copy of their current course grades upon completion of each semester to ensure they are continuing in their course of study. If students drop out of a program, all scholarship monies are immediately due and payable back to the Hospital.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Scholarships are given to both employees and non-employees who are accepted into an approved degree program in the last year to two years before graduation. Scholarships are monitored through the education department staff. Scholarships are renewable each semester. To renew the scholarship, students must submit a completed renewal application, a copy of their pre-registration schedule for the upcoming semester, and a copy of their current course grades upon completion of each semester. Students must maintain a 3.0 GPA and be a resident of Kansas and a citizen or national of the United States. Students who choose not to renew their scholarship or are ineligible to renew their scholarship must continue to submit their pre-registration schedule for the upcoming semester and a copy of their current course grades upon completion of each semester to ensure they are continuing in their course of study. If students drop out of a program, all scholarship monies are immediately due and payable back to the Hospital.
Schedule I (Form 990) 2014



Additional Data


Software ID: 14000329
Software Version: 2014v1.0