Civic Intelligence

Ascension Living Borgess Place

990 • Fiscal year 2016 • EIN 38-2555589

Jul 01, 2015 to Jun 30, 2016 • Filed on May 15, 2017

12250 Weber Hill Road Suite 200St Louis, MO 63127

(269) 552-6500

Siviq Scores

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

Liabilities / Assets

58th percentile

0.32x

Higher debt load relative to assets than 58% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

65th percentile

0.45x

Higher debt load relative to revenue than 65% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

18th percentile

-9.0%

Higher net margin than 18% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

93rd percentile

$659,151

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 5.3% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

88th percentile

24%

Faster asset growth than 88% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

63rd percentile

7.4%

Faster revenue growth than 63% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Assets

Up

$17,783,889

Up $3,446,058 (+24%) from 2015

Net Assets

Down

$12,138,379

Down $1,121,775 (-8.5%) from 2015

Liabilities

Up

$5,645,510

Up $4,567,833 (+424%) from 2015

Revenue

Up

$12,478,294

Up $864,018 (+7.4%) from 2015

Expenses

Up

$13,600,069

Up $1,839,409 (+16%) from 2015

Net Income

Down

-$1,121,775

Down $975,391 (-666%) from 2015

Historical Trend

Balance Sheet Trend

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

$20M$10M$0-$10MAssets 2010: $17,842,186Liabilities 2010: $931,844Net Assets 2010: $16,910,3422010Assets 2011: $17,775,694Liabilities 2011: $2,195,877Net Assets 2011: $15,579,8172011Assets 2012: $16,899,636Liabilities 2012: $2,239,371Net Assets 2012: $14,660,2652012Assets 2013: $15,064,812Liabilities 2013: $1,147,519Net Assets 2013: $13,917,2932013Assets 2014: $13,925,689Liabilities 2014: $519,151Net Assets 2014: $13,406,5382014Assets 2015: $14,337,831Liabilities 2015: $1,077,677Net Assets 2015: $13,260,1542015Assets 2016: $17,783,889Liabilities 2016: $5,645,510Net Assets 2016: $12,138,3792016Assets 2017: $13,330,022Liabilities 2017: $6,228,765Net Assets 2017: $7,101,2572017Assets 2018: $11,831,276Liabilities 2018: $17,956,543Net Assets 2018: -$6,125,2672018Assets 2019: $10,930,403Liabilities 2019: $1,883,969Net Assets 2019: $9,046,4342019Assets 2020: $9,844,000Liabilities 2020: $1,749,214Net Assets 2020: $8,094,7862020Assets 2021: $11,590,868Liabilities 2021: $1,183,253Net Assets 2021: $10,407,6152021Assets 2022: $9,066,375Liabilities 2022: $936,973Net Assets 2022: $8,129,4022022Assets 2023: $9,334,186Liabilities 2023: $1,551,503Net Assets 2023: $7,782,6832023Assets 2024: $13,547,501Liabilities 2024: $1,841,763Net Assets 2024: $11,705,7382024

Highlighted filing

2016

Assets$17,783,889
Liabilities$5,645,510
Net Assets$12,138,379

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $9,167,9132010Expenses 2011: $10,428,4622011Revenue 2012: $10,061,374Expenses 2012: $10,962,549Net Income 2012: -$901,1752012Revenue 2013: $10,039,072Expenses 2013: $10,782,044Net Income 2013: -$742,9722013Revenue 2014: $10,986,004Expenses 2014: $11,496,759Net Income 2014: -$510,7552014Revenue 2015: $11,614,276Expenses 2015: $11,760,660Net Income 2015: -$146,3842015Revenue 2016: $12,478,294Expenses 2016: $13,600,069Net Income 2016: -$1,121,7752016Revenue 2017: $12,208,336Expenses 2017: $13,179,972Net Income 2017: -$971,6362017Revenue 2018: $10,821,366Expenses 2018: $12,304,633Net Income 2018: -$1,483,2672018Revenue 2019: $11,115,814Expenses 2019: $12,609,715Net Income 2019: -$1,493,9012019Revenue 2020: $10,998,224Expenses 2020: $11,395,182Net Income 2020: -$396,9582020Revenue 2021: $10,479,902Expenses 2021: $11,372,211Net Income 2021: -$892,3092021Revenue 2022: $9,209,258Expenses 2022: $10,397,042Net Income 2022: -$1,187,7842022Revenue 2023: $9,954,416Expenses 2023: $12,750,672Net Income 2023: -$2,796,2562023Revenue 2024: $15,436,325Expenses 2024: $12,715,041Net Income 2024: $2,721,2842024

Highlighted filing

2016

Revenue$12,478,294
Expenses$13,600,069
Net Income-$1,121,775
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 15, 2017
Return Version
2015v3.0
Gross Receipts
$12,491,057
Mission and Program Overview

Mission

Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.

