Civic Intelligence

Unknown Organization

990 • Fiscal year 2013 • EIN 48-0784446

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 12, 2014

8929 Parallel ParkwaySuite66112

(913) 596-4000

Siviq Scores

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

Liabilities / Assets

100th percentile

3.23x

Higher debt load relative to assets than 100% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Liabilities / Revenue

42nd percentile

0.25x

Higher debt load relative to revenue than 42% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Net Margin

4th percentile

-45%

Higher net margin than 4% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Top Officer Pay

97th percentile

$1,393,212

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 4.1% of source-year revenue.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

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

$2,618,072

Up $3,475,004 (+406%) from 2012

Net Assets

Up

-$5,833,312

Up $14,235,249 (+71%) from 2012

Liabilities

Down

$8,451,384

Down $10,760,245 (-56%) from 2012

Revenue

$33,935,414

No earlier filing loaded for comparison.

Expenses

Down

$49,060,198

Down $119,633,534 (-71%) from 2012

Net Income

-$15,124,784

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.

$100M$50M$0-$50MAssets 2010: $72,255,991Liabilities 2010: $31,810,360Net Assets 2010: $40,445,6312010Assets 2011: $34,577,728Liabilities 2011: $17,731,897Net Assets 2011: $16,845,8312011Assets 2012: -$856,932Liabilities 2012: $19,211,629Net Assets 2012: -$20,068,5612012Assets 2013: $2,618,072Liabilities 2013: $8,451,384Net Assets 2013: -$5,833,3122013

Highlighted filing

2013

Assets$2,618,072
Liabilities$8,451,384
Net Assets-$5,833,312

Operations Trend

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

$200M$100M$0-$100MExpenses 2010: $187,888,9092010Expenses 2011: $168,732,2932011Expenses 2012: $168,693,7322012Revenue 2013: $33,935,414Expenses 2013: $49,060,198Net Income 2013: -$15,124,7842013

Highlighted filing

2013

Revenue$33,935,414
Expenses$49,060,198
Net Income-$15,124,784
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 12, 2014
Return Version
2013v3.1
Gross Receipts
$34,473,388
Mission and Program Overview

Mission

We will, in the spirit of the sisters of charity, reveal god's healing love by improving the health of the individuals and communities we serve, especially those who are poor or vulnerable.

We will,in the spirit of the sisters of charity, reveal love by improving the health of the individuals and communities we serve, especially those who are poor or vulnerable.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$39,308,544--
Inventories for Sale or Use$3,453,996$0▼ $3,453,996
Investments Program Related$1,520,539$0▼ $1,520,539
Prepaid Expenses and Deferred Charges$1,466,632$0▼ $1,466,632
Cash and Non-Interest-Bearing Accounts$-71,460,079$862,912▲ $72,322,991
Investments in Publicly Traded Securities$469,979$0▼ $469,979
Accounts Receivable$23,111,599$249▼ $23,111,350
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Investments Other Securities$0$-143,179▼ $143,179
Total Assets$-856,932$2,618,072▲ $3,475,004
Other Assets Total$1,271,858$1,898,090▲ $626,232
Liabilities
Accounts Payable and Accrued Expenses$15,916,902$8,451,384▼ $7,465,518
Other Liabilities$3,294,727$0▼ $3,294,727
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$19,211,629$8,451,384▼ $10,760,245
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-20,068,561$-5,833,312▲ $14,235,249
Total Net Assets Fund Balance$-20,068,561$-5,833,312▲ $14,235,249
Total Liabilities and Net Assets / Fund Balance$-856,932$2,618,072▲ $3,475,004

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$1,898,090--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$1,055,087$25▲ $54,333$770,151$328,679
2012$948,384$1,600▲ $108,103-$1,055,087
2011$926,607$-47,868▲ $69,645-$948,384
2010$871,512$3,900▲ $88,300$37,105$926,607
2009$736,128$1,250▲ $138,884$4,750$871,512
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Doris F Givensjan-marBoard Member--$1,393,212$1,393,212
Mary Lou Jaramillojan-marBoard Member--$722,559$722,559
Brenda Calvinjan-marBoard Member--$463,640$463,640
Daniel D Crabtreejan-marBoard Member--$358,852$358,852
david L DUGAN MDJAN-MARBoard Member--$311,050$311,050
Michael Parra Mdjan-marBoard Member--$244,818$244,818
Sabato Sisillojan-marBoard Member--$223,908$223,908
James Appelbaum MdPhysicianFT$98,641$91,303$189,944
Donald Mcsweyn Mdjan-marPhysicianFT$146,589$24,030$170,619
Roy L Robinsonjan-marChair-$148,402$22,217$170,619
Maria Javaid MdPhysicianFT$147,753$16,716$164,469
Diane Marie Steelejan-marSecretary & Treasurer-$148,151$16,318$164,469
Julian Nunez MdPhysicianFT$136,397$18,096$154,493
Vankat Pasnoori MdPhysicianFT$147,432$4,208$151,640
Pastor Ricky Turnerjan-marVice Chairman-$147,870$3,770$151,640

Board Members and Trustees

NameTitle
Lydia Jumonvilleapr-decPresident & Treasurer
Michael Slubowskiapr-decBoard Member
Barry HardingCFO Interim
Randall Nypjan-marChief Executive Officer
Mark GregsonCOO
Rosland Mcleodapr-decVP & Secretary
Winifred WilliamsVP Hr

Highest Paid Contractors

ContractorServicesLocationCompensation
Physicians Refernce LabReference Lab-$1,405,125
Anesthesiology CharteredAnesthesiology Svcs-$596,688
Topeka Anesthesia Pain TreatAnesthesia Svcs-$351,649
Physician Resources INCPhysician Svcs-$287,952
Community Blood BankBlood Supply Svcs-$260,897
Revenue and Support

