Civic Intelligence

Uvmc Nursing Care Inc.

990 • Fiscal year 2017 • EIN 31-1224064

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 12, 2018

110 N Main St 500Dayton, OH 45402

(937) 449-9942

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

74th percentile

0.54x

Higher debt load relative to assets than 74% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

69th percentile

0.55x

Higher debt load relative to revenue than 69% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Net Margin

57th percentile

5.1%

Higher net margin than 57% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

92nd percentile

$559,214

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 2.7% of source-year revenue.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Asset Growth

47th percentile

3.7%

Faster asset growth than 47% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

35th percentile

0.3%

Faster revenue growth than 35% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Assets

Up

$20,782,531

Up $3,160,354 (+18%) from 2014

Net Assets

Up

$9,606,617

Up $3,114,208 (+48%) from 2014

Liabilities

Up

$11,175,914

Up $46,146 (+0.4%) from 2014

Revenue

Up

$20,436,366

Up $1,122,506 (+5.8%) from 2014

Expenses

Up

$19,397,995

Up $295,699 (+1.5%) from 2014

Net Income

Up

$1,038,371

Up $826,807 (+391%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2011: $19,081,169Liabilities 2011: $7,730,904Net Assets 2011: $11,350,2652011Assets 2012: $16,718,878Liabilities 2012: $7,904,730Net Assets 2012: $8,814,1482012Assets 2013: $17,835,977Liabilities 2013: $11,576,055Net Assets 2013: $6,259,9222013Assets 2014: $17,622,177Liabilities 2014: $11,129,768Net Assets 2014: $6,492,4092014Assets 2017: $20,782,531Liabilities 2017: $11,175,914Net Assets 2017: $9,606,6172017Assets 2018: $22,383,132Liabilities 2018: $11,340,274Net Assets 2018: $11,042,8582018Assets 2019: $24,803,828Liabilities 2019: $11,702,791Net Assets 2019: $13,101,0372019Assets 2020: $28,838,288Liabilities 2020: $11,941,537Net Assets 2020: $16,896,7512020Assets 2021: $28,595,230Liabilities 2021: $12,427,084Net Assets 2021: $16,168,1462021Assets 2022: $27,421,957Liabilities 2022: $11,756,507Net Assets 2022: $15,665,4502022Assets 2024: $5,021,936Liabilities 2024: $1,253,452Net Assets 2024: $3,768,4842024

Highlighted filing

2017

Assets$20,782,531
Liabilities$11,175,914
Net Assets$9,606,617

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60M$40M$20M$0-$20MExpenses 2011: $19,288,4102011Expenses 2012: $19,175,7522012Revenue 2013: $20,310,670Expenses 2013: $19,084,031Net Income 2013: $1,226,6392013Revenue 2014: $19,313,860Expenses 2014: $19,102,296Net Income 2014: $211,5642014Revenue 2017: $20,436,366Expenses 2017: $19,397,995Net Income 2017: $1,038,3712017Revenue 2018: $21,936,963Expenses 2018: $20,950,892Net Income 2018: $986,0712018Revenue 2019: $24,457,783Expenses 2019: $22,777,723Net Income 2019: $1,680,0602019Revenue 2020: $21,856,195Expenses 2020: $18,389,643Net Income 2020: $3,466,5522020Revenue 2021: $22,808,264Expenses 2021: $23,168,139Net Income 2021: -$359,8752021Revenue 2022: $24,553,051Expenses 2022: $23,885,066Net Income 2022: $667,9852022Revenue 2024: $42,914,468Expenses 2024: $26,416,365Net Income 2024: $16,498,1032024

Highlighted filing

2017

Revenue$20,436,366
Expenses$19,397,995
Net Income$1,038,371
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 12, 2018
Return Version
2017v2.3
Gross Receipts
$20,436,366
Mission and Program Overview

