Civic Intelligence

Wolf River Area Healthcare Foundation Inc

EIN 20-0049796 • 501(c)3 • New London, WI

Revoked

Profile

Enhance the health of our communities.

Revocation date: May 15, 2017

1405 Mill StreetNew London, WI 54961

www.thedacare.org

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2013

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

84th percentile

36%

Higher net margin than 84% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

99th percentile

$286,522

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 117.8% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k 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

Down

$0

Down $549,947 (-100%) from 2012

Liabilities

Down

$0

Down $338 (-100%) from 2012

Net Assets

Down

$0

Down $549,609 (-100%) from 2012

Revenue

$243,148

No earlier filing loaded for comparison.

Expenses

Up

$156,812

Up $23,158 (+17%) from 2012

Net Income

$86,336

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2010: $569,939Liabilities 2010: $6,099Net Assets 2010: $563,8402010Assets 2011: $477,116Liabilities 2011: $622Net Assets 2011: $476,4942011Assets 2012: $549,947Liabilities 2012: $338Net Assets 2012: $549,6092012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013

Highlighted filing

2013

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$400K$300K$200K$100K$0Expenses 2010: $202,0612010Expenses 2011: $385,8082011Expenses 2012: $133,6542012Revenue 2013: $243,148Expenses 2013: $156,812Net Income 2013: $86,3362013

Highlighted filing

2013

Revenue$243,148
Expenses$156,812
Net Income$86,336

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 31, 2014
Return Version
2013v3.0
Gross Receipts
$280,922
Mission and Program Overview

Mission

Enhance the health of our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$392,093$0▼ $392,093
Investments in Publicly Traded Securities$131,265$0▼ $131,265
Pledges and Grants Receivable$26,589$0▼ $26,589
Cash and Non-Interest-Bearing Accounts-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$549,947$0▼ $549,947
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$338--
Total Liabilities$338$0▼ $338
Net Assets / Fund Balance
Unrestricted Net Assets$310,289$0▼ $310,289
Temporarily Rstr Net Assets$239,320$0▼ $239,320
Total Net Assets Fund Balance$549,609$0▼ $549,609
Total Liabilities and Net Assets / Fund Balance$549,947$0▼ $549,947
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Seelig CherylDirector--$103,433$103,433
Stern HeatherExecutive DirectorFT$69,618$1,579$71,197

Board Members and Trustees

NameTitle
Griebenow KerryPresident
Ignacio NancyPresident - Elect
Schmidt WilliamVice President
Carl DuwayneDirector
Gretzinger PamDirector
Huzzar MikeDirector
Klein JohnDirector
Kolbeck Scott MdDirector
Meyer MichaelDirector
Radix HarryDirector
Shaw LaurieDirector
Thiel RitaDirector
Williams JimDirector
Ziegler JimDirector
Watling Rev GregSecretary
Suehring JackieTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$254,191
Program Service Revenue
$0
Investment Income
$18,199
Other Revenue
$-29,242
All Other Contributions
$59,007
Change in Net Assets
$86,336

Audited Revenue Reconciliation

Revenue per Audited Statements
$280,922
Revenue Not Reported on Financial Statements
$-37,774
Revenue Not Reported on Form 990
$3,648
Other Revenue Adjustments
$-37,774
Total Revenue per Audited Statements
$284,570
Total Revenue per Form 990
$243,148
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$113,656
Total Fundraising Expense$63,371
Other Expenses$31,656
Grants and Similar Amounts Paid$11,500
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$56,828$56,828$113,656
Fees for Services Other-$10,510$2,964$13,474
Grants to Domestic Individuals$11,500--$11,500
Fees for Services Accounting-$9,988-$9,988
Office Expenses-$645$2,689$3,334
Fees for Service Investment Mgmnt Fees-$2,124-$2,124
Information Technology-$438$437$875
Other Expenses-$285$286$571
Advertising-$166$167$333
Total Functional Expenses$11,500$81,941$63,371$156,812

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$194,586
Expenses per Audited Statements$156,812
Total Expenses per Form 990$156,812
Expenses Not Reported on Form 990$37,774
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$37,674
Fundraising Gross Income$4,782
Gaming Gross Income$3,750
Gaming Direct Expenses$100
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$20,533-$9,571-
Event 2$53,778$4,782$21,882$-17,100
Total Events$74,311$4,782$37,674$-32,892
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
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$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
Yes
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

Governance Explanations

Form 990, Part VI, Section A, Line 6

Wolf river area healthcare foundaton, inc.'s sole member of the single class of voting members is thedacare medical center - new london, inc.

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

The election and removal of directors is subject to ratification by thedacare medical center - new london, inc. Before the actions take effect.

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

The following actions are subject to ratification of thedacare medical center - new london, inc. Before the actions can take effect: 1. Amendment of the bylaws of this corporation 2. Merger, consolidation or dissolution of this corporation 3. The creating of any subsidiaries or affiliates of this corporation 4. Adoption of the annual budget and expenditures which exceed 110% of ratified budget 5. Selection of the executive director 6. Capital expenditures over $25,000 7. Selection of investments over 40% of retained earnings 8. Borrowings over $25,000

Form 990, Part VI, Section B, Line 11

A draft of the form 990 is provided to the organization's designated committee of the board of directors for review and discussion at a board meeting. The final version of the form 990 is e-mailed to the entire board before the return is filed.

