Civic Intelligence

The Monroe Clinic Inc

990 • Fiscal year 2015 • EIN 39-0808509

Jan 01, 2015 to Dec 31, 2015 • Filed on Aug 04, 2016

515 22nd AvenueMonroe, WI 53566

(608) 324-2775

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

55th percentile

0.38x

Higher debt load relative to assets than 55% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Liabilities / Revenue

51st percentile

0.57x

Higher debt load relative to revenue than 51% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Net Margin

44th percentile

5.3%

Higher net margin than 44% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Top Officer Pay

62nd percentile

$1,087,812

Higher top officer pay than 62% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Asset Growth

53rd percentile

2.5%

Faster asset growth than 53% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Revenue Growth

33rd percentile

0.7%

Faster revenue growth than 33% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Assets

Up

$271,535,083

Up $6,744,917 (+2.5%) from 2014

Net Assets

Up

$169,391,965

Up $9,191,002 (+5.7%) from 2014

Liabilities

Down

$102,143,118

Down $2,446,085 (-2.3%) from 2014

Revenue

Up

$177,818,503

Up $1,218,754 (+0.7%) from 2014

Expenses

Up

$168,341,731

Up $2,816,007 (+1.7%) from 2014

Net Income

Down

$9,476,772

Down $1,597,253 (-14%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0Assets 2010: $232,081,395Liabilities 2010: $108,443,366Net Assets 2010: $123,638,0292010Assets 2011: $238,050,691Liabilities 2011: $109,077,457Net Assets 2011: $128,973,2342011Assets 2012: $244,550,154Liabilities 2012: $107,867,139Net Assets 2012: $136,683,0152012Assets 2013: $254,726,229Liabilities 2013: $105,814,903Net Assets 2013: $148,911,3262013Assets 2014: $264,790,166Liabilities 2014: $104,589,203Net Assets 2014: $160,200,9632014Assets 2015: $271,535,083Liabilities 2015: $102,143,118Net Assets 2015: $169,391,9652015Assets 2016: $270,507,743Liabilities 2016: $99,356,045Net Assets 2016: $171,151,6982016Assets 2017: $282,069,217Liabilities 2017: $97,750,164Net Assets 2017: $184,319,0532017Assets 2018: $290,834,327Liabilities 2018: $95,931,711Net Assets 2018: $194,902,6162018Assets 2019: $341,623,775Liabilities 2019: $127,279,064Net Assets 2019: $214,344,7112019Assets 2020: $368,180,054Liabilities 2020: $138,233,791Net Assets 2020: $229,946,2632020Assets 2021: $409,600,640Liabilities 2021: $158,726,688Net Assets 2021: $250,873,9522021Assets 2022: $323,716,950Liabilities 2022: $84,849,318Net Assets 2022: $238,867,6322022Assets 2023: $301,884,357Liabilities 2023: $41,462,756Net Assets 2023: $260,421,6012023Assets 2024: $310,379,799Liabilities 2024: $71,754,696Net Assets 2024: $238,625,1032024

Highlighted filing

2015

Assets$271,535,083
Liabilities$102,143,118
Net Assets$169,391,965

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0Expenses 2010: $142,700,4972010Expenses 2011: $147,555,8552011Revenue 2012: $161,165,365Expenses 2012: $157,534,645Net Income 2012: $3,630,7202012Revenue 2013: $170,839,072Expenses 2013: $165,192,376Net Income 2013: $5,646,6962013Revenue 2014: $176,599,749Expenses 2014: $165,525,724Net Income 2014: $11,074,0252014Revenue 2015: $177,818,503Expenses 2015: $168,341,731Net Income 2015: $9,476,7722015Revenue 2016: $168,295,255Expenses 2016: $166,105,300Net Income 2016: $2,189,9552016Revenue 2017: $174,954,745Expenses 2017: $169,577,754Net Income 2017: $5,376,9912017Revenue 2018: $190,079,144Expenses 2018: $175,021,509Net Income 2018: $15,057,6352018Revenue 2019: $196,142,701Expenses 2019: $178,567,142Net Income 2019: $17,575,5592019Revenue 2020: $192,194,935Expenses 2020: $184,090,289Net Income 2020: $8,104,6462020Revenue 2021: $215,841,279Expenses 2021: $199,442,934Net Income 2021: $16,398,3452021Revenue 2022: $206,504,084Expenses 2022: $203,695,768Net Income 2022: $2,808,3162022Revenue 2023: $219,503,410Expenses 2023: $208,370,002Net Income 2023: $11,133,4082023Revenue 2024: $237,133,051Expenses 2024: $212,382,763Net Income 2024: $24,750,2882024

Highlighted filing

2015

Revenue$177,818,503
Expenses$168,341,731
Net Income$9,476,772
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Aug 4, 2016
Return Version
2015v2.1
Gross Receipts
$204,209,878
Mission and Program Overview

Mission

Working together to achieve the highest standards in healthcare, we create healthy communities through god's healing spirit. Vision: exceptional health care. An exceptional experience.

