Civic Intelligence

Providence Trinitycare Hospice Foundation

990 • Fiscal year 2015 • EIN 33-0261016

Jan 01, 2015 to Dec 31, 2015 • Filed on Aug 11, 2016

5315 Torrance Blvd No B1Torrance, CA 90503

(310) 543-3440

Siviq Scores

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

Liabilities / Assets

16th percentile

0.02x

Higher debt load relative to assets than 16% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

14th percentile

0.04x

Higher debt load relative to revenue than 14% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

90th percentile

46%

Higher net margin than 90% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

93rd percentile

$704,523

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 14.4% of source-year revenue.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

87th percentile

22%

Faster asset growth than 87% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

89th percentile

40%

Faster revenue growth than 89% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Up

$10,651,846

Up $1,908,429 (+22%) from 2014

Net Assets

Up

$10,456,600

Up $1,866,741 (+22%) from 2014

Liabilities

Up

$195,246

Up $41,688 (+27%) from 2014

Revenue

Up

$4,879,298

Up $1,399,410 (+40%) from 2014

Expenses

Up

$2,623,569

Up $1,072,604 (+69%) from 2014

Net Income

Up

$2,255,729

Up $326,806 (+17%) from 2014

Historical Trend

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2011: $5,852,714Liabilities 2011: $342,203Net Assets 2011: $5,510,5112011Assets 2012: $6,837,777Liabilities 2012: $517,151Net Assets 2012: $6,320,6262012Assets 2014: $8,743,417Liabilities 2014: $153,558Net Assets 2014: $8,589,8592014Assets 2015: $10,651,846Liabilities 2015: $195,246Net Assets 2015: $10,456,6002015Assets 2016: $10,070,416Liabilities 2016: $224,667Net Assets 2016: $9,845,7492016Assets 2018: $11,856,924Liabilities 2018: $4,280Net Assets 2018: $11,852,6442018Assets 2021: $15,729,740Liabilities 2021: $19,070Net Assets 2021: $15,710,6702021Assets 2022: $15,448,892Liabilities 2022: $25,329Net Assets 2022: $15,423,5632022Assets 2024: $17,692,583Liabilities 2024: $30,522Net Assets 2024: $17,662,0612024

Highlighted filing

2015

Assets$10,651,846
Liabilities$195,246
Net Assets$10,456,600

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2011: $1,699,6832011Expenses 2012: $1,323,7432012Revenue 2014: $3,479,888Expenses 2014: $1,550,965Net Income 2014: $1,928,9232014Revenue 2015: $4,879,298Expenses 2015: $2,623,569Net Income 2015: $2,255,7292015Revenue 2016: $2,851,472Expenses 2016: $3,741,570Net Income 2016: -$890,0982016Revenue 2018: $3,122,743Expenses 2018: $3,795,569Net Income 2018: -$672,8262018Revenue 2021: $2,314,489Expenses 2021: $3,713,418Net Income 2021: -$1,398,9292021Revenue 2022: $4,542,665Expenses 2022: $3,279,701Net Income 2022: $1,262,9642022Revenue 2024: $6,810,071Expenses 2024: $6,095,999Net Income 2024: $714,0722024

Highlighted filing

2015

Revenue$4,879,298
Expenses$2,623,569
Net Income$2,255,729
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Aug 11, 2016
Return Version
2015v2.1
Gross Receipts
$8,823,123
Mission and Program Overview

Mission

As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Support Providence TrinityCare Hospice in Torrance, CA.

Support Providence TrinityCare Hospice in Torrance, CA.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$6,866,658$7,603,552▲ $736,894
Pledges and Grants Receivable$59,623$1,462,578▲ $1,402,955
Savings and Temporary Cash Investments$887,835$1,251,716▲ $363,881
Accounts Receivable$836,295$334,000▼ $502,295
Prepaid Expenses and Deferred Charges$3,088--
Land, Buildings, and Equipment, Net$0$0→ $0
Total Assets$8,743,417$10,651,846▲ $1,908,429
Other Assets Total$89,918$0▼ $89,918
Liabilities
Other Liabilities$145,125$183,830▲ $38,705
Accounts Payable and Accrued Expenses$8,433$11,416▲ $2,983
Total Liabilities$153,558$195,246▲ $41,688
Net Assets / Fund Balance
Temporarily Rstr Net Assets$4,335,974$4,487,790▲ $151,816
Unrestricted Net Assets$4,101,260$4,434,009▲ $332,749
Permanently Rstr Net Assets$152,625$1,534,801▲ $1,382,176
Total Net Assets Fund Balance$8,589,859$10,456,600▲ $1,866,741
Total Liabilities and Net Assets / Fund Balance$8,743,417$10,651,846▲ $1,908,429

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$10,510$10,510

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$2,264,739$2,062,000▼ $280,000-$4,044,739
2014$1,965,932$133,176▲ $165,631-$2,264,739
2013$1,664,338$50,000▲ $290,626-$1,965,932
2012$1,328,772$55,000▲ $280,566-$1,664,338
2011$1,243,229-▲ $85,543-$1,328,772
Compensation and Service Providers