Revenue Composition

Contributions and Grants
$3,716
Program Service Revenue
$33,826,823
Investment Income
$-84,670
Other Revenue
$189,545
Change in Net Assets
$-15,124,784
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$32,523,975
Salaries, Compensation, and Employee Benefits$16,536,223
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,555,586$790,742-$11,346,328
Fees for Services Other$5,282,885$617,003-$5,899,888
Depreciation Depletion-$5,082,046-$5,082,046
Fees for Services Management$98,180$4,877,656-$4,975,836
Other Employee Benefits$1,747,982$-63,989-$1,683,993
Payroll Taxes$1,127,661$499,211-$1,626,872
Current Officers, Directors, Trustees, and Key Employees$998,135$74,774-$1,072,909
Pension Plan Contributions-$806,121-$806,121
Other Expenses$43,447$418,472-$461,919
Advertising-$333,385-$333,385
Insurance$49,378$282,771-$332,149
Occupancy$238,290$30,336-$268,626
Information Technology$173,088$16,953-$190,041
All Other Expenses$123,758$5,110-$128,868
Travel$22,716$81,195-$103,911
Fees for Services Legal$1,015$40,788-$41,803
Interest-$36,587-$36,587
Office Expenses$16,402$4,037-$20,439
Conferences and Meetings$1,946$1,348-$3,294
Fees for Services Accounting-$-40,525-$-40,525
Total Functional Expenses$27,619,619$21,440,579$0$49,060,198
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

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
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
Filing and Contact Details

Filer

EIN
48-0784446
In Care Of
% SHARON OWENS
Phone
9135964000

Signing Officer

Name
Lydia Jumonville
Title
CFO/SVP
Phone
9135964000
Signed
2014-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Slubowski
Formed
1971
Legal Domicile
Ks
Voting Board Members
3
Independent Board Members
0
Employees
1,036
Volunteers
125

Preparer

Preparer
Bruce E Bernstien
Phone
9135964000
Supplemental Narrative

Additional Explanations

Delegate Control Over Management Duties

FORM 990, PART VI, SECTION A, LINE 6, 7A AND B Board Member Nomination and Approval: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF PROVIDENCE MEDICAL CENTER. BOARD MEMBERS ARE NOMINATED BY THE PROVIDENCE MEDICAL CENTER NOMINATING COMMITTEE. THEY ARE THEN APPROVED BY THE CURRENT BOARD MEMBERS TO BE RECOMMENDED TO THE SYSTEM BOARD. THE SYSTEM BOARD THEN APPROVES THEIR ELECTION TO THE BOARD.

Board Minutes

Form 990, part vi, section a, line 8a and b: minutes are kept, documented, and filed for all board and committee meetings held. All major decisions and discussions are documented within.

990 Review by the Board of Directors

Form 990, part vi, section b, line 11b: copies of the form 990 are distributed to all board members for their review prior to filing the return. The form 990 is also reviewed by finance personnel at sisters of charity of leavenworth health system and prepared and reviewed by an independent accounting firm.

Conflict of Interest Statements

Form 990, part vi, section b, line 12c: conflict of interest forms are sent out annually to all board members and key employees. These statements are carefully reviewed and a report provided to the ceo and coo regarding employees and officers, and to the chair of the board and chair of the governance committee regarding board members. If a conflict of interest arises, the ceo determines any action to be taken at that time.

Public Availability of financials, governing documents, and COI policies

Form 990, part vi, section c, line 19: public availability of financials, governing documents, and coi policies, as well as the governance manual for board members and its affiliate board members is available to the public on the website, www.greatboards.org. The manual sets forth the standards and expectations of each board member including the fiduciary duty of loyalty which requires that each member abide by sisters of charity of leavenworth health system(slchs)' conflict of interest policy, disclose any issues which may present a conflict, complete the annual disclosure statement, review policies and procedures pertaining to conflicts of interest, and provide oversight of sclhs' responsiblity program. Providence medical center's unaudited financial statements are not available to the public. Providence medical center is a member of the sisters of charity of leavenworth health system. The audited financial statements for the sisters of charity of leavenworth health system are available to the public at their website.

Other Changes in Net Assets or Fund Balances

Form 990, part xi, line 9: ppi ($130,352) select specialty ($33,857) equity transfer $12,259,515 clinic equity transfer $17,425,831 k1 adjustment ($143,179) miscellaneous ($17,925) ____________ total $29,360,033

Changes in Conducting Program Services

Form 990, part iii, line 3 on 03/29/2013, providence medical center sold substantially all of its assets to prime healthcare holdings, inc.

Form 990 Part IX Line 11G

Description:contract labor total fees:1176144

Form 990 Part IX Line 11G

Description:pur serv - outside lab fees total fees:840538

Form 990 Part IX Line 11G

Description:pur serv - blood process fee total fees:213322

Form 990 Part IX Line 11G

Description:pur - serv - purch med svcs total fees:82175

Form 990 Part IX Line 11G

Description:pur serv repair & maint total fees:335635

Form 990 Part IX Line 11G

Description:pur serv printing total fees:32966

Form 990 Part IX Line 11G

Description:pur serv - other total fees:1390352

Form 990 Part IX Line 11G

Description:profesional fee total fees:1828756

Financial Statement Notes

Endowment Funds

SCHEDULE D, PART V, LINE 4 endowment funds are intended to support indigent care, provide nursing scholarships, and to be used for the general support of the hospital at the discretion of the board. Endowment funds IN YEARS PRIOR TO 2013 WERE held by Providence/Saint John Foundation.

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Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2013 filings • 501(c)3 • $25M-$50M nonprofits