Civic Intelligence

Theda Clark Medical Center Foundation Inc

EIN 31-1550056 • 501(c)3

Profile

The theda clark medical center foundation is an organization of community representatives who work to create and support healthcare initiatives provided at theda clark medical center and through select community programs.

1818 N Meade Street54911

www.thedaclarkfoundation.com

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

7th percentile

0.00x

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

501(c)3 • $10M-$25M nonprofits • Source year 2013

Net Margin

87th percentile

44%

Higher net margin than 87% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2013

Top Officer Pay

93rd percentile

$635,927

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 20.9% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2013

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

501(c)3 • $10M-$25M 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

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $30,876,304 (-100%) from 2012

Liabilities

Down

$0

Down $36,843 (-100%) from 2012

Net Assets

Down

$0

Down $30,839,461 (-100%) from 2012

Operations
Liabilities / Revenue7th percentileNet Margin87th percentile

Revenue

$3,038,238

No earlier filing loaded for comparison.

Expenses

Down

$1,705,018

Down $1,390,580 (-45%) from 2012

Net Income

$1,333,220

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset Growth1st percentile

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

$40M$30M$20M$10M$0Assets 2010: $30,996,322Liabilities 2010: $33,298Net Assets 2010: $30,963,0242010Assets 2011: $30,291,234Liabilities 2011: $78,769Net Assets 2011: $30,212,4652011Assets 2012: $30,876,304Liabilities 2012: $36,843Net Assets 2012: $30,839,4612012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013

Highlighted filing

2013

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

Operations Trend

Revenue GrowthScore unavailable

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

$4.0M$3.0M$2.0M$1.0M$0Expenses 2010: $3,077,4522010Expenses 2011: $433,2582011Expenses 2012: $3,095,5982012Revenue 2013: $3,038,238Expenses 2013: $1,705,018Net Income 2013: $1,333,2202013

Highlighted filing

2013

Revenue$3,038,238
Expenses$1,705,018
Net Income$1,333,220
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
$3,038,238
Expenses
$1,705,018
Net income
$1,333,220
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2013Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$3.04$1.71$1.33
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.9$0.04$30.8$3.10
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.3$0.08$30.2$0.43
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.0$0.03$31.0$3.08
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 15, 2014
Return Version
2013v3.0
Gross Receipts
$21,021,760
Mission and Program Overview

Mission

The theda clark medical center foundation is an organization of community representatives who work to create and support healthcare initiatives provided at theda clark medical center and through select community programs.

To create and support healthcare initiatives provided at theda clark medical center and through select commmunity programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$29,646,542$0▼ $29,646,542
Savings and Temporary Cash Investments$941,918$0▼ $941,918
Pledges and Grants Receivable$287,844$0▼ $287,844
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$30,876,304$0▼ $30,876,304
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$36,843--
Total Liabilities$36,843$0▼ $36,843
Net Assets / Fund Balance
Unrestricted Net Assets$24,999,556$0▼ $24,999,556
Permanently Rstr Net Assets$4,100,852$0▼ $4,100,852
Temporarily Rstr Net Assets$1,739,053$0▼ $1,739,053
Total Net Assets Fund Balance$30,839,461$0▼ $30,839,461
Total Liabilities and Net Assets / Fund Balance$30,876,304$0▼ $30,876,304

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$4,326,073$40,088▲ $111,875--
2012$4,264,905$11,809▲ $58,359-$4,326,073
2011$4,261,199$13,033▼ $5,327-$4,264,905
2010$4,182,346$8,236▲ $74,617-$4,261,199
2009$4,010,314$71,808▲ $104,224-$4,182,346
Compensation and Service Providers
Top Officer Pay93rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Frohna MichaelExecutive DirectorPT$55,257$16,783$72,040

Board Members and Trustees

NameTitle
Wiegratz WyonPresident
Waite MichaelVice President
Attassi Omar MdDirector
Baltz Curtis MdDirector
Bergstrom TimDirector
Buchta JeffDirector
Dunsurn BrianDirector
Flaherty Tim MdDirector
Hulce SharonDirector
Hunter WilliamDirector
Mcgrane JosephDirector
Mielke Douglas MdDirector
Rosculet Katrina MdDirector
Tolly Tom MdDirector
Began Daniel ETreaurer
Revenue and Support

