Civic Intelligence

Faith Regional Health Services

990 • Fiscal year 2013 • EIN 47-0796875

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 13, 2014

1500 Koenigstein Avenue PO Box 86968702-0869

(402) 371-4880

Siviq Scores

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

Liabilities / Assets

66th percentile

0.52x

Higher debt load relative to assets than 66% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Liabilities / Revenue

55th percentile

0.60x

Higher debt load relative to revenue than 55% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Net Margin

48th percentile

3.6%

Higher net margin than 48% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

38th percentile

3.3%

Faster asset growth than 38% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$195,218,341

Up $6,248,187 (+3.3%) from 2012

Net Assets

Up

$94,520,220

Up $6,239,444 (+7.1%) from 2012

Liabilities

Up

$100,698,121

Up $8,743 (+0.0%) from 2012

Revenue

$168,917,217

No earlier filing loaded for comparison.

Expenses

Up

$162,806,335

Up $5,276,560 (+3.3%) from 2012

Net Income

$6,110,882

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$300M$200M$100M$0Assets 2010: $185,782,930Liabilities 2010: $105,166,197Net Assets 2010: $80,616,7332010Assets 2011: $188,031,415Liabilities 2011: $102,340,882Net Assets 2011: $85,690,5332011Assets 2012: $188,970,154Liabilities 2012: $100,689,378Net Assets 2012: $88,280,7762012Assets 2013: $195,218,341Liabilities 2013: $100,698,121Net Assets 2013: $94,520,2202013Assets 2014: $201,880,361Liabilities 2014: $97,073,582Net Assets 2014: $104,806,7792014Assets 2015: $212,674,547Liabilities 2015: $91,963,308Net Assets 2015: $120,711,2392015Assets 2016: $215,871,179Liabilities 2016: $85,829,810Net Assets 2016: $130,041,3692016Assets 2017: $217,115,303Liabilities 2017: $80,122,686Net Assets 2017: $136,992,6172017Assets 2018: $247,593,532Liabilities 2018: $110,616,779Net Assets 2018: $136,976,7532018Assets 2019: $257,787,845Liabilities 2019: $112,658,318Net Assets 2019: $145,129,5272019Assets 2020: $289,281,023Liabilities 2020: $131,538,379Net Assets 2020: $157,742,6442020Assets 2021: $286,490,479Liabilities 2021: $118,741,263Net Assets 2021: $167,749,2162021Assets 2022: $262,709,523Liabilities 2022: $99,115,717Net Assets 2022: $163,593,8062022Assets 2023: $266,969,721Liabilities 2023: $98,020,360Net Assets 2023: $168,949,3612023Assets 2024: $276,486,027Liabilities 2024: $95,855,092Net Assets 2024: $180,630,9352024

Highlighted filing

2013

Assets$195,218,341
Liabilities$100,698,121
Net Assets$94,520,220

Operations Trend

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

$400M$300M$200M$100M$0Expenses 2010: $137,858,4712010Expenses 2011: $146,530,5932011Expenses 2012: $157,529,7752012Revenue 2013: $168,917,217Expenses 2013: $162,806,335Net Income 2013: $6,110,8822013Revenue 2014: $185,583,046Expenses 2014: $175,610,556Net Income 2014: $9,972,4902014Revenue 2015: $203,847,129Expenses 2015: $187,547,071Net Income 2015: $16,300,0582015Revenue 2016: $209,743,085Expenses 2016: $200,624,074Net Income 2016: $9,119,0112016Revenue 2017: $220,463,370Expenses 2017: $210,525,781Net Income 2017: $9,937,5892017Revenue 2018: $222,321,446Expenses 2018: $221,561,977Net Income 2018: $759,4692018Revenue 2019: $247,615,315Expenses 2019: $240,669,016Net Income 2019: $6,946,2992019Revenue 2020: $265,417,145Expenses 2020: $254,595,419Net Income 2020: $10,821,7262020Revenue 2021: $300,223,612Expenses 2021: $291,916,504Net Income 2021: $8,307,1082021Revenue 2022: $266,455,925Expenses 2022: $266,074,005Net Income 2022: $381,9202022Revenue 2023: $275,348,819Expenses 2023: $272,415,264Net Income 2023: $2,933,5552023Revenue 2024: $288,607,597Expenses 2024: $280,382,400Net Income 2024: $8,225,1972024

Highlighted filing

2013

Revenue$168,917,217
Expenses$162,806,335
Net Income$6,110,882
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 13, 2014
Return Version
2013v3.0
Gross Receipts
$169,977,744
Mission and Program Overview

Mission

To serve christ by providing all people with exemplary medical services in an environment of love and care.

