Civic Intelligence

Franciscan Care Services Inc.

990 • Fiscal year 2014 • EIN 47-0486026

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 04, 2015

430 North Monitor StreetWest Point, NE 68788-1555

(402) 372-2404

Siviq Scores

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

Liabilities / Assets

44th percentile

0.26x

Higher debt load relative to assets than 44% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Liabilities / Revenue

53rd percentile

0.47x

Higher debt load relative to revenue than 53% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Net Margin

69th percentile

12%

Higher net margin than 69% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

72nd percentile

$504,740

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Asset Growth

47th percentile

4.3%

Faster asset growth than 47% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

67th percentile

11%

Faster revenue growth than 67% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Assets

Up

$66,324,457

Up $2,743,588 (+4.3%) from 2013

Net Assets

Up

$49,250,802

Up $3,787,446 (+8.3%) from 2013

Liabilities

Down

$17,073,655

Down $1,043,858 (-5.8%) from 2013

Revenue

Up

$35,956,881

Up $3,703,672 (+11%) from 2013

Expenses

Up

$31,596,486

Up $2,525,483 (+8.7%) from 2013

Net Income

Up

$4,360,395

Up $1,178,189 (+37%) from 2013

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2010: $44,365,757Liabilities 2010: $8,961,472Net Assets 2010: $35,404,2852010Assets 2011: $51,314,692Liabilities 2011: $13,605,330Net Assets 2011: $37,709,3622011Assets 2012: $59,849,731Liabilities 2012: $18,414,964Net Assets 2012: $41,434,7672012Assets 2013: $63,580,869Liabilities 2013: $18,117,513Net Assets 2013: $45,463,3562013Assets 2014: $66,324,457Liabilities 2014: $17,073,655Net Assets 2014: $49,250,8022014Assets 2015: $68,733,058Liabilities 2015: $15,709,832Net Assets 2015: $53,023,2262015Assets 2016: $71,525,095Liabilities 2016: $13,851,101Net Assets 2016: $57,673,9942016Assets 2017: $80,878,525Liabilities 2017: $14,365,430Net Assets 2017: $66,513,0952017Assets 2018: $65,168,569Liabilities 2018: $13,238,931Net Assets 2018: $51,929,6382018Assets 2019: $70,294,650Liabilities 2019: $12,983,537Net Assets 2019: $57,311,1132019Assets 2020: $90,915,746Liabilities 2020: $19,615,554Net Assets 2020: $71,300,1922020Assets 2021: $100,320,154Liabilities 2021: $20,267,560Net Assets 2021: $80,052,5942021Assets 2022: $89,392,942Liabilities 2022: $11,254,578Net Assets 2022: $78,138,3642022Assets 2023: $103,783,500Liabilities 2023: $14,015,571Net Assets 2023: $89,767,9292023Assets 2024: $115,080,397Liabilities 2024: $12,497,524Net Assets 2024: $102,582,8732024

Highlighted filing

2014

Assets$66,324,457
Liabilities$17,073,655
Net Assets$49,250,802

Operations Trend

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

$80M$60M$40M$20M$0-$20MExpenses 2010: $21,609,3922010Expenses 2011: $22,940,2202011Expenses 2012: $26,547,7792012Revenue 2013: $32,253,209Expenses 2013: $29,071,003Net Income 2013: $3,182,2062013Revenue 2014: $35,956,881Expenses 2014: $31,596,486Net Income 2014: $4,360,3952014Revenue 2015: $37,082,093Expenses 2015: $31,152,099Net Income 2015: $5,929,9942015Revenue 2016: $36,389,814Expenses 2016: $31,932,239Net Income 2016: $4,457,5752016Revenue 2017: $36,743,221Expenses 2017: $32,490,854Net Income 2017: $4,252,3672017Revenue 2018: $37,317,448Expenses 2018: $47,809,781Net Income 2018: -$10,492,3332018Revenue 2019: $36,296,567Expenses 2019: $34,532,128Net Income 2019: $1,764,4392019Revenue 2020: $45,791,249Expenses 2020: $36,055,635Net Income 2020: $9,735,6142020Revenue 2021: $47,622,735Expenses 2021: $40,040,189Net Income 2021: $7,582,5462021Revenue 2022: $50,923,740Expenses 2022: $44,903,992Net Income 2022: $6,019,7482022Revenue 2023: $55,545,631Expenses 2023: $49,139,219Net Income 2023: $6,406,4122023Revenue 2024: $62,284,038Expenses 2024: $56,395,806Net Income 2024: $5,888,2322024