Revenue Composition

Contributions and Grants
$980,727
Program Service Revenue
$0
Investment Income
$2,084,548
Other Revenue
$-27,037
All Other Contributions
$879,208
Change in Net Assets
$1,333,220

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,079,053
Revenue Not Reported on Financial Statements
$-40,815
Revenue Not Reported on Form 990
$3,576,639
Other Revenue Adjustments
$-40,815
Total Revenue per Audited Statements
$6,655,692
Total Revenue per Form 990
$3,038,238
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,297,172
Salaries, Compensation, and Employee Benefits$322,208
Total Fundraising Expense$266,929
Other Expenses$85,638
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,287,172--$1,287,172
Other Salaries and Wages-$80,552$241,656$322,208
Fees for Service Investment Mgmnt Fees-$22,362-$22,362
Fees for Services Other-$13,753$7,753$21,506
Fees for Services Accounting-$12,036-$12,036
Grants to Domestic Individuals$10,000--$10,000
Office Expenses-$1,716$8,062$9,778
Information Technology-$1,714$1,714$3,428
Travel-$700$2,101$2,801
Conferences and Meetings-$2,018-$2,018
Other Expenses-$2,851$297$297
Total Functional Expenses$1,297,172$140,917$266,929$1,705,018

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$1,745,833
Expenses per Audited Statements$1,705,018
Total Expenses per Form 990$1,705,018
Expenses Not Reported on Form 990$40,815
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
39-0830664-501(c)(3)Learning Center for Collaborative Care, Nicone Eeg Machine, Birth Center, 4 Tee Probes and Ortho Plus.$1,098,990
45-4681563-501(c)(3)Support the Mission Focused Programs and Services of Catalpa Health.$100,000
47-0862462-501(c)(3)Pay Salary of One Dental Assistant to Work in Mobile Dental Clinic.$33,334
45-0530019-501(c)(3)Support Staffing of a Rn$17,000
39-1913179-501(c)(3)Support of an Aftercare Coordinator$17,000
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$40,815
Fundraising Gross Income$13,778
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 2$61,729-$18,466-
Event 1$53,568$13,778$5,187$8,591
Total Events$115,297$13,778$40,815$-27,037
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

“Thedaclark medical center foundation, inc.'s sole member of the single class of voting members is thedacare, inc.”

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

“The election and removal of directors requires the approval of thedacare,inc.”

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

“The following actions shall not be taken without the approval of thedacare, inc.: 1. Amendment of the articles of incorporation 2. Amendment of the bylaws 3. Merger, consolidation or dissolution of this corporation 4. The creation of any subsidiaries or affiliates of this corporation”

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 emailed 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 theses 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

“All are availabe upon request.”

Filing and Contact Details

Filer

EIN
31-1550056
Phone
9208316778

Signing Officer

Name
Wyon Wiegratz
Title
President
Phone
9208316778
Signed
2014-10-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Daniel Began
Formed
1997
Legal Domicile
Wi
Voting Board Members
15
Independent Board Members
12
Employees
0
Volunteers
46

Preparer

Preparer
Terri Rexrode CPA Mst
Phone
9206620016
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Net assets transferred to thedacare family of foundations, inc. -35,749,320.”

Form 990, Part XII, Line 2C

“Oversight of the audt: this process has not changed from the prior year.”

Financial Statement Notes

PART V, LINE 4:

“The intended uses of the organization's endowment funds are to provide a predictable stream of funding to support programs and services offered by the theda clark medical center.”

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 -40,815.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising expenses 40,815.”

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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/MissionDesc0THE THEDA CLARK MEDICAL CENTER FOUNDATION IS AN ORGANIZATION OF COMMUNITY REPRESENTATIVES WHO WORK TO CREATE AND SUPPORT HEALTHCARE INITIATIVES PROVIDED AT THEDA CLARK MEDICAL CENTER AND THROUGH SELECT COMMUNITY PROGRAMS.
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