Faith regional health services is a healthcare organization providing acute, skilled and outpatient services to individuals in our service area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$105,878,684$99,432,587▼ $6,446,097
Savings and Temporary Cash Investments$38,528,178$49,732,821▲ $11,204,643
Accounts Receivable$20,640,775$20,407,484▼ $233,291
Investments in Publicly Traded Securities$10,771,375$11,308,612▲ $537,237
Inventories for Sale or Use$4,181,427$4,103,157▼ $78,270
Other Notes and Loans Receivable, Net$3,807,853$4,002,666▲ $194,813
Investments Program Related$1,781,791$2,327,369▲ $545,578
Prepaid Expenses and Deferred Charges$720,866$1,347,018▲ $626,152
Cash and Non-Interest-Bearing Accounts$155$915▲ $760
Investments Other Securities$15,215$215▼ $15,000
Total Assets$188,970,154$195,218,341▲ $6,248,187
Other Assets Total$2,643,835$2,555,497▼ $88,338
Liabilities
Tax Exempt Bond Liabilities$70,087,888$67,189,832▼ $2,898,056
Accounts Payable and Accrued Expenses$16,504,751$19,753,392▲ $3,248,641
Mortgage Notes Payable Secured by Investment Property$10,173,078$8,643,068▼ $1,530,010
Other Liabilities$3,923,661$5,111,829▲ $1,188,168
Total Liabilities$100,689,378$100,698,121▲ $8,743
Net Assets / Fund Balance
Unrestricted Net Assets$88,244,041$93,730,635▲ $5,486,594
Temporarily Rstr Net Assets$36,735$789,585▲ $752,850
Total Net Assets Fund Balance$88,280,776$94,520,220▲ $6,239,444
Total Liabilities and Net Assets / Fund Balance$188,970,154$195,218,341▲ $6,248,187

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$47,950,135$50,926,556$98,700,006
Buildings$48,111,521$46,518,591$87,480,796
Other Land Buildings$2,364,719$2,338,089$4,702,808
Land$1,006,212-$1,006,212

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$6,024,571$25,899▲ $1,029,674-$7,065,293
2012$5,578,113$12,162▲ $444,388-$6,024,571
2011$5,670,101$13,321▼ $38,571-$5,578,113
2010$5,188,508$2,727▲ $517,780-$5,670,101
2009$4,493,972$6,814▲ $721,427-$5,188,508
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tristan Hartzell MdMemberFT$573,227$945,944$1,519,171
Mohammad Imran MdCardiologistFT$612,271$138,401$750,672
Douglas Welsh MdCardiologistFT$595,210$111,119$706,329
Ravishankar Kalaga MdCardiologistFT$595,571$107,837$703,408
THOMAS D'AMATO MDOrthopedic SurgeonFT$649,156$13,364$662,520
Christopher PriceAnesthesiologistFT$479,106$103,012$582,118
James J SinekCEO (1/1/13 - 2/14/13)FT$414,444$15,892$430,336
Timothy AuwarterInterim CEO (2/15/13 - 12/31/13)FT$302,986$19,061$322,047
Kelly DriscollVP/chief Nursing OfficerFT$248,250$18,721$266,971
Johnathan WilkerCFOFT$186,676$10,917$197,593
Patrick RocheCOO - FrpsFT$165,479$19,534$185,013
Janet PinkelmanVP Human ResourcesFT$167,496$8,847$176,343
Michael HammondRegional System DevelopmentFT$134,938$7,182$142,120

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Quammen Health Care ConsultantIt Consulting-$1,497,363
Nebraska Lab INCLab Services-$669,932
The Cawley Johnson GroupManagement Services-$464,474
Sioux City Night PatrolSecurity Services-$380,699
Pathology Medical ServicesPathology Services-$234,775
Revenue and Support