Highlighted filing

2014

Revenue$35,956,881
Expenses$31,596,486
Net Income$4,360,395
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 4, 2015
Return Version
2014v5.0
Gross Receipts
$36,039,718
Mission and Program Overview

Mission

The mission of franciscan care services inc. Is to live and to promote the healing mission of jesus christ by providing quality health care and health related inpatient, outpatient, home health, physician and assisted living services to anyone in northeast nebraska, regardless of their ability to pay.

The mission of franciscan care services inc. Is to live and to promote the healing mission of jesus christ.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$32,365,890$30,337,825▼ $2,028,065
Investments in Publicly Traded Securities$15,519,238$19,337,390▲ $3,818,152
Savings and Temporary Cash Investments$4,721,588$7,779,255▲ $3,057,667
Accounts Receivable$4,631,173$4,267,858▼ $363,315
Investments Other Securities$1,899,432$1,795,562▼ $103,870
Cash and Non-Interest-Bearing Accounts$609,224$847,529▲ $238,305
Inventories for Sale or Use$524,057$561,443▲ $37,386
Prepaid Expenses and Deferred Charges$180,475$156,350▼ $24,125
Receivables From Officers Etc$29,333$0▼ $29,333
Other Notes and Loans Receivable, Net$20,000$20,000→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$63,580,869$66,324,457▲ $2,743,588
Other Assets Total$3,080,459$1,221,245▼ $1,859,214
Liabilities
Tax Exempt Bond Liabilities$12,692,379$10,993,575▼ $1,698,804
Accounts Payable and Accrued Expenses$3,947,984$4,892,701▲ $944,717
Deferred Revenue$1,477,150$1,187,379▼ $289,771
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$18,117,513$17,073,655▼ $1,043,858
Net Assets / Fund Balance
Unrestricted Net Assets$45,463,356$49,250,802▲ $3,787,446
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$45,463,356$49,250,802▲ $3,787,446
Total Liabilities and Net Assets / Fund Balance$63,580,869$66,324,457▲ $2,743,588

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$17,153,329$20,142,520$37,295,849
Buildings$12,765,899$8,494,773$21,260,672
Land$394,766-$394,766
Other Land Buildings$23,831-$23,831
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kenneth Pitz MdPhysicianFT$429,793$76,721$506,514
Scott Green MdPhysicianFT$268,704$153,562$422,266
Michael Bittles MdPhysicianFT$369,825$51,469$421,294
Rhett Eckmann MdPhysicianFT$241,178$163,074$404,252
Brian Hass MdPhysicianFT$234,965$145,824$380,789
Ronald O BriggsCEO & TrusteeFT$161,988$126,719$288,707
Terry NelsonRehab ManagerFT$180,620$58,180$238,800
Dennis DinslageVP Fiscal & Support ServicesFT$126,506$68,860$195,366

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Cypress Benefit AdministratorHealth Plan AdminPO BOX 7020, Appleton, WI 54912-7020$443,683
Mckesson Technologies INCIt Software Support5995 WINDWARD PARKWAY, Alpharetta, GA 30005$381,342
Kat Anesthesia LLCAnesthesia Services606 VISTA AVENUE, West Point, NE 68788$363,640
Ip Pathways LLCIt Software Support2550 73RD STREET, Urbandale, IA 50322$278,004
Elkhorn Valley Anesthesia PC INCAnesthesia Services814 VIA LINDA, West Point, NE 68788$239,712
Revenue and Support

