Civic Intelligence

Otolaryngic Head & Neck Surgery

990 • Fiscal year 2017 • EIN 48-0778468

Jul 01, 2016 to Jun 30, 2017 • Filed on Dec 22, 2017

3901 Rainbow Blvd Mail Stop 3010Kansas City, KS 66160

(913) 588-1444

Siviq Scores

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

Liabilities / Assets

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Liabilities / Revenue

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

1st percentile

-35615%

Higher net margin than 1% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

6th percentile

-67%

Faster asset growth than 6% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

1st percentile

-100%

Faster revenue growth than 1% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Down

$16,422

Down $33,834 (-67%) from 2016

Net Assets

Down

$16,422

Down $33,834 (-67%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue

Down

$95

Down $4,456,919 (-100%) from 2016

Expenses

Down

$33,929

Down $4,570,867 (-99%) from 2016

Net Income

Up

-$33,834

Up $113,948 (+77%) from 2016

Historical Trend

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $2,776,168Liabilities 2010: $443,908Net Assets 2010: $2,332,2602010Assets 2011: $3,186,203Liabilities 2011: $343,535Net Assets 2011: $2,842,6682011Assets 2012: $2,972,376Liabilities 2012: $338,261Net Assets 2012: $2,634,1152012Assets 2013: $2,377,680Liabilities 2013: $391,952Net Assets 2013: $1,985,7282013Assets 2014: $2,961,006Liabilities 2014: $406,070Net Assets 2014: $2,554,9362014Assets 2015: $3,188,395Liabilities 2015: $399,417Net Assets 2015: $2,788,9782015Assets 2016: $50,256Liabilities 2016: $0Net Assets 2016: $50,2562016Assets 2017: $16,422Liabilities 2017: $0Net Assets 2017: $16,4222017Assets 2018: $10,297Liabilities 2018: $0Net Assets 2018: $10,2972018Assets 2019: $7,534Liabilities 2019: $0Net Assets 2019: $7,5342019

Highlighted filing

2017

Assets$16,422
Liabilities$0
Net Assets$16,422

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2010: $6,132,9432010Expenses 2011: $6,142,0142011Expenses 2012: $6,173,6372012Revenue 2013: $6,871,592Expenses 2013: $7,581,151Net Income 2013: -$709,5592013Revenue 2014: $8,957,402Expenses 2014: $8,388,194Net Income 2014: $569,2082014Revenue 2015: $9,060,986Expenses 2015: $8,826,944Net Income 2015: $234,0422015Revenue 2016: $4,457,014Expenses 2016: $4,604,796Net Income 2016: -$147,7822016Revenue 2017: $95Expenses 2017: $33,929Net Income 2017: -$33,8342017Revenue 2018: $0Expenses 2018: $6,125Net Income 2018: -$6,1252018Revenue 2019: $0Expenses 2019: $2,763Net Income 2019: -$2,7632019

Highlighted filing

2017

Revenue$95
Expenses$33,929
Net Income-$33,834
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Dec 22, 2017
Return Version
2016v3.0
Gross Receipts
$95
Mission and Program Overview

Mission

Organization provides medical education to students and residents, provides patient care, and conducts research.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$49,566$16,422▼ $33,144
Accounts Receivable$690--
Total Assets$50,256$16,422▼ $33,834
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$50,256$16,422▼ $33,834
Total Net Assets Fund Balance$50,256$16,422▼ $33,834
Total Liabilities and Net Assets / Fund Balance$50,256$16,422▼ $33,834
Compensation and Service Providers

Board Members and Trustees

NameTitle
Alexander ChiuPresident
Keith SaleSecretary
Terance T TsueTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$95
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-33,834
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$33,929
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
Occupancy-$2,720-$2,720
Other Expenses-$302-$302
Total Functional Expenses$0$33,929$0$33,929
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

The kansas university otolaryngic head and neck surgery foundation has members rather than stockholders.

Form 990, Page 6, Part VI, Line 7A

The kansas university head and neck surgery foundation has as its members the chair of the department of otolaryngology, head and neck surgery foundation at the university of kansas medical school.

Form 990, Page 6, Part VI, Line 7B

Certain actions and decisions of the board of trustees are subject to approval by the sole member.

Form 990, Page 6, Part VI, Line 11B

The form 990 is prepared and reviewed by the organization's outside accountant. It is then sent to the organization's administrator for review. After any changes, the updated return is sent to the board for review and comment. Once reviewed by the board and all questions and comments have been addressed, the final form 990 is provided to the board prior to filing with the tax authorities.

Form 990, Page 6, Part VI, Line 12C

Members review the conflict of interest policy at the end of each fiscal year. Any potential conflicts are disclosed and resolved at that time.

Form 990, Page 6, Part VI, Line 15A

The top official does not receive a salary for the role of top official, only as a physician. Physician salaries are based on the american association of medical colleges benchmark data and the medical group management association benchmark data for the specific academic rank, specialty, productivity and years of service of the employee.

Form 990, Page 6, Part VI, Line 15B

Physician salaries are based on the american association of medical colleges benchmark data and the medical group management association benchmark data for the specific academic rank, specialty, productivity and years of service of the employee.

Form 990, Page 6, Part VI, Line 19

The kansas university head and neck surgery foundation provides upon written request presented at its office: its original form 1023, its latest form 990, its conflictof interest policy and its latest audited financial statements within 10 business days of the receipt of such request.

