Civic Intelligence

Unknown Organization

EIN 48-0925688 • 501(c)3

Profile

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.

2480 w 26th aveSuite 200b80211

www.providence-health.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

28th percentile

0.01x

Higher debt load relative to assets than 28% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2013

Liabilities / Revenue

34th percentile

0.02x

Higher debt load relative to revenue than 34% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2013

Net Margin

92nd percentile

59%

Higher net margin than 92% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2013

Top Officer Pay

96th percentile

$358,852

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 44.8% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2013

Asset Growth

80th percentile

22%

Faster asset growth than 80% of similar nonprofits.

501(c)3 • $1M-$5M 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

$3,152,555

Up $561,712 (+22%) from 2012

Liabilities

Down

$17,590

Down $31,055 (-64%) from 2012

Net Assets

Up

$3,134,965

Up $592,767 (+23%) from 2012

Revenue

$800,965

No earlier filing loaded for comparison.

Expenses

Down

$326,393

Down $360,530 (-52%) from 2012

Net Income

$474,572

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $2,979,059Liabilities 2010: $54,494Net Assets 2010: $2,924,5652010Assets 2011: $2,491,379Liabilities 2011: $62,911Net Assets 2011: $2,428,4682011Assets 2012: $2,590,843Liabilities 2012: $48,645Net Assets 2012: $2,542,1982012Assets 2013: $3,152,555Liabilities 2013: $17,590Net Assets 2013: $3,134,9652013

Highlighted filing

2013

Assets$3,152,555
Liabilities$17,590
Net Assets$3,134,965

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0Expenses 2010: $672,6432010Expenses 2011: $767,1892011Expenses 2012: $686,9232012Revenue 2013: $800,965Expenses 2013: $326,393Net Income 2013: $474,5722013

Highlighted filing

2013

Revenue$800,965
Expenses$326,393
Net Income$474,572

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 11, 2014
Return Version
2013v3.1
Gross Receipts
$831,014
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 god's healing love by improving health of individuals and communites we serve, especially those who are poor or vulnerable.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$2,149,460$2,381,065▲ $231,605
Cash and Non-Interest-Bearing Accounts$125,570$509,054▲ $383,484
Pledges and Grants Receivable$260,221$258,343▼ $1,878
Inventories for Sale or Use$44,829$0▼ $44,829
Land, Buildings, and Equipment, Net$7,044$4,093▼ $2,951
Prepaid Expenses and Deferred Charges$3,719$0▼ $3,719
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$2,590,843$3,152,555▲ $561,712
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$48,645$17,590▼ $31,055
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
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$48,645$17,590▼ $31,055
Net Assets / Fund Balance
Temporarily Rstr Net Assets$1,581,337$2,055,213▲ $473,876
Unrestricted Net Assets$-94,226$754,035▲ $848,261
Permanently Rstr Net Assets$1,055,087$325,717▼ $729,370
Total Net Assets Fund Balance$2,542,198$3,134,965▲ $592,767
Total Liabilities and Net Assets / Fund Balance$2,590,843$3,152,555▲ $561,712

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,195$15,542$17,737
Leasehold Improvements$1,498$12,015$13,513
Other Land Buildings$400$1,205$1,605
Other Securities$2,381,065--

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

NameTitleOtherTotal
Jimmy LopezBd Member$358,852$358,852
Reverend Jimmie Banksbd member$125,383$125,383