Revenue Composition

Contributions and Grants
$394,122
Program Service Revenue
$34,034,850
Investment Income
$1,494,877
Other Revenue
$33,032
All Other Contributions
$24,547
Change in Net Assets
$4,360,395

Audited Revenue Reconciliation

Revenue per Audited Statements
$35,935,237
Revenue Not Reported on Financial Statements
$21,644
Revenue Not Reported on Form 990
$-572,949
Other Revenue Adjustments
$21,644
Total Revenue per Audited Statements
$35,362,288
Total Revenue per Form 990
$35,956,881
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$17,476,444
Other Expenses$14,120,042
Total Fundraising Expense$1,959
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,896,708$1,317,380-$13,214,088
Depreciation Depletion$3,068,431$758,171-$3,826,602
Fees for Services Other$2,432,534$354,285-$2,786,819
Other Employee Benefits$1,877,754$461,294-$2,339,048
Office Expenses$1,499,509$132,987$13$1,632,509
Occupancy$1,113,207$202,094-$1,315,301
Payroll Taxes$757,977$94,528-$852,505
Current Officers, Directors, Trustees, and Key Employees$626,963$95,910-$722,873
Information Technology$498,241$123,109-$621,350
Pension Plan Contributions$275,725$72,205-$347,930
Advertising$137,376$2,549-$139,925
Travel$105,012$19,340-$124,352
Insurance-$111,374-$111,374
Conferences and Meetings$75,438$10,987-$86,425
Fees for Services Accounting-$80,155-$80,155
Fees for Services Legal-$10,681-$10,681
Fees for Services Lobbying-$4,038-$4,038
Other Expenses$106,474$19,845$1,946$1,946
Total Functional Expenses$27,723,595$3,870,932$1,959$31,596,486

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$31,596,486
Expenses per Audited Statements$31,593,635
Total Expenses per Audited Statements$31,593,635
Expenses Not Reported on Financial Statements$2,851
Other Expense Adjustments$2,851
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Dan HakelSee Part VEmploymentYes$118,049
Marguerite KaupSee Part VEmploymentNo$47,361
Brenda WisnieskiSee Part VEmploymentNo$39,067
Nancy NelsonSee Part VEmploymentNo$33,530
Cheri DroescherSee Part VEmploymentNo$29,624
Agnes DinslageSee Part VEmploymentNo$25,704
Barbara SteffenSee Part VEmploymentNo$20,817

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$29,333$0▼ $29,333
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Debt and Bond Financing

Bond Issues

BondIssuerIssuedIssue PricePurpose
AHospital Authority No 1 of Cuming County Ne2010-07-27$12,000,000SEE SCHEDULE K, PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$12,000,000$0$1,006,425$0

Bond Financing Compliance

Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
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
Yes
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
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 2

DAVE STEFFENSMEIER, TRUSTEE HAS A BUSINESS RELATIONSHIP WITH GARRY CLARK, TRUSTEE. DAVE IS THE CHAIRMAN OF THE CUMING COUNTY ECONOMICS DEVELOPMENT BOARD AND GARRY IS AN EMPLOYEE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION WHOSE MEMBER IS FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. FORM 990, PART VI, SECTION A, LINE 7A & 7B The Franciscan sisters of Christian charity sponsored ministries, inc. a Wisconsin non-stock, not for profit corporation has the following reserved powers over Franciscan care services inc.: A) approval of the philosophy, mission and values statements of the corporation. B) Amendment of articles of incorporation and by-laws of the corporation. C) Appointment and removal of members to the board of directors. D) Approval of the creation and dissolution of this corporation or any subsidiary corporations, as well as approval of any merger, consolidation, affiliation, joint venture or other form of corporate reorganization of this corporation or any subsidiary of which this corporation is the member or controlling shareholder. E) Appointment, evaluation and discharge of the president of the corporation. F) Approval of borrowing in excess of the limit established by the member. G) Approval of purchase, mortgage or sale of real estate, or lease of real estate, by or to the corporation for longer than one year. H) Implementation of sponsor appointment, salary negotiation, and reassignment processes for Franciscan sister personnel within this corporation. I) Approval of capital and operating budgets. J) Requirement of a certified audit of corporate funds at any time and approval of the fiscal auditor of the corporation annually. K) Approval of all insurance carriers and insurance coverage for the corporation. L) Approval of long-range or strategic plans of the corporation.