Filing and Contact Details

Filer

Filer Name
Otolaryngic - Head & Neck
EIN
48-0778468
Phone
9135881444
Address
3901 RAINBOW BLVD MAIL STOP 3010, KANSAS CITY, KS 66160

Signing Officer

Name
Alexander Chiu
Title
President
Phone
9135881444
Signed
2017-12-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alexander Chiu
Formed
1971
Legal Domicile
Ks
Voting Board Members
3
Independent Board Members
0
Employees
0

Preparer

Firm
Cornerstone CPA Group LLC
Address
6420 WEST 95TH STREET SUITE 202, OVERLAND PARK, KS 66212
Preparer
Jennifer D Magyar CPA
Phone
9133818350
Supplemental Narrative

Additional Explanations

Form 990, Part XI

The foundation has signed an agreement to transfer all of its activities, assets, liabilities and fund balances into a new integrated clinical enterprise. The new enterprise is kansas university physicians (ein 48- 1163756) and is a 501(c)(3) exempt entity. The foundation began transferring some of its assets to this new enterprise during fye june 30, 2016. The existing entity will be dissolved once all transfers to the new enterprise are complete.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE KANSAS UNIVERSITY OTOLARYNGIC HEAD AND NECK SURGERY FOUNDATION HAS MEMBERS RATHER THAN STOCKHOLDERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE KANSAS UNIVERSITY HEAD AND NECK SURGERY FOUNDATION HAS AS ITS MEMBERS THE CHAIR OF THE DEPARTMENT OF OTOLARYNGOLOGY, HEAD AND NECK SURGERY FOUNDATION AT THE UNIVERSITY OF KANSAS MEDICAL SCHOOL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CERTAIN ACTIONS AND DECISIONS OF THE BOARD OF TRUSTEES ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S OUTSIDE ACCOUNTANT. IT IS THEN SENT TO THE ORGANIZATION'S ADMINISTRATOR FOR REVIEW. AFTER ANY CHANGES, THE UPDATED RETURN IS SENT TO THE BOARD FOR REVIEW AND COMMENT. ONCE REVIEWED BY THE BOARD AND ALL QUESTIONS AND COMMENTS HAVE BEEN ADDRESSED, THE FINAL FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE TAX AUTHORITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4MEMBERS REVIEW THE CONFLICT OF INTEREST POLICY AT THE END OF EACH FISCAL YEAR. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND RESOLVED AT THAT TIME.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE TOP OFFICIAL DOES NOT RECEIVE A SALARY FOR THE ROLE OF TOP OFFICIAL, ONLY AS A PHYSICIAN. PHYSICIAN SALARIES ARE BASED ON THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES BENCHMARK DATA AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION BENCHMARK DATA FOR THE SPECIFIC ACADEMIC RANK, SPECIALTY, PRODUCTIVITY AND YEARS OF SERVICE OF THE EMPLOYEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6PHYSICIAN SALARIES ARE BASED ON THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES BENCHMARK DATA AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION BENCHMARK DATA FOR THE SPECIFIC ACADEMIC RANK, SPECIALTY, PRODUCTIVITY AND YEARS OF SERVICE OF THE EMPLOYEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE KANSAS UNIVERSITY HEAD AND NECK SURGERY FOUNDATION PROVIDES UPON WRITTEN REQUEST PRESENTED AT ITS OFFICE: ITS ORIGINAL FORM 1023, ITS LATEST FORM 990, ITS CONFLICTOF INTEREST POLICY AND ITS LATEST AUDITED FINANCIAL STATEMENTS WITHIN 10 BUSINESS DAYS OF THE RECEIPT OF SUCH REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE FOUNDATION HAS SIGNED AN AGREEMENT TO TRANSFER ALL OF ITS ACTIVITIES, ASSETS, LIABILITIES AND FUND BALANCES INTO A NEW INTEGRATED CLINICAL ENTERPRISE. THE NEW ENTERPRISE IS KANSAS UNIVERSITY PHYSICIANS (EIN 48- 1163756) AND IS A 501(C)(3) EXEMPT ENTITY. THE FOUNDATION BEGAN TRANSFERRING SOME OF ITS ASSETS TO THIS NEW ENTERPRISE DURING FYE JUNE 30, 2016. THE EXISTING ENTITY WILL BE DISSOLVED ONCE ALL TRANSFERS TO THE NEW ENTERPRISE ARE COMPLETE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XI
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ReturnHeader/BusinessOfficerGrp/PersonNm0ALEXANDER CHIU
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum09135881444
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-12-22
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0OTOLARYNGIC - HEAD & NECK
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0SURGERY FOUNDATION
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ReturnHeader/Filer/PhoneNum09135881444
ReturnHeader/Filer/USAddress/AddressLine1Txt03901 RAINBOW BLVD MAIL STOP 3010
ReturnHeader/Filer/USAddress/CityNm0KANSAS CITY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0KS
ReturnHeader/Filer/USAddress/ZIPCd066160
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId07F96481C5B530990C7F638757D70C235DB316E18
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0461716255
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CORNERSTONE CPA GROUP LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt06420 WEST 95TH STREET SUITE 202
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0OVERLAND PARK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0KS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd066212
ReturnHeader/PreparerPersonGrp/PhoneNum09133818350
ReturnHeader/PreparerPersonGrp/PreparationDt02017-12-22
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JENNIFER D MAGYAR CPA
ReturnHeader/ReturnTs02017-12-22T08:19:23-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-07-01
ReturnHeader/TaxPeriodEndDt02017-06-30
ReturnHeader/TaxYr02016

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