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

The organization monitors and enforces compliance with the conflict of interest policy through surveys, which are reviewed by the compliance officer and committee. All employees and board members are covered under the conflict of interest policy. The corporate compliance committee reviews the potential conflict and the cfo/board of trustees review all conflicts. After disclosure of the conflict, the employee shall not participate in the decision whether to engage in the transaction in which the employee has an interest.

Form 990, Part VI, Section B, Line 15A

The compensation process for top officials of the organization is managed by their employer for payroll purposes, thedacare, inc., a related organization. Management of thedacare, inc. Determines a fair and reasonable compensation for these individuals based on market and comparability data provided by human resources. No other officers of the organization receive any compensation.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy, and financial statements are made available to the public upon request directly to the organization.

Filing and Contact Details

Filer

EIN
20-0049796
Phone
9205312000

Signing Officer

Name
Jackie Suehring
Title
Treasurer
Phone
9205312000
Signed
2014-10-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kerry Griebenow
Formed
2003
Legal Domicile
Wi
Voting Board Members
17
Independent Board Members
15
Employees
0
Volunteers
17

Preparer

Preparer
Terri Rexrode CPA Mst
Phone
9206620016
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Net asset transfer to thedacare family of foundations, inc. -639,593.

FORM 990, PART XII, LINE 2C:

Oversight of audit: this process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

In order to account for any uncertain tax positions, the foundation determines whether it is more likely than not that a tax position will be sustained upon examination of the technical merits of the position, assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more-likely-than-not recognition threshold, the benefit of that position is not recognized in the financial statements. The foundation recorded no assets or liabilities related to uncertain tax positions in 2013 or 2012. Federal tax returns for the years ended 2010 and beyond remain subject to examination by the internal revenue service.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Fundraising expenses -37,774.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Fundraising expenses 37,774.

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IRS990/GainOrLossGrp/SecuritiesAmt013575
IRS990/GamingActivitiesInd00
IRS990/GamingDirectExpensesAmt0100
IRS990/GamingGrossIncomeAmt03750
IRS990/GoverningBodyVotingMembersCnt017
IRS990/GrantAmt011500
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt011500
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt011500
IRS990/GrantsToIndividualsInd01
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt013575
IRS990/GrossReceiptsAmt0280922
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt015
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/FundraisingAmt0437
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt0438
IRS990/InformationTechnologyGrp/TotalAmt0875
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt04624
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt04624
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt0131265
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0WI
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0ENHANCE THE HEALTH OF OUR COMMUNITIES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0549609
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt013575
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt013575
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-32892
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-32892
IRS990/NetIncomeFromGamingGrp/ExclusionAmt03650
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt03650
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt03648
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/FundraisingAmt02689
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0645
IRS990/OfficeExpensesGrp/TotalAmt03334
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt0-639593
IRS990/OtherExpensesGrp/Desc0UNCOLLETIBLE PLEDGES
IRS990/OtherExpensesGrp/Desc1MEMBERSHIP/SUBSCRIPTION
IRS990/OtherExpensesGrp/FundraisingAmt0286
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0957
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1285
IRS990/OtherExpensesGrp/TotalAmt0957
IRS990/OtherExpensesGrp/TotalAmt1571
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt056828
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt056828
IRS990/OtherSalariesAndWagesGrp/TotalAmt0113656
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt026589
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0KERRY GRIEBENOW
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0142264
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt033323
IRS990/PYInvestmentIncomeAmt011690
IRS990/PYOtherExpensesAmt044007
IRS990/PYOtherRevenueAmt047249
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt067549
IRS990/PYSalariesCompEmpBnftPaidAmt056324
IRS990/PYTotalExpensesAmt0133654
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0201203
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt086336
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/RelatedOrganizationsAmt0125655
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0392093
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/CertificationInd0X
IRS990ScheduleA/Contribution35ControlledInd00
IRS990ScheduleA/ContributionControllerInd00
IRS990ScheduleA/ContributionFamilyInd00
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0390869788
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc03
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10THEDACARE MEDICAL CENTER - NEW LONDON INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd01
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/ExpensesNotReportedAmt037774
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0156812
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt03648
IRS990ScheduleD/OtherExpensesIncludedAmt037774
IRS990ScheduleD/OtherRevenuesNotIncludedAmt0-37774
IRS990ScheduleD/RevenueNotReportedAmt03648
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt0-37774
IRS990ScheduleD/RevenueSubtotalAmt0280922
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE FOUNDATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE FOUNDATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2013 OR 2012. FEDERAL TAX RETURNS FOR THE YEARS ENDED 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1FUNDRAISING EXPENSES -37,774.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2FUNDRAISING EXPENSES 37,774.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt0156812
IRS990ScheduleD/TotalRevenuePerForm990Amt0243148
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0284570
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0194586
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt069529
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt020533
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt048996
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt037674
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt020533
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt053778

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