Form 990, Part VI, Section B, Line 11B

Form 990 is reviewed prior to submission by the member (Franciscan sisters of Christian charity sponsored ministries, inc.) and the finance committee of the Franciscan care services, inc. board of directors. A copy of form 990 will be available for all board members to review at their monthly board meeting before the 990 is filed. Form 990 is made available in the administrative office for any individual requesting to inspect it as required by internal revenue code section 6104.

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

The corporate compliance officer (cco) and several members of the corporate compliance committee attend board, administrative, and department manager meetings. The cco ensures that all board, medical staff, administration staff, department managers, and individuals who have purchasing authority review the conflict of interest policy annually and disclose any conflicts that might exist. Each individual is also asked to identify any family members that are an employee of FCS, inc. or employed by a business with which fcs conducts business. Any new conflicts that arise during the year need to be reported to the compliance officer immediately. If a conflict exists at the board level, the person or the cco or committee member identifies that the conflict exists and then the board determines if the person can take part in the deliberations or needs to leave the room. The person would not be able to vote and it is identified in the minutes of the meeting. At the administrative level, the staff member identifies the conflict and the administrative team determines if the person can take part in the discussion or needs to leave the room. This is also the policy at the medical staff and manager meetings.

Form 990, Part VI, Section B, Line 15A & 15B

Franciscan care services, inc. strives to provide a fair and competitive compensation package for its executive. This package shall include, but is not limited to salary, incentive bonus, life insurance, health benefits, and a matching defined contribution to a 403(B) retirement plan. The salary range and total compensations shall be based upon surveys of the geographic west north central states average for the position as reported by an independent executive compensation market analysis for liked sized organizations and the executive compensation survey for Nebraska hospitals provided by the Nebraska hospital association. Bonuses are given based upon achievement of strategic goals agreed upon by the Franciscan care services board of directors and the president of the Franciscan sisters of Christian charity sponsored ministries, inc. these bonuses are based upon a percentage of salary and are not to exceed 25%. The president/ceo's compensation is set by the executive committee of the board of directors and the sponsored ministries president after a performance appraisal conducted by the executive committee of the fcs board (serving as the compensation committee) and the president of Franciscan sisters of Christian charity sponsored ministries, inc. all members of the board provide their input through a written appraisal presented to the compensation committee. Minutes of the meeting are kept by the sponsored ministries president. All other executives are reviewed by the Franciscan care services, inc president/ceo, who sets their compensation based upon the above surveys and principles.

Form 990, Part VI, Section C, Line 19

No documents available to the public

Filing and Contact Details

Filer

Filer Name
Franciscan Care Services Inc
EIN
47-0486026
In Care Of
% DENNIS DINSLAGE
Phone
4023722404
Address
430 NORTH MONITOR STREET, WEST POINT, NE 68788-1555

Signing Officer

Name
Jerry Wordekemper
Title
President/CEO
Phone
4023722404
Signed
2015-11-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jerry Wordekemper
Formed
1964
Legal Domicile
Ne
Voting Board Members
12
Independent Board Members
7
Employees
288
Volunteers
225

Preparer

Firm
Kpmg Llp
Address
1212 North 96th Street Suite 300, Omaha, NE 68114
Preparer
Lorraine a Egger
Phone
4023481450
Supplemental Narrative

Additional Explanations

FORM 990, Part IV, Line 12A

Checklist of Required Schedules The organization's financial statements were audited on a separate basis but also consolidated at the organization's parent level. The organization uses the separate audited financial statements for tax return purposes.