Mission

To provide skilled nursing and rehabilitative services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,039,614$8,541,491▲ $1,501,877
Investments in Publicly Traded Securities$7,944,256$7,965,919▲ $21,663
Accounts Receivable$2,222,703$2,772,878▲ $550,175
Savings and Temporary Cash Investments$2,637,094$1,190,347▼ $1,446,747
Prepaid Expenses and Deferred Charges$200,163$305,646▲ $105,483
Cash and Non-Interest-Bearing Accounts$6,250$6,250→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$20,050,080$20,782,531▲ $732,451
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$8,225,843$7,620,841▼ $605,002
Deferred Revenue$1,730,646$1,897,231▲ $166,585
Accounts Payable and Accrued Expenses$1,630,879$1,539,851▼ $91,028
Escrow Account Liability$118,303$117,991▼ $312
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$11,705,671$11,175,914▼ $529,757
Net Assets / Fund Balance
Unrestricted Net Assets$8,344,409$9,606,617▲ $1,262,208
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$8,344,409$9,606,617▲ $1,262,208
Total Liabilities and Net Assets / Fund Balance$20,050,080$20,782,531▲ $732,451

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,775,493$12,722,973$17,498,466
Equipment$1,321,433$5,332,056$6,653,489
Other Land Buildings$1,803,158-$1,803,158
Land$641,407-$641,407
Compensation and Service Providers

Board Members and Trustees

NameTitle
Arthur R DisbrowChair-to Feb / Trustee-frm Feb
Craig C BundschuhTrustee-to Feb / Chair-frm Feb
Rebecca a RiceUpper Valley President & CEO
Steve StaleyVice-chair (from Feb)
Dale E Creech JrBoard Secretary
Douglas R MurrayTrustee
Rowan R Nickol MdTrustee
William E LukensTrustee
Peter E Nims MdTrustee (to Jan)
Benjamin a WatsonRecording Secretary
Timothy D SniderTreasurer & CFO - See Sch O

Highest Paid Contractors

ContractorServicesLocationCompensation
Adcare Health Systems INCManagement Services454 SATELLITE BLVD NW SUITE 100, Suwanee, GA 30024$10,576,674
Concept Rehab INCTherapy Services7150 GRANITE CIRCLE, Toledo, OH 43617$1,900,043
Brackett Builders INCPre-construction Srv185 MARYBILL DRIVE, Troy, OH 45373$1,443,365
Remedi Senior CareSenior CarePO BOX 75744, Baltimore, MD 21275$699,867
App Architecture INCArchitectural Srv615 WOODSIDE DR, Englewood, OH 45322$114,043
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$20,051,970
Investment Income
$139,323
Other Revenue
$245,073
Change in Net Assets
$1,038,371
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$19,397,995
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$1,954,375--$1,954,375
Other Expenses$1,144,812$119,781-$1,144,812
Fees for Services Management$831,832$96,552-$928,384
Occupancy$657,805$76,352-$734,157
Depreciation Depletion$619,292$71,882-$691,174
Office Expenses$213,398$24,769-$238,167
All Other Expenses$62,190$7,218-$69,408
Fees for Services Legal$59,954$6,959-$66,913
Advertising$57,625--$57,625
Insurance$32,335$3,753-$36,088
Travel$12,496$1,450-$13,946
Fees for Service Investment Mgmnt Fees-$12,821-$12,821
Total Functional Expenses$17,871,655$1,526,340$0$19,397,995
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Refundable Fees$7,559,850
Due to Third Parties$60,375
Due to Affiliates$616
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

PART VI, SECTION B, QUESTION 15A AND 15B:

COMPENSATION TO UVMC'S (THE PARENT OF UVMC NURSING CARE, INC.) CEO IS REVIEWED AND APPROVED BY PREMIER HEALTH (PREMIER), WITH WHICH UVMC IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY FOR KEY EXECUTIVES, VICE PRESIDENTS, AND DIRECTOR LEVEL POSITIONS. THE INDEPENDENT COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THIS COMMITTEE IS COMPRISED OF THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CHIEF STRATEGY OFFICER, CHIEF INTEGRATION OFFICER AND THE HOSPITAL CEOS. OTHER POSITIONS ARE REVIEWED AT A HIGH LEVEL FOR REASONABLENESS. ALL THE MEETING MINUTES ARE DOCUMENTED AND KEPT ON FILE ALONG WITH ANY COMPARABILITY DATA AND THE CONSULTANT REPORT. AFTER THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION ACTIONS, THE PROCESS IS AUDITED BY THE INTERNAL AUDIT DEPARTMENT. THE EXECUTIVE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION ACTIONS TO THE PREMIER BOARD ANNUALLY. PART VI, SECTION C, QUESTION 19: THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE COMPANY WEBSITE. Part VII, Line 1A, item 10: Timothy Snider serves as an officer for both Upper Valley Medical Center and another unrelated hospital. However, 100% of his compensation is paid by Upper Valley Medical Center. Mr. Snider spends approximately one-half of his working hours at each Hospital. The compensation reported on Part VII & Schedule J, Part II includes all of his reportable compensation, even though Upper Valley Medical Center is reimbursed by the unrelated hospital for his time spent at that institution. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE $185,355

Filing and Contact Details

Filer

Filer Name
UVMC Nursing Care Inc
EIN
31-1224064
In Care Of
% J MICHAEL SIMS
Phone
9374499942
Address
110 N MAIN ST 500, DAYTON, OH 45402

Signing Officer

Name
Timothy D Snider
Title
Treasurer & CFO
Phone
9374999942
Signed
2018-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas R Parker
Formed
1987
Legal Domicile
Oh
Voting Board Members
7
Independent Board Members
6
Employees
0
Volunteers
7

Preparer

Firm
Ernst & Young US Llp
Address
1900 Scripps Center 312 Walnut St, Cincinnati, OH 45202
Preparer
Julie L Sparks
Phone
5136121400
Supplemental Narrative

Additional Explanations

PART III, LINE 1:

Uvmc nursing care, inc., as a subsidiary of uvmc, serves an integral part in achieving uvmc's mission: uvmc will strive to provide quality care that upholds the dignity of all individuals. Care will be given in a holistic manner without regard to race, religion, creed, national origin, or social status. Our health care delivery system is structured to optimize the delivery of safe, efficient, and cost-effective health care. Part iii, line 4a & 4b: the primary exempt purpose of uvmc nursing care, inc. Is to provide skilled nursing and rehabilitative services in a long-term healthcare setting to individuals in the community served by upper valley medical center, a related tax-exempt hospital. As a part of the uvmc health system, uvmc nursing care, inc. Is committed to preserving long-term access to quality health care services for miami county and the surrounding area. This organization was formed in 1987 to assure access to appropriate care at an acceptable cost for patients in a managed care environment. In june of 1989, it was granted tax exempt status. Koester pavilion is a 150-bed nursing home providing long-term care for skilled and intermediate care patients as well as freedom court, a specialized alzheimer's unit. Springmeade health center is a 99-bed nursing home offering a recuperative, rehabilitative health center and convalescent and extended care services including freedom court, a dedicated alzheimer's unit. Both nursing homes care for medicaid, medicare, insurance and private pay patients. Patient days for 2017 were: koester pavilion 40,341 springmeade 33,201 total 73,542 the majority of the expenditures for uvmc nursing care, inc. Relates to the costs of the professional and nursing services needed to serve those entrusted to our care. Expenses associated with long-term care are reported on form 990, part iii, line 4a. Springmeade residence, located on the same campus as the health center, offers two- and three-bedroom retirement living coach homes. Springmeade coach homes are situated to offer a view of the natural beauty and visual amenities which surround the area. Services are designed to enhance the lives of the residents by providing: 1) all property taxes and insurance on the structures 2) year round interior and exterior maintenance and grounds keeping 3) springmeade sponsored special events and social functions 4) electronic contact system that provides notification for rapid response to health emergencies. Expenses associated with the retirement community are reported on form 990, part iii, line 4b. Part v, question 2a: uvmc nursing care, inc. Does not have direct employees. Adcare health systems, inc. Provides all nursing, administrative, and financial services to perform the day-to-day operation of the nursing homes. Allocated personnel expenses are reported on part ix, line 24a of form 990. Part vi, section a, question 3: adcare health systems, inc., under the direction of the executive management team of uvmc, provides all administrative, nursing, and financial services to perform the day-to-day operations of the nursing homes. Part vi, section a, question 6: uvmc is the sole corporate member of uvmc nursing care, inc., and as such, has sole authority to elect the board of trustees of the organization. Part vi, section a, question 7a: uvmc has the sole authority to elect the board of trustees for uvmc nursing care, inc. Part vi, section a, question 7b: premier health (premier) as the operator of uvmc nursing care, inc. (uvmcn) develops and oversees the implementation of the strategic plan for uvmcn, which includes (but is not limited to) such matters as location of clinical and administrative services and the consolidation of such services. Uvmcn shall comply with and implement this plan and shall not take any action that materially departs from this plan without premier's approval. Uvmcn shall implement the capital and operating budget so approved and/or revised for it by premier. Uvmcn shall imple

