Civic Intelligence

National Institute for Medical Informatics Inc

EIN 20-1382050 • 501(c)3

View Organization Page

Profile

Development and ongoing maintenance of a non-proprietary protocol for the reporting of emergency medicine patient data for the purpose of providing access to such data between hospitals, emergency medical health care or service providers, government and public health and law enforcement agencies.

1233 N Mayfair Rd No 30253226-3255

www.whie.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

13th percentile

-60%

Higher net margin than 13% of similar nonprofits.

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

Top Officer Pay

99th percentile

$149,532

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 52.7% 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

20th percentile

-44%

Faster revenue growth than 20% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2011 to 2013

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $309,412 (-100%) from 2012

Liabilities

Down

$0

Down $138,272 (-100%) from 2012

Net Assets

Down

$0

Down $171,140 (-100%) from 2012

Operations
Liabilities / Revenue62nd percentileNet Margin13th percentile

Revenue

$283,749

No earlier filing loaded for comparison.

Expenses

Down

$454,889

Down $986,457 (-68%) from 2012

Net Income

-$171,140

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

$1.0M$500K$0Assets 2010: $825,540Liabilities 2010: $296,748Net Assets 2010: $528,7922010Assets 2011: $582,379Liabilities 2011: $341,779Net Assets 2011: $240,6002011Assets 2012: $309,412Liabilities 2012: $138,272Net Assets 2012: $171,1402012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013

Highlighted filing

2013

Assets$0
Liabilities$0
Net Assets$0
Open 2013 Filing

Operations Trend

Revenue Growth20th percentile

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

$1.5M$1.0M$500K$0-$500KExpenses 2010: $902,8212010Revenue 2011: $916,575Expenses 2011: $1,204,767Net Income 2011: -$288,1922011Expenses 2012: $1,441,3462012Revenue 2013: $283,749Expenses 2013: $454,889Net Income 2013: -$171,1402013

Highlighted filing

2013

Revenue$283,749
Expenses$454,889
Net Income-$171,140
Open 2013 Filing

Filings

Most recent year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$283,749
Expenses
$454,889
Net income
-$171,140
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2013Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.28$0.45$0.17
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.31$0.14$0.17$1.44
2011Summary only. Only limited summary data is available for this year.$0.58$0.34$0.24$0.92$1.20$0.29
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.83$0.30$0.53$0.90
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 11, 2014
Return Version
2013v3.0
Gross Receipts
$283,749
Mission and Program Overview

Mission

Development and ongoing maintenance of a non-proprietary protocol for the reporting of emergency medicine patient data for the purpose of providing access to such data between hospitals, emergency medical health care or service providers, government and public health and law enforcement agencies.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$255,098$0▼ $255,098
Prepaid Expenses and Deferred Charges$29,033$0▼ $29,033
Accounts Receivable$17,408$0▼ $17,408
Land, Buildings, and Equipment, Net$4,314$0▼ $4,314
Cash and Non-Interest-Bearing Accounts$3,559$0▼ $3,559
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$309,412$0▼ $309,412
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$132,807--
Deferred Revenue$5,465--
Total Liabilities$138,272$0▼ $138,272
Net Assets / Fund Balance
Unrestricted Net Assets$171,140$0▼ $171,140
Total Net Assets Fund Balance$171,140$0▼ $171,140
Total Liabilities and Net Assets / Fund Balance$309,412$0▼ $309,412

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$0--
Other Land Buildings$0--
Equipment$0--
Leasehold Improvements$0--
Compensation and Service Providers
Top Officer Pay99th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kim PemblePresident/directorFT$144,282$5,250$149,532

Board Members and Trustees

NameTitle
Bruce ArnoldChair/director
Doug PessefallDirector
Dr Howard CroftDirector
Rebecca BradleyDirector
Mike RepkaTreasurer/director
Revenue and Support

Revenue Composition

Contributions and Grants
$6,827
Program Service Revenue
$275,004
Investment Income
$1,918
Other Revenue
$0
All Other Contributions
$1,359
Change in Net Assets
$-171,140