Financial Statement Notes

Schedule D, Part XI, Line 4B

AUXILIARY GIFT SHOP SALES 39,571 AUXILIARY GIFT SHOP COGS (18,747) ------------- NET gain FROM SALES 20,824 AUXILIARY FUNDS RAISED 6,490 AUXILIARY DONATION TO HOSPITAL (5,670) ------------- TOTAL 21,644

Schedule D, Part XII, Line 4B

Auxiliary operating expenses 2,851

Schedule D, Part X, Line 2

FIN 48 FOOTNOTE ON AUDITED FINANCIAL STATEMENTS: The organization has evaluated and reviewed uncertain tax positions and found the potential exposure to be insignificant.

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IRS990/Desc0FRANCISCAN CARE SERVICES MISSION IS TO PROVIDE QUALITY HEALTH CARE AND HEALTH RELATED INPATIENT, OUTPATIENT, HOME HEALTH AND PHYSICIAN SERVICES TO THE PEOPLE OF NORTHEASTERN NEBRASKA. THE CRITICAL ACCESS HOSPITAL PROVIDES A 24 HOUR EMERGENCY ROOM AND DOES NOT DISCRIMINATE AGAINST ANY PATIENT REGARDLESS OF THEIR ABILITY TO PAY. OUR CHARITY CARE POLICY FOLLOWS RECOMMENDED STANDARDS WHICH ARE BASED UPON THE FEDERAL POVERTY GUIDELINES. THIS POLICY IS COMMUNICATED TO OUR PATIENTS ON OUR WEBSITE AND AT OUR REGISTRATION DESKS. PATIENTS SERVED DURING THE YEAR: TOTAL MEDICARE MEDICAID IN-PATIENTS DISCHARGED 475 277 38 PATIENT DAYS - ACUTE 1,588 1,054 92 - SWING BED 1,324 1,139 46 - NURSERY 162 NONE 57 OUT-PATIENT & HOME HEALTH 42,988 18,026 1,339 PHYSICIAN CLINIC VISITS 26,099 9,191 1,908 THE HOSPITAL RECEIVES GENEROUS SUPPORT FROM THE COMMUNITY NOT ONLY FINANCIALLY BUT ALSO FROM ABOUT 179 VOLUNTEERS WHO DONATED APPROXIMATELY 3,260 HOURS OF THEIR VALUABLE TIME.
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IRS990/MissionDesc0THE MISSION OF FRANCISCAN CARE SERVICES INC. IS TO LIVE AND TO PROMOTE THE HEALING MISSION OF JESUS CHRIST BY PROVIDING QUALITY HEALTH CARE AND HEALTH RELATED INPATIENT, OUTPATIENT, HOME HEALTH, PHYSICIAN AND ASSISTED LIVING SERVICES TO ANYONE IN NORTHEAST NEBRASKA, REGARDLESS OF THEIR ABILITY TO PAY.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$115$12.5$103$62.3$56.4$5.89
2023Detailed filing. Detailed filing data is available for this year.$104$14.0$89.8$55.5$49.1$6.41
2022Detailed filing. Detailed filing data is available for this year.$89.4$11.3$78.1$50.9$44.9$6.02
2021Detailed filing. Detailed filing data is available for this year.$100$20.3$80.1$47.6$40.0$7.58
2020Detailed filing. Detailed filing data is available for this year.$90.9$19.6$71.3$45.8$36.1$9.74
2019Detailed filing. Detailed filing data is available for this year.$70.3$13.0$57.3$36.3$34.5$1.76
2018Detailed filing. Detailed filing data is available for this year.$65.2$13.2$51.9$37.3$47.8$10.5
2017Detailed filing. Detailed filing data is available for this year.$80.9$14.4$66.5$36.7$32.5$4.25
2016Detailed filing. Detailed filing data is available for this year.$71.5$13.9$57.7$36.4$31.9$4.46
2015Detailed filing. Detailed filing data is available for this year.$68.7$15.7$53.0$37.1$31.2$5.93
2014Detailed filing. Detailed filing data is available for this year.$66.3$17.1$49.3$36.0$31.6$4.36
2013Detailed filing. Detailed filing data is available for this year.$63.6$18.1$45.5$32.3$29.1$3.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$59.8$18.4$41.4$26.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$51.3$13.6$37.7$22.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.4$8.96$35.4$21.6