Board Members and Trustees

NameTitle
John SouthardChair
Randy NypPresident/CEO- Pmc
Greg CottonVice Chair
Karla KimererExecutive Director
Adriana Martinezbd member
Ann M Hoinsbd member
Bill Dunn IIIbd member
Cynthia Caruthersbd member
Diane HentgesBd Member
Irene Caudillobd member
Jane Sieve - WilsonBd Member
John N Vani MDbd member
Leon RobertsBd Member
Lisa R Gonzales DDSbd member
Manu RattanBd Member
Sister Marianna Bauderbd member
Steve Beaumontbd member
Steve KaazBd Member
Vernon Mills Mdbd member
Mike GraftSecretary
Adam EhlertTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$675,420
Program Service Revenue
$0
Investment Income
$100,444
Other Revenue
$25,101
All Other Contributions
$662,920
Change in Net Assets
$474,572
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$152,372
Grants and Similar Amounts Paid$103,631
Total Fundraising Expense$79,201
Salaries, Compensation, and Employee Benefits$70,390
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Office Expenses$33,792$50,688$50,688$135,168
Other Salaries and Wages$14,434$21,650$21,650$57,734
Grants to Domestic Individuals$55,226--$55,226
Grants to Domestic Orgs$48,405--$48,405
Other Employee Benefits$3,164$4,746$4,746$12,656
Fees for Services Other$1,411$2,117$2,117$5,645
Fees for Services Accounting-$4,810-$4,810
Depreciation Depletion-$2,951-$2,951
Travel-$1,912-$1,912
Other Expenses$683$683-$1,366
Conferences and Meetings-$520-$520
Total Functional Expenses$157,115$90,077$79,201$326,393
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
26-0810345-501(c)(3)Support Medical Care for Trainer$39,294
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
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
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
48-0925688
In Care Of
% SHARON OWENS
Phone
9135964000

Signing Officer

Name
Lydia Jumonville
Title
CFO/SVP
Phone
9135964835
Signed
2014-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lydia Jumonville
Formed
1981
Legal Domicile
Ks
Voting Board Members
21
Independent Board Members
21
Employees
0
Volunteers
207

Preparer

Preparer
Bruce E Bernstien
Phone
9135964835
Supplemental Narrative

Additional Explanations

Governing Body and Managment

Form 990, part vi, lines 6, 7a-b providence medical center is the sole corporate member of the foundation. Providence medical center has the power to elect board members and approve decisions of the governing body.

Review of Form 990

FORM 990 PART VI, SECTION B, LINE 11b THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN REVIEWED BY THE FINANCIAL SERVICES GROUP AT THE SISTERS OF CHARITY LEAVENWORTH HEALTH SYSTEM. THE BOARD OF DIRECTORS OF THE FOUNDATION IS NOT AVAILABLE IN 2014 TO BE PROVIDED THE FORM 990 AS THE FOUNDATION WAS DISSOLVED IN 2014.

Conflict of Interest Policy

Form 990, part vi, section b, line 12c conflict of interest enforcement: conflict of interest forms are sent out annually to all board members and key employees. Receipt of the signed forms are tracked and provided to the ceo for review.

Policy on Making Governing Doc & Financial Stmt Avaliable to the Public

FORM 990, PART VI, SECTION C, LINE 19 SCLHS' 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 SCLHS' 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' responsibility program. Providence Saint John Foundation's unaudited financial statements are not available to the public.

FORM 990, PART XI, LINE 9:

Uncollectiable fundraising revenue ($4,642) net assets released from restriction ($4,873) unristicted funding ($3,493) misc changes in grants $43 total ($12,965)

Financial Statement Notes

Intended uses of the organization'S endowment funds

Retained 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.

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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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IRS990/Form990PartVIISectionAGrp/PersonNm1Reverend Jimmie Banks
IRS990/Form990PartVIISectionAGrp/PersonNm2Sister Marianna Bauder
IRS990/Form990PartVIISectionAGrp/PersonNm3Steve Beaumont
IRS990/Form990PartVIISectionAGrp/PersonNm4Cynthia Caruthers
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IRS990/Form990PartVIISectionAGrp/PersonNm8Adam Ehlert
IRS990/Form990PartVIISectionAGrp/PersonNm9VERNON MILLS MD
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IRS990/Form990PartVIISectionAGrp/PersonNm11Mike Graft
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IRS990/Form990PartVIISectionAGrp/PersonNm21Randy Nyp
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