Audited Revenue Reconciliation

Revenue per Audited Statements
$283,749
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$283,749
Total Revenue per Form 990
$283,749
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$242,275
Salaries, Compensation, and Employee Benefits$212,614
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$62,699$81,583-$144,282
Information Technology$115,833--$115,833
Fees for Services Other$6,452$49,483-$55,935
Other Salaries and Wages$18,604$24,208-$42,812
Insurance$30,625$1,931-$32,556
Occupancy$17,426--$17,426
Other Employee Benefits$11,992--$11,992
Payroll Taxes$5,995$5,361-$11,356
Fees for Services Accounting$6,650$4,500-$11,150
Depreciation Depletion-$4,314-$4,314
Office Expenses$2,217--$2,217
Pension Plan Contributions$2,172--$2,172
Travel$211$1,639-$1,850
Conferences and Meetings$86$478-$564
Other Expenses$70$50-$50
Total Functional Expenses$281,032$173,857$0$454,889

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$454,889
Total Expenses per Audited Statements$454,889
Total Expenses per Form 990$454,889
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
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
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“The form 990 is distributed via e-mail in advance of submission, then discussed and reviewed at a board meeting prior to filing the return.”

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

“Each director, principal officer committee member signs an annual statement that affirms that they have received, read, understand and comply with the policy. In addition the organization conducts periodic reviews of compliance with the policy.”

Form 990, Part VI, Section B, Line 15

“The current executive director's salary is based on comparative data.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents and financial statements available to the public upon request.”

Filing and Contact Details

Filer

EIN
20-1382050
Phone
4142717800

Signing Officer

Name
Kim Pemble
Title
President
Phone
2622400198
Signed
2014-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kim Pemble
Formed
2002
Legal Domicile
Wi
Voting Board Members
6
Independent Board Members
5
Employees
3
Volunteers
0

Preparer

Preparer
Joel Joyce
Phone
4142717800
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Professional fees: program service expenses 5,468. Management and general expenses 12,296. Fundraising expenses 0. Total expenses 17,764. Consulting services: program service expenses 981. Management and general expenses 31,396. Fundraising expenses 0. Total expenses 32,377. Other purchased services: program service expenses 3. Management and general expenses 5,791. Fundraising expenses 0. Total expenses 5,794.”

Part XI, Page 12, Line 2C

“The organization did not make any changes in responsibility for the oversight of the annual audit of its financial statements or in the selection of an independent accountant during the tax year.”

Financial Statement Notes

PART X, LINE 2:

“The organization qualifies as a tax-exempt organization under section 501(c)(3) of the internal revenue code. The organization is no longer subject to u.s. Federal information return examinations for years ending before december 31, 2009.”