Revenue Composition

Contributions and Grants
$1,992,002
Program Service Revenue
$165,943,845
Investment Income
$329,503
Other Revenue
$651,867
All Other Contributions
$710,795
Change in Net Assets
$6,110,882
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$81,396,864
Salaries, Compensation, and Employee Benefits$81,077,270
Total Fundraising Expense$377,768
Grants and Similar Amounts Paid$332,201
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$56,507,351$5,191,948$178,544$61,877,843
Fees for Services Other$11,898,615$6,644,752$98,854$18,642,221
Depreciation Depletion$11,206,471$37,714-$11,244,185
Other Employee Benefits$7,551,655$813,216$23,282$8,388,153
Office Expenses$3,488,769$2,065,860$51,833$5,606,462
Payroll Taxes$4,132,148$462,557$12,440$4,607,145
Information Technology$673,382$3,223,163$3,451$3,899,996
Interest$3,705,458--$3,705,458
Occupancy$3,100,346$290,858-$3,391,204
Current Officers, Directors, Trustees, and Key Employees$1,786,143$1,453,450-$3,239,593
Pension Plan Contributions$2,266,078$218,555$6,997$2,491,630
Insurance$882,010$6,372-$888,382
Comp Disqual Persons$472,906--$472,906
Fees for Services Accounting-$413,672-$413,672
Grants to Domestic Orgs$332,201--$332,201
Fees for Services Management-$316,311-$316,311
Advertising$270,205$6,673-$276,878
Travel$81,868$10,533$1,038$93,439
Fees for Services Legal-$85,590-$85,590
Fees for Service Investment Mgmnt Fees-$37,492-$37,492
Other Expenses$30,492$5,214$1,329$35,706
Total Functional Expenses$141,023,417$21,405,150$377,768$162,806,335
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
53-0196605-501(c)(3)Defray Operating Costs$125,000
22-3867376-501(c)(3)Defray Operating Costs$10,000
47-0833378-501(c)(3)Defray Operating Costs$7,500
47-0049123-501(c)(3)Help Fund New Nursing College Location in Norfolk, Ne$5,000
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
Maryanne HartzellMARYANNE'S HUSBAND IS TRISTAN HARTZELL, A BOARD MEMBERMaryanne Is an Employee of Faith Regional Health Services.No$365,291
Pamela PilePAMELA'S BROTHER IS JOHN DINKEL, A BOARD MEMBER.Pamela Is an Employee of Faith Regional Health Services.No$54,645
Amy KarmazinAMY'S FATHER-IN-LAW IS DANIEL KARMAZIN, A BOARD MEMBER.Amy Is an Employee of Faith Regional Health Services.No$52,970
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$3,064,874
Estimated Third Party Payor Settlements - Medicare & Medicaid$2,046,955

Bond Issues

BondIssuerIssuedIssue PricePurpose
A52-13579752008-07-10$65,501,382Construction of tower and refund prior issues (7/22/98 & 1/3/02)
B52-13579752008-11-20$15,000,000CONSTRUCTION OF TOWER

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$67,134,436$22,718,609$13,620,000-
B$15,039,468---

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
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
Yes
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

Faith regional has one nonprofit 501(c)(3) corporate member, lutheran community hospital association, a related organization.

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

Pursuant to faith regional's 2008 restated bylaws, the sole corporate member, lutheran community hospital association, appoints 14 voting members of the board of directors of faith regional health services.

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

Faith regional's restated bylaws reserve certain powers to its sole member, lutheran community hospital association. There are 13 reserved powers, including appointment and removal of directors, other than chief of staff, amendment of the articles of incorporation and bylaws, amendment of the mission, vision and value statements, among others.

Form 990, Part VI, Section B, Line 11

Form 990 information schedules are completed in-house by the reimbursement accountant and reviewed by the cfo. The information is provided to seim johnson, llp, for return preparation and signature. Post-audit review, form 990 and schedules are mailed to each board member. Form 990 is reviewed and discussed at the scheduled board meeting prior to submission to the irs.

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

Faith regional's board members are required to sign a conflict of interest statement and disclosure annually. Any conflicts are reviewed by the board. A member with a conflict is excused from the board deliberations and action.

Form 990, Part VI, Section B, Line 15

Determination of compensation for the ceo and other officers and key employees is made by gathering data from external surveys and the form 990 data provided by comparable facilities. Facilities used are determined by similar bed size, net revenues and number of ftes. Wages are gathered and compared by title, responsibilities and years of experience. The salary recommendations are made by the human resource department. The governing board approves the salary recommendations for the ceo; the ceo approves the recommendations for the other officers and vice-presidents; and the vice-presidents approve the recommendations for the directors of various hospital departments.

Form 990, Part VI, Section C, Line 19

Faith regional does not make its governing documents, conflict of interest policy or financial statements available to the public.

Filing and Contact Details

Filer

EIN
47-0796875
Phone
4023714880

Signing Officer

Name
John Wilker
Title
CFO
Phone
4023713402
Signed
2014-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Timothy Auwarter
Formed
1996
Legal Domicile
Ne
Voting Board Members
14
Independent Board Members
9
Employees
1,326
Volunteers
148

Preparer

Preparer
Barbara J Fajen
Phone
4023302660
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Maintenance contracts: program service expenses 1,658,650. Management and general expenses 176,788. Fundraising expenses 98,854. Total expenses 1,934,292. Medical services: program service expenses 210,977. Management and general expenses 2,358,934. Fundraising expenses 0. Total expenses 2,569,911. Billing service fee: program service expenses 537,161. Management and general expenses 0. Fundraising expenses 0. Total expenses 537,161. Anesthesia services: program service expenses 4,957,386. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,957,386. Laboratory services: program service expenses 1,234,933. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,234,933. Purchased services: program service expenses 3,241,342. Management and general expenses 2,029,927. Fundraising expenses 0. Total expenses 5,271,269. Contract labor: program service expenses 0. Management and general expenses 2,062,835. Fundraising expenses 0. Total expenses 2,062,835. Other fees for services: program service expenses 58,166. Management and general expenses 16,268. Fundraising expenses 0. Total expenses 74,434.