The monroe clinic, inc. Provides healthcare services to the communities in and surrounding green county, wi and stephenson county, il. Medical services are provided regardless of an individual's ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$109,368,207$103,837,203▼ $5,531,004
Investments in Publicly Traded Securities$94,231,253$96,243,269▲ $2,012,016
Savings and Temporary Cash Investments$23,009,831$30,212,261▲ $7,202,430
Accounts Receivable$23,868,900$26,841,073▲ $2,972,173
Inventories for Sale or Use$3,626,318$3,748,655▲ $122,337
Prepaid Expenses and Deferred Charges$2,298,175$2,377,593▲ $79,418
Cash and Non-Interest-Bearing Accounts$121,461$110,690▼ $10,771
Intangible Assets$32,786$0▼ $32,786
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$263,951,300$271,535,083▲ $7,583,783
Other Assets Total$7,394,369$8,164,339▲ $769,970
Liabilities
Tax Exempt Bond Liabilities$76,511,402$73,686,667▼ $2,824,735
Accounts Payable and Accrued Expenses$17,556,537$17,393,931▼ $162,606
Other Liabilities$9,682,398$11,062,520▲ $1,380,122
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$103,750,337$102,143,118▼ $1,607,219
Net Assets / Fund Balance
Unrestricted Net Assets$160,103,736$169,294,738▲ $9,191,002
Temporarily Rstr Net Assets$97,227$97,227→ $0
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$160,200,963$169,391,965▲ $9,191,002
Total Liabilities and Net Assets / Fund Balance$263,951,300$271,535,083▲ $7,583,783

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$15,369,145$131,361,640$146,730,785
Equipment$80,607,846$0$80,607,846
Other Land Buildings$6,289,860$0$6,289,860
Land$1,570,352-$1,570,352
Leasehold Improvements$0$0$0

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$3,300,227$37,367▼ $23,600$0$3,313,994
2014$3,125,858$59,712▲ $203,657$89,000$3,300,227
2013$2,654,654$142,898▲ $408,306$80,000$3,125,858
2012$2,377,224$24,079▲ $253,351$0$2,654,654
2011$2,348,831$0▲ $28,393$0$2,377,224
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lance SathoffPhysicianFT$1,021,117$66,695$1,087,812
Nicholas MaxwellPhysician/general SurgeonFT$995,492$60,757$1,056,249
Andrew RikkersPhysician/general SurgeonFT$970,419$66,296$1,036,715
Michael SandersPresident/CEOFT$677,102$319,598$996,700
Wissam MattarPhysicianFT$770,603$50,807$821,410
David BuchananPhysician/interventional CardiologistFT$678,831$60,200$739,031
Jonathan SwindlePhysician/orthopedic SurgeonFT$649,353$57,186$706,539
Mark ThompsonChief Medical OfficerFT$390,715$182,075$572,790
Julie WilkeVP Clinical OperationsFT$288,346$150,410$438,756
Darren PippPhysicianFT$363,133$36,875$400,008
John FreyPhysician/secretaryFT$318,899$28,770$347,669
Paula Raibley-elmerVP/chief Nursing OfficerFT$208,336$129,175$337,511
James NemethChief Financial OfficerFT$214,675$120,354$335,029
Carrie BlumChief Information OfficerFT$174,760$95,553$270,313
Paul BekxChief of Staff/directorFT$235,723$21,400$257,123
Lucinda WerkheiserVP/service ExcellenceFT$150,776$104,399$255,175
Jane MonahanVP Ministry/hrFT$158,637$93,393$252,030

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
State Of Wisconsin Dept Of Health ServicesPharmaceuticals27550 NETWORK PLACE, Chicago, IL 60671$12,647,865
Owens & MinorHospital Assessment1 W WILSON ST, Madison, WI 53701$2,746,397
Epic Systems CorpSurgical Supplies12199 COLLECTION CENTER DR, Chicago, IL 60693$2,537,001
Stryker OrthopaedicsEhr Management5301 TOKAY BLVD, Madison, WI 53711$1,910,823
-Surgical SuppliesBox 93213, Chicago, IL 60673$1,040,730
Revenue and Support

Revenue Composition

Contributions and Grants
$97,617
Program Service Revenue
$176,431,839
Investment Income
$1,289,047
Other Revenue
$0
All Other Contributions
$86
Change in Net Assets
$9,476,772