Board Members and Trustees

NameTitle
James A ZappChair
Patricia ModrzejewskiPresident
Ned MansourVice Chair
Scott SharpeVice Chair
Bunni Dybnis - Res 715Director
Gary KuwaharaDirector
Jim SalaDirector
Lynn TaylorDirector
Michael ClarkDirector
Suzi GulcherDirector
Tom SullivanDirector
Barbara RobertsExecutive Director
Robert HellrigelCorporate Member
Marcia PotterSecretary
John KirkTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$4,731,860
Program Service Revenue
$0
Investment Income
$175,459
Other Revenue
$-28,021
All Other Contributions
$3,403,791
Change in Net Assets
$2,255,729

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,844,812
Revenue Not Reported on Financial Statements
$34,486
Revenue Not Reported on Form 990
$-408,812
Other Revenue Adjustments
$27
Total Revenue per Audited Statements
$4,436,000
Total Revenue per Form 990
$4,879,298
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,540,954
Salaries, Compensation, and Employee Benefits$797,763
Total Fundraising Expense$696,347
Other Expenses$257,392
Professional Fundraising Fees$27,460

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,540,954--$1,540,954
Other Salaries and Wages-$231,558$347,337$578,895
Current Officers, Directors, Trustees, and Key Employees-$69,166$103,750$172,916
Fees for Services Other-$3,769$49,619$53,388
Office Expenses-$20,905$31,359$52,264
Other Employee Benefits-$15,708$23,561$39,269
Fees for Service Investment Mgmnt Fees-$34,459-$34,459
Fees for Services Professional Fundraising--$27,460$27,460
Conferences and Meetings-$7,395$8,825$16,220
Travel--$12,932$12,932
Fees for Services Legal--$7,579$7,579
Pension Plan Contributions-$2,673$4,010$6,683
Information Technology--$5,911$5,911
Other Expenses-$635$2,166$2,801
Total Functional Expenses$1,540,954$386,268$696,347$2,623,569

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$2,623,569
Expenses per Audited Statements$2,569,000
Total Expenses per Audited Statements$2,569,000
Expenses Not Reported on Financial Statements$54,569
Other Expense Adjustments$20,110
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Providence TrinityCare HospiceTorrance, CA501(c)(3)Support Hospice Program$1,521,130
Providence Little Company of Mary FoundationTorrance, CA501(c)(3)Support Hospice Services$19,824
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$53,022
Professional Fundraising Fees$27,460
Gaming Gross Income$21,800
Fundraising Gross Income$8,200
Gaming Direct Expenses$4,999

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Sunday By The Sea$154,805$8,200$32,101$-23,901
Total Events$154,805$8,200$53,022$-44,822
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$183,830
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

Providence TrinityCare Hospice is the sole Corporate Member.

Form 990, Part VI, Section A, line 7A

The powers of the Corporate Member include the provision to approve the number of Trustees if less than 7 or greater than 20, appoint Board of Trustees of the Foundation, and to remove such Trustees at any time with or without cause.

Form 990, Part VI, Section A, line 7B

The following powers are reserved exclusively to the Corporate Member: A) To adopt and amend the Articles of Incorporation and the By laws of the Foundation after consultation with the Foundation Board of Trustees. B) To approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. C) To approve any strategic plan of the Foundation. D) To approve the annual fundraising plan including special events, annual, capital and planned giving activities. E) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board of Directors.

Form 990, Part VI, Section B, line 11

The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the PH&S Director of Taxes and external tax advisors. The Executive Director and Finance & Investment Committee reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS.

Form 990, Part VI, Section B, line 12C

All employees and Trustees are required to review and sign the Providence Health & Services Conflict of Interest Disclosure statement. This statement indicates that they have received a copy of Providence's policies on confidentiality and conflict of interest. This form is re-reviewed and re-signed each year and the forms are kept on file in the Foundation's offices. Questions about conflict of interest are first brought to the Corporate Member of the Board of Trustees. Further questions would be brought to the Hospice Operating Board of Directors for resolution.

Form 990, Part VI, Section B, line 15

It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence Health & Services has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence Health & Services has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Health & Services System Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Providence Health & Services System Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the System Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Providence Health & Services System Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. Based upon the above principles, the Executive Director's compensation is reviewed annually by the PHS - So. California HR Department.

Form 990, Part VI, Section C, line 19

Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site.

Form 990, Part VII

Robert Hellrigel - 1801 Lind Avenue SW, #9016, Renton, WA 98057.

Filing and Contact Details

Filer

Filer Name
Providence TrinityCare Hospice
EIN
33-0261016
Phone
3105433440
Address
5315 Torrance Blvd No B1, Torrance, CA 90503

Signing Officer

Name
Barbara Roberts
Title
Executive Director
Phone
3105433440
Signed
2016-08-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Barbara Roberts
Formed
1987
Legal Domicile
CA
Voting Board Members
13
Independent Board Members
11
Employees
0
Volunteers
115

Preparer

Firm
Clark Nuber PS
Address
10900 NE 4th Suite 1700, Bellevue, WA 98004
Preparer
Sara Elizabeth J Hyre CPA
Phone
4254544919
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C - Audit & Compliance

The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; and informs the Board of Directors of critical risk areas and recommended mitigation.