To provide spiritually centered, holistic, compassionate skilled nursing services to those in our community for the short term or long term.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,043,825$10,615,614▼ $428,211
Accounts Receivable$1,901,903$3,248,448▲ $1,346,545
Prepaid Expenses and Deferred Charges$189,657$48,962▼ $140,695
Cash and Non-Interest-Bearing Accounts$5,596$9,139▲ $3,543
Inventories for Sale or Use$18,387$8,786▼ $9,601
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0--
Intangible Assets$0--
Total Assets$14,337,831$17,783,889▲ $3,446,058
Other Assets Total$1,178,463$3,852,940▲ $2,674,477
Liabilities
Other Liabilities$250,087$4,665,539▲ $4,415,452
Accounts Payable and Accrued Expenses$827,590$979,971▲ $152,381
Total Liabilities$1,077,677$5,645,510▲ $4,567,833
Net Assets / Fund Balance
Unrestricted Net Assets$13,260,154$12,138,379▼ $1,121,775
Total Net Assets Fund Balance$13,260,154$12,138,379▼ $1,121,775
Total Liabilities and Net Assets / Fund Balance$14,337,831$17,783,889▲ $3,446,058

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,532,349$4,205,659$12,738,008
Equipment$797,425$1,045,637$1,843,062
Leasehold Improvements$669,817$355,039$1,024,856
Land$482,500-$482,500
Other Land Buildings$133,523-$133,523
Other Assets Org$3,852,940--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Physical TherapistFT$100,237$19,973$120,210
-Night Shift House SupervisorFT$100,502$18,796$119,298
-President & Ex-officio Board MemberFT$102,530$12,404$114,934
-Chief Operating Officer (start 10/2015)--$93,118$93,118

Board Members and Trustees

NameTitle
-Board Member
-Chief Financial Officer (start 2/2016)
-FORMER OFFICER (End 2/15)

Highest Paid Contractors

ContractorServicesLocationCompensation
access medical llcmedical servicespo box 50986, kalamazoo, MI 49005$110,907
Revenue and Support

Revenue Composition

Contributions and Grants
$11,230
Program Service Revenue
$12,467,654
Investment Income
$-12,763
Other Revenue
$12,173
All Other Contributions
$11,230
Change in Net Assets
$-1,121,775
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$8,457,193
Other Expenses$5,142,876
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,453,580--$6,453,580
Other Employee Benefits$942,471--$942,471
All Other Expenses$840,663$0$0$840,663
Depreciation Depletion$755,789--$755,789
Fees for Services Management-$724,729-$724,729
Pension Plan Contributions$485,565--$485,565
Payroll Taxes$460,643--$460,643
Information Technology-$390,937-$390,937
Occupancy$226,467$1,997-$228,464
Other Expenses$162,257--$162,257
Current Officers, Directors, Trustees, and Key Employees-$114,934-$114,934
Insurance-$114,170-$114,170
Fees for Services Accounting-$23,204-$23,204
Office Expenses-$12,871-$12,871
Travel-$6,617-$6,617
Conferences and Meetings$1,556--$1,556
Advertising-$1,170-$1,170
Total Functional Expenses$12,209,440$1,390,629$0$13,600,069
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$4,279,762
Due to Third Party Payors$148,886
AH Savings Plan Liability$99,488
WC Liability$70,568
Self-Insurance Liability$57,696
Other Liabilities$9,139
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
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, Line 15 PROCESS FOR DETERMINING COMPENSATION

In determining compensation of the organization's top management official the process performed by ascension health senior care, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review of the compensation, the top management official was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided. In determining compensation of other officers of the organization, the process performed by ascension health senior care, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review of the compensation, the other officers of the organization were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided.

Form 990, Part VI, Line 6 Classes of members or stockholders

Borgess nursing home has a single corporate member, ascension health senior care.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Borgess nursing home has a single corporate member, ascension health senior care, who has the authority to appoint and remove directors and executive officers of borgess nursing home.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Ascension Health Senior Care has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals' evaluation debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.

Form 990, Part VI, Line 11B Review of form 990 by governing body

Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board members are provided the Form 990 and management team members are available to answer any Board Member's questions.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization's Conflict of Interest Policy is monitored as part of the system-wide procedures and not at the organizational level. The system-wide procedures are 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 conflicts are investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization. 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.

Form 990, Part VI, Line 19 Required documents available to the public

The organization will provide any documents open to public inspection upon request.