Raw XML AppendixShowing 400 of 457 raw XML fields

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

Path#Value
IRS990/AccountantCompileOrReviewInd01
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0132807
IRS990/AccountsReceivableGrp/BOYAmt017408
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0DEVELOPMENT AND ONGOING MAINTENANCE OF A NON-PROPRIETARY PROTOCOL FOR THE REPORTING OF EMERGENCY MEDICINE PATIENT DATA FOR THE PURPOSE OF PROVIDING ACCESS TO SUCH DATA BETWEEN HOSPITALS, EMERGENCY MEDICAL HEALTH CARE OR SERVICE PROVIDERS, GOVERNMENT AND PUBLIC HEALTH AND LAW ENFORCEMENT AGENCIES.
IRS990/AllOtherContributionsAmt01359
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine10JOEL A JOYCE
IRS990/BooksInCareOfDetail/PhoneNum04142717800
IRS990/BooksInCareOfDetail/USAddress/AddressLine10C/O REILLY PENNER BENTON LLP 1233 N
IRS990/BooksInCareOfDetail/USAddress/City0MILWAUKEE
IRS990/BooksInCareOfDetail/USAddress/State0WI
IRS990/BooksInCareOfDetail/USAddress/ZIPCode0532263255
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt03559
IRS990/CashNonInterestBearingGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt081583
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt062699
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0144282
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt0478
IRS990/ConferencesMeetingsGrp/ProgramServicesAmt086
IRS990/ConferencesMeetingsGrp/TotalAmt0564
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt06827
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt01918
IRS990/CYOtherExpensesAmt0242275
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0275004
IRS990/CYRevenuesLessExpensesAmt0-171140
IRS990/CYSalariesCompEmpBnftPaidAmt0212614
IRS990/CYTotalExpensesAmt0454889
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0283749
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DeferredRevenueGrp/BOYAmt05465
IRS990/DelegationOfMgmtDutiesInd00
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt04314
IRS990/DepreciationDepletionGrp/TotalAmt04314
IRS990/Desc0ED LINKING - DEVELOPMENT OF A UNIQUE SYSTEM TO SECURE AND SHARE MEDICAL INFORMATION AND TO FACILITATE CARE COORDINATION PROTOCOLS THAT WILL ASSIST IN CARING FOR PATIENTS, PROVIDING FOR BETTER CONTINUITY OF CARE AND IMPROVING PATIENT SAFETY.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt03
IRS990/EmploymentTaxReturnsFiledInd01
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt0272580
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt04500
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt06650
IRS990/FeesForServicesAccountingGrp/TotalAmt011150
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt049483
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt06452
IRS990/FeesForServicesOtherGrp/TotalAmt055935
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt02.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt12.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt22.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt340.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt42.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt52.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt35250
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/PersonNm0DR HOWARD CROFT
IRS990/Form990PartVIISectionAGrp/PersonNm1BRUCE ARNOLD
IRS990/Form990PartVIISectionAGrp/PersonNm2MIKE REPKA
IRS990/Form990PartVIISectionAGrp/PersonNm3KIM PEMBLE
IRS990/Form990PartVIISectionAGrp/PersonNm4REBECCA BRADLEY
IRS990/Form990PartVIISectionAGrp/PersonNm5DOUG PESSEFALL
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3144282
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHAIR/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3PRESIDENT/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02002
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/OtherAmt01720
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GovernmentGrantsAmt05468
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/OtherAmt01720
IRS990/GrossReceiptsAmt0283749
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt05
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt0115833
IRS990/InformationTechnologyGrp/TotalAmt0115833
IRS990/InsuranceGrp/ManagementAndGeneralAmt01931
IRS990/InsuranceGrp/ProgramServicesAmt030625
IRS990/InsuranceGrp/TotalAmt032556
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt0198
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0198
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt03
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt04314
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LandBldgEquipCostOrOtherBssAmt00
IRS990/LegalDomicileStateCd0WI
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0DEVELOPMENT AND ONGOING MAINTENANCE OF A NON-PROPRIETARY PROTOCOL FOR THE REPORTING OF EMERGENCY MEDICINE PATIENT DATA FOR THE PURPOSE OF PROVIDING ACCESS TO SUCH DATA BETWEEN HOSPITALS, EMERGENCY MEDICAL HEALTH CARE OR SERVICE PROVIDERS, GOVERNMENT AND PUBLIC HEALTH AND LAW ENFORCEMENT AGENCIES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0171140
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt01720
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt01720
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt017426
IRS990/OccupancyGrp/TotalAmt017426
IRS990/OfficeExpensesGrp/ProgramServicesAmt02217
IRS990/OfficeExpensesGrp/TotalAmt02217
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt011992
IRS990/OtherEmployeeBenefitsGrp/TotalAmt011992
IRS990/OtherExpensesGrp/Desc0EQUIPMENT RENTAL AND MA
IRS990/OtherExpensesGrp/Desc1PERSONAL PROPERTY TAXES
IRS990/OtherExpensesGrp/Desc2DUES AND SUBSCRIPTIONS
IRS990/OtherExpensesGrp/Desc3OTHER EXPENSE
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0170
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1140
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt250
IRS990/OtherExpensesGrp/ProgramServicesAmt070
IRS990/OtherExpensesGrp/TotalAmt0170
IRS990/OtherExpensesGrp/TotalAmt1140
IRS990/OtherExpensesGrp/TotalAmt270
IRS990/OtherExpensesGrp/TotalAmt350
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt024208
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt018604
IRS990/OtherSalariesAndWagesGrp/TotalAmt042812
IRS990/OtherWebsiteInd0X
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt05361
IRS990/PayrollTaxesGrp/ProgramServicesAmt05995
IRS990/PayrollTaxesGrp/TotalAmt011356
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt02172
IRS990/PensionPlanContributionsGrp/TotalAmt02172
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt029033
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0KIM PEMBLE
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0519100
IRS990/ProgramServiceRevenueGrp/BusinessCd1519100
IRS990/ProgramServiceRevenueGrp/BusinessCd2519100