Audited Revenue Reconciliation

Revenue per Audited Statements
$177,476,829
Revenue Not Reported on Financial Statements
$341,674
Revenue Not Reported on Form 990
$-58,003
Other Revenue Adjustments
$227,767
Total Revenue per Audited Statements
$177,418,826
Total Revenue per Form 990
$177,818,503
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$101,109,335
Other Expenses$67,232,396
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$61,842,539$10,067,390-$71,909,929
Office Expenses$24,653,269$2,980,542-$27,633,811
Other Employee Benefits$12,793,862$2,294,376-$15,088,238
Depreciation Depletion$7,107,327$5,166,480-$12,273,807
Fees for Services Other$5,186,033$2,985,676-$8,171,709
Other Expenses$1,852,786$3,853,263-$5,706,049
Current Officers, Directors, Trustees, and Key Employees$4,497,591$672,054-$5,169,645
Payroll Taxes$3,560,041$1,279,068-$4,839,109
Pension Plan Contributions$3,018,068$1,084,346-$4,102,414
Interest$3,530,689--$3,530,689
Occupancy$408,165$2,103,354-$2,511,519
Conferences and Meetings$961,375$163,636-$1,125,011
Fees for Service Investment Mgmnt Fees$113,907--$113,907
Fees for Services Legal-$97,898-$97,898
Fees for Services Accounting-$55,550-$55,550
Total Functional Expenses$132,552,975$35,788,756$0$168,341,731

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$168,341,731
Expenses per Audited Statements$168,227,824
Total Expenses per Audited Statements$168,227,824
Expenses Not Reported on Financial Statements$113,907
Expenses Not Reported on Form 990$0
Other Expense Adjustments$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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Sarah EndicottMICHAEL SANDERS' DAUGHTEREmploymentYes$43,920

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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$9,212,520
Asset Retirement Obligation$1,850,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
ARedevelopment Authority of the City of Monroe2009-11-24$64,459,717CONSTRUCTION OF HOSPITAL
CWisconsin Health and Educational Facilities Authority2012-04-19$21,750,843Partial advanced refunding of 2009 issue
BWisconsin Health and Educational Facilities Authorities2012-04-19$16,415,700Refunding of 1999 bond issue

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$64,442,747$0$0$1,036,820
C$21,750,843$0$0$291,207
B$16,415,700$16,285,000$0$130,700

Bond Financing Compliance

Form 8038-T filed
Yes
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The corporation has two classes of members. The class a members are the general superior of csa and those persons who are members of the general council of csa. The class b members are individuals appointed by the class a members and consist of not less than nine members and not more than 13 members.

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

There is a governing body that has final approval for any new board members.

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

Various decisions such as indebtedness of a certain scope, mission of the organization, and final approval of board members must be by class a members of congregation of sisters of st. Agnes sponsorship ministry board.

Form 990, Part VI, Section B, Line 11B

Annually, the board of directors is provided an overview of the form 990 and has an opportunity to ask questions and provide input.

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

Annually, conflict of interest statements and policy are distributed to members of the board and any employee who has authority to enter into contracts and other transactions on behalf of monroe clinic. The completed forms are reviewed by administration.

Form 990, Part VI, Section B, Line 15

The organization's ceo and senior leadership team's compensation plan is reviewed and approved at formal meetings of the compensation committee of the board of directors. The compensation committee is comprised of independent non-employee members who have no personal interest in the compensation agreement to be reviewed and recommended by the compensation committee. This committee reviews comparable wisconsin and national compensation data and establishes base compensation at the comparable market median by the position as outlined in the compensation committee charter. Additionally the committee has authority to retain a compensation consultant to assist the committee in evaluating senior management compensation.

Form 990, Part VI, Section C, Line 19

A paper copy of the documents/statements is provided upon request.

Filing and Contact Details

Filer

Filer Name
The Monroe Clinic Inc
EIN
39-0808509
Phone
6083242775
Address
515 22ND AVENUE, MONROE, WI 53566

Signing Officer

Name
James Nemeth
Title
CFO
Phone
6083242775
Signed
2016-08-04

Organization Details

Principal Officer
James Nemeth
Formed
1963
Legal Domicile
Wi
Voting Board Members
15
Independent Board Members
9
Employees
1,373
Volunteers
207
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

Services include inpatient routine, inpatient ancillary, and outpatient healthcare in support of the corporation's health care mission. The monroe clinic, because of its mission statement, offers a charity care program to eligible beneficiaries.