Filing and Contact Details

Filer

Filer Name
Borgess Nursing Home
EIN
38-2555589
Phone
2695526500
Address
12250 Weber Hill Road Suite 200, St Louis, MO 63127
Doing Business As
Borgess Gardens

Signing Officer

Name
Nick Harshfield
Title
Ahsc COO
Signed
2017-05-15

Organization Details

Formed
1984
Legal Domicile
Mi
Voting Board Members
4
Independent Board Members
0
Employees
238
Volunteers
16
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A COMMUNITY BENEFIT REPORT

Community benefit report june 30 2016 this report illustrates the significant degree to which borgess nursing home d/b/a borgess gardens contributes to the positive health status of the communities it serves, as a member of ascension health the nation's largest catholic healthcare system, borgess gardens continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of borgess gardens is to perpetuate the healing mission of the church, borgess gardens furthers this goal through delivery of nursing care to the elderly, our concern for all human life and dignity of each person leads the organization to provide skilled nursing and rehabilitation services to all people in the community without regard to the patient's race, creed, national origin, economic status or ability to pay, borgess gardens has engaged in the following activities to ensure that our mission is accomplished: unreimbursed services provided to the elderly and the poor: borgess gardens provides nursing home placement to patients, nursing home patients are primarily elderly persons, with no other family, services are reimbursed by medicare and medicaid with a small portion by private pay. Borgess gardens' residents are typically low income, medicaid eligible people. In fact, 38% of the gardens' patient days are reimbursed by the medicaid program, with a total loss of $718,523. Borgess gardens also provides care for medicare eligible residents which produces a $195,118 shortfall. Patient services: borgess gardens provides gardens care to 101 residents at a 98% occupancy level, borgess gardens received its eden facility designation in 2003, one of the first in kalamazoo county, medical education: borgess gardens acts as a clinical setting for western michigan university nursing students. Summary: borgess gardens furthers its charitable purposes by providing nursing care to residents, under the eden philosophy of care.

Schedule A, Part I Reason for Public Charity Status

Borgess Nursing Home is exempt as a hospital under Internal Revenue Code 170(b)(1)(A)(iii), however it is not a hospital as defined by Form 990, Schedule H Instructions.

GENERAL INFORMATION - Box C Change of ADDRESS

The physical address of borgess nursing home is: 3057 gull road kalamazoo, 49048 the address listed on page 1 on this return is for mailing purposes only.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

From the consolidated audited financial statements of Ascension Health Alliance and its member entities ("The System") which include the activity of Borgess Nursing Home: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as cf June 30, 2016.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & EX-OFFICIO BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt4CHIEF OPERATING OFFICER (START 10/2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt5CHIEF FINANCIAL OFFICER (START 2/2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt6NIGHT SHIFT HOUSE SUPERVISOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7PHYSICAL THERAPIST
IRS990/Form990PartVIISectionAGrp/TitleTxt8FORMER OFFICER (End 2/15)
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IRS990/MissionDesc0Borgess Gardens carries out the healing mission of the Catholic Church as a corporate Member of Ascension Health Senior Care, dba Ascension Senior Living (ASL). Our Mission calls for us to provide spiritually centered, holistic care which sustains and improves the health of individuals and communities, of all faiths, races, and socio-economic backgrounds, particularly those most in need. We commit ourselves to identifying and developing effective responses to the health and housing needs of all persons we are called to serve with special attention to those who are poor and vulnerable.
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IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt048962
IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0NICK HARSHFIELD COO
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IRS990/ProgramServiceRevenueGrp/Desc0Net Patient Services
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt24279762
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt39139
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt499488
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt570568
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Due to Third Party Payors
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Self-Insurance Liability
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2Intercompany Payables
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3Other Liabilities
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc4AH Savings Plan Liability
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc5WC Liability
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0From the consolidated audited financial statements of Ascension Health Alliance and its member entities ("The System") which include the activity of Borgess Nursing Home: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as cf June 30, 2016.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt324959
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt0DANIEL E STEWART MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt1CHERYL SULLIVAN RN MSN CPHRM
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt2J PATRICK DYSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt3NICOURA CONSTANTIN OPRESCU MD FMH
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt315181

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$13.5$1.84$11.7$15.4$12.7$2.72
2023Detailed filing. Detailed filing data is available for this year.$9.33$1.55$7.78$9.95$12.8$2.80
2022Detailed filing. Detailed filing data is available for this year.$9.07$0.94$8.13$9.21$10.4$1.19
2021Detailed filing. Detailed filing data is available for this year.$11.6$1.18$10.4$10.5$11.4$0.89
2020Detailed filing. Detailed filing data is available for this year.$9.84$1.75$8.09$11.0$11.4$0.40
2019Detailed filing. Detailed filing data is available for this year.$10.9$1.88$9.05$11.1$12.6$1.49
2018Detailed filing. Detailed filing data is available for this year.$11.8$18.0$6.13$10.8$12.3$1.48
2017Detailed filing. Detailed filing data is available for this year.$13.3$6.23$7.10$12.2$13.2$0.97
2016Detailed filing. Detailed filing data is available for this year.$17.8$5.65$12.1$12.5$13.6$1.12
2015Detailed filing. Detailed filing data is available for this year.$14.3$1.08$13.3$11.6$11.8$0.15
2014Detailed filing. Detailed filing data is available for this year.$13.9$0.52$13.4$11.0$11.5$0.51
2013Summary only. Only limited summary data is available for this year.$15.1$1.15$13.9$10.0$10.8$0.74
2012Summary only. Only limited summary data is available for this year.$16.9$2.24$14.7$10.1$11.0$0.90
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.8$2.20$15.6$10.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.8$0.93$16.9$9.17