IRS990/ProgramServiceRevenueGrp/BusinessCd3519100
IRS990/ProgramServiceRevenueGrp/BusinessCd4519100
IRS990/ProgramServiceRevenueGrp/Desc0HEALTH SYSTEM UTILIZAT
IRS990/ProgramServiceRevenueGrp/Desc1DHS MEDACAID
IRS990/ProgramServiceRevenueGrp/Desc2PAYER/EMPLOYER VALUE M
IRS990/ProgramServiceRevenueGrp/Desc3SOFTWARE DEVELOPMENT F
IRS990/ProgramServiceRevenueGrp/Desc4WISHIN PAYMENTS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0153860
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt175000
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt233837
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt38739
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt43568
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0153860
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt175000
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt233837
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt38739
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt43568
IRS990/ProgSrvcAccomActy2Grp/Desc0PUBLIC HEALTH SYDROMIC SURVEILLANCE: PROVIDE TO THE CITY OF MILWAUKEE AND THE WISCONSIN DEPARTMENT OF PUBLIC HEALTH EVENT RECORDS FOR ANALYSIS.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt05468
IRS990/ProgSrvcAccomActy3Grp/Desc0TECHNICAL SERVICES PROVIDER-WISHIN: ASSUMES THE STATE-LEVEL ROLE OF GOVERNING THE IMPLEMENTATION AND OPERATION OF STATEWIDE HEALTH INFORMATION EXCHANGE (HIE) SERVICES.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt02984
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt03568
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt055660
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0729
IRS990/PYOtherExpensesAmt0995862
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt01315497
IRS990/PYRevenuesLessExpensesAmt0-69460
IRS990/PYSalariesCompEmpBnftPaidAmt0445484
IRS990/PYTotalExpensesAmt01441346
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01371886
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-171140
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0271436
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0255098
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt06827
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt055660
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0178900
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0695299
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0590006
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01526692
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0198
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0729
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt01992
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt02920
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt02039
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt07878
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt02955795
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt0941
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt0599
IRS990ScheduleA/OtherIncome170Grp/TotalAmt01540
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.99390
IRS990ScheduleA/PublicSupportPY170Pct00.99450
IRS990ScheduleA/PublicSupportTotal170Amt01526692
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt06827
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt055660
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0178900
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0695299
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0590006
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01526692
IRS990ScheduleA/TotalSupportAmt01536110
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/BuildingsGrp/BookValueAmt00
IRS990ScheduleD/EquipmentGrp/BookValueAmt00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0454889
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0283749
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL INFORMATION RETURN EXAMINATIONS FOR YEARS ENDING BEFORE DECEMBER 31, 2009.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt0454889
IRS990ScheduleD/TotalRevenuePerForm990Amt0283749
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0283749
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0454889
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine10COLUMBIA ST MARY'S HOSPITAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-01-10
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0390806315
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt016168
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0N/A
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine102320 N LAKE DR
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City0MILWAUKEE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State0WI
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode053211
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS DISTRIBUTED VIA E-MAIL IN ADVANCE OF SUBMISSION, THEN DISCUSSED AND REVIEWED AT A BOARD MEETING PRIOR TO FILING THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EACH DIRECTOR, PRINCIPAL OFFICER COMMITTEE MEMBER SIGNS AN ANNUAL STATEMENT THAT AFFIRMS THAT THEY HAVE RECEIVED, READ, UNDERSTAND AND COMPLY WITH THE POLICY. IN ADDITION THE ORGANIZATION CONDUCTS PERIODIC REVIEWS OF COMPLIANCE WITH THE POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CURRENT EXECUTIVE DIRECTOR'S SALARY IS BASED ON COMPARATIVE DATA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,468. MANAGEMENT AND GENERAL EXPENSES 12,296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,764. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 981. MANAGEMENT AND GENERAL EXPENSES 31,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,377. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3. MANAGEMENT AND GENERAL EXPENSES 5,791. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,794.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION DID NOT MAKE ANY CHANGES IN RESPONSIBILITY FOR THE OVERSIGHT OF THE ANNUAL AUDIT OF ITS FINANCIAL STATEMENTS OR IN THE SELECTION OF AN INDEPENDENT ACCOUNTANT DURING THE TAX YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5PART XI, PAGE 12, LINE 2C
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0WI
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0309412
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0309412
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt06827
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0173857
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0281032
IRS990/TotalFunctionalExpensesGrp/TotalAmt0454889
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0138272
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0138272
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0171140

Document Assets

No mirrored PDF or thumbnail assets are attached yet.