Form 990 Part IX Line 11G

Description:therapy services total fees:1785383

Form 990 Part IX Line 11G

Description:other contracted services total fees:51734

Form 990 Part IX Line 11G

Description:medical director fees total fees:54600

Form 990 Part IX Line 11G

Description:patient transportation total fees:48731

Form 990 Part IX Line 11G

Description:bank fees total fees:13927

Financial Statement Notes

SCHEDULE D, Part IV, LINE 2B:

THE LONG-TERM CARE FACILITIES ARE MANAGED BY AN OUTSIDE COMPANY. THE ESCROW LIABILITY ON FORM 990, PART X, LINE 21 REPRESENTS FUNDS HELD BY EACH NURSING HOME FOR USE BY THE RESIDENTS AND "GOOD FAITH" DEPOSITS ON PURCHASES OF COTTAGES. MEDICAID RESIDENTS ARE ABLE TO KEEP A PORTION OF THEIR BENEFITS AND ARE RESPONSIBLE FOR PERSONAL CARE ITEMS SUCH AS HAIR CARE, TOILETRIES, DINING OUT, ETC. THE NURSING HOME HOLDS THE FUNDS FOR THE RESIDENTS, AND THE RESIDENTS ARE ABLE TO ACCESS THEIR FUNDS WHEN THEY ARE NEEDED. DEPOSITS ON THE PURCHASES OF COTTAGES ARE GENERALLY REFUNDABLE UNDER THE TERMS OF THE RESIDENCY AGREEMENT BETWEEN THE BUYER AND UVMC NURSING CARE, INC. SCHEDULE D, PART X, LINE 2: THE FOLLOWING FOOTNOTE IS SUMMARIZED FROM THE AUDITED COMBINED FINANCIAL STATEMENTS FOR PREMIER HEALTH AND AFFILIATES. UVMC IS THE PARENT ORGANIZATION OF UPPER VALLEY NURSING CARE. PREMIER HEALTH (PREMIER), MEDAMERICA HEALTH SYSTEMS (MAHS), SAMARITAN HEALTH PARTNERS (SHP), ATRIUM HEALTH SYSTEM (AHS), AND UVMC have been determined by the Internal Revenue Service to be tax-exempt nonprofit corporations and public charities under Sections 501(c)(3) and 509(a), respectively, of the Internal Revenue Code. As tax-exempt organizations, their income is exempt from federal income tax except to the extent of any unrelated business activities. PREMIER, SHP, AND UVMC ALSO OWN OR CONTROL CERTAIN SUBSIDIARIES, WHICH ARE FOR PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. Taxes payable at December 31, 2017 and 2016, for such unrelated business activities are not significant. Management annually reviews the tax positions and has determined that there are no material uncertain tax positions.

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