Form 990, Part I, Line 5 & Part V, Line 2A - Employee Compensation

The employees working at the Foundation are paid by Providence Health System - Southern California - EIN# 51-0216589. Therefore, no W-2s are issued by the reporting organization.

Form 990, Part I, Line 6 - Volunteers

Volunteers for Providence TrinityCare Hospice Foundation provide an array of services, involved in all aspects of planning and executing our special events, as well as assisting in day-to-day office projects. These services include: paper product preparation and coordination; mailing coordination; event registration; event set-up; event break-down and cleaning; auction item procurement and preparation; auction coordination at special events; filing and information packet assembling.

Financial Statement Notes

Part V, Line 4:

The quasi-endowment funds are to be used for any purpose the Board designates within the charitable purposes of the organization. Investment income from two permanently restricted funds have been restricted by the donors to be used towards The Gathering Place and for areas the Foundation deems to have the greatest need. 2015 endowment expenditures supported TrinityCare Hospice staff training.

Part X, Line 2:

The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.

Part XI, Line 2D - Other Adjustments:

Equity Transfer - Reclassed to Expense -19,824.

Part XI, Line 4B - Other Adjustments:

Rounding 27.

Part XII, Line 4B - Other Adjustments:

Rounding 286. Equity Transfer - Grant Expense 19,824.

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IRS990/Form990PartVIISectionAGrp/PersonNm2James A Zapp
IRS990/Form990PartVIISectionAGrp/PersonNm3John Kirk
IRS990/Form990PartVIISectionAGrp/PersonNm4Marcia Potter
IRS990/Form990PartVIISectionAGrp/PersonNm5Michael Clark
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IRS990/Form990PartVIISectionAGrp/PersonNm11Lynn Taylor
IRS990/Form990PartVIISectionAGrp/PersonNm12Robert Hellrigel
IRS990/Form990PartVIISectionAGrp/PersonNm13Patricia Modrzejewski
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IRS990/MissionDesc0As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Support Providence TrinityCare Hospice in Torrance, CA.
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IRS990/PrincipalOfficerNm0Barbara Roberts
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IRS990/ProgSrvcAccomActy2Grp/Desc0Providence Institute for Human Caring was established as a program of Providence TrinityCare Hospice. Foundation funds are provided to support this program which seeks to accomplish the following:The focus is on making "Whole Person Care" the new normal by:* Sharing expertise and best practices among our clinicians* Offering educational programs for our clinicians and those from other health care providers* Increasing training and support services among community organizations* Supporting and accelerating community-based care through educational forums* Elevating the importance of this issue nationally through news media, academic publications, and live presentations before both professional and public audiences* Improving patient satisfaction* Improving family, caregiver and clinician well-being and satisfaction.
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IRS990/ProgSrvcAccomActy3Grp/Desc0Palliative Care Program The new outpatient and in-home palliative care programs offer care from an interdisciplinary palliative care-trained team from the time of diagnosis to cure and survivorship or to hospice and death. The team includes a physician, nurse practitioner, RN, social worker and chaplain working in close collaboration with the patient's curative medical team (medical oncologist, radiation oncologist, surgeon, primary care physician etc.) Not only does the team provide services as described by established national guidelines and standards, but their paradigm of care is broadened by embracing a richer scope of care entitled "Whole Person Care." This practice results in patients and families feeling like collaborative partners in their illness experience; with aligned goals, more support and caring, and health care providers experiencing greater job satisfaction while providing higher quality care.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0Other support to TrinityCare Hospice. This includes support of the Hospice's Necessities of Life program, which provides payments on behalf of needy families who are served by the Hospice. Those payments cover expenses such as utilities, groceries, and household items. During 2015, $88,747 was sent to the Hospice for this program. Also included here is the purchase of iPads and related equipment to connect the Hospice teams to patients using a secured program (similar to Facetime) to determine next steps and assist families while someone is sent in person to assist them. The equipment provides additional support to monitor and confirm the status of a patient. About $70,000 was spent on this equipment during 2015.
IRS990/ProgSrvcAccomActyOtherGrp/Desc1Patient Care Assistance (Charity Care) No one is ever turned away from TrinityCare Hospice due to an inability to pay or lack of insurance. For these patients, and for those who are underinsured, the Foundation provides assistance to make any and all of our hospice services available.
IRS990/ProgSrvcAccomActyOtherGrp/Desc2The Gathering Place A center for loss and life and life transitions, offering counseling to those in the community who have suffered the death of a loved one from any cause. It is staffed by licensed professionals, graduate-level mental health interns and trained volunteers. The Gathering Place serves children ages 5 through adults - whether or not their loved one received care from our hospice services. In 2015, the program provided services to 323 bereaved community members, who received services that included one-on-one counseling meetings, and involvement in over 24 different support groups to help these individuals through the grieving process.
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