FORM 990, PART XI, LINE 9:

Northest nebraska surgery center equity adjustment 119,412.

FORM 990, PART XII, LINE 2C:

The finance/audit committee meets monthly to review our unaudited financial statements. In november of each year, they meet to approve our annual budget and five-year strategic financial plan. In december, they will review and approve the engagement letter prepared by our external auditors, seim johnson, llp, which outlines the scope of their audit and their fees and expenses. At the close of the audit, they meet with the faith regional executive team and seim johnson, llp representatives to discuss any audit issues. In mid to late march, they then meet again with seim johnson, llp representatives to discuss the draft and final audited financial statements including their opinion. Regarding the selection of an external auditor, the committee has in the past selected up to three regional cpa firms specializing in healthcare audits to which to send rfps and then reviews the rfps at a later date. The last time this was done they reaffirmed the retention of seim johnson, llp as the external auditor. Each five years, although not required by the sarbanes-oxley legislation, seim johnson, llp rotates one of their partners to the faith regional engagement. This process has not changed from the prior year.

Financial Statement Notes

PART V, LINE 4:

Carson cancer center endowment funds are permanently set aside to generate investment earnings to be used to fund capital equipment purchases and/or operations of the carson regional cancer center. Investment earnings on these funds are temporarily restricted as to use. General endowment funds are permanently set aside to generate investment earnings. Investment earnings on these funds are not restricted as to use. The hospice endowment funds are permanently set aside to generate investment earnings to benefit the hospice program and its patients. Investment income on these funds are temporarily restricted as to use. The cardiac services endowment funds are permanently set aside to generate investment earnings to fund faith regional health service's cardiac program capital and/or operational expenses. The education endowment funds are permanently set aside to generate investment earnings to benefit faith regional health service's education programs and its efforts to recruit and retain employees. Investment income on these funds are temporarily restricted as to use. St. Joseph's nursing home/skyview villa endowment funds are permanently set aside to generate investment earnings to be used to fund capital equipment purchases and/or operation of st. Joseph's nursing home and skyview villa. Investment earnings on these funds are temporarily restricted as to use. The pediatric endowment funds are permanently set aside to generate investment earnings to benefit faith regional health service's children's care fund. Donors may specify contributions to any of the endowment funds.

PART X, LINE 2:

Faith regional health services (frhs) and faith regional health services foundation (the foundation) are not-for-profit corporations as described in section 501(c)(3) of the internal revenue code and are exempt from federal and nebraska state income taxes on related income pursuant to section 501(a) of the code. Faith regional physician services (frps) is a limited liability company wholly owned by frhs. The internal revenue service has established standards to be met to maintain tax-exempt status. Faith accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in fasb asc 740, income taxes. Faith recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At december 31, 2013 and 2012, faith had no uncertain tax positions accrued. With few exceptions, faith is no longer subject to income tax examinations for years ended prior to december 31, 2010.

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IRS990/Form990PartVIISectionAGrp/TitleTxt14CEO (1/1/13 - 2/14/13)
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$276$95.9$181$289$280$8.23
2023Detailed filing. Detailed filing data is available for this year.$267$98.0$169$275$272$2.93
2022Detailed filing. Detailed filing data is available for this year.$263$99.1$164$266$266$0.38
2021Detailed filing. Detailed filing data is available for this year.$286$119$168$300$292$8.31
2020Detailed filing. Detailed filing data is available for this year.$289$132$158$265$255$10.8
2019Detailed filing. Detailed filing data is available for this year.$258$113$145$248$241$6.95
2018Detailed filing. Detailed filing data is available for this year.$248$111$137$222$222$0.76
2017Detailed filing. Detailed filing data is available for this year.$217$80.1$137$220$211$9.94
2016Detailed filing. Detailed filing data is available for this year.$216$85.8$130$210$201$9.12
2015Detailed filing. Detailed filing data is available for this year.$213$92.0$121$204$188$16.3
2014Detailed filing. Detailed filing data is available for this year.$202$97.1$105$186$176$9.97
2013Detailed filing. Detailed filing data is available for this year.$195$101$94.5$169$163$6.11
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$189$101$88.3$158
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$188$102$85.7$147
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$186$105$80.6$138