Rockhill Orthopaedic Specialists Inc

Nonprofit profile at a glance

EIN
453851008
IRS 990 coverage
2015–2023
Forms available
Form 990 2023
Location
Kansas City, MO, USA
Phone
8169322000
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$23,665,672
Expenses
$23,665,672
Assets
$4,417,070
Liabilities
$1,652,565

Source: IRS Form 990. Selected filing: tax year 2023. Amounts in USD.

Leadership & pay

4 people listed

Source: IRS Form 990. Selected filing: tax year 2023. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Rockhill orthopaedic specialists, inc. Is committed to providing advanced, evidence-based orthopaedic health care and health services. The organization values a service model emphasizing clinical excellence and the highest quality of care to patients. As a part of saint luke's health system, the organization is dedicated to enhancing the physical, mental and spiritual health of the diverse communities served.

What it reported doing in 2023

The organization serves as an extension of a saint luke's health system and operates as a hospital-affiliated orthopaedic practice. It is an innovative, clinically driven program focused on achieving the goals and objectives of (i) excellence in the delivery of orthopaedic clinical care; (ii) leadership in orthopaedic research; (iii) excellence in the recruitment and retention of qualified orthopaedic physicians and related allied health providers, and (iv) the promotion of healthcare for a broad cross-section of the hospital's community. The organization currently provides care in the greater Kansas city area. Its physicians provide on-call support for an affiliated tax-exempt hospital. The organization has a financial assistance policy that covers patients without adequate means to pay for care and also benefits the community as a provider under medicare and medicaid. The organization provides community education / participates in outreach programs that are open to the public and strives to enhance the quality and efficiency of patient care through the development and implementation of standards of care and other initiatives.

Operating model

Revenue model
Other-operating. 82% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 80
  • Transparency & Controls: 65
  • Accountability: 32
  • Sustainability: 31
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 89.9%; rating input score 90
  • Program expense ratio: 89.9%; rating input score 90
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 0%; rating input score 34; 34th percentile among comparable filings
  • Total-asset coverage ratio: 0.19; rating input score 4; 4th percentile among comparable filings
  • Liabilities to assets ratio: 0.37; rating input score 40; 40th percentile among comparable filings
  • Officer compensation ratio: 1.5%; rating input score 80; 80th percentile among comparable filings

Growth

  • Program expense growth: 9.7% per year; rating input score 100; 70th percentile among comparable filings
  • Revenue growth: 8.3% per year; rating input score 100; 68th percentile among comparable filings
  • Asset growth: 3.7% per year; rating input score 100; 28th percentile among comparable filings

Details

  • Where the money goes: 89.9% of revenue deployed · 89.9% of spending went to programs
  • Governance: 0 of 3 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $21.3M in reported program spending
  • Leadership: top reported pay $1.1M · 4 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $19.5M reported
  • Consistency: 23 of 23 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 8 filing years from 2015 to 2023
  • Contacts: How to reach this organization
  • Related organizations: 31 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Moderate — Sustainability: Operating margin scored 34/100.
  • High — Sustainability: Total-asset coverage ratio scored 4/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 40/100.