Form 990, Part III, Line 4A

In 2015 our physicians and staff provided services to patients accessing our system with over 250,000 visits. In 1939, csa established st. Clare hospital at the request of a small group of physicians who opened monroe clinic in the same year. In 1992 st. Clare hospital and monroe clinic consolidated under continued sponsorship of csa as a catholic not for profit integrated healthcare facility. Monroe clinic has a special commitment to provide healthcare services to all patients without any form of discrimination including the ability to pay. The passion and determination of both the founding physician and csa has developed an exceptional healthcare organization that focuses on quality and outcome measures that exceed national benchmarks. In 2010 monroe clinic committed to publishing our quality scores in local newspapers and on our website. To date we have been among the highest performing hospitals in the area. Patient satisfaction scores are significantly above the average of other healthcare facilities. Our highly trained physicians and staff are ready to provide both exceptional healthcare and an exceptional experience to the patients and communities we serve. In calendar year 2015 monroe clinic provided more than $14.0 million in community benefit to more than 37,500 individuals. This $14.0 million represents approximately 8.3 percent of monroe clinic's total net patient revenue. The community benefit at cost is comprised of $1.3 million of charity care, $12.5 million in unreimbursed costs for medicaid patients, $173 thousand in subsidized healthcare services (services provided to patients at less than what it cost us to provide these services). Each year monroe clinic uses surplus funds to enhance patient and screening programs. Through our spending and that of our employees monroe clinic contributes significantly to the local community.

Form 990, Part XI, Line 9

Other changes in net assets or fund balances equity in earnings of unconsolidated affiliates 198,845 and change in interest in net assets of foundation 635,058, total 833,903.

Financial Statement Notes

Schedule D, Part V, Line 4

The operating endowment has been established to support the operating costs of the monroe clinic and hospital foundation. The future of healthcare endowment has been established to provide funding for grants and programs that support the monroe clinic and hospital foundation mission.

Schedule D, Part X, Line 2

The monroe clinic is a tax exempt corporation as described in section 501(c)(3) of the internal revenue code (the "code") and is exempt from federal income tax on related income pursuant to section 501(a) of the code. The clinic is also exempt from state income tax. In order to account for uncertain tax positions, the clinic determines whether it is more likely than not that a tax position will be sustained on examination by the taxing authorities based on 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 clinic has not recorded any assets or liabilities related to uncertain tax positions or unrecognized tax benefits as of december 31, 2015 or 2014. The clinic's federal tax returns for tax years 2011 and beyond remain subject to examination by the internal revenue service.

Schedule D, Part XI, Line 2D

Increase in equity in unconsolidated affiliate 635,058 and change in interest in net assets of foundation 479,809 total 1,061,670

Schedule D, Part XI, Line 4B

Other 227,767 in contributions to the monroe clinic hospital foundation

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IRS990/Desc0MONROE CLINIC IS A NOT-FOR-PROFIT HEALTH SYSTEM FEATURING A MULTI-SPECIALTY CLINIC AND HOSPITAL DEDICATED TO BRINGING THE BEST CARE TO THE COMMUNITIES WE SERVE. WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS OF HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. SPONSORED BY THE CONGREGATION OF SISTERS OF ST. AGNES (CSA), MONROE CLINIC OFFERS COMPREHENSIVE HEALTH CARE WITH OVER 120 PROVIDERS, A 24-HOUR EMERGENCY DEPARTMENT, HOME CARE AND HOSPICE SERVICES, AS WELL AS MULTIPLE CLINIC LOCATIONS IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. IN ALL THAT WE DO, WE ARE DEDICATED TO HELPING OUR PATIENTS GET BETTER FASTER AND STAY HEALTHIER LONGER. AS A STATE-OF-THE-ART HEALTH SYSTEM, WE OFFER ADVANCED MEDICAL EQUIPMENT AND TECHNOLOGY COMBINED WITH CARE AND SENSITIVITY. PHYSICIANS AND STAFF ARE COMMITTED TO PROVIDING PERSONALIZED HEALTH CARE, EDUCATION AND PEACE OF MIND. OUR PATIENTS BENEFIT FROM EXCEPTIONAL PREVENTIVE AND REHABILITATION SERVICES AND MORE THAN 25 MEDICAL SPECIALTIES. WITH GOD'S BLESSING, MONROE CLINIC IS ABLE TO MEET THE NEEDS OF THOSE WE ARE PRIVILEGED TO SERVE.
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$310$71.8$239$237$212$24.8
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$302$41.5$260$220$208$11.1
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$324$84.8$239$207$204$2.81
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$410$159$251$216$199$16.4
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$368$138$230$192$184$8.10
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$342$127$214$196$179$17.6
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$291$95.9$195$190$175$15.1
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$282$97.8$184$175$170$5.38
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$271$99.4$171$168$166$2.19
2015Detailed filing. Detailed filing data is available for this year.$272$102$169$178$168$9.48
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$265$105$160$177$166$11.1
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$255$106$149$171$165$5.65
2012Summary only. Only limited summary data is available for this year.$245$108$137$161$158$3.63
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$238$109$129$148
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$232$108$124$143
Peer Organizations

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